The formal definition is “any information in the medical record or designated record that can be used to identify an individual and that was created, used, or disclosed in the course of providing a health care service such as diagnosis or treatment.” Protected Health Information (PHI): Individually identifiable information maintained by a covered health care provider, health plan, or health care clearinghouse. alone, or when combined with other personal or identifying information which is linked or linkable to a specific individual, such as date and place of birth, mother’s maiden name, etc.” PII is protected by the provisions of the Privacy Act if the record in which it is located is under the control of an agency and is contained in an authorized system of records retrieved by a personal identifier. Personally Identifiable Information (PII): Information which can be used to distinguish or trace an individual’s identity, such as their name, SSN, biometric records, etc. Privacy IncidentĪ privacy incident is the loss of control, compromise, unauthorized disclosure, unauthorized acquisition, unauthorized access, or any similar term referring to situations where persons other than authorized users and for an other than authorized purpose have access or potential access to PII, PHI or SI, whether physical or electronic. Level of risk to agency and individual.Ĭontact us using the information on the top right of this page so that a breach response plan and/or letter to notify individuals of the breach of PII/Sensitive Information (SI) can be prepared (if required).Types of controls in place to mitigate risk.Number of individuals potentially affected.Data elements involved in loss/theft (name, SSN, DOB, race, gender, medical record number, biometric identifier, photo, etc.).If the data/equipment/device was encrypted.
If the data was personally identifiable or sensitive in nature.A compromised account had access to NIH data.The compromised system or lost/stolen equipment contained NIH data.In January 2017, OMB Memorandum M-17-12 “Preparing for and Responding to a Breach of Personally Identifiable Information” required every agency, among other things, to implement more stringent breach notification and response policies and procedures. Privacy Incidents and Breach Response Overview
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