That's a loaded question.  I would still say "No" they should still be
treated the same.  Somehow, you (within your purview) would want (nee, have
to have) some kind of "identifier" to be able to link back to the patient,
on your end.  Suppose you send out aggregate data to a benchmarking entity,
and benchmark results are then made available to you which might
necessitate you getting back to the individual patient record...for
conformance purposes.  How would you ever do that, without having created
some other identifier for your own use, in both Bit Buckets A & B?  And,
it's my understanding that even that list of identifiers, must be kept
confidential as well.

I'm not really answering the question am I?  I'm just saying, it doesn't
seem like there would ever be a "truly de-identified" PHI ... so your Bit
Buckets should be treated the same.

Thanks,
Scott Supman
Information Security Director
OhioHealth



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