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Cybersecurity [Connected & Cyber-Physical Devices](/ecosystems/connected-devices)

# De-Identification of Health Data

The HIPAA-defined process of removing identifiers from PHI so the resulting data is no longer subject to the Privacy Rule.

Reviewed by [Christian Espinosa, Founder, Blue Goat Cyber](/authors/christian-espinosa) Last reviewed May 5, 2026 

## Definition

Under  [HIPAA](/terms/hipaa), health information is de-identified when it cannot reasonably be used to identify an individual. HHS recognizes two methods: the  [Safe](/terms/safe-note) Harbor method (removal of 18 specified identifiers and no actual knowledge that the residual data could re-identify) and the Expert Determination method (a qualified expert applies statistical/scientific methods and documents that re-identification risk is very small). De-identified data is not PHI and not subject to HIPAA. 

What the regulation says

HHS OCR's 2012 Guidance Regarding Methods for De-identification of  [Protected Health Information](/terms/phi-ephi) remains the definitive reference. NIST SP 800-188 (2023) and ISO/IEC 20889 cover broader de-identification techniques. Misuse of the de-identification label is a frequent OCR enforcement target. 

## What this means in practice

MedTech teams that want to use clinical data for AI/ML training, analytics, or research typically need de-identified data. Choosing  [Safe](/terms/safe-note) Harbor is procedurally simpler but data-utility-poor; Expert Determination preserves more analytic value but requires documented expert work and ongoing risk monitoring. 

Common pitfalls

-   • Calling pseudonymized data 'de-identified' - pseudonymization preserves a re-identification key. 
-   • Combining de-identified datasets that, together, re-identify (the mosaic effect). 
-   • Skipping the Expert Determination documentation - without it, the data isn't legally de-identified. 

## Frequently asked questions

Can de-identified data be re-identified? 

[Safe](/terms/safe-note) Harbor data is de-identified by  [HIPAA](/terms/hipaa) definition but may still be re-identifiable in adversarial settings. Expert Determination explicitly bounds residual risk. Neither is risk-free. 

Is GDPR de-identification the same? 

## Related terms

Grouped by theme 

### Editor's picks

· Hand-selected related concepts 

[

Cybersecurity

HIPAA(HIPAA) 

U.S. federal law governing the privacy and security of protected health information.





](/terms/hipaa)[

Cybersecurity

HITECH Act(HITECH) 

U.S. law that strengthened HIPAA enforcement and introduced breach-notification requirements.





](/terms/hitech-act)[

Cybersecurity

PHI and ePHI

Individually identifiable health information (PHI) and its electronic form (ePHI) - the data class HIPAA protects.





](/terms/phi-ephi)

### More in Cybersecurity

· Same category 

[

Cybersecurity

AAMI SW96

AAMI/ANSI standard establishing requirements for medical-device cybersecurity activities throughout the lifecycle.





](/terms/aami-sw96)[

Cybersecurity

AAMI TIR57

AAMI Technical Information Report providing MedTech-specific guidance on cybersecurity risk management.





](/terms/aami-tir57)[

Cybersecurity

AAMI TIR97(TIR97) 

AAMI Technical Information Report on post-market security risk management for medical device manufacturers, the operational companion to TIR57.





](/terms/aami-tir97)[

Cybersecurity

Brainjacking

Unauthorized remote control of an implanted neurostimulator (e.g., DBS) to alter stimulation parameters and harm a patient.





](/terms/brainjacking)

Cited by

Where this term appears across MedTech Terms.

Ecosystems (1)

-   [Connected & Cyber-Physical Devices](/ecosystems/connected-devices)

## Primary references

3 sources 

Link health:  3 verified · last checked 2026-06-20 

HHS OCR· 1 NIST· 1 HSCC· 1 

1.  [1 
    
    HHS Guidance: De-Identification of PHI
    
    Verified 
    
    HHS OCR · hhs.gov 
    
    
    
    ](https://www.hhs.gov/hipaa/for-professionals/privacy/special-topics/de-identification/index.html)
2.  [2 
    
    NIST SP 800-188 De-Identifying Government Datasets
    
    Verified 
    
    NIST · csrc.nist.gov 
    
    
    
    ](https://csrc.nist.gov/pubs/sp/800/188/final)
3.  [3 
    
    HSCC - Health Sector Coordinating Council
    
    Verified 
    
    HSCC · healthsectorcouncil.org 
    
    
    
    ](https://healthsectorcouncil.org/)

Inline markers like \[1\]  jump to the matching reference above.

Sponsor note

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MedTech Terms is a community resource sponsored by [Blue Goat Cyber](https://bluegoatcyber.com). Definitions are independent of any vendor.

On this term

Category

Cybersecurity

Sources

3

Updated

5/5/2026

[Compare with another term](/compare?a=de-identification)

Learn in 60 seconds

Card Lesson Quiz

The HIPAA-defined process of removing identifiers from PHI so the resulting data is no longer subject to the Privacy Rule.

-   · MedTech teams that want to use clinical data for AI/ML training, analytics, or research typically need de-identified data. 
-   · Choosing Safe Harbor is procedurally simpler but data-utility-poor; Expert Determination preserves more analytic value but requires documented expert work and ongoing risk monitoring. 
-   · De-identified data is not PHI and not subject to HIPAA. 

Remember this

Watch out: Calling pseudonymized data 'de-identified' - pseudonymization preserves a re-identification key.

Related terms

-   [HIPAA(HIPAA) ](/terms/hipaa)
-   [PHI and ePHI ](/terms/phi-ephi)
-   [HITECH Act(HITECH) ](/terms/hitech-act)

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