Awareness article

18 HIPAA Identifiers

A practical guide to the 18 HIPAA identifiers and how healthcare teams can use them as a screening list when reviewing workflows and tools.

Short answer

The 18 HIPAA identifiers are the practical screening list teams use when deciding whether a workflow contains identifiable patient data. If one or more identifiers appear with health context, treat the workflow carefully.

The 18 HIPAA identifiers are the fastest screening list for patient-linked workflows. If your spreadsheet, form, export, or note includes one of these identifiers plus health context, treat the workflow as sensitive.

Common HIPAA identifiers teams miss

Healthcare teams often remember names and phone numbers, but miss:

  • dates tied to the individual
  • email addresses
  • medical record and account numbers
  • device or serial identifiers
  • full-face photos and similar images

How to use the 18 HIPAA identifiers

Use the list when reviewing:

  • intake forms
  • spreadsheet trackers
  • drive folders
  • exported reports
  • AI prompts

Use PHI Examples for real-world scenarios, Google Sheets if the issue is spreadsheet use, and /resources/guides for vendor-specific follow-up.

FAQ

Questions related to this topic

Do the identifiers matter only for de-identification?

No. They are also a practical screening tool for ordinary workflow design.

Are dates really an identifier issue?

Yes. Dates tied to an individual are a common reason data remains identifiable.

Operational assurance

Move from policy documents to a working compliance program.

PHIGuard turns these workflows into repeatable tasks, audit evidence, and role-based processes for small clinics.

No credit card required. Add billing details later if you want service to continue after the trial.