PMID- 30815177 OWN - NLM STAT- MEDLINE DCOM- 20200107 LR - 20200429 IS - 1942-597X (Electronic) IS - 1559-4076 (Linking) VI - 2018 DP - 2018 TI - Re-Identification Risk in HIPAA De-Identified Datasets: The MVA Attack. PG - 1329-1337 AB - We present a re-identification attack that uses indirect (non-HIPAA) identifiers to target a vulnerable subset of records de-identified to the HIPAA Safe Harbor standard, those involving motor vehicle accidents (MVAs). Documentation of an MVA in a patient note creates a significant risk to patient privacy through the MVA re-identification attack, with a relative risk of 537 compared to the general population. Patients in a significant MVA resulting in either permanent injury, hospitalization or death (for any victim) should have the accident location information omitted due to the significant risk of re-identification of HIPAA de-identified data. Clinicians should also consider omitting location information for any MVA, as it significantly increases the risk of re-identification. FAU - Janmey, Victor AU - Janmey V AD - Department of Biomedical Informatics, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY. FAU - Elkin, Peter L AU - Elkin PL AD - Department of Biomedical Informatics, Jacobs School of Medicine and Biomedical Sciences, State University of New York at Buffalo, Buffalo, NY. LA - eng GR - T15 LM012495/LM/NLM NIH HHS/United States GR - UL1 TR001412/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20181205 PL - United States TA - AMIA Annu Symp Proc JT - AMIA ... Annual Symposium proceedings. AMIA Symposium JID - 101209213 SB - IM MH - *Accidents, Traffic MH - Confidentiality MH - *Data Anonymization MH - *Datasets as Topic MH - Health Insurance Portability and Accountability Act MH - Humans MH - Male MH - Risk MH - United States PMC - PMC6371259 EDAT- 2019/03/01 06:00 MHDA- 2020/01/08 06:00 PMCR- 2018/12/05 CRDT- 2019/03/01 06:00 PHST- 2019/03/01 06:00 [entrez] PHST- 2019/03/01 06:00 [pubmed] PHST- 2020/01/08 06:00 [medline] PHST- 2018/12/05 00:00 [pmc-release] AID - 2973875 [pii] PST - epublish SO - AMIA Annu Symp Proc. 2018 Dec 5;2018:1329-1337. eCollection 2018.