id: "SI-19(04)" title: "Removal, Masking, Encryption, Hashing, or Replacement of Direct Identifiers" family: "SI" family_name: "System and Information Integrity" sort_id: "si-19.04" priority: "P1" implementation_level: "system" parent: "SI-19" enhancement: True


Statement

Remove, mask, encrypt, hash, or replace direct identifiers in a dataset.

Guidance

There are many possible processes for removing direct identifiers from a dataset. Columns in a dataset that contain a direct identifier can be removed. In masking, the direct identifier is transformed into a repeating character, such as XXXXXX or 999999. Identifiers can be encrypted or hashed so that the linked records remain linked. In the case of encryption or hashing, algorithms are employed that require the use of a key, including the Advanced Encryption Standard or a Hash-based Message Authentication Code. Implementations may use the same key for all identifiers or use a different key for each identifier. Using a different key for each identifier provides a higher degree of security and privacy. Identifiers can alternatively be replaced with a keyword, including transforming "George Washington" to "PATIENT" or replacing it with a surrogate value, such as transforming "George Washington" to "Abraham Polk."

Assessment Objective

direct identifiers in a dataset are removed, masked, encrypted, hashed, or replaced.

System and information integrity policy

system and information integrity procedures

personally identifiable information processing policy

de-identification procedures

system configuration

documentation of de-identified datasets

tools for the removal, masking, encryption, hashing or replacement of direct identifiers

system security plan

privacy plan

privacy impact assessment

privacy risk assessment documentation

other relevant documents or records

Organizational personnel responsible for de-identifying the dataset

organizational personnel with information security and privacy responsibilities

Automated mechanisms supporting and/or implementing the removal, masking, encryption, hashing or replacement of direct identifiers