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How to automate de-identification processing of clinical record data for HIPAA compliance?

2025-08-20 299

Medical Privacy Protection Implementation Path

Building a compliant de-identified system with OpenMed requires a three-step implementation:

  • entity identification layer: The following models are used in combination:
    • OpenMed-NER-PHIPDetect: Recognize PHI information such as name/address
    • OpenMed-NER-Anatomy: Description of protection of sensitive anatomical areas
  • replacement strategy: Adoption of identification results:
    1. Generic tag replacement (e.g. [NAME])
    2. Hash encryption (preservation of data analysis value)
    3. Generative obfuscation (GPT-like models generate alternative texts)
  • verification process: through OpenMed'smodel-discoveryThe tool looks for evaluation models and does the final calibration with models with F1-score > 0.95

Example of implementation: use by a hospitalOpenMed-NER-PHIPDetect-SuperClinical-434M+MD5 hashing scheme, under the premise of maintaining the availability of medical records, PHI leakage incidents reduced by 92%. When dealing with text such as "Ms. Zhang XX lives in Chaoyang District, Beijing", it can be accurately identified and replaced with "[PATIENT] lives in [LOCATION]". ".

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