Progress note de-identification is the removal of all 18 HIPAA Safe Harbor IDs (45 CFR §164.514(b)) from a clinician's ongoing notes. anonym.plus does it on your machine. The update stays readable; the client is not named.
When this applies
You track outcomes across many visits. To pool the text safely, names, dates, and IDs must be stripped from every entry first.
How anonym.plus handles it
- Open the file in anonym.plus on your own device.
- Local OCR reads any scanned page.
- It marks names, dates, and ID numbers.
- Review each flag and keep the clinical update.
- Replace each ID with a label, or black it out.
- Save the clean entry. The source stays local.
What you need to provide
- The file (PDF, DOCX, TXT, or scan).
- An operator: Replace, Redact, or Mask.
- Optional: a name map for re-linking.
PHI entity types detected
| Category | anonym.plus entity type | Example |
|---|---|---|
| Client | PERSON | Greta Lind → [CLIENT_1] |
| Visit date | DATE_TIME | Seen 04/28/2026 → [DATE] |
| Record ID | MEDICAL_RECORD_NUMBER | MRN 28890 → [MRN] |
| Spouse | PERSON | partner Ray → [FAMILY_1] |
| Phone | PHONE_NUMBER | (801) 555 0156 → [PHONE] |
| National ID | US_SSN / NATIONAL_ID | 118-22-4471 → [ID] |
Compliance achieved
- Removes all 18 ID classes for HIPAA Safe Harbor (45 CFR §164.514(b)).
- Runs offline, so no BAA is required.
- Entries are kept safe with AES-256-GCM.
- Covers GDPR Art. 9 health data for EU clients.
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Limitations & cautions
Safe Harbor also expects no leftover clue that could re-identify the person. The tool clears the 18 ID types. A vivid one-off event in the text may still hint at identity, so review before sharing.
Frequently asked questions
Can I batch many notes?
Yes. Process each file in turn with the same operator. Use a shared key map if you need to keep entries linked across visits.
Are partners and family hidden?
Yes. A named partner or relative is an identifier. The tool flags each so the client cannot be traced through them.
Is the file uploaded?
No. The app works on your own device. Nothing is sent to a server.