# ProWrite De-identification Review Worksheet

Version 1.0 · 24 July 2026

Do not paste identifiable patient information into this worksheet.

## Authority and purpose

- Data controller:
- Approved purpose:
- Ethics or governance reference:
- Permitted recipients:
- Permitted processing environment:
- Required deletion date:

## Direct identifiers

Confirm that the working copy excludes unnecessary:

- [ ] Names and initials
- [ ] Hospital, medical-record, or account numbers
- [ ] Exact addresses and contact details
- [ ] Government identifiers
- [ ] Face images, signatures, or voice recordings
- [ ] Free text containing identifying details

## Indirect identification risk

- [ ] Rare diagnoses or procedures reviewed
- [ ] Exact dates generalized where possible
- [ ] Small geographic areas reviewed
- [ ] Extreme ages or unique occupations reviewed
- [ ] Small cells and combinations of quasi-identifiers reviewed
- [ ] Linkage keys stored separately with stricter access

## Release decision

- Minimum fields required:
- Fields removed or generalized:
- Residual risk:
- Approved recipient and environment:
- Reviewer:
- Date: