Can You Put PHI Into an LLM? A HIPAA Engineer's Decision Tree
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Someone on your team has already pasted patient data into a chatbot. That is not cynicism, it is the base rate. The useful question is not whether it happened but what your architecture does about it. Most write-ups answer "can we use an LLM with PHI?" with "it depends, consult counsel." That is true and useless. Here is the actual decision tree, in the order an engineer hits the decisions. Node 1: Is it really PHI? PHI is health information that identifies an individual, held by a covered…
1Key Takeaways
- Someone on your team has already pasted patient data into a chatbot.
- That is not cynicism, it is the base rate.
- The useful question is not whether it happened but what your architecture does about it.
- Most write-ups answer "can we use an LLM with PHI?" with "it depends, consult counsel." That is true and useless.
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3Why it matters
Coding AI shifts how fast software ships and how much human review each change needs. DEV — AI reports that someone on your team has already pasted patient data into a chatbot.
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