Ryan White Program Guidance: Establishing an URN The Unique Record Number (URN) is a unique code assigned to each client based on portions of the individual's first and last name, date of birth, and gender. The URN is used to distinguish one client from all others and is essential for merging and unduplicating client records across providers. The URN is created from the following: • • • • • First and third letters of the first name First and third letters of the last name Two-digit Month, Day, and Year of birth Code for Gender (1=Male; 2=Female; 3=Transgender; 9=Unknown) If a field is missing, or say the first or last name is only two letters long, then the number 9 is inserted for that field The letter and numbers above form the 11 digit un-encrypted unique record number. For example, the URN for a client named Jane M. Doe, female, born on March 15, 1965 would be JNDE0315652. After this number is created, it is encrypted, or scrambled, using a complex algorithm. The resulting nine-digit code does not resemble the original information in any way. It is virtually IMPOSSIBLE to retrace the information in the URN or retrace any personal information about the clients. Decoding a URN is not feasible; too much of the original information is removed during the encryption process to be able to work backwards to the original 11-digit information. For the client level demonstration sites (who have special data reporting requirements), only the encrypted URN is submitted to HRSA. As a further safeguard, HRSA strips each record of the encrypted URN and replaces it with a sequential number that is used to uniquely identify each client. NO identifying information is sent to the Heath Resources and Services Administration (HRSA).