Ruskes answer is correct historically. I believe it is still true, but nowadays anything in advanced preferences must be approached with great caution.
I think it's might be safe to add an additional alias there, but be careful about removing any. It's not clear what the com.apple.idms.appleid.prd.GUID or similar Aliases mean, but a 2017 Apple Discussion response suggests some are related to Apple Store identifiers particularly when a user's Apple Store ID differs from their iCloud ID. When I browse Mojave's Diretory Uility.app's Directory Editor for my user account the RecordName keyvalue pair shows both my macOS name and a string of the form com.apple.idms.appleid.prd....
I think as Apple has integrated macOS with their Cloud services and legacy problems with user identifiers they've extended the use of Users & Groups Aliases to bind together identifiers on different services.
In 2019 we should probably forget that "Advanced Options" exists at all (except perhaps for changing one's shell)