HIPAA · §164.316 Policies and documentation
§164.316(a)
Policies and Procedures
frameworkHIPAA Security Rule
section§164.316 Policies and documentation
csf 2.0DE.AE-07 GV.OC-03 GV.OV-01 GV.PO-01 GV.PO-02 GV.RM-06 GV.RM-07 GV.SC-03 GV.SC-09 GV.SC-10 ID.AM-03 ID.AM-05 ID.AM-08 ID.IM-01 ID.IM-02 ID.IM-03 ID.IM-04 ID.RA-01 ID.RA-03 ID.RA-04 ID.RA-05 RS.AN-08
topicsGovernance Policy
frameworks5 4 0
Official textImplement reasonable and appropriate policies and procedures to comply with the standards, implementation specifications, or other requirements of this subpart, taking into account those factors specified in § 164.306(b)(2)(i), (ii), (iii), and (iv). This standard is not to be construed to permit or excuse an action that violates any other standard, implementation specification, or other requirements of this subpart. A covered entity or business associate may change its policies and procedures at any time, provided that the changes are documented and are implemented in accordance with this subpart.45 CFR Part 164 Subpart C, via NIST SP 800-66r2 (public domain)
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| Framework | Requirement | Title | Link | Source / reason |
|---|---|---|---|---|
| NIST CSF 2.0 | GV.PO-01GV.PO-02 | Policy for managing cybersecurity risks is established based on organizational context, cybersecurity strategy, and priorities and is communicated and enforced; Policy for managing cybersecurity risks is reviewed, updated, communicated, and enforced to reflect changes in requirements, threats, technology, and organizational mission | Crosswalk | Same topic: Governance Policy16 loosely related (not mappings)DE.AE-07 Cyber threat intelligence and other contextual information are integrated into the analysis Only shares CSF DE.AE-07: related, not a mapping GV.OC-03 Legal, regulatory, and contractual requirements regarding cybersecurity - including privacy and civil liberties obligations - are understood and managed Only shares CSF GV.OC-03: related, not a mapping GV.OV-01 Cybersecurity risk management strategy outcomes are reviewed to inform and adjust strategy and direction Only shares CSF GV.OV-01: related, not a mapping GV.RM-06 A standardized method for calculating, documenting, categorizing, and prioritizing cybersecurity risks is established and communicated Only shares CSF GV.RM-06: related, not a mapping GV.RM-07 Strategic opportunities (i.e., positive risks) are characterized and are included in organizational cybersecurity risk discussions Only shares CSF GV.RM-07: related, not a mapping GV.SC-03 Cybersecurity supply chain risk management is integrated into cybersecurity and enterprise risk management, risk assessment, and improvement processes Only shares CSF GV.SC-03: related, not a mapping GV.SC-09 Supply chain security practices are integrated into cybersecurity and enterprise risk management programs, and their performance is monitored throughout the technology product and service life cycle Only shares CSF GV.SC-09: related, not a mapping GV.SC-10 Cybersecurity supply chain risk management plans include provisions for activities that occur after the conclusion of a partnership or service agreement Only shares CSF GV.SC-10: related, not a mapping …and 8 more in the downloads |
| ISO 27001 | A.5.1A.5.37Clause 5.2 | Policies for information security; Documented operating procedures… | Crosswalk | Same topic: Governance Policy39 loosely related (not mappings)A.5.19 Information security in supplier relationships Only shares CSF GV.OV-01, GV.SC-03, GV.SC-09, GV.SC-10…: related, not a mapping Clause 6.1.1 General Only shares CSF GV.RM-07, GV.SC-09, GV.SC-10, ID.RA-03…: related, not a mapping Clause 6.1.2 Information security risk assessment Only shares CSF GV.RM-06, GV.SC-09, GV.SC-10, ID.RA-03…: related, not a mapping A.5.20 Addressing information security within supplier agreements Only shares CSF GV.OC-03, GV.SC-03, GV.SC-09, GV.SC-10: related, not a mapping A.5.22 Monitoring, review and change management of supplier services Only shares CSF GV.SC-09, GV.SC-10, ID.AM-08, ID.RA-03: related, not a mapping Clause 6.1.3 Information security risk treatment Only shares CSF GV.SC-10, ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping A.5.21 Managing information security in the ICT supply chain Only shares CSF GV.SC-03, GV.SC-09, GV.SC-10: related, not a mapping …and 31 more in the downloads |
| CIS v8.1 | CIS 3.8CIS 1.1CIS 3.5CIS 3.7 | Document Data Flows; Establish and Maintain Detailed Enterprise Asset Inventory… | No mapping. Only shares CSF ID.AM-03, ID.AM-05, ID.AM-08: related, not a mapping+26 more loosely related (not mappings)CIS 7.1 Establish and Maintain a Vulnerability Management Process Only shares CSF ID.RA-01: related, not a mapping …and 22 more in the downloads | |
| SOC 2 | CC1.1CC5.3 | Commitment to integrity and ethical values; Control activities deployed through policies and procedures | Editorial | Same topic: Governance Policy (editorial pick)13 loosely related (not mappings)CC3.2 Risk identification and analysis Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping CC3.3 Considering the potential for fraud Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping CC3.4 Identifying and assessing significant changes Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping CC9.2 Managing vendor and business partner risk Only shares CSF GV.SC-03, GV.SC-09: related, not a mapping C1.1 Identifying and protecting confidential information Only shares CSF ID.AM-05: related, not a mapping CC3.1 Objectives specified clearly enough to identify risks Only shares CSF GV.RM-06: related, not a mapping CC4.1 Ongoing and/or separate evaluations of controls Only shares CSF GV.OC-03: related, not a mapping CC4.2 Communicating and remediating control deficiencies Only shares CSF GV.OC-03: related, not a mapping …and 5 more in the downloads |
| PCI DSS | 12.1.112.1.2 | Information security policy established and published; Security policy reviewed at least annually | Crosswalk | Same topic: Governance Policy69 loosely related (not mappings)6.3.1 Vulnerabilities identified and risk-ranked Only shares CSF DE.AE-07, GV.RM-06, GV.SC-03, GV.SC-09…: related, not a mapping 12.3.1 Targeted risk analysis for flexible-frequency requirements Only shares CSF GV.OV-01, GV.RM-06, ID.AM-05, ID.IM-01…: related, not a mapping 12.3.4 Hardware and software technologies reviewed annually Only shares CSF DE.AE-07, GV.RM-06, GV.SC-03, GV.SC-09…: related, not a mapping 6.3.3 Security patches installed promptly Only shares CSF GV.RM-06, GV.SC-09, ID.AM-08, ID.IM-03…: related, not a mapping 11.6.1 Payment page changes and tampering detected Only shares CSF GV.RM-06, GV.SC-03, GV.SC-09, ID.AM-05…: related, not a mapping 6.4.3 Payment page scripts authorised and integrity-checked Only shares CSF DE.AE-07, GV.SC-03, GV.SC-09, GV.SC-10: related, not a mapping 1.2.3 Accurate network diagram maintained Only shares CSF GV.SC-10, ID.AM-03, RS.AN-08: related, not a mapping 1.2.4 Accurate account-data flow diagram maintained Only shares CSF GV.SC-10, ID.AM-03, RS.AN-08: related, not a mapping …and 61 more in the downloads |
| CMMC | RA.L2-3.11.1CA.L2-3.12.4CA.L2-3.12.1RA.L2-3.11.2 | Risk Assessments; System Security Plan… | No mapping. Only shares CSF DE.AE-07, GV.OV-01, GV.RM-06, GV.RM-07…: related, not a mapping+11 more loosely related (not mappings)RA.L2-3.11.3 Vulnerability Remediation Only shares CSF GV.SC-10, ID.IM-01, ID.IM-02, ID.IM-03…: related, not a mapping CA.L2-3.12.3 Security Control Monitoring Only shares CSF ID.IM-01, ID.IM-02, ID.IM-03, ID.RA-01: related, not a mapping CM.L2-3.4.9 User-Installed Software Only shares CSF ID.IM-01, ID.IM-02, ID.IM-03, ID.RA-01: related, not a mapping IR.L2-3.6.1 Incident Handling Only shares CSF ID.IM-01, ID.IM-02, ID.IM-03, RS.AN-08: related, not a mapping …and 7 more in the downloads | |
| 800-53 | PL-1PM-1PL-2RA-1RA-3 | Policy and Procedures; Information Security Program Plan… | Crosswalk | Same topic: Governance Policy NIST HIPAA → SP 800-53 crosswalk 64 loosely related (not mappings)AC-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping AT-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping AU-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping CA-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping CM-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping CP-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping IA-1 Policy and Procedures Only shares CSF GV.OC-03, GV.OV-01, GV.PO-01, GV.PO-02…: related, not a mapping …and 56 more in the downloads |
| GDPR | Art.24(2) | Responsibility of the controller | Editorial | Same topic: Governance Policy (editorial pick)8 loosely related (not mappings)Art.35(1) Data protection impact assessment Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping Art.35(7) Data protection impact assessment Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping Art.5(2) Principles relating to processing of personal data Only shares CSF GV.OC-03: related, not a mapping |
| NIS2 | 1.1 | Policy on the security of network and information systems | Crosswalk | Same topic: Governance Policy13 loosely related (not mappings)2.1 Risk management framework Only shares CSF GV.RM-06, ID.RA-01, ID.RA-03, ID.RA-04…: related, not a mapping 5.1 Supply chain security policy Only shares CSF GV.OC-03, GV.SC-09, GV.SC-10: related, not a mapping 6.10 Vulnerability handling and disclosure Only shares CSF ID.RA-01, ID.RA-04, ID.RA-05: related, not a mapping 6.1 Security in acquisition of ICT services, ICT systems or ICT products Only shares CSF GV.PO-02: related, not a mapping …and 5 more in the downloads |
| Essential Eight | ISM-1807ISM-0304ISM-1407ISM-1501 | An automated method of asset discovery is used at least fortnightly to support the…; Applications other than office productivity suites, web browsers and their extensions…… | No mapping. Only shares CSF ID.AM-08, ID.RA-01: related, not a mapping+25 more loosely related (not mappings)ISM-1690 Patches, updates or other vendor mitigations for vulnerabilities in online services are applied within two weeks of… Only shares CSF ID.RA-01: related, not a mapping ISM-1691 Patches, updates or other vendor mitigations for vulnerabilities in office productivity suites, web browsers and their extensions, email clients, PDF applications, and security products are applied within two weeks of release Only shares CSF ID.RA-01: related, not a mapping ISM-1692 Patches, updates or other vendor mitigations for vulnerabilities in office productivity suites, web browsers and their extensions, email clients, PDF applications, and security products are applied within 48… Only shares CSF ID.RA-01: related, not a mapping ISM-1693 Patches, updates or other vendor mitigations for vulnerabilities in applications other… Only shares CSF ID.RA-01: related, not a mapping …and 21 more in the downloads | |
| DORA | Art.5(2)(b)Art.6(5)Art.9(4)(a) | Governance and organisation; ICT risk management framework… | Editorial | Same topic: Governance Policy (editorial pick)23 loosely related (not mappings)Art.8(2) Identification Only shares CSF DE.AE-07, ID.RA-01, ID.RA-03, ID.RA-04…: related, not a mapping Art.29(1) Preliminary assessment of ICT concentration risk at entity level Only shares CSF GV.SC-03, GV.SC-09: related, not a mapping Art.29(2) Preliminary assessment of ICT concentration risk at entity level Only shares CSF GV.SC-03, GV.SC-09: related, not a mapping …and 15 more in the downloads |
| CPS 234 | Para 18Para 19 | Maintain an information security policy framework; Policies direct everyone with security obligations | Editorial | Same topic: Governance Policy (editorial pick)13 loosely related (not mappings)Para 17 Keep capability current as threats and vulnerabilities change Only shares CSF DE.AE-07, ID.RA-01, ID.RA-03, ID.RA-04…: related, not a mapping Para 21 Timely controls commensurate with risk and asset life-cycle Only shares CSF ID.RA-03, ID.RA-04, ID.RA-05: related, not a mapping Para 16 Assess third parties' information security capability Only shares CSF GV.SC-03, GV.SC-09: related, not a mapping Para 20 Classify information assets by criticality and sensitivity Only shares CSF ID.AM-05, ID.AM-08: related, not a mapping Para 22 Evaluate the design of third parties' controls Only shares CSF GV.SC-03, GV.SC-09: related, not a mapping Para 27 Systematic testing programme for control effectiveness Only shares CSF GV.RM-06, ID.RA-01: related, not a mapping Para 13 Board ultimately responsible for information security Only shares CSF GV.RM-06: related, not a mapping Para 15 Maintain a capability commensurate with threats Only shares CSF GV.RM-06: related, not a mapping …and 5 more in the downloads |
| Cyber Essentials | CE 3CE 1 | Security Update Management; Firewalls | No mapping. Only shares CSF ID.AM-08, ID.RA-01, ID.AM-03: related, not a mapping |
Crosswalk a published crosswalk (NIST, ENISA, CIS, PCI SSC) makes the link · Editorial ControlMapping's judgement where no crosswalk exists; the reason is shown · only shares a CSF 2.0 outcome: worth checking, not a mapping · No mapping in our data nothing mapped in our data; often new work, but check the coverage notes. How links are sourced.