HIPAA §164.312(c)(1) - Integrity

🔑 AUDIT-GRADE EVIDENCE • Follows AICPA SOC 2 / HHS HIPAA / PCI QSA ROC / NIST 800-53A • Report tamper-evident via SHA-256 chain

1. CONTROL IDENTIFICATION

FrameworkHIPAA Security Rule
Control ID§164.312(c)(1)
Control FamilyTechnical Safeguards > Integrity
Control NameIntegrity
StatusIMPLEMENTED
Assessment Date2026-04-19T02:25:35.202960+00:00
AssessorTITAN AI Scanner v2.0 (CONDUCTOR + BASTION + SCOUT + COMPLY + SAGE)
Environment ScopeAzure: Pay-As-You-Go (prod) (4f29d094-1079-44c9-acb0-4d73a7a2dd34)
Report ID2894be33d370de27c87c36c6a790f3c72cac5ca758fb66149cd2ca3b2b977975

2. REGULATORY TEXT

Standard: Integrity. Implement policies and procedures to protect electronic protected health information from improper alteration or destruction.

Source: https://www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-C/section-164.312

3. IMPLEMENTATION SPECIFICATIONS

Each implementation specification addressed separately per HIPAA §164.306(d) / NIST 800-53A assessment methodology.

164.312(c)(2) ADDRESSABLE Mechanism to Authenticate ePHI IMPLEMENTED

Implement electronic mechanisms to corroborate that electronic protected health information has not been altered or destroyed in an unauthorized manner.

Evidence: #A1, #A2

4. EVIDENCE ARTIFACTS

Summarized with counts + exceptions + drill-down. Raw data available on request per retention policy.

#A1 Database Integrity - Checksums 2026-04-19T02:25:35.202960+00:00
All SQL DBs enable page_verify=CHECKSUM. All Cosmos DB collections have TTL + change feed.
Records: 7 Exceptions surfaced: 0 Sampling: full
#A2 Backup Integrity Verification 2026-04-19T02:25:35.202960+00:00
Weekly restore-test: 13/13 weeks successful.
Records: 13 Exceptions surfaced: 0 Sampling: full
#A3 Immutable Storage (ePHI logs) 2026-04-19T02:25:35.202960+00:00
Blob: 14 containers with immutability policy (time-based retention 7y).
Records: 14 Exceptions surfaced: 0 Sampling: full

5. TESTING PROCEDURES & RESULTS

Test of Design (does the control exist?) + Test of Operating Effectiveness (does it work consistently?). Sampling per AICPA AU-C 530.

Test of Operating - Restore from backup OPERATING PASS
Sample size: last 13 weeks

All 13 weekly restore tests passed integrity check.

6. FINDINGS / EXCEPTIONS

Active findings: 0 · Accepted risks (exceptions): 0 · Total: 0

Click any finding to view detail, remediation, and record an exception (risk acceptance). Exceptions are retained in the report as part of the audit trail.

No findings for this control.

7. MANAGEMENT RESPONSE

SOC 2 Type 2 and HITRUST assessors require management's written response to findings.

Management has reviewed 0 findings. No open findings for this control period. Next review cycle: quarterly.

8. AUDIT TRAIL

ScannerTITAN AI Scanner v2.0 (CONDUCTOR + BASTION + SCOUT + COMPLY + SAGE)
Scanner versionv2.0.1
Collection timestamp2026-04-19T02:25:35.202960+00:00
Retention2555 days (HIPAA 164.316(b)(2))
Report hash (SHA-256)2894be33d370de27c87c36c6a790f3c72cac5ca758fb66149cd2ca3b2b977975

9. CROSS-FRAMEWORK MAPPING

This same evidence is admissible for the following related controls. Scan once, satisfy multiple frameworks.