HIPAA §164.312(e)(1) - Transmission Security

🔑 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(e)(1)
Control FamilyTechnical Safeguards > Transmission
Control NameTransmission Security
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 ID621b959c761eab0a5b832e93108f6f8008b46a9e797e504a58aa1e78267a2b5e

2. REGULATORY TEXT

Standard: Transmission security. Implement technical security measures to guard against unauthorized access to electronic protected health information that is being transmitted over an electronic communications network.

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(e)(2)(i) ADDRESSABLE Integrity Controls IMPLEMENTED

Implement security measures to ensure that electronically transmitted electronic protected health information is not improperly modified without detection until disposed of.

Evidence: #A1, #A2
164.312(e)(2)(ii) ADDRESSABLE Encryption IMPLEMENTED

Implement a mechanism to encrypt electronic protected health information whenever deemed appropriate.

Evidence: #A1, #A2

4. EVIDENCE ARTIFACTS

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

#A1 TLS Policy Enforcement 2026-04-19T02:25:35.202960+00:00
All 22 public endpoints enforce TLS 1.2+. 0 endpoints accept TLS 1.0/1.1.
Records: 22 Exceptions surfaced: 0 Sampling: full
#A2 Certificate Chain Validation 2026-04-19T02:25:35.202960+00:00
All 22 certs valid, chain verified, no self-signed.
Records: 22 Exceptions surfaced: 0 Sampling: full
#A3 Cipher Suite Inventory 2026-04-19T02:25:35.202960+00:00
All endpoints on modern suites (ECDHE+AES-GCM or ChaCha20). Weak ciphers (3DES, RC4) disabled everywhere.
Records: 22 Exceptions surfaced: 0 Sampling: full
#A4 VPN + Private Endpoint 2026-04-19T02:25:35.202960+00:00
All ePHI-to-on-prem traffic via ExpressRoute Private Peering or Azure VPN Gateway IKEv2.
Records: 3 Exceptions surfaced: 0 Sampling: full tunnels

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 - TLS 1.2+ only OPERATING PASS
Sample size: 22 endpoints

SSLyze + testssl.sh confirm no TLS 1.0/1.1 accepted.

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)621b959c761eab0a5b832e93108f6f8008b46a9e797e504a58aa1e78267a2b5e

9. CROSS-FRAMEWORK MAPPING

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