EvidenceSheet
HIPAA Security Rule · Administrative

164.308(a)(1)(ii)(D) Information System Activity Review (Required)

Regularly review audit logs, access reports, and security incident tracking reports. NIST recommends defined review frequency, SIEM integration, anomaly detection, and documented review evidence.

Source: HIPAA Security Rule, 164.308(a)(1)(ii)(D). The statement above is our statement of the clause, read from the published text and cited so you can check it against the official text, not the instrument verbatim. Open HIPAA Security Rule in the compliance library.

Applies to covered entities and business associates. An addressable specification can be met by a documented, reasonable alternative.

4
artefacts
2
held by a system
1
at each review
easy
to go live
SIEM / log platform
where the evidence lives
teal = a system already holds it · olive = produced at each review. To go live: easy when half or more of the artefacts are already held by a system, moderate from a quarter to a half, hard below a quarter.

These are the artefacts auditors commonly ask for on this requirement, our guidance rather than text from the standard. Your assessor decides what is sufficient in your context, and asks for samples across the period when a report covers one.

system holds itEvidence a system already holds

  • SIEM correlation rules · SIEM / log platform
  • Anomaly investigation tickets · SIEM / log platform

periodic reviewEvidence produced at each review

  • Sampled log review records · SIEM / log platform

governing documentDocuments that govern the control

  • Log review procedure · Policy repository / GRC workspace

First move

Automate the pull from your SIEM / log platform. Retention and alert rules exported from the SIEM; review evidence is the closed-alert record with reviewer and time.

Common gaps auditors find

Do this for your whole sheet

Paste the rows you run your controls from and get this mapping for every control at once, with the periodic-review ones flagged and a first move per row. No account for the first run.

Build my evidence sheet

164.308(a)(1)(ii)(C) Sanction Policy (Required) · 164.308(a)(2) Assigned Security Responsibility (Standard)