164.308(a)(6)(ii) Response and Reporting (Required)
Identify and respond to suspected or known incidents, mitigate harmful effects, and document incidents and their outcomes. NIST recommends linkage to HIPAA Breach Notification Rule timelines.
4
artefacts
1
held by a system
2
at each review
moderate
to go live
SIEM / log platform
where the evidence lives
teal = a system already holds it · olive = produced at each review
system holds itEvidence a system already holds
- Incident ticket log · SIEM / log platform
periodic reviewEvidence produced at each review
- Breach risk assessments per 164.402 · Document repository
- Notification records (individuals, HHS, media) · Data governance / DLP tooling
governing documentDocuments that govern the control
- Post-incident reports · Document repository
First move
Start with the 1 of 4 artefacts that already live in a system (SIEM / log platform); keep the periodic reviews but log each one as a dated record with a named reviewer.
Common gaps auditors find
- Incident closure without root cause
- Breach risk assessment not performed
- Missed 60-day notification windows
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 sheet164.308(a)(6)(i) Security Incident Procedures (Standard) · 164.308(a)(7)(i) Contingency Plan (Standard)