EvidenceSheet

164.310(d)(2)(ii) Media Re-use (Required)

Implement procedures for removal of ePHI from electronic media before the media are made available for re-use. NIST recommends purging or clearing per SP 800-88 categorization.

Source: HIPAA Security Rule, 164.310(d)(2)(ii). 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
0
at each review
easy
to go live
Data governance / DLP tooling
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

  • Sanitization tool records · Data governance / DLP tooling
  • Verification log · SIEM / log platform

periodic reviewEvidence produced at each review

none for this control

governing documentDocuments that govern the control

  • Re-use sanitization procedure · Policy repository / GRC workspace
  • Reuse approval workflow · Policy repository / GRC workspace

First move

Automate the pull from your Data governance / DLP tooling. DLP policy hits, retention job logs and disposal certificates from the tooling.

Common gaps auditors find

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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.

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164.310(d)(2)(i) Disposal (Required) · 164.310(d)(2)(iii) Accountability (Addressable)