ISC2 Governance, Risk and Compliance (CGRC) Practice Question
During a security risk assessment, you are asked to list the information assets that must be protected under the HIPAA Security Rule. The hospital manages several data sets. Which of the following items squarely falls within the Security Rule's scope and therefore requires implementation of the Rule's administrative, physical, and technical safeguards?
Paper copies of laboratory test results filed in locked cabinets
Digital radiology images stored on the hospital's Picture Archiving and Communication System (PACS)
Employee email addresses maintained in the human resources directory
Aggregate, de-identified surgical outcome statistics posted on the hospital's public website
The HIPAA Security Rule applies only to electronic protected health information (ePHI)-any individually identifiable health information that is created, received, maintained, or transmitted in electronic form. Digital radiology images in a PACS contain patient identifiers and clinical data, so they are ePHI and must be protected by the Security Rule's safeguards. Paper lab reports are covered by the HIPAA Privacy Rule, not the Security Rule. De-identified statistics are excluded because they are no longer considered PHI. Employee email addresses alone do not constitute PHI, as they do not relate to a patient's health condition or care.
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What is ePHI under the HIPAA Security Rule?
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How is the Security Rule different from the Privacy Rule?
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Why are de-identified data excluded from HIPAA protections?
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ISC2 Governance, Risk and Compliance (CGRC)
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