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SESK: Stuff Everyone Should Know · sesk.info/hipaa-security-documentation-required

What documentation does the HIPAA Security Rule require?

Policies, procedures, actions, or assessments must be documented.

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  1. Document policies, procedures, actions and assessments ✔
  2. Only the risk analysis
  3. Nothing, documentation is optional

Why: The Security Rule requires documentation of policies, procedures, required actions, and assessments, including the risk analysis.

Huh, didn't know that: Documentation helps prove compliance and guides workforce training.

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Why did the compliance officer write everything down? Because if it isn't documented, it didn't happen in HIPAA.
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References

Answer: Document policies, procedures, actions and assessments. The Security Rule requires documentation of policies, procedures, required actions, and assessments, including the risk analysis.

  1. 45 CFR 164.316(b)(1) www.ecfr.gov/current/title-45/subtitle-A/subchapter-C/part-164/subpart-C/section-164.316
    If an action, activity or assessment is required by this subpart to be documented, maintain a written (which may be electronic) record
    Checked 2026-10-10.

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