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description= The HIPAA Security Rule s Technical Safeguards land directly in code: 164.312(a)(1) access control, 164.312(a)(2)(iv) encryption, 164.312(b) audit controls, 164.312(c)(1) integrity, 164.312(d) authentication, 164.312(e)(1) transmission security. The change that trips each, and the safeguard heygrc cites.;
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hipaa in code heygrc frameworks guides docs manifesto blog pricing install on github frameworks hipaa hipaa in code hipaa reviewed in the pull request the hipaa security rule splits into administrative physical and technical safeguards the technical safeguards in 45 cfr 164 312 are the ones a codebase implements access control encryption audit controls integrity authentication transmission security for any system that touches electronic protected health information those are decided by the change in front of you install on github by isms copilot technical safeguards are an engineering checklist ephi does not announce itself in a diff the hard part of hipaa in code is that protected health information looks like any other data in a payload a change that adds a field a log or an integration can quietly start moving ephi through a path that was never built to safeguard it and nothing in the code flags that the data is now regulated heygrc reads the change against the technical safeguards and names the one it touches so the safeguard is checked at the moment ephi starts flowing somewhere new not after a breach safeguards that surface in a diff the technical safeguards a review can actually catch each row is a real cfr reference and the kind of change that trips it heygrc cites the safeguard on the finding not a vague phi note 164 312 a 1 access control a role broadens an authorization check is dropped or a new path reaches electronic protected health information ephi that it should not 164 312 a 2 iv encryption of stored ephi an encryption at rest setting on a store of ephi is removed or downgraded or ephi lands in a new store with no encryption configured 164 312 b audit controls a change removes or narrows the recording of access to or activity on systems that hold ephi weakening the audit trail the safeguard expects 164 312 c 1 integrity a checksum validation or tamper check that protected ephi from improper alteration or destruction is removed 164 312 d person or entity authentication an authentication step is skipped on a path to ephi or a session or service identity is weakened so the system can no longer verify who is acting 164 312 e 1 transmission security ephi starts moving over a channel that is no longer encrypted a tls floor drops verification is disabled or an internal hop falls back to plain http worked example a removed audit hook that weakens 164 312 b a pull request refactors the record viewer and drops the call that logged who opened a patient record the access still works it just stops being recorded records view ts 0 1 async function viewrecord user user patientid string await audit record phi view user user id patientid return records get patientid heygrc hipaa 164 312 b this stops recording access to a patient record 164 312 b audit controls expects systems holding ephi to record activity that uses it and access logs are how an investigation later reconstructs who saw what keep the audit call or route it through the new code path so the record of access survives the refactor what this is and is not a review not a hipaa program heygrc flags changes that touch a hipaa technical safeguard and cites the cfr reference so the fix happens in the pull request it does not perform your risk analysis sign a business associate agreement or cover the administrative and physical safeguards the rule also requires it catches the change early so a technical safeguard holds in code review instead of surfacing after an incident heygrc is in early access install on github all frameworks catch compliance issues at the pr not the audit by isms copilot product how it works frameworks explorer pricing install on github learn docs blog manifesto guides answers glossary works alongside use cases engineering teams security engineers eu saas startups company about trust security isms copilot compare coderabbit cursor bugbot github copilot greptile sonarqube qodo snyk code see all alternatives best ai code review tools coderabbit alternatives cursor bugbot alternatives greptile alternatives sonarqube alternatives see all frameworks iso 27001 soc 2 gdpr pci dss dora nis 2 eu ai act hipaa nist 800 53 see all 2026 heygrc all rights reserved by isms copilot
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