164.312(b) Technical Safeguards

Integrity

High Risk Moderate Medium

Implement policies and procedures to protect ePHI from improper alteration or destruction.

Implementation Guidance

Implement electronic mechanisms to corroborate that ePHI has not been altered or destroyed in an unauthorized manner.

Required Documentation

Integrity policies, data validation procedures, checksum procedures, digital signature procedures.

Best Practices

Implement data validation, use checksums, implement digital signatures, regular integrity checks.

Common Violations

Lack of data integrity controls, insufficient validation procedures, no checksum verification.

Testing Procedures

Review integrity policies, test data validation, verify checksum procedures, test digital signatures.

Implementation Resources

Download expert-developed templates and checklists to implement this control:

Implementation Checklist

Policy Template

Quick Facts

Control ID 164.312(b)

Category Technical Safeguards

Risk Level High

Difficulty Moderate

Est. Cost Medium

Timeframe 2-4 months

Last Updated Mar 7, 2026

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