HIPAA Security RulevsNIST SP 800-161 Rev 1
See exactly how HIPAA Security Rule controls map to NIST SP 800-161 Rev 1. Pre-computed mappings, identified gaps, and coverage analysis.
A reviewed coverage crosswalk for this pair is available. See which NIST SP 800-161 Rev 1 controls you already evidence.
According to the TheArtOfService Compliance Knowledge Graph:
HIPAA Security Rule maps to NIST SP 800-161 Rev 1 with 88% coverage across 59 directly mapped controls. Analysis of 67 HIPAA Security Rule controls identifies 8 compliance gaps, primarily concentrated in Organizational.
Source: TheArtOfService Knowledge Graph | 67 controls analysed | 868 frameworks | 315K+ cross-framework mappings
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The HIPAA Security Rule to NIST SP 800-161 Rev 1 crosswalk
The table above lists candidate mappings. A crosswalk answers the narrower question you are probably here for: which NIST SP 800-161 Rev 1 controls your existing HIPAA Security Rule work already satisfies, which are real gaps, and the reasoning behind every claim so you can check it. One pair, $299, one time.
Coverage does not run both ways. HIPAA Security Rule into NIST SP 800-161 Rev 1 lands at 17.3%, while NIST SP 800-161 Rev 1 into HIPAA Security Rule lands at 35.8%, on the same two control sets. That is not a rounding difference. It is the whole reason these are two separate reports: one asks what your HIPAA Security Rule evidence buys you for NIST SP 800-161 Rev 1, the other asks the reverse.
33 of 191 NIST SP 800-161 Rev 1 controls are evidenced by work you have already done for HIPAA Security Rule. 158 are genuine gaps.
24 of 67 HIPAA Security Rule controls are evidenced by work you have already done for NIST SP 800-161 Rev 1. 43 are genuine gaps.
- Every evidenced control, with the reasoning behind it
- Every gap, with what it requires
- Its level of review stated plainly, not a bare number
Why this page shows two different percentages. The 88% in the header counts how many HIPAA Security Rule controls carry at least one candidate mapping in the graph, before any review. The crosswalk percentage counts something stricter: how many NIST SP 800-161 Rev 1 controls are actually evidenced, after a pass that argued against each mapping and kept only what survived. They answer different questions and they are not meant to agree.
A crosswalk narrows the work. It does not replace an audit, and your assessor may take a different view on individual controls. Mappings between frameworks are judgements, not text printed in either standard, which is why every claim in the report shows its reasoning. Questions go to support@theartofservice.com.
Related Comparisons
Other HIPAA Security Rule comparisons
Other NIST SP 800-161 Rev 1 comparisons
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What are the key differences between HIPAA Security Rule and NIST SP 800-161 Rev 1?
HIPAA Security Rule has 67 controls across its framework, while NIST SP 800-161 Rev 1 covers 191 controls. Direct mapping analysis identifies 59 overlapping controls (88% coverage). The frameworks diverge most significantly in Organizational, where 3 HIPAA Security Rule controls have no direct NIST SP 800-161 Rev 1 equivalent.
How many controls map between HIPAA Security Rule and NIST SP 800-161 Rev 1?
Of 67 total HIPAA Security Rule controls, 59 map directly to NIST SP 800-161 Rev 1 controls, representing 88% coverage. The remaining 8 controls represent compliance gaps requiring additional documentation or compensating controls to satisfy both frameworks simultaneously.
What are the compliance gaps when mapping HIPAA Security Rule to NIST SP 800-161 Rev 1?
8 HIPAA Security Rule controls have no direct equivalent in NIST SP 800-161 Rev 1. The highest concentration of gaps is in Organizational with 3 unmapped controls. These gaps represent areas where additional controls, policies, or documentation must be created to achieve compliance with both frameworks.
Which control domains have the most gaps between HIPAA Security Rule and NIST SP 800-161 Rev 1?
The domain with the highest gap count is Organizational (3 gaps). Export the full domain-by-domain gap breakdown via the Professional tier to generate a prioritised remediation roadmap.
Related Resources
This platform provides educational compliance tools, not legal, regulatory, or professional compliance advice. Cross-framework mappings are AI-assisted interpretations and do not reproduce or replace official standards. Framework names and trademarks belong to their respective owners. Consult qualified professionals for your specific compliance requirements. See our Terms of Service.