HIPAA Security RulevsNIST SP 800-53 Rev 5
See exactly how HIPAA Security Rule controls map to NIST SP 800-53 Rev 5. Pre-computed mappings, identified gaps, and coverage analysis.
A reviewed coverage crosswalk for this pair is available. See which NIST SP 800-53 Rev 5 controls you already evidence.
According to the TheArtOfService Compliance Knowledge Graph:
HIPAA Security Rule maps to NIST SP 800-53 Rev 5 with 99% coverage across 66 directly mapped controls. Analysis of 67 HIPAA Security Rule controls identifies 1 compliance gaps, primarily concentrated in Organizational.
Source: TheArtOfService Knowledge Graph | 67 controls analysed | 692 frameworks | 306K+ cross-framework mappings
Control Mappings
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The HIPAA Security Rule to NIST SP 800-53 Rev 5 crosswalk
The table above lists candidate mappings. A crosswalk answers the narrower question you are probably here for: which NIST SP 800-53 Rev 5 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 800-53 Rev 5 lands at 12.7%, while NIST SP 800-53 Rev 5 into HIPAA Security Rule lands at 77.6%, 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 800-53 Rev 5, the other asks the reverse.
38 of 300 NIST SP 800-53 Rev 5 controls are evidenced by work you have already done for HIPAA Security Rule. 262 are genuine gaps.
52 of 67 HIPAA Security Rule controls are evidenced by work you have already done for NIST SP 800-53 Rev 5. 15 are genuine gaps.
A sample of what the report says
PM-1 requires a documented security program to prevent, detect and correct violations.
Grounded in NIST800-PM-1 Information Security Program Plan. Develop and disseminate an organization-wide information security program plan that: Provides an overview of the requirements for the security program and a description of the security program management controls and. Confidence high, survived the refutation pass.
Covered entities and business associates must ensure the confidentiality, integrity, and availability of all electronic protected health information (ePHI) they create, receive, maintain, or transmit; protect against reasonably anticipated...
Every one of the 52 evidenced controls and 15 gaps in the report carries this much reasoning, so you can check the claim rather than take it on trust.
- 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 99% 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 800-53 Rev 5 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 800-53 Rev 5 comparisons
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What are the key differences between HIPAA Security Rule and NIST SP 800-53 Rev 5?
HIPAA Security Rule has 67 controls across its framework, while NIST SP 800-53 Rev 5 covers 300 controls. Direct mapping analysis identifies 66 overlapping controls (99% coverage). The frameworks diverge most significantly in Organizational, where 1 HIPAA Security Rule controls have no direct NIST SP 800-53 Rev 5 equivalent.
How many controls map between HIPAA Security Rule and NIST SP 800-53 Rev 5?
Of 67 total HIPAA Security Rule controls, 66 map directly to NIST SP 800-53 Rev 5 controls, representing 99% coverage. The remaining 1 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 800-53 Rev 5?
1 HIPAA Security Rule controls have no direct equivalent in NIST SP 800-53 Rev 5. The highest concentration of gaps is in Organizational with 1 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 800-53 Rev 5?
The domain with the highest gap count is Organizational (1 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.