PCI DSS 4.0HIPAA Security Rule

PCI DSS 4.0 covers 55.2% of HIPAA Security Rule

37 of the 67 controls in HIPAA Security Rule are already satisfied by evidence you collected for PCI DSS 4.0. 30 are genuine gaps. Every claim below was judged against both control sets and then argued against; the ones that did not survive are published further down with the reason each failed.

55.2%
of the target already covered
37
controls evidenced
30
genuine gaps
55
claims rejected in review

This number is directional. It says how much of HIPAA Security Rule your PCI DSS 4.0 evidence satisfies. The reverse pair is a different number, often very different, because a security standard has enormous depth for access control and almost none for lawful basis or data subject rights.

132 candidate mappings were examined and 55 were removed. Signed off 2026-08-19, review level machine verified. Mappings were judged by Claude Code rather than read line by line by a practitioner. Every claim shows its reasoning so you can check it. Ask and a practitioner will review this pair.

Where the gaps are

Coverage is never evenly spread. A source standard usually satisfies one part of a target almost completely and barely touches another, and which part is which is the thing worth knowing before you plan the work.

Technical9 of 12 evidenced, 3 to do
Policies and Procedures3 of 5 evidenced, 2 to do
Administrative17 of 32 evidenced, 15 to do
Physical6 of 12 evidenced, 6 to do
Organizational2 of 6 evidenced, 4 to do

Theme level, not control level, deliberately. The per-control list of what is evidenced and what is a gap is the report itself, so publishing it here would be publishing the thing being sold.

Claims that held

A sample. Each one names the control whose evidence does the work, the control it satisfies, and why.

10.4.3164.308(a)(1)(ii)(D)argued against and upheld
Information System Activity Review (Required)

PCI requires anomalies and exceptions found in log review be addressed

10.4.1164.308(a)(1)(ii)(D)argued against and upheld
Information System Activity Review (Required)

PCI reviews security events and system logs at least daily

12.1.4164.308(a)(2)argued against and upheld
Assigned Security Responsibility (Standard)

PCI formally assigns information security responsibility to a named executive

8.2.5164.308(a)(3)(i)argued against and upheld
Workforce Security (Standard)

PCI revokes access immediately when employment ends

7.2.2164.308(a)(3)(i)argued against and upheld
Workforce Security (Standard)

PCI assigns access by job classification and least privilege for all users

8.2.4164.308(a)(3)(ii)(A)argued against and upheld
Authorization and Supervision (Addressable)

PCI authorizes account additions and changes with documented approval and only approved privileges

7.2.3164.308(a)(3)(ii)(A)argued against and upheld
Authorization and Supervision (Addressable)

PCI requires privileges be approved by authorized personnel before they are granted

12.7.1164.308(a)(3)(ii)(B)argued against and upheld
Workforce Clearance Procedure (Addressable)

PCI screens personnel before granting access, the same clearance evidence

Claims that did not hold

55 proposed mappings for this pair were rejected. They are kept in the graph rather than deleted, so what was thrown out is as inspectable as what survived. A crosswalk that never rejects anything is not being judged.

12.10.1164.308(a)(1)(i)
Security Management Process (Standard)

retired metered-API path. 56 percent of its output was refuted wherever it was re-judged, so its residue is not trusted evidence. Superseded by judgement on the Claude Max plan 2026-08-19.

Claimed at medium confidence before it was rejected.

12.1.2164.308(a)(1)(i)
Security Management Process (Standard)

Held back 2026-08-19. Generated by the retired metered path, refuted at 56 percent wherever re-judged. Pair pulled from sale pending a rebuild on the Max plan.

Claimed at high confidence before it was rejected.

7.3.1164.308(a)(3)(i)
Workforce Security (Standard)

Held back 2026-08-19. Generated by the retired metered path, refuted at 56 percent wherever re-judged. Pair pulled from sale pending a rebuild on the Max plan.

Claimed at high confidence before it was rejected.

7.2.5164.308(a)(3)(i)
Workforce Security (Standard)

retired metered-API path. 56 percent of its output was refuted wherever it was re-judged, so its residue is not trusted evidence. Superseded by judgement on the Claude Max plan 2026-08-19.

Claimed at medium confidence before it was rejected.

7.2.4164.308(a)(3)(i)
Workforce Security (Standard)

Held back 2026-08-19. Generated by the retired metered path, refuted at 56 percent wherever re-judged. Pair pulled from sale pending a rebuild on the Max plan.

Claimed at high confidence before it was rejected.

7.2.5164.308(a)(4)(i)
Information Access Management (Standard)

Held back 2026-08-19. Generated by the retired metered path, refuted at 56 percent wherever re-judged. Pair pulled from sale pending a rebuild on the Max plan.

Claimed at high confidence before it was rejected.

12.6.3.2164.308(a)(5)(i)
Security Awareness and Training (Standard)

retired metered-API path. 56 percent of its output was refuted wherever it was re-judged, so its residue is not trusted evidence. Superseded by judgement on the Claude Max plan 2026-08-19.

Claimed at medium confidence before it was rejected.

12.6.3.1164.308(a)(5)(i)
Security Awareness and Training (Standard)

retired metered-API path. 56 percent of its output was refuted wherever it was re-judged, so its residue is not trusted evidence. Superseded by judgement on the Claude Max plan 2026-08-19.

Claimed at medium confidence before it was rejected.

The full report

Everything above is a sample. The report is every evidenced control and every gap, with the reasoning and the source document behind each one, in a form you can hand to an assessor. $299, emailed immediately.

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