# HIPAA (45 CFR Part 164) 164.514(d)(5) — Minimum Necessary - Other content requirement - Source: https://support.icompaas.com/compliance/hipaa/164-514-d-5-minimum-necessary-other-content-requirement - Section: [Compliance](https://support.icompaas.com/compliance) › [HIPAA Security, Privacy & Breach-Notification Rules](https://support.icompaas.com/compliance/hipaa) › Privacy Rule — §164.514 - Last updated: 2026-06-05 - Publisher: iCompaas, Inc. (https://www.icompaas.com) **HIPAA (45 CFR Part 164)**·§ `164.514(d)(5)`·medium·Component: **Privacy Rule** ## What this control requires > Implementation specification: Other content requirement. For all uses, disclosures, or requests to which the requirements in paragraph (d) of this section apply, a covered entity may not use, disclose or request an entire medical record, except when the entire medical record is specifically justified as the amount that is reasonably necessary to accomplish the purpose of the use, disclosure, or request. > > — HIPAA (45 CFR Part 164), § 164.514(d)(5) ### In plain English Implementation specification: Other content requirement. In practice, this means you can prove you other requirements-level controls on a defined cadence. ## Why it matters HIPAA non-compliance is a strict-liability matter: OCR civil monetary penalties are assessed per-record per-violation (up to USD 1.9 million per identical-violation calendar year as of 2024), and willful neglect can trigger criminal referral. ## What an auditor looks for HHS OCR investigators and SOC-2+HIPAA auditors look for the specific 45 CFR § citation, whether the safeguard is required vs addressable (and if addressable, the documented decision), the implementation specification, the workforce member responsible, and the records that show it runs. Within **Privacy Rule**, the assessor will trace your implementation back to the catalogue reference (§ 164.514(d)(5)) and look for objective evidence on the latest two assessment cycles. ## How to implement #### Policy Management **Docs.** Keep each policy in version-controlled Markdown alongside the code that implements it; ship a signed PDF snapshot at each annual review and link the SHA into the SoA. ### Operational checklist - **Other.** Document the trigger, the owner and the cadence. - **Requirements.** Document the trigger, the owner and the cadence. - **Policy.** Document the trigger, the owner and the cadence. - **Content.** Document the trigger, the owner and the cadence. - **Uses.** Document the trigger, the owner and the cadence. - **Scope:** requirements, management, policy, section, uses disclosures, d, disclosure. ## Evidence to collect - **Policy Document.** A signed and version-controlled policy / standard / procedure document. Signed policy or standard documents the safeguard. Focus: Minimum Necessary - Other content requirement. ## Common pitfalls - Policies that no engineer has read; the version in Confluence drifts from the version that's actually being enforced. ## How it maps to other frameworks Computed from shared tags, control component and key-operation subjects — handy when you are reconciling controls across an audit. - [**NIST SP 800-53 Rev. 5 PL-2(1)** — Concept Of Operations](https://support.icompaas.com/compliance/nist-sp-800-53-rev-5/pl-2-1-concept-of-operations) - [**ISO/IEC 27001:2022 A.8.26** — Application security requirements](https://support.icompaas.com/compliance/iso-27001-2022/a-8-26-application-security-requirements) - [**BSI C5:2020 SP-01** — Documentation, communication and provision of policies and instructions](https://support.icompaas.com/compliance/bsi-c5-2020/sp-01-documentation-communication-and-provision-of-policies-and-instructions) - [**SOC 2 (2017 TSC) CC2.3** — External Communication on Internal Control Matters](https://support.icompaas.com/compliance/soc-2-trust-services-criteria/cc2-3-external-communication-on-internal-control-matters) ## Related controls in HIPAA (45 CFR Part 164) - [**§ 164.512(a)** — Uses and disclosures required by law](https://support.icompaas.com/compliance/hipaa/164-512-a-uses-and-disclosures-required-by-law) - [**§ 164.510(a)(3)** — Uses and Disclosures for Facility Directories in Emergency Circumstances](https://support.icompaas.com/compliance/hipaa/164-510-a-3-uses-and-disclosures-for-facility-directories-in-emergency-circumstances) - [**§ 164.510(b)(4)** — Uses and disclosures for disaster relief purposes](https://support.icompaas.com/compliance/hipaa/164-510-b-4-uses-and-disclosures-for-disaster-relief-purposes) - [**§ 164.530(c)** — Safeguards](https://support.icompaas.com/compliance/hipaa/164-530-c-safeguards) - [**§ 164.510(b)(2)** — Uses and disclosures with the individual present](https://support.icompaas.com/compliance/hipaa/164-510-b-2-uses-and-disclosures-with-the-individual-present) - [**§ 164.512(k)(6)** — Uses and disclosures for specialized government functions - Providing public benefits](https://support.icompaas.com/compliance/hipaa/164-512-k-6-uses-and-disclosures-for-specialized-government-functions-providing-public) ## References - [U.S. HHS Office for Civil Rights — HIPAA (45 CFR Part 164)](https://www.hhs.gov/hipaa/for-professionals/index.html) - Catalogue identifier: `§ 164.514(d)(5)` Topics: governance riskpolicy management ## Related compliance guidance - [HIPAA compliance for SaaS: a practical implementation guide](https://support.icompaas.com/compliance/hipaa): Start with the full HIPAA implementation guide — scope, roadmap, evidence and how the assessment runs. - [SOC 2 compliance: a practical implementation guide for cloud-native SaaS teams](https://support.icompaas.com/compliance/soc-2-trust-services-criteria): Most covered-entity customers accept a SOC 2 Type II report as the independent evidence that your HIPAA controls operate, since no HIPAA attestation exists. - [NIST SP 800-53 Rev. 5: a practical implementation guide for cloud teams](https://support.icompaas.com/compliance/nist-sp-800-53-rev-5): NIST publishes mappings of the Security Rule standards and implementation specifications to SP 800-53 Rev. 5 controls alongside SP 800-66 Rev. 2, so an 800-53 control set doubles as a HIPAA crosswalk.