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Cyber security management
Establishing and maintaining the comprehensive ePHI security program
Risk management and leadership
Cyber security management

Establishing and maintaining the comprehensive ePHI security program

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Task description

Establishing and maintaining the comprehensive ePHI security program

The organization should develop, implement, and continuously maintain a comprehensive information security program that establishes administrative, physical, and technical safeguards to ensure the confidentiality, integrity, and availability of all electronic protected health information, actively protects against reasonably anticipated threats and impermissible disclosures, and ensures ongoing workforce compliance with all security policies.

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Critical
High
Normal
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Cyber security management
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Establishing and maintaining the comprehensive ePHI security program
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Critical
High
Normal
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Cyber security management
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High
Normal
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High
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Normal
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Normal
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Normal
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Technical cyber security measures (Lithuania)
Usage of data centers (Lithuania)
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

38.1.: Duomenų centrų naudojimas saugaus tinklo naudotojams
NIS2 Lithuania
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Usage of data centers (Lithuania)
Usage of the Secure Network (Lithuania)
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

37.1.: Saugus institucijų tinklas (Valstybės ir savivaldybių institucijos ir įstaigos, valstybės valdomos įmonės ir viešosios įstaigos)
NIS2 Lithuania
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Usage of the Secure Network (Lithuania)
Cyber Security Information System usage (Lithuania)
Critical
High
Normal
Low
Cyber security management
3
requirements

Examples of other requirements this task affects

19.1.: Kibernetinio saugumo informacinė sistema
NIS2 Lithuania
19.3.: Kibernetinio saugumo informacinės sistemos naudojimas
NIS2 Lithuania
19.4.: Dalijimosi informacija susitarimai
NIS2 Lithuania
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Cyber Security Information System usage (Lithuania)
Providing the security managers information to a competent authority
Critical
High
Normal
Low
Cyber security management
3
requirements

Examples of other requirements this task affects

25.(2): Paziņojums par kiberdrošības vadītāja iecelšanu
NIS2 Latvia
25.(3): Kiberdrošības pārvaldnieka atbilstība
NIS2 Latvia
25.(4): Paziņojums par izmaiņām
NIS2 Latvia
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Providing the security managers information to a competent authority
Appointment, tasks and position of a Cyber security manager
Critical
High
Normal
Low
Cyber security management
2
requirements

Examples of other requirements this task affects

25.(5): kiberdrošības pārvaldnieka pienākumi
NIS2 Latvia
25.(1): Kiberdrošības pārvaldību
NIS2 Latvia
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Appointment, tasks and position of a Cyber security manager
Assessment of conformity (Belgium)
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

39: Conformité et audits
NIS2 Belgium
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Assessment of conformity (Belgium)
Documentation of organization's dependencies on external resources
Critical
High
Normal
Low
Cyber security management
3
requirements

Examples of other requirements this task affects

GV.OC-05: Organizational dependencies on outcomes and services
NIST 2.0
§ 4-2: Vurdering av risiko
Sikkerhetsloven
§ 7: Risikovurdering
NIS2 NO
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Documentation of organization's dependencies on external resources
Strategic directions of risk response options
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

GV.RM-04: Strategic direction of risk response options
NIST 2.0
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Strategic directions of risk response options
Identify the organisation's strategy and priorities
Critical
High
Normal
Low
Cyber security management
2
requirements

Examples of other requirements this task affects

1.1.1: Identify the organisation’s strategy and priorities
NSM ICT-SP
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Identify the organisation's strategy and priorities
Implementing a crisis response strategy
Critical
High
Normal
Low
Cyber security management
22
requirements

Examples of other requirements this task affects

RC.CO-2: Reputation is repaired after an incident.
CyberFundamentals
4.3.5: Co-ordinate and communicate with internal and external stakeholders while managing the incident
NSM ICT-SP
4.3.2: Determine whether the incident is under control and take the necessary reactive measures
NSM ICT-SP
30 § 1°: Gestion des risques et maîtrise des incidents
NIS2 Belgium
30 § 3.3°: La continuité et la gestion des crises
NIS2 Belgium
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Implementing a crisis response strategy
Recognizing and listing sensitive work fields and jobs
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

2.1.1: Competence of employees
TISAX
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Recognizing and listing sensitive work fields and jobs
Description of cyber security structure
Critical
High
Normal
Low
Cyber security management
4
requirements

Examples of other requirements this task affects

1.2.2: Information Security Responsibilities
TISAX
14.3: Alocarea resurselor și desemnarea responsabililor de securitate
NIS2 Romania
§ 9: Organisatoriske sikkerhetstiltak
NIS2 NO
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Description of cyber security structure
Monitoring and analysing effectiveness of digital operational resilience strategy
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

Article 13: Learning and evolving
DORA
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Monitoring and analysing effectiveness of digital operational resilience strategy
Learning from testing operational resilience
Critical
High
Normal
Low
Cyber security management
5
requirements

Examples of other requirements this task affects

Article 13: Learning and evolving
DORA
RC.IM-1: Recovery plans incorporate lessons learned.
CyberFundamentals
ID.IM-02: Improvements from security tests and exercises
NIST 2.0
Art. 13.6: Organisation des exercices et mise à jour de l'P.S.E.
Loi infrastructures critiques
13.1.d: Recovering from incidents
CER
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Learning from testing operational resilience
Adequate security principles of the organisation in terms of classified information
Critical
High
Normal
Low
Cyber security management
2
requirements

Examples of other requirements this task affects

T-01: JOHDON TUKI, OHJAUS JA VASTUU – TURVALLISUUSPERIAATTEET
Katakri 2020
§ 2.4: Personalsäkerhetsskyddsåtgärder
SSL
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Adequate security principles of the organisation in terms of classified information
Defining security roles and responsibilities
Critical
High
Normal
Low
Cyber security management
45
requirements

Examples of other requirements this task affects

T02: Turvallisuustyön tehtävien ja vastuiden määrittäminen
Katakri
24. Responsibility of the controller
GDPR
6.1.1: Information security roles and responsibilities
ISO 27001
ID.AM-6: Cybersecurity roles and responsibilities
NIST
ID.GV-2: Cybersecurity role coordination
NIST
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Defining security roles and responsibilities
Amount, competence and adequacy of key cyber security personnel
Critical
High
Normal
Low
Cyber security management
37
requirements

Examples of other requirements this task affects

T03: Turvallisuustyön resurssit
Katakri
32. Security of processing
GDPR
37. Designation of the data protection officer
GDPR
6.1.1: Information security roles and responsibilities
ISO 27001
ID.GV-2: Cybersecurity role coordination
NIST
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Amount, competence and adequacy of key cyber security personnel
Management commitment to cyber security management and management system
Critical
High
Normal
Low
Cyber security management
49
requirements

Examples of other requirements this task affects

Članak 29.a: Upravljanje
NIS2 Croatia
1.1.1: Availability of information security policies
TISAX
31 § 1°: Approbation des mesures de gestion des risques de cybersécurité
NIS2 Belgium
PR.AT-4: Senior executives understand their roles and responsibilities.
CyberFundamentals
ID.GV-1: Organizational cybersecurity policy is established and communicated.
CyberFundamentals
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Management commitment to cyber security management and management system
Incident management resourcing and monitoring
Critical
High
Normal
Low
Cyber security management
19
requirements

Examples of other requirements this task affects

24. Responsibility of the controller
GDPR
7.2.1: Management responsibilities
ISO 27001
16.1.1: Responsibilities and procedures
ISO 27001
5.24: Information security incident management planning and preparation
ISO 27001
Article 17: ICT-related incident management process
DORA
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Incident management resourcing and monitoring
General security competence and awareness of personnel
Critical
High
Normal
Low
Cyber security management
42
requirements

Examples of other requirements this task affects

Članak 29.b: Osposobljavanja
NIS2 Croatia
10 §: Johdon vastuu
Kyberturvallisuuslaki
2.1.3: Staff training
TISAX
2.1.1: Competence of employees
TISAX
31 § 2°: Formation des cadres supérieurs à la cybersécurité
NIS2 Belgium
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General security competence and awareness of personnel
Defining and documenting cyber security metrics
Critical
High
Normal
Low
Cyber security management
29
requirements

Examples of other requirements this task affects

Članak 30.1.f: Politike i postupke za procjenu djelotvornosti mjera upravljanja kibernetičkim sigurnosnim rizicima
NIS2 Croatia
4.1: Tietojärjestelmien tietoturvallisuus
TiHL tietoturvavaatimukset
9.1 §: Toimien vaikuttavuuden arviointi
Kyberturvallisuuslaki
13 §: Tietoaineistojen ja tietojärjestelmien tietoturvallisuus
TiHL
30 § 3.6°: L'efficacité des mesures de gestion des risques
NIS2 Belgium
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Defining and documenting cyber security metrics
Implementation and documentation of management reviews
Critical
High
Normal
Low
Cyber security management
54
requirements

Examples of other requirements this task affects

Članak 29.a: Upravljanje
NIS2 Croatia
Članak 30.1.f: Politike i postupke za procjenu djelotvornosti mjera upravljanja kibernetičkim sigurnosnim rizicima
NIS2 Croatia
10 §: Johdon vastuu
Kyberturvallisuuslaki
1.2.1: Scope of Information Security management
TISAX
31 § 1°: Approbation des mesures de gestion des risques de cybersécurité
NIS2 Belgium
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Implementation and documentation of management reviews
Communication plan for information security management system
Critical
High
Normal
Low
Cyber security management
32
requirements

Examples of other requirements this task affects

Članak 29.a: Upravljanje
NIS2 Croatia
31 § 1°: Approbation des mesures de gestion des risques de cybersécurité
NIS2 Belgium
2.10.1: Include security in the organisation’s change management process
NSM ICT-SP
RC.CO-2: Reputation is repaired after an incident.
CyberFundamentals
ID.GV-1: Organizational cybersecurity policy is established and communicated.
CyberFundamentals
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Communication plan for information security management system
Continuous improvement and documentation
Critical
High
Normal
Low
Cyber security management
28
requirements

Examples of other requirements this task affects

1.5.2: External review of ISMS
TISAX
30 § 6°: Non-conformités et mesures correctives
NIS2 Belgium
PR.IP-7: Protection processes are improved.
CyberFundamentals
ID.GV-1: Organizational cybersecurity policy is established and communicated.
CyberFundamentals
PR.IP-7: Protection processes
NIST
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Continuous improvement and documentation
Archiving and retaining outdated security documentation
Critical
High
Normal
Low
Cyber security management
1
requirements

Examples of other requirements this task affects

A.10.2: Retention period for administrative security policies and guidelines
ISO 27018
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Archiving and retaining outdated security documentation
Segregation of information security related duties
Critical
High
Normal
Low
Cyber security management
10
requirements

Examples of other requirements this task affects

6.1.2: Segregation of duties
ISO 27001
ID.RA-3: Threat identification
NIST
PR.AC-4: Access permissions and authorizations
NIST
PR.DS-5: Data leak protection
NIST
HAL-02.1: Tehtävät ja vastuut - tehtävien eriyttäminen
Julkri
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Segregation of information security related duties
Security roles, responsibilities, and objectives derived from the organization's goals
Critical
High
Normal
Low
Cyber security management
5
requirements

Examples of other requirements this task affects

ID.BE-3: Organizational mission, objectives, and activities
NIST
69: Digiturvan huomiointi osana kokonaisuutta
Digiturvan kokonaiskuvapalvelu
ID.BE-3: Priorities for organizational mission, objectives, and activities are established and communicated.
CyberFundamentals
GV.RR-02: Roles and responsibilities in cybersecurity risk management
NIST 2.0
GV.OC-01: Cybersecurity risk management aligned with the organizational mission
NIST 2.0
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Security roles, responsibilities, and objectives derived from the organization's goals
Kasautumisvaikutuksen huomiointi suojattavien kohteiden luokittelussa
Critical
High
Normal
Low
Cyber security management
2
requirements

Examples of other requirements this task affects

HAL-04.3: Suojattavat kohteet - kasautumisvaikutus
Julkri
2.4: Luokittelu ja turvallisuusluokittelu
TiHL tietoturvavaatimukset
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Kasautumisvaikutuksen huomiointi suojattavien kohteiden luokittelussa

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