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Vol. 1 · Ed. 2026
CyberGlossary
Entry № 476

HITRUST

What is HITRUST?

HITRUSTA risk- and compliance-focused security framework, the HITRUST CSF, widely used in US healthcare to demonstrate alignment with HIPAA, NIST and other authoritative sources.


HITRUST (originally the Health Information Trust Alliance) is a US-based organisation that publishes the HITRUST Common Security Framework (CSF), a control-based framework first released in 2009 and updated regularly (current major version: CSF v11). The CSF harmonises requirements from HIPAA, HITECH, NIST SP 800-53 and 800-171, ISO/IEC 27001/27002, PCI DSS, GDPR, the EU AI Act and other sources into a single set of prescriptive, scoped controls. Organisations can pursue three levels of certification (e1, i1, r2) issued by accredited HITRUST assessors. Although strongly associated with healthcare, it is increasingly used in financial services, technology and other regulated industries as a single audit-ready assurance.

Examples

  1. 01

    A US healthcare SaaS achieving HITRUST r2 certification to satisfy hospital customers requiring HIPAA assurance.

  2. 02

    A payer organisation requiring HITRUST e1 certification from a small startup vendor before onboarding.

Frequently asked questions

What is HITRUST?

A risk- and compliance-focused security framework, the HITRUST CSF, widely used in US healthcare to demonstrate alignment with HIPAA, NIST and other authoritative sources. It belongs to the Compliance & Frameworks category of cybersecurity.

What does HITRUST mean?

A risk- and compliance-focused security framework, the HITRUST CSF, widely used in US healthcare to demonstrate alignment with HIPAA, NIST and other authoritative sources.

How does HITRUST work?

HITRUST (originally the Health Information Trust Alliance) is a US-based organisation that publishes the HITRUST Common Security Framework (CSF), a control-based framework first released in 2009 and updated regularly (current major version: CSF v11). The CSF harmonises requirements from HIPAA, HITECH, NIST SP 800-53 and 800-171, ISO/IEC 27001/27002, PCI DSS, GDPR, the EU AI Act and other sources into a single set of prescriptive, scoped controls. Organisations can pursue three levels of certification (e1, i1, r2) issued by accredited HITRUST assessors. Although strongly associated with healthcare, it is increasingly used in financial services, technology and other regulated industries as a single audit-ready assurance.

How do you defend against HITRUST?

Defences for HITRUST typically combine technical controls and operational practices, as detailed in the full definition above.

What are other names for HITRUST?

Common alternative names include: HITRUST CSF, Health Information Trust Alliance.

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