Framework: HITRUST

Multi-entity and multi-system scoping under r2 addresses how HITRUST assessments can cover multiple organizations or systems within a single certification boundary. Candidates must understand that HITRUST allows aggregation when governance, policies, and controls are consistent and centrally managed. Each entity or system must demonstrate alignment to the same control requirements and maturity levels. Assessors verify that scoping logic is clearly documented, ensuring that certification results accurately represent all included environments.

In practical terms, multi-entity scoping helps enterprises streamline assurance while maintaining accountability. For exam preparation, candidates should understand the importance of organizational charts, ownership matrices, and data flow mappings that illustrate shared governance. HITRUST expects strong justification for inclusion or exclusion of entities, validated through QA review. A well-designed multi-entity scope demonstrates efficiency and consistency, proving that a unified compliance framework can scale across diverse business units and technical landscapes.
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