48
CONFIDENTIALITY NOTE: The information contained in this report is for the exclusive use of the client specified above and may contain confidential, privileged, and non-disclosable information. If you are not the client or addressee, you are strictly prohibited from reading, photocopying, distributing, or otherwise using this report or its contents in any way. HIPAA Assessment Prepared for: My Client's Company Prepared by: Your Company Computer Identification Worksheet

Computer Identification Worksheet · Computer Identification Worksheet HIPAA ASSESSMENT PROPRIETARY Page 3 of 48 1.32 - ENTCERTS 1.33 - EPTOWER 1.34 - ERPI-MYCO-01 1.35 - EXCHANGE2013

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Page 1: Computer Identification Worksheet · Computer Identification Worksheet HIPAA ASSESSMENT PROPRIETARY Page 3 of 48 1.32 - ENTCERTS 1.33 - EPTOWER 1.34 - ERPI-MYCO-01 1.35 - EXCHANGE2013

CONFIDENTIALITY NOTE: The information contained in this report is for the exclusive use of the client specified above and may contain confidential, privileged, and non-disclosable information. If you are not the client or addressee, you are strictly prohibited from reading, photocopying, distributing, or otherwise using this report or its contents in any way.

HIPAA

Assessment

Prepared for: My Client's Company Prepared by: Your Company

Computer Identification Worksheet

Page 2: Computer Identification Worksheet · Computer Identification Worksheet HIPAA ASSESSMENT PROPRIETARY Page 3 of 48 1.32 - ENTCERTS 1.33 - EPTOWER 1.34 - ERPI-MYCO-01 1.35 - EXCHANGE2013

Computer Identification Worksheet HIPAA ASSESSMENT

PROPRIETARY Page 2 of 48

Table of Contents 1 - Corp.MyCo.com

1.1 - 1RB11D1

1.2 - AGENT003-PC

1.3 - APPV-MGMT-SRV

1.4 - ATLDC01

1.5 - Ben

1.6 - Bhanks-LTV

1.7 - BKRICKEY-WIN7

1.8 - CLOVEPOWER

1.9 - CLUSTHV01

1.10 - CONFERENCE1

1.11 - CONFERENCEROOM

1.12 - COSTEN-SG

1.13 - D620-5P9W0C1

1.14 - D620-8BCJVD1

1.15 - DAVIS

1.16 - DAVIS-XP

1.17 - DC01

1.18 - DC02

1.19 - DC03

1.20 - DELL_OFFICE

1.21 - DELL120720

1.22 - DEMO5

1.23 - DEONNE

1.24 - DEV_2012-CORE

1.25 - DEVTFS

1.26 - DEVWIKI

1.27 - DHAROLD-PC

1.28 - DIALTONE

1.29 - Dwilliams2

1.30 - EHAMMOND-WIN7

1.31 - ENGINEERS

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1.32 - ENTCERTS

1.33 - EPTOWER

1.34 - ERPI-MYCO-01

1.35 - EXCHANGE2013

1.36 - FILE2012-1

1.37 - FTDELLLAPTOP

1.38 - FTDESKTOPWORK

1.39 - FT-LENOVO

1.40 - GENAVE-PC

1.41 - GHAMMOND-LT

1.42 - HJoel-VM-WIN764

1.43 - HJoel-WIN764

1.44 - HP01

1.45 - HP02

1.46 - HPV00

1.47 - HV01

1.48 - HV02

1.49 - HV03

1.50 - HV04

1.51 - HV05

1.52 - HV2012-1

1.53 - HYPERV

1.54 - HYPERV01

1.55 - HYPERV-02

1.56 - HYPERV-03

1.57 - INSP-TEST2

1.58 - ISA1

1.59 - JAGA

1.60 - JAMIE-PC

1.61 - JIM-WIN7

1.62 - JIM-WIN8

1.63 - JOES-PC

1.64 - Kmayhem1

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PROPRIETARY Page 4 of 48

1.65 - LEE

1.66 - MARKETING-1

1.67 - MEGATRON

1.68 - MELKINS-HP

1.69 - MIGTEST

1.70 - MmayhemON

1.71 - MmayhemON1

1.72 - MmayhemON-HP

1.73 - MSHELLY1

1.74 - Mshoals

1.75 - MSUMMER

1.76 - MSUMMERLAPTOP

1.77 - MSUMMER-LT

1.78 - MWEST-WIN864

1.79 - myco

1.80 - MYCO30DEV

1.81 - MYCO-ATL-CORE

1.82 - MYCO-ATL-HPV01

1.83 - MYCO-ATL-RJLLTP

1.84 - MYCO-ATL-WS01

1.85 - MYCODEMO

1.86 - MyCohq

1.87 - MYCO-INSPIRON1

1.88 - MYCONMS-BDF

1.89 - MYCOPATCH

1.90 - MYCOROOTAUTH

1.91 - MYCO-SCB-LTP

1.92 - NAGATEWAY

1.93 - NETSCAN01

1.94 - OPS001

1.95 - PABUILD

1.96 - PEACH

1.97 - PERFORMA-HLI4PQ

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1.98 - PERSHING-PIT

1.99 - PITMS-LT1

1.100 - PITWS-PK

1.101 - pkrickey1

1.102 - PKWIN7ENT

1.103 - PKWin8

1.104 - PS01

1.105 - PSIMPSON1

1.106 - PSIMPSON-WIN7

1.107 - PSIMPSON-WIN764

1.108 - PSIMPSON-WIN7TEST

1.109 - QB02

1.110 - QBSERVER

1.111 - RANCOR

1.112 - REMOTE

1.113 - REX

1.114 - ROBERT-PC

1.115 - RS01

1.116 - RS02

1.117 - SALES01

1.118 - SBLAPTOP

1.119 - SE-DAVIS

1.120 - SHAREPOINT-01

1.121 - SHAREPOINT1

1.122 - SHARLISE-WIN8

1.123 - SHELDON

1.124 - SHREDDER

1.125 - SLOWE-WIN8

1.126 - SPIELÖÄÜ

1.127 - SQL2012-01

1.128 - STARSCREAM

1.129 - STARTEAM

1.130 - STORAGE01

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1.131 - TANDEM

1.132 - TESTSERVER1

1.133 - TESTXP01

1.134 - THRASH2

1.135 - USAL9K49RH1

1.136 - USER-PC23

1.137 - UTIL01

1.138 - UTIL12

1.139 - VM1-WIN2003

1.140 - VM2-2003

1.141 - VM-JDAVIS-WIN7

1.142 - VM-WIN2003

1.143 - VM-WIN7

1.144 - VM-WIN7-2

1.145 - VM-WIN7-3

1.146 - VM-WIN8BETA

1.147 - W2012TEST

1.148 - WIN2008

1.149 - WIN2008R2

1.150 - WIN7ULT

1.151 - WINDESKTOP

1.152 - WIN-HNQ8G0O1RAI

1.153 - WINXP32

1.154 - WINXP64

1.155 - wmathers1

2 - No Domain

2.1 - slowe-win7.corp.MyCo.com

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1 - Corp.MyCo.com

Indicate if you believe the computer either 1) has ePHI, 2) does not have ePHI, or 3) is used to access other systems that may have ePHI and not as a true workstation. Systems used as access gateways (typically to EHR and other medical data systems) should not store data or be used as a workstation. If you do not know for certain the computer contains or does not contain ePHI, it is best to error on the side of indicating that it can potentially contain ePHI. You must indicate a response for every computer to complete this worksheet. 1.1 - 1RB11D1

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 3/29/2012 9:02:24 AM

Has ePHI

1.2 - AGENT003-PC

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 2/14/2012 11:58:15 PM

Has ePHI

1.3 - APPV-MGMT-SRV

OS: Windows Server 2008 R2 Enterprise IP address: Description: CPU : RAM : Last Login : 8/10/2012 10:25:25 AM

Has ePHI

1.4 - ATLDC01

OS: Windows Server 2008 R2 Standard IP address: Description: CPU : RAM : Last Login : 2/16/2011 11:02:53 AM

Has ePHI

1.5 - Ben

OS: Windows 7 Enterprise IP address: Description: CPU :

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RAM : Last Login : 10/18/2012 10:42:42 PM

Has ePHI

1.6 - Bhanks-LTV

OS: Windows 7 Ultimate IP address: Description: CPU : RAM : Last Login : 2/18/2011 10:38:06 AM

Has ePHI

1.7 - BKRICKEY-WIN7

OS: Windows 7 Enterprise IP address: 10.0.7.74 Description: CPU : Pentium(R) Dual-Core CPU E5400 @ 2.70GHz RAM : 3072 MB Last Login : 4/1/2014 7:35:21 PM

Has ePHI

1.8 - CLOVEPOWER

OS: IP address: Description: CPU : RAM : Last Login : <never>

Has ePHI

1.9 - CLUSTHV01

OS: Windows Server 2012 Standard IP address: Description: Failover cluster virtual network name account CPU : RAM : Last Login : 11/7/2012 11:44:50 PM

Has ePHI

1.10 - CONFERENCE1

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 2/29/2012 1:39:25 PM

Has ePHI

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1.11 - CONFERENCEROOM

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 3/5/2012 6:13:14 PM

Has ePHI

1.12 - COSTEN-SG

OS: Windows 7 Enterprise IP address: 10.0.7.24 Description: CPU : RAM : Last Login : 6/8/2013 3:39:38 AM

Has ePHI

1.13 - D620-5P9W0C1

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 4/15/2011 3:58:36 PM

Has ePHI

1.14 - D620-8BCJVD1

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 7/13/2012 10:27:22 AM

Has ePHI

1.15 - DAVIS

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 8/1/2011 9:23:57 AM

Has ePHI

1.16 - DAVIS-XP

OS: Windows 8 Enterprise

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IP address: 10.0.7.10 Description: CPU : Intel(R) Core(TM) i3-2130 CPU @ 3.40GHz RAM : 6144 MB Last Login : 9/23/2013 11:36:56 AM

Has ePHI

1.17 - DC01

OS: Windows Server 2012 Standard IP address: fe80::c479:f74:16d0:1a95%16,172.20.1.3,10.0.1.3 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 512 MB Last Login : 4/1/2014 8:37:40 PM

Has ePHI

1.18 - DC02

OS: Windows Server 2012 R2 Datacenter IP address: 172.20.0.4,10.0.1.4 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 1024 MB Last Login : 3/25/2014 5:23:08 PM

Has ePHI

1.19 - DC03

OS: Windows Server 2012 R2 Datacenter IP address: 172.20.0.23 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 1024 MB Last Login : 3/31/2014 2:20:05 AM

Has ePHI

1.20 - DELL_OFFICE

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 8/7/2009 6:15:10 PM

Has ePHI

1.21 - DELL120720

OS: Windows 7 Enterprise IP address: 10.0.7.78 Description: CPU : RAM : Last Login : 8/1/2013 8:21:39 AM

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Has ePHI

1.22 - DEMO5

OS: Windows Server 2003 IP address: Description: CPU : RAM : Last Login : 7/31/2012 12:34:33 PM

Has ePHI

1.23 - DEONNE

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 11/5/2012 10:11:19 PM

Has ePHI

1.24 - DEV_2012-CORE

OS: Hyper-V Server 2012 IP address: 10.0.7.53 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 512 MB Last Login : 4/1/2014 12:31:24 AM

Has ePHI

1.25 - DEVTFS

OS: Windows Server 2012 Standard IP address: 10.0.7.69 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 10240 MB Last Login : 3/31/2014 9:36:15 AM

Has ePHI

1.26 - DEVWIKI

OS: Windows Server 2003 IP address: 10.0.7.62 Description: CPU : Intel(R) Xeon(R) CPU L5639 @ 2.13GHz RAM : 1534 MB Last Login : 4/1/2014 6:33:01 AM

Has ePHI

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PROPRIETARY Page 12 of 48

1.27 - DHAROLD-PC

OS: Windows 7 Enterprise IP address: 10.0.7.1 Description: CPU : RAM : Last Login : 3/26/2014 9:07:14 AM

Has ePHI

1.28 - DIALTONE

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 7/3/2012 1:02:38 PM

Has ePHI

1.29 - Dwilliams2

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 3/13/2011 4:36:51 AM

Has ePHI

1.30 - EHAMMOND-WIN7

OS: Windows 7 Enterprise IP address: Description: CPU : RAM : Last Login : 4/1/2014 2:40:31 PM

Has ePHI

1.31 - ENGINEERS

OS: Windows 2000 Server IP address: 10.0.1.50 Description: CPU : RAM : Last Login : 1/31/2014 10:24:34 AM

Has ePHI

1.32 - ENTCERTS

OS: Windows Server 2012 R2 Datacenter IP address: 10.0.1.43

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Description: CPU : RAM : Last Login : 2/12/2014 8:38:33 PM

Has ePHI

1.33 - EPTOWER

OS: Windows 8 Enterprise IP address: Description: CPU : RAM : Last Login : 3/10/2014 10:00:42 AM

Has ePHI

1.34 - ERPI-MYCO-01

OS: Windows 7 Ultimate IP address: Description: CPU : RAM : Last Login : 7/19/2010 9:41:38 AM

Has ePHI

1.35 - EXCHANGE2013

OS: Windows Server 2008 R2 Standard IP address: 10.0.7.53 Description: CPU : RAM : Last Login : 10/21/2013 1:06:45 PM

Has ePHI

1.36 - FILE2012-1

OS: Windows Server 2012 R2 Standard IP address: 10.0.1.41 Description: CPU : Intel(R) Xeon(R) CPU E5320 @ 1.86GHz RAM : 8192 MB Last Login : 4/1/2014 6:27:20 AM

Has ePHI

1.37 - FTDELLLAPTOP

OS: Windows 7 Enterprise IP address: 10.0.1.109 Description: CPU : RAM : Last Login : 12/6/2012 1:00:44 PM

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Has ePHI

1.38 - FTDESKTOPWORK

OS: Windows XP Professional IP address: Description: CPU : RAM : Last Login : 6/5/2012 3:09:59 PM

Has ePHI

1.39 - FT-LENOVO

OS: Windows 8 Enterprise IP address: 10.0.7.21 Description: CPU : RAM : Last Login : 4/1/2014 5:38:18 PM

Has ePHI

1.40 - GENAVE-PC

OS: Windows 8.1 Pro IP address: fe80::b5a0:130e:57f:ce68%3,10.0.6.114 Description: CPU : Intel(R) Core(TM) i3-3217U CPU @ 1.80GHz RAM : 4096 MB Last Login : 8/26/2015 1:31:28 PM

Has ePHI

1.41 - GHAMMOND-LT

OS: Windows 8 Enterprise IP address: 10.0.7.15 Description: CPU : RAM : Last Login : 3/29/2014 6:30:18 AM

Has ePHI

2 - No Domain

Indicate if you believe the computer either 1) has ePHI, 2) does not have ePHI, or 3) is used to access other systems that may have ePHI and not as a true workstation. Systems used as access gateways (typically to EHR and other medical data systems) should not store data or be used as a workstation. If you do not know for certain the computer contains or does not contain ePHI, it is best to error on the side of indicating that it can potentially contain ePHI. You must indicate a response for every computer to complete this worksheet.

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2.1 - slowe-win7.corp.MyCo.com

OS: Windows 7 Enterprise IP address: 10.0.7.19 Description: CPU : AMD E2-3200 APU with Radeon(tm) HD Graphics RAM : 6144 MB Last Login : <never>

No ePHI

Some information has been truncated to reduce Sample Report size

Page 16: Computer Identification Worksheet · Computer Identification Worksheet HIPAA ASSESSMENT PROPRIETARY Page 3 of 48 1.32 - ENTCERTS 1.33 - EPTOWER 1.34 - ERPI-MYCO-01 1.35 - EXCHANGE2013

CONFIDENTIALITY NOTE: The information contained in this report is for the exclusive use of the client specified above and may contain confidential, privileged, and non-disclosable information. If you are not the client or addressee, you are strictly prohibited from reading, photocopying, distributing, or otherwise using this report or its contents in any way.

HIPAA

Assessment

Prepared for: My Client's Company Prepared by: Your Company

User Identification Worksheet

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Table of Contents 1 - Corp.MyCo.com

1.1 - Administrator

1.2 - ASPNET

1.3 - bgelding

1.4 - BKRICKEY

1.5 - bminor

1.6 - bvinings

1.7 - DEV$

1.8 - eHAMMOND

1.9 - fthomas

1.10 - gHAMMOND

1.11 - HJoel

1.12 - hr

1.13 - info

1.14 - jcosten

1.15 - JDAVIS

1.16 - kglass

1.17 - kjacobs

1.18 - kmayhem

1.19 - kmayhem1

1.20 - marcusustest

1.21 - mDAVIS

1.22 - mELKINS

1.23 - mmayhemON

1.24 - mparish

1.25 - mSUMMER

1.26 - mWEST

1.27 - NetScanner

1.28 - netvendor

1.29 - nrsdev

1.30 - partners

1.31 - PGK Test1

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1.32 - Pkrickey

1.33 - prsales

1.34 - pSIMPSON

1.35 - QBDataServiceUser19

1.36 - rjohnson

1.37 - rphillis

1.38 - rtaylor

1.39 - SharePointSQL

1.40 - slowe

1.41 - smurray

1.42 - sRammond

1.43 - support

1.44 - SUPPORT$

1.45 - tholmes

1.46 - thughes

1.47 - wparson

2 - Local Account

2.1 - GENAVE-PC\genave

2.2 - GENAVE-PC\pit

2.3 - INSP-TEST2\admin

2.4 - INSP-TEST2\config

2.5 - INSP-TEST2\homegroupuser$

2.6 - INSP-TEST2\rfsupport

2.7 - INSP-TEST2\ubuntu

2.8 - TANDEM\wendell

2.9 - TANDEM\wparson

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PROPRIETARY Page 19 of 48

Corp.MyCo.com Indicate if the user is an employee, vendor, former employee or former vendor. Note that employees may also be users who are on contract or have relationships (such as privileges) with the covered entity. For active employees and vendors, indicate if the user is authorized to access ePHI. You must indicate a response for every user to complete this worksheet.

Administrator Name: Administrator Enabled: enabled Last Login: 4/1/2014 8:01:58 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

ASPNET Name: ASPNET Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Service Account

Responded By

Additional Notes

bgelding Name: Beth gelding Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

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BKRICKEY Name: Beth krickey Enabled: enabled Last Login: 4/1/2014 8:17:28 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

bminor Name: Brad Minor Enabled: enabled Last Login: 11/19/2012 12:34:25 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

bvinings Name: Bob vinings Enabled: enabled Last Login: 2/28/2014 5:03:14 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - ePHI authorization

Responded By

Additional Notes

DEV$ Name: DEV$ Enabled: enabled Job Title:

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Department: Company: Detected Service Account: No

Response Generic Account

Responded By

Additional Notes

eHAMMOND Name: Elvin HAMMOND Enabled: enabled Last Login: 4/1/2014 10:27:08 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

fthomas Name: Fred thomas Enabled: enabled Last Login: 4/1/2014 8:40:01 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

gHAMMOND Name: Greg HAMMOND Enabled: enabled Last Login: 3/29/2014 6:30:20 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

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Additional Notes

HJoel Name: Hank\ Joel Enabled: enabled Last Login: 9/20/2013 4:55:58 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

hr Name: internal IT HR Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Generic Account

Responded By

Additional Notes

info Name: internal IT PR Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Generic Account

Responded By

Additional Notes

jcosten Name: Joe Costen Enabled: enabled

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Last Login: 1/22/2014 2:31:34 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

JDAVIS Name: James DAVIS Enabled: enabled Last Login: 4/1/2014 9:06:15 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

kglass Name: K glass Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Employee - ePHI authorization

Responded By

Additional Notes

kjacobs Name: Kevin jacobs Enabled: enabled Last Login: 3/26/2014 8:54:52 AM Job Title: Department: Company: Detected Service Account: No

Response Responded By

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Employee - no ePHI authorization

Additional Notes

kmayhem Name: Kevin mayhem Enabled: enabled Last Login: 4/1/2014 11:02:56 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

kmayhem1 Name: k mayhem1 Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

marcusustest Name: Test User Enabled: enabled Last Login: 12/11/2012 9:39:17 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mDAVIS

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Name: michal DAVIS Enabled: enabled Last Login: 3/21/2014 10:53:13 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mELKINS Name: Michael ELKINS Enabled: enabled Last Login: 4/1/2014 7:55:03 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mmayhemON Name: Michael mayhemON Enabled: enabled Last Login: 4/1/2014 3:04:36 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mparish Name: marcusus parish Enabled: enabled Last Login: 4/1/2014 3:42:43 PM Job Title: Department: Company:

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Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mSUMMER Name: Mark SUMMER Enabled: enabled Last Login: 4/1/2014 5:25:30 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

mWEST Name: Madeleine WEST Enabled: enabled Last Login: 1/15/2014 3:18:12 AM Job Title: Department: Company: Detected Service Account: No

Response Employee - ePHI authorization

Responded By

Additional Notes

NetScanner Name: Net Scanner - MyCo Enabled: enabled Last Login: 7/20/2012 5:35:23 PM Job Title: Department: Company: Detected Service Account: No

Response Service Account

Responded By

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Additional Notes

netvendor Name: netvendor Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Vendor - no ePHI authorization

Responded By

Additional Notes

nrsdev Name: WESTridge Development Enabled: enabled Last Login: 3/27/2014 3:35:00 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

partners Name: internal IT Managed Services Partners Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Generic Account

Responded By

Additional Notes

PGK Test1 Name: PGK Test1 Enabled: enabled Last Login: 12/16/2012 11:50:51 PM

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Job Title: Department: Company: Detected Service Account: No

Response Service Account

Responded By

Additional Notes

Pkrickey Name: Paul krickey Enabled: enabled Last Login: 4/1/2014 9:05:06 PM Job Title: Department: Company: Detected Service Account: No

Response Employee - no ePHI authorization

Responded By

Additional Notes

prsales Name: internal IT Sales Enabled: enabled Job Title: Department: Company: Detected Service Account: No

Response Generic Account

Responded By

Additional Notes

Some information has been truncated to reduce Sample Report size

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PROPRIETARY Page 29 of 48

Local Account Indicate if the user is an employee, vendor, former employee or former vendor. Note that employees may also be users who are on contract or have relationships (such as privileges) with the covered entity. For active employees and vendors, indicate if the user is authorized to access ePHI. You must indicate a response for every user to complete this worksheet.

GENAVE-PC\genave Name: Genave Enabled: Enabled

Response Employee - no ePHI authorization

Responded By

Additional Notes

GENAVE-PC\pit Name: Enabled: Enabled

Response Employee - no ePHI authorization

Responded By

Additional Notes

INSP-TEST2\admin Name: Enabled: Enabled

Response Service Account

Responded By

Additional Notes

INSP-TEST2\config Name: config Enabled: Enabled

Response Service Account

Responded By

Additional Notes

INSP-TEST2\homegroupuser$

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Name: HomeGroupUser$ Enabled: Enabled

Response Service Account

Responded By

Additional Notes

INSP-TEST2\rfsupport Name: Enabled: Enabled

Response Service Account

Responded By

Additional Notes

INSP-TEST2\ubuntu Name: ubuntu Enabled: Enabled

Response Service Account

Responded By

Additional Notes

TANDEM\wendell Name: Enabled: Enabled

Response Employee - no ePHI authorization

Responded By

Additional Notes

TANDEM\wparson Name: wendell (local) Enabled: Enabled

Response Employee - no ePHI authorization

Responded By

Additional Notes

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CONFIDENTIALITY NOTE: The information contained in this report is for the exclusive use of the client specified above and may contain confidential, privileged, and non-disclosable information. If you are not the client or addressee, you are strictly prohibited from reading, photocopying, distributing, or otherwise using this report or its contents in any way.

HIPAA

Assessment

Prepared for: My Client's Company Prepared by: Your Company

Network Share Identification Worksheet

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Table of Contents 1 - Corp.MyCo.com

1.1 - \\BKRICKEY-WIN7\ADMIN$

1.2 - \\BKRICKEY-WIN7\C$

1.3 - \\BKRICKEY-WIN7\D$

1.4 - \\BKRICKEY-WIN7\IPC$

1.5 - \\BKRICKEY-WIN7\Temp

1.6 - \\DAVIS-XP\ADMIN$

1.7 - \\DAVIS-XP\C$

1.8 - \\DAVIS-XP\IPC$

1.9 - \\DC01\ADMIN$

1.10 - \\DC01\C$

1.11 - \\DC01\IPC$

1.12 - \\DC01\NETLOGON

1.13 - \\DC01\SYSVOL

1.14 - \\DC02\ADMIN$

1.15 - \\DC02\C$

1.16 - \\DC02\IPC$

1.17 - \\DC02\NETLOGON

1.18 - \\DC02\SYSVOL

1.19 - \\DC03\ADMIN$

1.20 - \\DC03\C$

1.21 - \\DC03\IPC$

1.22 - \\DC03\NETLOGON

1.23 - \\DC03\SYSVOL

1.24 - \\DEV_2012-CORE\ADMIN$

1.25 - \\DEV_2012-CORE\C$

1.26 - \\DEV_2012-CORE\IPC$

1.27 - \\DEVTFS\ADMIN$

1.28 - \\DEVTFS\C$

1.29 - \\DEVTFS\IPC$

1.30 - \\DEVWIKI\ADMIN$

1.31 - \\DEVWIKI\C$

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1.32 - \\DEVWIKI\D$

1.33 - \\DEVWIKI\dev

1.34 - \\DEVWIKI\IPC$

1.35 - \\FILE2012-1\ADMIN$

1.36 - \\FILE2012-1\C$

1.37 - \\FILE2012-1\D$

1.38 - \\FILE2012-1\IPC$

1.39 - \\GENAVE-PC\ADMIN$

1.40 - \\GENAVE-PC\C$

1.41 - \\GENAVE-PC\D$

1.42 - \\GENAVE-PC\IPC$

1.43 - \\GENAVE-PC\print$

1.44 - \\HV01\ADMIN$

1.45 - \\HV01\C$

1.46 - \\HV01\H$

1.47 - \\HV01\IPC$

1.48 - \\HV02\ADMIN$

1.49 - \\HV02\C$

1.50 - \\HV02\H$

1.51 - \\HV02\IPC$

1.52 - \\HV03\ADMIN$

1.53 - \\HV03\C$

1.54 - \\HV03\H$

1.55 - \\HV03\IPC$

1.56 - \\HV04\ADMIN$

1.57 - \\HV04\C$

1.58 - \\HV04\H$

1.59 - \\HV04\IPC$

1.60 - \\HV04\Temp

1.61 - \\HV05\ADMIN$

1.62 - \\HV05\C$

1.63 - \\HV05\H$

1.64 - \\HV05\IPC$

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PROPRIETARY Page 34 of 48

1.65 - \\INSP-TEST2\ADMIN$

1.66 - \\INSP-TEST2\C$

1.67 - \\INSP-TEST2\IPC$

1.68 - \\INSP-TEST2\rfshare

1.69 - \\INSP-TEST2\Users

1.70 - \\JAGA\Address

1.71 - \\JAGA\ADMIN$

1.72 - \\JAGA\C$

1.73 - \\JAGA\DbBackups

1.74 - \\JAGA\E$

1.75 - \\JAGA\IPC$

1.76 - \\JAGA\JAGA.LOG

1.77 - \\JAGA\Pandora

1.78 - \\JAGA\Resources$

1.79 - \\JAGA\Share

1.80 - \\JAGA\TemplatesBackups

1.81 - \\JAGA\vbscript

1.82 - \\JIM-WIN7\ADMIN$

1.83 - \\JIM-WIN7\C$

1.84 - \\JIM-WIN7\IPC$

1.85 - \\JIM-WIN8\ADMIN$

1.86 - \\JIM-WIN8\C$

1.87 - \\JIM-WIN8\IPC$

1.88 - \\JIM-WIN8\print$

1.89 - \\JOES-PC\ADMIN$

1.90 - \\JOES-PC\C$

1.91 - \\JOES-PC\IPC$

1.92 - \\MARKETING-1\ADMIN$

1.93 - \\MARKETING-1\C$

1.94 - \\MARKETING-1\IPC$

1.95 - \\MELKINS-HP\ADMIN$

1.96 - \\MELKINS-HP\C$

1.97 - \\MELKINS-HP\IPC$

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1.98 - \\MmayhemON1\ADMIN$

1.99 - \\MmayhemON1\C$

1.100 - \\MmayhemON1\D$

1.101 - \\MmayhemON1\IPC$

1.102 - \\MWEST-WIN864\ADMIN$

1.103 - \\MWEST-WIN864\C$

1.104 - \\MWEST-WIN864\IPC$

1.105 - \\MWEST-WIN864\print$

1.106 - \\MWEST-WIN864\Share

1.107 - \\MWEST-WIN864\xdrive

1.108 - \\MYCO30DEV\ADMIN$

1.109 - \\MYCO30DEV\c drive

1.110 - \\MYCO30DEV\C$

1.111 - \\MYCO30DEV\IPC$

1.112 - \\MYCO30DEV\SourceSafe

1.113 - \\MYCO-ATL-CORE\ADMIN$

1.114 - \\MYCO-ATL-CORE\C$

1.115 - \\MYCO-ATL-CORE\IPC$

1.116 - \\MYCOROOTAUTH\ADMIN$

1.117 - \\MYCOROOTAUTH\C$

1.118 - \\MYCOROOTAUTH\CertEnroll

1.119 - \\MYCOROOTAUTH\IPC$

1.120 - \\OPS001\ADMIN$

1.121 - \\OPS001\C$

1.122 - \\OPS001\IPC$

1.123 - \\PABUILD\ADMIN$

1.124 - \\PABUILD\C$

1.125 - \\PABUILD\Excelsior

1.126 - \\PABUILD\IPC$

1.127 - \\PABUILD\local

1.128 - \\PABUILD\MYCO Builds

1.129 - \\PABUILD\MYCOBuild

1.130 - \\PABUILD\share

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PROPRIETARY Page 36 of 48

1.131 - \\PABUILD\Update Services 3.0 API Samples and Tools

1.132 - \\PKWin8\ADMIN$

1.133 - \\PKWin8\C$

1.134 - \\PKWin8\IPC$

1.135 - \\PSIMPSON1\ADMIN$

1.136 - \\PSIMPSON1\C$

1.137 - \\PSIMPSON1\IPC$

1.138 - \\PSIMPSON-WIN764\ADMIN$

1.139 - \\PSIMPSON-WIN764\C$

1.140 - \\PSIMPSON-WIN764\IPC$

1.141 - \\PSIMPSON-WIN764\print$

1.142 - \\PSIMPSON-WIN7TEST\ADMIN$

1.143 - \\PSIMPSON-WIN7TEST\C$

1.144 - \\PSIMPSON-WIN7TEST\IPC$

1.145 - \\RANCOR\ADMIN$

1.146 - \\RANCOR\C$

1.147 - \\RANCOR\CDROM

1.148 - \\RANCOR\download

1.149 - \\RANCOR\IPC$

1.150 - \\RANCOR\print$

1.151 - \\RANCOR\tfs

1.152 - \\REX\ADMIN$

1.153 - \\REX\C$

1.154 - \\REX\csharp bin

1.155 - \\REX\D$

1.156 - \\REX\download

1.157 - \\REX\F$

1.158 - \\REX\G$

1.159 - \\REX\IPC$

1.160 - \\REX\nda-images

1.161 - \\REX\pw bundles

1.162 - \\REX\redist

1.163 - \\REX\rfshare

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PROPRIETARY Page 37 of 48

1.164 - \\REX\soucesafe

1.165 - \\REX\soucesafe2

1.166 - \\REX\systray

1.167 - \\REX\TW32

1.168 - \\REX\TW32 bin

1.169 - \\SE-DAVIS\ADMIN$

1.170 - \\SE-DAVIS\C$

1.171 - \\SE-DAVIS\D$

1.172 - \\SE-DAVIS\IPC$

1.173 - \\SE-DAVIS\K60_on_jim

1.174 - \\SE-DAVIS\print$

1.175 - \\SE-DAVIS\Q$

1.176 - \\SE-DAVIS\Users

1.177 - \\SHAREPOINT-01\ADMIN$

1.178 - \\SHAREPOINT-01\Analytics_b59c619c-c655-49ec-999b-90d7c8f05e69

1.179 - \\SHAREPOINT-01\C$

1.180 - \\SHAREPOINT-01\E$

1.181 - \\SHAREPOINT-01\gthrsvc_b59c619c-c655-49ec-999b-90d7c8f05e69-crawl-0

1.182 - \\SHAREPOINT-01\IPC$

1.183 - \\SLOWE-WIN8\ADMIN$

1.184 - \\SLOWE-WIN8\Brother MFC-9320CW Printer

1.185 - \\SLOWE-WIN8\C$

1.186 - \\SLOWE-WIN8\IPC$

1.187 - \\SLOWE-WIN8\print$

1.188 - \\SPIELÖÄÜ\ADMIN$

1.189 - \\SPIELÖÄÜ\C$

1.190 - \\SPIELÖÄÜ\IPC$

1.191 - \\SQL2012-01\ADMIN$

1.192 - \\SQL2012-01\C$

1.193 - \\SQL2012-01\E$

1.194 - \\SQL2012-01\IPC$

1.195 - \\STORAGE01\ADMIN$

1.196 - \\STORAGE01\C$

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PROPRIETARY Page 38 of 48

1.197 - \\STORAGE01\CertEnroll

1.198 - \\STORAGE01\ClientApps

1.199 - \\STORAGE01\Common

1.200 - \\STORAGE01\D$

1.201 - \\STORAGE01\E$

1.202 - \\STORAGE01\ETemp

1.203 - \\STORAGE01\F$

1.204 - \\STORAGE01\IPC$

1.205 - \\STORAGE01\ISO

1.206 - \\STORAGE01\NS01

1.207 - \\STORAGE01\OldCommon

1.208 - \\STORAGE01\REMINST

1.209 - \\STORAGE01\Temp

1.210 - \\TANDEM\ADMIN$

1.211 - \\TANDEM\C$

1.212 - \\TANDEM\E$

1.213 - \\TANDEM\Explorer

1.214 - \\TANDEM\Intel

1.215 - \\TANDEM\IPC$

1.216 - \\TANDEM\publish

1.217 - \\TANDEM\Share

1.218 - \\UTIL01\ADMIN$

1.219 - \\UTIL01\C$

1.220 - \\UTIL01\IPC$

1.221 - \\UTIL01\NETLOGON

1.222 - \\UTIL01\SYSVOL

1.223 - \\UTIL12\ADMIN$

1.224 - \\UTIL12\C$

1.225 - \\UTIL12\IPC$

2 - No Domain

2.1 - \\10.0.7.19\accounting

2.2 - \\10.0.7.19\ADMIN$

2.3 - \\10.0.7.19\C$

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PROPRIETARY Page 39 of 48

2.4 - \\10.0.7.19\D$

2.5 - \\10.0.7.19\IPC$

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PROPRIETARY Page 40 of 48

Corp.MyCo.com Indicate if you believe the network share either 1) has ePHI, 2) does not have ePHI, or 3) you are unsure if it does. You must indicate a response for every user to complete this worksheet.

\\BKRICKEY-WIN7\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\BKRICKEY-WIN7\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\BKRICKEY-WIN7\D$ D:\

Response Has ePHI

Responded By

Additional Notes

\\BKRICKEY-WIN7\IPC$

Response Has ePHI

Responded By

Additional Notes

\\BKRICKEY-WIN7\Temp C:\Temp

Response Has ePHI

Responded By

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Additional Notes

\\DAVIS-XP\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\DAVIS-XP\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\DAVIS-XP\IPC$

Response No ePHI

Responded By

Additional Notes

\\DC01\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\DC01\C$ C:\

Response No ePHI

Responded By

Additional Notes

\\DC01\IPC$

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Response Has ePHI

Responded By

Additional Notes

\\DC01\NETLOGON C:\Windows\SYSVOL\sysvol\Corp.MyCo.com\SCRIPTS

Response No ePHI

Responded By

Additional Notes

\\DC01\SYSVOL C:\Windows\SYSVOL\sysvol

Response Has ePHI

Responded By

Additional Notes

\\DC02\ADMIN$ C:\Windows

Response No ePHI

Responded By

Additional Notes

\\DC02\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\DC02\IPC$

Response Has ePHI

Responded By

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Additional Notes

\\DC02\NETLOGON C:\Windows\SYSVOL\sysvol\Corp.MyCo.com\SCRIPTS

Response Has ePHI

Responded By

Additional Notes

\\DC02\SYSVOL C:\Windows\SYSVOL\sysvol

Response No ePHI

Responded By

Additional Notes

\\DC03\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\DC03\C$ C:\

Response No ePHI

Responded By

Additional Notes

\\DC03\IPC$

Response Has ePHI

Responded By

Additional Notes

\\DC03\NETLOGON

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C:\Windows\SYSVOL\sysvol\Corp.MyCo.com\SCRIPTS

Response Has ePHI

Responded By

Additional Notes

\\DC03\SYSVOL C:\Windows\SYSVOL\sysvol

Response Has ePHI

Responded By

Additional Notes

\\DEV_2012-CORE\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\DEV_2012-CORE\C$ C:\

Response No ePHI

Responded By

Additional Notes

\\DEV_2012-CORE\IPC$

Response No ePHI

Responded By

Additional Notes

\\DEVTFS\ADMIN$ C:\Windows

Response No ePHI

Responded By

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Additional Notes

\\DEVTFS\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\DEVTFS\IPC$

Response Has ePHI

Responded By

Additional Notes

\\DEVWIKI\ADMIN$ C:\WINDOWS

Response Has ePHI

Responded By

Additional Notes

\\DEVWIKI\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\DEVWIKI\D$ D:\

Response Has ePHI

Responded By

Additional Notes

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PROPRIETARY Page 46 of 48

\\DEVWIKI\dev E:\Development

Response Has ePHI

Responded By

Additional Notes

\\DEVWIKI\IPC$

Response Has ePHI

Responded By

Additional Notes

\\FILE2012-1\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\FILE2012-1\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\FILE2012-1\D$ D:\

Response Has ePHI

Responded By

Additional Notes

\\FILE2012-1\IPC$

Response Responded By

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Has ePHI

Additional Notes

\\GENAVE-PC\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\GENAVE-PC\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\GENAVE-PC\D$ D:\

Response Has ePHI

Responded By

Additional Notes

\\GENAVE-PC\IPC$

Response Has ePHI

Responded By

Additional Notes

\\GENAVE-PC\print$ C:\Windows\system32\spool\drivers

Response Has ePHI

Responded By

Additional Notes

Page 48: Computer Identification Worksheet · Computer Identification Worksheet HIPAA ASSESSMENT PROPRIETARY Page 3 of 48 1.32 - ENTCERTS 1.33 - EPTOWER 1.34 - ERPI-MYCO-01 1.35 - EXCHANGE2013

Computer Identification Worksheet HIPAA ASSESSMENT

PROPRIETARY Page 48 of 48

\\HV01\ADMIN$ C:\Windows

Response Has ePHI

Responded By

Additional Notes

\\HV01\C$ C:\

Response Has ePHI

Responded By

Additional Notes

\\HV01\H$ H:\

Response Has ePHI

Responded By

Additional Notes

\\HV01\IPC$

Response Has ePHI

Responded By

Additional Notes

Some information has been truncated to reduce Sample Report size