Ah, I've run into this before. I think the key is to make sure the Sitecore Serialization plugin is installed properly. That should get the serialization command working again.
Hmm, I'm not too familiar with DataRaptor Extracts. I'll need to think through the options carefully and try to recall what I've learned about this feature.
This seems like a straightforward question. I'd go with option B - mapping the CCM domains to HIPAA/HITECH Act and then assessing the remaining controls. That way I can leverage the compliance work already done while still getting a thorough security assessment.
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