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PCI DSS Scoping and Segmentation Design Template (v4.0.1)

Card data flows and inventory, scope categories, component register, tokenisation and P2PE, segmentation controls and tests, TPSPs, TRAs, scope confirmation

ISO & Tuân thủĐầy đủPCI DSS v4.0.1 (structure and requirement numbers only); PCI SSC scoping and segmentation supplementspcidssscopingsegmentation
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Cách dùng: Use it when you define or re-confirm the PCI DSS scope of a merchant or service provider before an assessment. Fill the payment channels, data flows and account data inventory first, then classify every component and prove each out-of-scope claim with a segmentation control and a passing test. The main pitfall is treating a network zone as out of scope without testing it, or forgetting refund, chargeback and exception paths that carry card data.

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PCI DSS Scoping and Segmentation Design: [Entity or environment name]

Design and evidence document for the scope of a PCI DSS assessment: payment channels, account data flows, the inventory of system components, how each component is categorised, the segmentation that keeps other systems out of scope, the tests that prove it, scope reduction through tokenisation, point-to-point encryption and outsourced payment pages, third-party service provider responsibilities, targeted risk analyses and the yearly scope confirmation. Structure aligned with PCI DSS v4.0.1 (June 2024, the only active version of the standard) and the PCI SSC information supplements on scoping and network segmentation. Requirement numbers are cited; requirement text is not reproduced. Replace every [bracketed] value and every row marked Example. This is a documentation format, not legal or assessment advice: your Qualified Security Assessor (QSA), acquirer or payment brand decides what is acceptable.

Document control

FieldValue
Document ID[PCI-SCOPE-001]
Assessed entity[Legal name, DBA]
Entity type[Merchant / Service provider / Both]
Validation type[Report on Compliance (ROC) by QSA / Self-Assessment Questionnaire (SAQ) type]
PCI DSS version and assessment periodv4.0.1; YYYY-MM-DD to YYYY-MM-DD
QSA company and lead assessor[Name]
Acquirer or payment brands[Names]
Version[0.1]
Status[Draft / In review / Approved / Superseded]
Owner[@pci-programme-lead]
Approvers/reviewers[@ciso], [@network-lead], [@payments-product-owner], [@internal-audit]
Classification[Confidential]
Last updatedYYYY-MM-DD
Next scope confirmation dueYYYY-MM-DD

Approvals

RoleNameDecisionDate
Executive sponsor for PCI DSS[@name][Approve / Approve with conditions / Reject]YYYY-MM-DD
CISO[@name][Decision]YYYY-MM-DD
Network and platform owner[@name][Decision]YYYY-MM-DD
Payments business owner[@name][Decision]YYYY-MM-DD

Revision history

VersionDateAuthorChange summary
0.1YYYY-MM-DD[@name]First draft
1.0YYYY-MM-DD[@name]Example: Approved scope for the annual ROC; segmentation test SEG-T-2026-01 passed
1.1YYYY-MM-DD[@name]Example: Contact centre moved to DTMF masking; agent desktops reclassified out of scope after retest

Contents

1. Purpose, basis and summary

1.1 Purpose

This document defines and justifies the PCI DSS scope of [Entity]. It is the working record the assessor reviews at the start of each assessment and the source the security team uses to decide whether a new system, connection or supplier changes scope. It covers all locations, channels and system components that store, process or transmit account data, or that can affect its security.

1.2 Basis

SourceUse in this document
PCI DSS v4.0.1 (PCI SSC, June 2024)Scoping section of the standard; Requirements 1, 2.2.3, 11.4, 12.3, 12.5, 12.8, 12.9; Appendices A1 and D
PCI SSC Information Supplement: Guidance for PCI DSS Scoping and Network Segmentation (December 2016, version 1.0)Scope categories and segmentation verification concepts
PCI SSC Information Supplement: PCI DSS Scoping and Segmentation Guidance for Modern Network Architectures (published September 2024)Zero trust, micro-segmentation, multi-cloud and ephemeral workloads
[Internal network and data classification standards]Zone model and data handling

Future-dated requirements introduced in v4.0 became effective on 31 March 2025 and now apply in full. PCI DSS v4.0 was retired on 31 December 2024. Check the PCI SSC Document Library for the current version, FAQs and any later revision before each assessment.

1.3 Scope summary

ItemValue
Payment channels in scopeExample: E-commerce (hosted payment fields), contact centre (telephone), 120 stores (card-present)
Locations where account data is storedExample: Partner batch files held encrypted until authorisation, then deleted (24 hours maximum); tokens only elsewhere
CDE componentsExample: 14 (store POI devices counted as one class)
Connected-to or security-impacting componentsExample: 31
Segmentation methodExample: Cloud security groups and network firewalls between VPCs; store network segmented by SD-WAN policy; DTMF masking removes contact centre from CDE
Scope reduction in useExample: PSP tokenisation, listed P2PE solution in stores, PSP-hosted payment fields

2. Entity profile and validation context

FieldValue
Business description[What the entity sells or provides]
Merchant level or service provider level[Level], source: [acquirer letter / brand programme, date]
Annual transaction volume by brand and channel[Figures]
Validation route[ROC / SAQ A / SAQ A-EP / SAQ B-IP / SAQ C-VT / SAQ P2PE / SAQ D]
Service provider services in scope (if any)[Hosting, payment processing, managed security]
Multi-tenant service provider (Appendix A1)[Yes / No]
Designated Entities Supplemental Validation (Appendix A3)[Required by acquirer or brand / Not required]

Responsibility for scope sits with the assessed entity. The assessor validates scope; the assessor does not define it. Record who in the entity signs off the scope in section 12.

2.1 RACI for scope

ActivityPCI leadNetwork leadApplication ownersSecurity operationsProcurementExecutive sponsor
Maintain data flow diagrams (1.2.4)ACRCII
Maintain network diagrams (1.2.3)ARCCII
Maintain component inventory (12.5.1)ARRCII
Classify components (section 5)RCCCIA
Operate segmentation controlsCRICII
Commission segmentation tests (11.4.5)RCICCA
Maintain TPSP list and responsibility matrix (12.8)RICIRA
Confirm scope (12.5.2)RCCCCA

R responsible, A accountable, C consulted, I informed.

3. Payment channels and account data flows

3.1 Channel register

IDChannelDescriptionWho touches account dataAccount data at rest in entity?
CH-01 (Example)E-commerceCheckout page on entity website embeds PSP-hosted payment fields; PSP returns a tokenCardholder browser and PSP onlyNo (token only)
CH-02 (Example)Contact centreAgent takes orders by phone; caller keys card number on phone keypad; DTMF masking service sends digits to PSPMasking provider and PSPNo
CH-03 (Example)StoresP2PE-validated terminals encrypt at the point of interaction; decryption at P2PE providerCardholder and terminalNo
CH-04 (Example)Refunds and disputesBack office refunds by token through PSP portal; chargeback evidence downloaded from acquirer portal shows truncated PAN onlyFinance staff (truncated PAN)Truncated PAN only
CH-05 (Example)Exception pathCustomer emails card details unsolicitedCustomer service mailboxPossible (unsolicited)
CH-06 (Example)B2B partner ordersCorporate partner sends nightly order files with PAN by SFTP; the payment API authorises them through the PSP and deletes the filePayment API (CDE)Transient, encrypted

3.2 Data flow diagram

The diagram shows the designed paths in the worked example; dashed or missing paths are findings to resolve.

3.3 Flow register

IDFromToData elementsProtocol and protectionStageOwner
FLOW-001 (Example)Cardholder browserPSP hosted fieldsPAN, expiry, CVCTLS 1.2 or later, PSP domain (4.2.1 met by PSP)AuthorisationPSP
FLOW-002 (Example)PSPCheckout serviceToken, last four digits, resultTLS mutual authentication over APIAuthorisationPayments team
FLOW-003 (Example)Store terminalP2PE providerEncrypted account dataP2PE solution encryptionAuthorisationStore operations
FLOW-004 (Example)Phone networkDTMF masking servicePAN, expiry, CVC as tonesMasking provider platformAuthorisationContact centre
FLOW-005 (Example)Finance userPSP portalToken, refund amountTLS, MFA on portalRefundFinance
FLOW-006 (Example)B2B partnerPayment APIPAN, expiry, cardholder nameSFTP with key authentication; files PGP-encrypted; partner IP allow listAuthorisationPayments team

3.4 Data discovery

Run a data discovery exercise to find account data that flows outside the designed paths. Record tool, coverage and findings. Unexpected account data found anywhere brings that system into scope until it is removed and the cause is fixed.

Discovery runCoverageFindingsAction
DISC-2026-01 (Example)File shares, mailboxes, ticketing, data lake, logs3 tickets containing full PAN pasted by agentsPurged; ticketing redaction rule added; agent training; retest clean

4. Account data inventory

ElementPresent in entity systems?LocationsRetention and justification (3.2.1)Protection (3.5.1)
Primary account number (PAN)Example: Full PAN transiently; truncated to a brand-approved format (for example first six, last four) for disputesPayment API file store (full, until authorisation); order database and acquirer reports (truncated)Full: deleted after authorisation, 24 hours maximum; truncated: 18 months for disputesFull: strong encryption with keys in HSM-backed KMS; truncated: truncation
Cardholder nameExample: Yes, from order formOrder databaseOrder record lifeNot account data in isolation; treated as confidential
Expiry dateExample: NoNoneNot storedNot applicable
Full track dataExample: NoNone (P2PE)Never storedNot applicable
Card verification codeExample: NoNoneNever stored after authorisationMasked in contact centre
PIN or PIN blockExample: NoNoneNever storedP2PE terminal
TokensExample: YesOrder database, finance toolsOrder record lifeToken cannot be used to derive PAN by the entity

State explicitly whether any token can be de-tokenised by the entity. If the entity, or any system it controls, can call a de-tokenisation function, the systems with that capability are in scope.

5. Scoping method and categories

5.1 Categories

CategoryMeaning in this documentPCI DSS applies
CDE systemStores, processes or transmits account data, or sits on the same network segment as such a component without isolationAll applicable requirements
Connected-to or security-impacting systemHas any connectivity to a CDE system, or can affect the security of the CDE (for example identity, logging, patching, DNS, jump hosts, CI/CD that deploys into the CDE)The requirements relevant to the connection or function
Out-of-scope systemHas no access to account data, no connectivity to the CDE and cannot affect its security; proven by segmentation testsNone, but must remain isolated

5.2 Decision questions

Record the answer to each question in the scope register (section 6). "Connectivity" includes indirect paths: a management agent, a shared identity provider, a shared hypervisor, a peered network, a site-to-site VPN or a remote support tool all count.

5.3 Treatment rules

  • A system that can change CDE configuration (configuration management, CI/CD, infrastructure as code pipeline, cloud console with privileges) is security-impacting even if it never sees account data.
  • An administrator workstation used to reach the CDE is in scope. Either harden it as a connected-to system or use a dedicated jump host and keep general workstations out.
  • A shared service used by both CDE and out-of-scope systems (directory, time, DNS, logging, antivirus console) is connected-to. Its clients outside the CDE stay out of scope only if the shared service cannot become a path between them and the CDE.
  • Cloud provider control planes are covered through the provider's attestation and the responsibility matrix (section 10), not by assessing the provider yourself.

6. System component inventory and scope register

IDComponent or classFunctionLocation or accountCategoryReason (section 5.2 question)Owner
PCI-ASSET-001 (Example)Checkout service containersBuilds checkout page, receives tokensCloud account prod-paymentsConnected-toServes the page that embeds PSP fields; script integrity in scope (6.4.3, 11.6.1)Payments team
PCI-ASSET-002 (Example)Order databaseStores tokens and truncated PANprod-paymentsOut of scope after token reviewNo PAN; tokens not reversible by entityData platform
PCI-ASSET-003 (Example)Store P2PE terminals (class, 480 units)Card acceptance120 storesCDE (P2PE solution scope)Process account data; covered by listed P2PE solutionStore operations
PCI-ASSET-004 (Example)Identity providerAuthenticates admins to cloud accountsSaaSSecurity-impactingControls access to CDE-connected accountsIAM team
PCI-ASSET-005 (Example)CI/CD runners for paymentsDeploy checkout serviceprod-toolingSecurity-impactingCan change connected-to componentsPlatform team
PCI-ASSET-006 (Example)SIEMReceives logs from in-scope componentsSaaSSecurity-impactingRequired for Requirement 10Security operations
PCI-ASSET-007 (Example)Contact centre agent desktopsOrder entryContact centre LANOut of scopeDTMF masking prevents agents from hearing or seeing card data; segmentation test SEG-T-2026-01Contact centre
PCI-ASSET-008 (Example)Payment API and partner file storeReceives partner files, authorises, deletesCloud account prod-cdeCDEStores and processes PANPayments team
PCI-ASSET-009 (Example)Customer service mailboxReceives customer email, including unsolicited card details (CH-05)SaaS mail tenantCDE until proven cleanCan receive PAN; stays in scope until the purge-and-block rule is proven by data discovery (section 3.4)Customer service

Totals: CDE [n], connected-to or security-impacting [n], out of scope [n]. Reconcile the totals against the CMDB at each confirmation.

7. Scope reduction strategy

IDTechniqueScope effectWhat remains in scope for the entityEvidence
RED-01 (Example)Tokenisation by PSPOrder and finance systems hold tokens, not PANProof that entity cannot de-tokenise; TPSP management of the PSPPSP AOC; token design statement; de-tokenisation access review
RED-02 (Example)PCI-listed P2PE solution in storesStore network carries only encrypted data; store LAN out of scopeTerminal inventory, inspection and tamper checks per the P2PE Instruction Manual; SAQ P2PE eligibility where applicableP2PE listing, PIM, inventory records
RED-03 (Example)PSP-hosted payment fields (iframe)Checkout service never receives PANIntegrity of the page that embeds the fields: script inventory and authorisation (6.4.3), change and tamper detection (11.6.1) for ROC or SAQ A-EP; SAQ A eligibility includes confirming the site is not susceptible to script attacks (the January 2025 SAQ A removes 6.4.3, 11.6.1 and the related 12.3.1 from the questionnaire and adds this eligibility criterion instead; the underlying requirements are unchanged)Script inventory, CSP and SRI configuration, tamper-detection alerts
RED-04 (Example)DTMF masking in contact centreAgents, desktops, call recordings out of scopeMasking provider as TPSP; procedure for callers who read numbers aloudProvider AOC; call flow test; recording sample review
RED-05 (Example)Data retention reductionNo stored PAN beyond truncated form, except transient partner filesDiscovery scans (section 3.4)Discovery reports

7.1 Decision criteria for each technique

  1. Does the technique remove account data from entity systems, or only hide it? Masking on screen is not removal.
  2. Who holds the keys or de-tokenisation ability? If it is the entity, the vault and its clients stay in scope.
  3. Is the provider validated for the service it performs (AOC covering that service, P2PE listing for that solution and version)?
  4. What residual requirements stay with the entity, and are they named in the responsibility matrix (12.8.5)?
  5. What is the fallback when the provider is unavailable? A manual fallback that writes card numbers on paper reverses the reduction.

8. Segmentation architecture

8.1 Zone model

Crossed arrows mark flows that must be denied and tested in section 9.

8.2 Segmentation control register

IDBoundaryControl typeEnforcement pointDefault ruleAllowed exceptionsReq.Review cycle (1.2.7)
PCI-SEG-001 (Example)Out-of-scope VPCs to payments VPCsCloud security groups and network firewallTransit gateway inspection VPCDeny allNone1.3.1, 1.3.2Every six months
PCI-SEG-002 (Example)Connected-to to CDESecurity groupsPayment API ENIsDeny allSSH from jump hosts; log forwarding to SIEM; deployment from CI/CD runners1.2.5, 1.3.1Every six months
PCI-SEG-003 (Example)Internet to connected-toWAF and load balancerEdgeDeny allHTTPS 4431.4.1, 1.4.2Every six months
PCI-SEG-004 (Example)Store LAN to head officeSD-WAN policyStore edge deviceDeny allEncrypted P2PE traffic to provider; store systems management1.3.1, 1.4.1Every six months
PCI-SEG-005 (Example)Contact centre LAN to paymentsFirewallHead office coreDeny allNone1.3.1Every six months
PCI-SEG-006 (Example)Workload isolation inside the CDE accountHost-based micro-segmentationWorkload agentDeny allDefined service-to-service flows1.2.1, 2.2.3Every six months
PCI-SEG-007 (Example)Internet to CDENetwork firewall and SFTP gatewayprod-cde edgeDeny allSFTP from listed partner IP addresses1.4.1, 1.4.2, 1.4.4Every six months

8.3 Design rules

  • Default deny at every boundary; every allowed flow has a business justification, owner and review date (1.2.5).
  • Keep NSC configuration as code, with peer review and automated drift detection, so configuration matches the approved design (1.2.2, 1.2.8).
  • Do not rely on routing or VLANs alone. Use a control that enforces policy on the traffic.
  • Shared identity: give CDE and connected-to administration separate privileged roles with MFA for all CDE access (8.4.2). A corporate directory compromise must not grant CDE access.
  • Cloud: one account, subscription or project per zone where possible; block peering and private endpoints that bypass the inspection point; monitor for new network paths.
  • Remote access: no direct remote access to the CDE; use jump hosts with MFA and session logging.
  • Devices that connect to both untrusted networks and the CDE (for example laptops of administrators) need the controls of 1.5.1.

8.4 Modern architectures

For zero trust, service mesh and micro-segmentation designs, document the identity-based policy that replaces network zones, the policy decision point, how policy is versioned and how a test can show that an out-of-scope workload cannot reach a CDE workload. For ephemeral cloud workloads, inventory the template or image and the policy that applies to every instance, and how instances are prevented from starting outside that policy.

9. Segmentation and scope testing

9.1 Test plan

ItemValue
Test ID[SEG-T-YYYY-NN]
Trigger[Annual / Change to segmentation control PCI-SEG-nnn / Service provider six-month cycle]
Tester and independence[Internal team outside network operations / External firm]
Methodology[Reference to the entity penetration testing methodology under 11.4.1]
Source zones[Each out-of-scope zone and representative hosts]
Target zones[Each CDE zone, all ports and protocols]
Techniques[Port scans in both directions, protocol probes, cloud path analysis, attempted use of shared services as pivot, identity-based policy checks]
Pass criterionNo unapproved path from any out-of-scope or untrusted source to any CDE target, or to any connected-to target that a boundary in section 8.2 protects; isolation of mixed security levels confirmed (2.2.3)

9.2 Results

Test IDDateSourceTargetResultFindingRemediationRetest
SEG-T-2026-01 (Example)YYYY-MM-DDCorporate LANPayment APIPassNoneNot applicableNot applicable
SEG-T-2026-01 (Example)YYYY-MM-DDContact centre LANprod-cde accountPassNoneNot applicableNot applicable
SEG-T-2026-01 (Example)YYYY-MM-DDStore LANHead office and prod-cde accountPassOnly P2PE traffic to the provider and store management flows observedNot applicableNot applicable
SEG-T-2026-01 (Example)YYYY-MM-DDInternetCheckout service (WAF and load balancer rules)PassOnly HTTPS 443 reachableNot applicableNot applicable
SEG-T-2026-01 (Example)YYYY-MM-DDInternetPayment API SFTP gatewayPassSFTP refused from non-listed IP addressesNot applicableNot applicable
SEG-T-2026-01 (Example)YYYY-MM-DDAnalytics VPCCheckout serviceFailStale peering allowed TCP 443Peering removed; detection rule for new peeringPass, YYYY-MM-DD

A failed test means the systems behind the failed path are in scope from the date of the failure until a retest passes (record it in section 14). Between formal tests, run automated reachability analysis on every NSC or cloud network change and alert on new paths into CDE zones; this supports but does not replace the 11.4.5 penetration test.

10. Third-party service providers

IDTPSPServiceAccount data or security impactValidation evidenceAgreement (12.8.2)Status checked (12.8.4)Responsibility matrix (12.8.5)
PCI-TPSP-001 (Example)[PSP]Hosted fields, tokenisation, authorisationProcesses account dataAOC for service provider, version 4.0.1, dated YYYY-MM-DDContract clause 14YYYY-MM-DDRM-001
PCI-TPSP-002 (Example)[P2PE provider]P2PE solution and decryptionProcesses account dataP2PE listing [reference] and AOCContractYYYY-MM-DDRM-002
PCI-TPSP-003 (Example)[DTMF masking provider]Telephone payment captureProcesses account dataAOCContractYYYY-MM-DDRM-003
PCI-TPSP-004 (Example)[Cloud provider]Infrastructure for connected-to zoneSecurity impactAOC and provider responsibility summaryOnline termsYYYY-MM-DDRM-004

10.1 Responsibility matrix extract

Requirement areaPSP (RM-001)EntitySharedNotes
3 Protect stored account dataYesNoNoEntity stores tokens only
4.2 Encryption in transit of PANYesNoNoFields served from PSP domain
6.4.3 Payment page scriptsNoYesNoEntity page embeds the fields
11.6.1 Payment page tamper detectionNoYesNoEntity page
12.10 Incident responseYesYesYesContact and escalation in contract

Use the Supplier Security Assessment (compliance/supplier-security-assessment) for due diligence on each new TPSP before contract (12.8.3).

11. Targeted risk analyses and customized approach

11.1 Frequency TRAs (12.3.1)

IDRequirementActivityChosen frequencyBasis for the choiceApproved byReview date
PCI-TRA-001 (Example)11.6.1Payment page tamper detectionEvery 24 hours plus real-time CSP violation reportsCheckout changes daily; skimming attacks on e-commerce pages[@ciso]YYYY-MM-DD
PCI-TRA-002 (Example)9.5.1.2.1POI device inspectionWeekly in high-footfall stores, monthly elsewhereTamper incidents by store type; staff turnover[@store-ops-lead]YYYY-MM-DD
PCI-TRA-003 (Example)5.2.3.1Review of systems considered not at risk from malwareEvery six monthsSmall population of appliances[@security-ops]YYYY-MM-DD

11.2 Customized approach (12.3.2, Appendix D)

IDRequirement and objectiveControl descriptionWhy the defined approach is not usedTRA referenceTesting procedure proposedStatus
PCI-CA-001 (Example)1.3.1 objective (unauthorised traffic cannot enter the CDE)Identity-based service mesh policy with mutual TLS replaces subnet firewall rules inside the CDE accountWorkloads are ephemeral; IP-based rules cannot follow themPCI-TRA-004 (12.3.2 analysis held with the controls matrix)Policy review, attempted connection from unauthorised workload identity, log reviewAgreed with QSA in scoping meeting

The customized approach is available for ROC assessments, not for SAQs. Use the controls matrix and TRA templates published on the PCI SSC website (moved from Appendix E in v4.0.1), and agree the approach with your QSA before the assessment period.

12. Scope confirmation and change triggers

12.1 Confirmation record

Element checkedSourceResultChanges since last confirmation
Account data flows for all stages (authorisation, capture, settlement, chargebacks, refunds)Section 3[Confirmed / Updated][Summary]
All locations where account data is stored, processed or transmitted, including locations outside the CDESections 3.4, 4[Result][Summary]
All CDE, connected-to and security-impacting componentsSection 6[Result][Summary]
All segmentation controls and the environments they isolateSections 8, 9[Result][Summary]
All connections from third-party entities with access to the CDESection 10[Result][Summary]
Scope documented and signed offApprovals[Result][Summary]

Confirmed by: [@name], YYYY-MM-DD. Next due: YYYY-MM-DD.

12.2 Significant change triggers

TriggerActionOwner
New payment channel or payment methodUpdate sections 3 to 7; consider validation route changePayments owner
New storage of account data, or change to tokenisationUpdate section 4; data discoveryPCI lead
New network path, peering, VPN or remote access tool touching CDE zonesUpdate section 8; segmentation retestNetwork lead
Change to segmentation control or methodRetest under 11.4.5 (11.4.6 for service providers)Security testing lead
New or changed TPSPUpdate section 10; due diligenceProcurement
Merger, acquisition, reorganisationFull scope review; for service providers 12.5.3Executive sponsor

Add a mandatory "PCI DSS scope impact" question to the Change Request (ops/change-request) process.

13. Evidence register and traceability

Evidence IDRequirementDescriptionLocationOwnerDate
EV-001 (Example)1.2.3Network diagram, all CDE connections[Repository path]Network leadYYYY-MM-DD
EV-002 (Example)1.2.4Data flow diagrams (section 3.2)This documentPCI leadYYYY-MM-DD
EV-003 (Example)12.5.1CMDB export of in-scope components[Path]IT operationsYYYY-MM-DD
EV-004 (Example)11.4.5Segmentation test report SEG-T-2026-01[Path]Security testingYYYY-MM-DD
EV-005 (Example)12.8.4TPSP AOC tracker[Path]ProcurementYYYY-MM-DD
EV-006 (Example)12.3.1TRA records PCI-TRA-001 to 003[Path]CISOYYYY-MM-DD
EV-007 (Example)12.5.2Signed scope confirmationThis document, section 12PCI leadYYYY-MM-DD

13.1 Traceability matrix

FlowComponentsSegmentation controlTestTPSPEvidence
FLOW-001 (Example)PCI-ASSET-001PCI-SEG-003SEG-T-2026-01PCI-TPSP-001EV-002, EV-004
FLOW-002 (Example)PCI-ASSET-001, PCI-ASSET-002PCI-SEG-001, PCI-SEG-003SEG-T-2026-01PCI-TPSP-001EV-002, EV-004
FLOW-003 (Example)PCI-ASSET-003PCI-SEG-004SEG-T-2026-01PCI-TPSP-002EV-002, EV-005
FLOW-004 (Example)PCI-ASSET-007PCI-SEG-005SEG-T-2026-01PCI-TPSP-003EV-004, EV-005
FLOW-005 (Example)Finance tools (tokens only)Not applicable (PSP portal over internet with MFA)Not applicablePCI-TPSP-001EV-005
FLOW-006 (Example)PCI-ASSET-008PCI-SEG-002, PCI-SEG-007SEG-T-2026-01PCI-TPSP-001EV-001, EV-004

14. Risks, exceptions and open issues

IDDescriptionEffect on scopeTreatmentOwnerDueRisk register link
PCI-RISK-001 (Example)Agents could write card numbers on paper when DTMF masking is downContact centre back in scopeFallback: transfer caller to PSP IVR; clear-desk checksContact centre leadYYYY-MM-DDRISK-042
PCI-RISK-002 (Example)Analytics tag manager on checkout page loads third-party scriptsScript tampering risk on payment pageRemove tag manager from payment page; CSP allow listWeb leadYYYY-MM-DDRISK-043
PCI-RISK-003 (Example)Shared identity provider used for corporate and CDE adminDirectory compromise could reach CDESeparate admin tenant or conditional access for CDE rolesIAM leadYYYY-MM-DDRISK-044

Record risks in the Risk Register (compliance/risk-register) and treatment in the Risk Treatment Plan (compliance/risk-treatment-plan).

15. Glossary and references

15.1 Glossary

TermMeaning in this document
Account dataCardholder data and sensitive authentication data together
Cardholder dataPAN, plus cardholder name, expiry date and service code when present with the PAN
Sensitive authentication data (SAD)Security data used to authenticate cardholders or authorise transactions, such as full track data, card verification codes and PINs
CDECardholder data environment: the systems, and the processes and staff around them, that handle account data, together with components that can reach them without restriction
NSCNetwork security control: firewall, security group, cloud policy or other device that enforces network policy
TPSPThird-party service provider that stores, processes or transmits account data for the entity, or can affect its security
AOCAttestation of Compliance issued after a PCI DSS assessment
P2PEPoint-to-point encryption solution validated and listed by PCI SSC
TRATargeted risk analysis under Requirement 12.3.1 or 12.3.2

15.2 References

ReferenceVersion or dateUse
PCI DSS, PCI Security Standards Councilv4.0.1, June 2024Requirement numbers and structure
Information Supplement: Guidance for PCI DSS Scoping and Network Segmentation, PCI SSCVersion 1.0, December 2016Scope categories
Information Supplement: PCI DSS Scoping and Segmentation Guidance for Modern Network Architectures, PCI SSCPublished September 2024 (no version number stated)Zero trust and cloud scoping
Self-Assessment Questionnaire A, PCI SSCRevision of January 2025, effective 31 March 2025SAQ A eligibility
PCI P2PE Standard and listed solutions, PCI SSCCheck the current versionScope reduction in stores

Standard and licence note

Structure aligned with PCI DSS v4.0.1 (PCI Security Standards Council, June 2024) and the PCI SSC information supplements on scoping and network segmentation. PCI DSS and its supplements are copyrighted by PCI Security Standards Council, LLC; this template cites requirement numbers only and describes them in original words, and no requirement text, testing procedure, table or diagram from PCI SSC documents is reproduced. Obtain the standard and supporting documents from the PCI SSC Document Library and check the current version, FAQs and SAQ revisions before use. PCI DSS is a trademark of PCI Security Standards Council, LLC; this template is not affiliated with or endorsed by PCI SSC. This is a documentation format, not legal or assessment advice. Template licence: MIT.

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