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Overview of 21CFR Part 11: The
Final Rule
PERI ELECTRONIC RECORDS
AND SIGNATURES
21 CFR Part 11 Electronic Records; Electronic
Signature
ā€¢ Milestones
ā€¢ 11/91 Project Launched
ā€¢ 7/92 Advanced Notice
ā€¢ 8/94 Proposed Rule
ā€¢ 3/97 Final Rule
ā€¢ 8/97 In Effect
21 CFR Part 11 Electronic Records: Electronic
Signature
ā€¢ AGENDA
ā€¢ ā€¢ Summary of 21 CFR, Part 11
ā€¢ Subpart A: General Provisions
ā€¢ Subpart B: Electronic Records
ā€¢ Subpart C: Electronic Signatures
ā€¢ Potential Issues
ā€¢ Advantages and Challenges
ā€¢ Critical Success Factors
ā€¢ Security and Control
Cont...
ā€¢ Subpart A - General Provisions
ā€¢ Section 11.1 Scope
ā€¢ Regulations establish the criteria the FDA considers for electronic
ā€¢ records and and electronic signature to be trustworthy, reliable, and
ā€¢ generally equivalent to paper.
ā€¢ Applies to all records in electronic form under any records
ā€¢ requirement within any FDA regulation.
ā€¢ Electronic records are considered equivalent to full handwritten
ā€¢ signatures, initials, and other general signings.
ā€¢ Electronic records may be used in accordance with Part 11 unless
ā€¢ paper records are specifically required.
ā€¢ Computer system (hardware and software), controls, and relevant
ā€¢ documentation must be available for review during FDA
ā€¢ inspections.
Cont...
Electronic Record
ā€œAny combination of text, graphics, data, audio,
pictorial, or other information representation in digital
form that is created, modified, maintained, archived,
retrieved, or distributed by a computer system.ā€
Cont...
Electronic Signature
ā€¢ ā€œA computer data compilation of any symbol or series
of symbols executed, adopted, or authorized by an
individual to be the legally binding equivalent of the
individualā€™s handwritten signature.ā€
Cont...
Handwritten Signature
ā€œThe scripted name or legal mark of an individual handwritten
by that individual and executed or adopted with the present
intention to authenticate a writing in a permanent form.ā€
ā€œThe act of signing with a writing or marking instrument such as
a pen or stylus is preserved. The scripted name or legal mark,
while conventionally applied to paper, may also be applied to
other devices that capture the name or mark.ā€
Digital Signature
ā€¢ ā€œAn electronic signature based upon cryptographic methods of
originator authentication, computed by using a set of rules and a
set of parameters such that the identity of the signer and the
integrity of the data can be verified.ā€
Biometrics
ā€¢ ā€œA method of varifying an individualā€™s identity based on
measurement of the individualā€™s physical feature(s) or repeatable
action(s) where those features and/or actions are both unique to
that individual and measurable.ā€
Cont...
Closed System
ā€¢ ā€œAn environment in which system access is controlled by
persons who are persons who are responsible for the content
of electronic records that are on the system.ā€
Open System
ā€¢ ā€œAn environment in which system access is not controlled by
persons who are responsible for the content of electronic
records that are on the system.ā€
Cont...
Subpart B - Electronic Records
Section 11.10-Controls for Closed Systems
ā€¢ Must develop procedures and controls to ensure authenticity,
integrity and confidentiality, and that signer cannot repudiate the
signed record. The controls must:
ā€¢ Be validated
ā€¢ Maintain accurate and complete records
ā€¢ Limit the system to authorized persons
ā€¢ Protect records through retention period
ā€¢ Contain audit trails that are secure, operator independent,
computer-generated, time-stamped, cover the creation ,
modification and deletion of records and do not obscure
previous information
Cont...
Section 11.10-Controls for Closed Systems (cont.)
ā€¢ Allow for the performance of operational system checks,
authority checks, and device checks to ensure system, record,
and data integrity
ā€¢ Ensure appropriate personnel qualifications
ā€¢ Policies written and followed to hold personnel accountable
for actions and to deter records falsification
ā€¢ Control over system documentation including distribution,
access, use, revision and change control
Cont...
Section 11.30-Controls for Open Systems
ā€¢ Must develop procedures and controls that ensure
authenticity, integrity, and confidentiality of electronic
records and comply with all other parts of Section 11.10
ā€¢ Must use additional measures (e.g. document encryption,
digital signature standards) to ensure authenticity, integrity,
and confidentiality.
Cont...
Section 11.50-Signature Manifestation
ā€¢ Signed electronic records must include the printed name of the
signer, date and time of signature, and the purpose of the
signature (e.g. review, approval etc.) Each of these must be
readable by display or printout.
Section 11.70-Signature/Record Linking
ā€¢ Electronic signature and handwritten signatures must be linked to
ensure signatures cannot be excised, copied, transferred or
falsified.
Cont...
Subpart C-Electronic Signature
Section 11.100-General Requirements
ā€¢ Must be unique to an individual and not reassigned
ā€¢ Identity of individual must be verified by organization
ā€¢ Must certify electronic signature system to the agency prior to or at
the time of use of the system
ā€¢ Certification must be submitted in paper form and, upon
agency request, provide certification that signature is legally
binding
Cont...
Section 11.200-Electronic Signature Components and Controls
ā€¢ Non-Biometric signatures must:
ā€¢Contain at least two different identification components (e.g.
User ID and Password)
ā€¢ Single sign-on with multiple tasks: Use all identification
components at first, with partial identification for each
task thereafter
ā€¢ Multiple sign-on without continuous access requires all
identification components to be used each time
ā€¢ Be used only by the owner
ā€¢ Ensure use by other individuals is precluded and does not occur
without collaboration by at least two other individuals
ā€¢ Biometric signatures must ensure use by the owner
Cont...
Section 11.300-Controls for Identification Codes/Passwords
ā€¢ Persons using electronic signatures must use controls to ensure
security and integrity and should include:
ā€¢ Assuring that no two individuals have the same combination of
identification code and password
ā€¢ Periodic check, recall, or revision of identification code and
password
ā€¢ Loss management and replacement procedures
ā€¢ Testing of devices (i.e. tokens or cards) that produce or maintain
identification codes or passwords to ensure proper function and
unaltered state.
Cont...
Section 11.300 Controls for ID codes/passwords
ā€¢ Unauthorized use safeguards
ā€¢ Report attempts in urgent & immediate manner to:
ā€¢ Security unit
ā€¢ Management, as appropriate
Cont...
FDAā€™s View of What Industry Needs to Do
ā€¢ Learn Part 11
ā€¢ File 11.100 (c) Certification
ā€¢ E-records maintained
ā€¢ ID formats FDA can audit/copy
ā€¢ Check with FDA auditors
ā€¢ Watch for guidance documents
Cont...
Part 11 Internet Web Site:
http://www.fda.gov/cder/esig/part11.htm
THE FOUNDATION
ā€œThe Agency believes that if it is important enough that a record
be signed, human readable displays of such records must
include the printed name of the signer, the date and time of
signing, and the meaning of the signatureā€.
Example: a message from a firmā€™s management to
employees instructing them on a particular course of action
Potential Issues:
ā€¢ The final rule does not establish numerical standards for levels of security or
validation (persons have the option of determining the frequency).
ā€¢ Wide spread implementation of time date stamped audit trails executed
objectively and automatically and controls for limiting access to the database
search software may change a companyā€™s current practices.
ā€¢ The word ā€œensureā€ is used in the regulations. It is defined as ā€œto make certainā€.
How will this be interpreted by a field inspector?
ā€¢ ā€œUnique nature of passwordsā€. How is uniqueness determined and what are ā€œgood
password practicesā€?
ā€¢ Part 11 does not apply to paper records that are or have been transmitted by
electronic means but it does apply to records in electronic form that are created,
modified, maintained, archived, retrieved under any record requirement regulated
by FDA.
ā€¢ Record retention requirements for software and hardware used to create records
that are retained in electronic form are subject to part 11.
Cont...
ā€¢ ā€œAs the agencyā€™s experience with part 11 increases certain records may need to be
limited to paper if there are problems with the electronic versions of such records.ā€
ā€¢ ā€œIt may be necessary to inspect hardware and software used to generate and maintain
electronic records to determine if the provisions of part 11 are being met.ā€
ā€¢ The assessment of adequacy of systems validation will include inspection of hardware
to ā€œdetermine if it matches the system documentation description of the hardware.ā€
ā€¢ For geographically dispersed systems, inspections would extend to operations,
procedures and controls at one location and the agency would inspect other locations
of the network in a separate but coordinated manner.
ā€¢ Is the implementation of an electronic system significant enough in manufacturing to
require an NDA supplement prior to going live?
ā€¢ Dial-in access over public phone lines can be a closed system if access to the system is
under the control of the persons responsible for the content of the record.
Cont...
ā€¢ When an organizationā€™s electronic records are stored on systems operated by third
parties the agency would consider this to be an open system.
ā€¢ Electronic record is defined as ā€œany combination of text, graphics, data, audio,
pictorial or other information representation in digital form that is created,
modified, maintained, archived, retrieved or distributed by a computer
system.ā€
ā€¢ ā€œThe Agency believes that if it is important enough that a record be signed,
human readable displays of such records must include the printed name of the
signer, the date and time of signing, and the meaning of the signatureā€.
Example: a message from a firmā€™s management to employees instructing
them on a particular course of action may be critical in litigation.
ā€¢ ā€œA single certification may be stated in broad terms that encompass electronic
signatures of all current and future employeesā€.
Certification Statement
Pursuant to section 11.100 of Title 21 of the code of Federal
Regulations, this is to certify that __________________
intends that all electronic signatures Name of organization
executed by our employees, agents, or representatives,
located anywhere in the world, are the legally binding
equivalent of traditional handwritten signatures.
Stringent Controls
ā€œ The agency believes thatā€¦it is vital to have stringent controls in place to prevent
impersonation. Such controls include: (1) requiring an individual to remain in close
proximity to the workstation throughout the signing session; (2) use of automatic
inactivity disconnect measures that would ā€œde-logā€ the first individual if no entries
or actions were taken within a fixed short timeframe; and (3) requiring that the
single component needed for subsequent signings be known to, and usable only
by, the authorized individual
Security and Control
ā€¢ Procedural
ā€¢ Physical
ā€¢ Logical
Procedural - Verification
ā€¢ Obtain and Review Corporate Security
policy, security standards and procedures
ā€¢ Evaluate the effectiveness of the security
organization
ā€¢ Evaluate the effectiveness of the process for
requesting, granting and removing access.
Physical Security
ā€¢ Review Physical Access Policy
ā€¢ Identify sensitive areas (computer room,
data rooms, wiring closets).
ā€¢ Determine process for granting, reviewing,
monitoring and removing access
ā€¢ Verify that process is operating effectively
Logical Security
Obtain and review data access policy
ā€¢ Identify access ā€œPathsā€ to cGMP data
ā€“ Dial-in
ā€“ Internet
ā€“ Local Area Network
ā€“ Operating System
ā€“ Database Security
ā€“ Application Security
For each access path, evaluate the following:
ā€“ user security parameters
ā€¢ unique user ID/password combinations
ā€¢ password change intervals (90 days)
ā€¢ password composition (e.g., combination of numbers
and letters required)
ā€¢ password length (minimum length of 6 characters)
ā€“ access controls that enforce segregation of duties (read,
write, delete)
ā€“ monitoring functionality and audit trail

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21 cfr part 11

  • 1. Overview of 21CFR Part 11: The Final Rule PERI ELECTRONIC RECORDS AND SIGNATURES
  • 2. 21 CFR Part 11 Electronic Records; Electronic Signature ā€¢ Milestones ā€¢ 11/91 Project Launched ā€¢ 7/92 Advanced Notice ā€¢ 8/94 Proposed Rule ā€¢ 3/97 Final Rule ā€¢ 8/97 In Effect
  • 3. 21 CFR Part 11 Electronic Records: Electronic Signature ā€¢ AGENDA ā€¢ ā€¢ Summary of 21 CFR, Part 11 ā€¢ Subpart A: General Provisions ā€¢ Subpart B: Electronic Records ā€¢ Subpart C: Electronic Signatures ā€¢ Potential Issues ā€¢ Advantages and Challenges ā€¢ Critical Success Factors ā€¢ Security and Control
  • 4. Cont... ā€¢ Subpart A - General Provisions ā€¢ Section 11.1 Scope ā€¢ Regulations establish the criteria the FDA considers for electronic ā€¢ records and and electronic signature to be trustworthy, reliable, and ā€¢ generally equivalent to paper. ā€¢ Applies to all records in electronic form under any records ā€¢ requirement within any FDA regulation. ā€¢ Electronic records are considered equivalent to full handwritten ā€¢ signatures, initials, and other general signings. ā€¢ Electronic records may be used in accordance with Part 11 unless ā€¢ paper records are specifically required. ā€¢ Computer system (hardware and software), controls, and relevant ā€¢ documentation must be available for review during FDA ā€¢ inspections.
  • 5. Cont... Electronic Record ā€œAny combination of text, graphics, data, audio, pictorial, or other information representation in digital form that is created, modified, maintained, archived, retrieved, or distributed by a computer system.ā€
  • 6. Cont... Electronic Signature ā€¢ ā€œA computer data compilation of any symbol or series of symbols executed, adopted, or authorized by an individual to be the legally binding equivalent of the individualā€™s handwritten signature.ā€
  • 7. Cont... Handwritten Signature ā€œThe scripted name or legal mark of an individual handwritten by that individual and executed or adopted with the present intention to authenticate a writing in a permanent form.ā€ ā€œThe act of signing with a writing or marking instrument such as a pen or stylus is preserved. The scripted name or legal mark, while conventionally applied to paper, may also be applied to other devices that capture the name or mark.ā€
  • 8. Digital Signature ā€¢ ā€œAn electronic signature based upon cryptographic methods of originator authentication, computed by using a set of rules and a set of parameters such that the identity of the signer and the integrity of the data can be verified.ā€ Biometrics ā€¢ ā€œA method of varifying an individualā€™s identity based on measurement of the individualā€™s physical feature(s) or repeatable action(s) where those features and/or actions are both unique to that individual and measurable.ā€
  • 9. Cont... Closed System ā€¢ ā€œAn environment in which system access is controlled by persons who are persons who are responsible for the content of electronic records that are on the system.ā€ Open System ā€¢ ā€œAn environment in which system access is not controlled by persons who are responsible for the content of electronic records that are on the system.ā€
  • 10. Cont... Subpart B - Electronic Records Section 11.10-Controls for Closed Systems ā€¢ Must develop procedures and controls to ensure authenticity, integrity and confidentiality, and that signer cannot repudiate the signed record. The controls must: ā€¢ Be validated ā€¢ Maintain accurate and complete records ā€¢ Limit the system to authorized persons ā€¢ Protect records through retention period ā€¢ Contain audit trails that are secure, operator independent, computer-generated, time-stamped, cover the creation , modification and deletion of records and do not obscure previous information
  • 11. Cont... Section 11.10-Controls for Closed Systems (cont.) ā€¢ Allow for the performance of operational system checks, authority checks, and device checks to ensure system, record, and data integrity ā€¢ Ensure appropriate personnel qualifications ā€¢ Policies written and followed to hold personnel accountable for actions and to deter records falsification ā€¢ Control over system documentation including distribution, access, use, revision and change control
  • 12. Cont... Section 11.30-Controls for Open Systems ā€¢ Must develop procedures and controls that ensure authenticity, integrity, and confidentiality of electronic records and comply with all other parts of Section 11.10 ā€¢ Must use additional measures (e.g. document encryption, digital signature standards) to ensure authenticity, integrity, and confidentiality.
  • 13. Cont... Section 11.50-Signature Manifestation ā€¢ Signed electronic records must include the printed name of the signer, date and time of signature, and the purpose of the signature (e.g. review, approval etc.) Each of these must be readable by display or printout. Section 11.70-Signature/Record Linking ā€¢ Electronic signature and handwritten signatures must be linked to ensure signatures cannot be excised, copied, transferred or falsified.
  • 14. Cont... Subpart C-Electronic Signature Section 11.100-General Requirements ā€¢ Must be unique to an individual and not reassigned ā€¢ Identity of individual must be verified by organization ā€¢ Must certify electronic signature system to the agency prior to or at the time of use of the system ā€¢ Certification must be submitted in paper form and, upon agency request, provide certification that signature is legally binding
  • 15. Cont... Section 11.200-Electronic Signature Components and Controls ā€¢ Non-Biometric signatures must: ā€¢Contain at least two different identification components (e.g. User ID and Password) ā€¢ Single sign-on with multiple tasks: Use all identification components at first, with partial identification for each task thereafter ā€¢ Multiple sign-on without continuous access requires all identification components to be used each time ā€¢ Be used only by the owner ā€¢ Ensure use by other individuals is precluded and does not occur without collaboration by at least two other individuals ā€¢ Biometric signatures must ensure use by the owner
  • 16. Cont... Section 11.300-Controls for Identification Codes/Passwords ā€¢ Persons using electronic signatures must use controls to ensure security and integrity and should include: ā€¢ Assuring that no two individuals have the same combination of identification code and password ā€¢ Periodic check, recall, or revision of identification code and password ā€¢ Loss management and replacement procedures ā€¢ Testing of devices (i.e. tokens or cards) that produce or maintain identification codes or passwords to ensure proper function and unaltered state.
  • 17. Cont... Section 11.300 Controls for ID codes/passwords ā€¢ Unauthorized use safeguards ā€¢ Report attempts in urgent & immediate manner to: ā€¢ Security unit ā€¢ Management, as appropriate
  • 18. Cont... FDAā€™s View of What Industry Needs to Do ā€¢ Learn Part 11 ā€¢ File 11.100 (c) Certification ā€¢ E-records maintained ā€¢ ID formats FDA can audit/copy ā€¢ Check with FDA auditors ā€¢ Watch for guidance documents
  • 19. Cont... Part 11 Internet Web Site: http://www.fda.gov/cder/esig/part11.htm
  • 20. THE FOUNDATION ā€œThe Agency believes that if it is important enough that a record be signed, human readable displays of such records must include the printed name of the signer, the date and time of signing, and the meaning of the signatureā€. Example: a message from a firmā€™s management to employees instructing them on a particular course of action
  • 21. Potential Issues: ā€¢ The final rule does not establish numerical standards for levels of security or validation (persons have the option of determining the frequency). ā€¢ Wide spread implementation of time date stamped audit trails executed objectively and automatically and controls for limiting access to the database search software may change a companyā€™s current practices. ā€¢ The word ā€œensureā€ is used in the regulations. It is defined as ā€œto make certainā€. How will this be interpreted by a field inspector? ā€¢ ā€œUnique nature of passwordsā€. How is uniqueness determined and what are ā€œgood password practicesā€? ā€¢ Part 11 does not apply to paper records that are or have been transmitted by electronic means but it does apply to records in electronic form that are created, modified, maintained, archived, retrieved under any record requirement regulated by FDA. ā€¢ Record retention requirements for software and hardware used to create records that are retained in electronic form are subject to part 11.
  • 22. Cont... ā€¢ ā€œAs the agencyā€™s experience with part 11 increases certain records may need to be limited to paper if there are problems with the electronic versions of such records.ā€ ā€¢ ā€œIt may be necessary to inspect hardware and software used to generate and maintain electronic records to determine if the provisions of part 11 are being met.ā€ ā€¢ The assessment of adequacy of systems validation will include inspection of hardware to ā€œdetermine if it matches the system documentation description of the hardware.ā€ ā€¢ For geographically dispersed systems, inspections would extend to operations, procedures and controls at one location and the agency would inspect other locations of the network in a separate but coordinated manner. ā€¢ Is the implementation of an electronic system significant enough in manufacturing to require an NDA supplement prior to going live? ā€¢ Dial-in access over public phone lines can be a closed system if access to the system is under the control of the persons responsible for the content of the record.
  • 23. Cont... ā€¢ When an organizationā€™s electronic records are stored on systems operated by third parties the agency would consider this to be an open system. ā€¢ Electronic record is defined as ā€œany combination of text, graphics, data, audio, pictorial or other information representation in digital form that is created, modified, maintained, archived, retrieved or distributed by a computer system.ā€ ā€¢ ā€œThe Agency believes that if it is important enough that a record be signed, human readable displays of such records must include the printed name of the signer, the date and time of signing, and the meaning of the signatureā€. Example: a message from a firmā€™s management to employees instructing them on a particular course of action may be critical in litigation. ā€¢ ā€œA single certification may be stated in broad terms that encompass electronic signatures of all current and future employeesā€.
  • 24. Certification Statement Pursuant to section 11.100 of Title 21 of the code of Federal Regulations, this is to certify that __________________ intends that all electronic signatures Name of organization executed by our employees, agents, or representatives, located anywhere in the world, are the legally binding equivalent of traditional handwritten signatures.
  • 25. Stringent Controls ā€œ The agency believes thatā€¦it is vital to have stringent controls in place to prevent impersonation. Such controls include: (1) requiring an individual to remain in close proximity to the workstation throughout the signing session; (2) use of automatic inactivity disconnect measures that would ā€œde-logā€ the first individual if no entries or actions were taken within a fixed short timeframe; and (3) requiring that the single component needed for subsequent signings be known to, and usable only by, the authorized individual
  • 26. Security and Control ā€¢ Procedural ā€¢ Physical ā€¢ Logical
  • 27. Procedural - Verification ā€¢ Obtain and Review Corporate Security policy, security standards and procedures ā€¢ Evaluate the effectiveness of the security organization ā€¢ Evaluate the effectiveness of the process for requesting, granting and removing access.
  • 28. Physical Security ā€¢ Review Physical Access Policy ā€¢ Identify sensitive areas (computer room, data rooms, wiring closets). ā€¢ Determine process for granting, reviewing, monitoring and removing access ā€¢ Verify that process is operating effectively
  • 29. Logical Security Obtain and review data access policy ā€¢ Identify access ā€œPathsā€ to cGMP data ā€“ Dial-in ā€“ Internet ā€“ Local Area Network ā€“ Operating System ā€“ Database Security ā€“ Application Security
  • 30. For each access path, evaluate the following: ā€“ user security parameters ā€¢ unique user ID/password combinations ā€¢ password change intervals (90 days) ā€¢ password composition (e.g., combination of numbers and letters required) ā€¢ password length (minimum length of 6 characters) ā€“ access controls that enforce segregation of duties (read, write, delete) ā€“ monitoring functionality and audit trail