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21 CRF Part 11 Challenges and Solutions
NextDocs Product Compliance
WHITE PAPER
WHITE PAPER                                                                                                                                November 2010




21 CFR Part 11 Challenges and Solutions
NextDocs Product Compliance

Kathie Clark
Director, Product Management
NextDocs Corporation




November 2010




                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
NextDocs Product Compliance
WHITE PAPER                                                                                                                                                          November 2010




Contents
Introduction.................................................................................................................................................... 3
21 CFR PART 11 Background ....................................................................................................................... 3
     21 CFR Part 11 Definitions ......................................................................................................................... 3
     Scope of 21 CFR Part 11 ........................................................................................................................... 4
Open vs. Closed Systems............................................................................................................................. 5
Electronic Record Functionality and Issues for NextDocs ....................................................................... 6
Electronic Signature Functionality and Issues for NextDocs ................................................................. 15
Summary ...................................................................................................................................................... 21
References ................................................................................................................................................... 21




                                                                                     2



                            NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
     NextDocs Product Compliance
     WHITE PAPER                                                                                                                                      November 2010




Introduction
Many sponsors are concerned with the risks and costs involved in ensuring that their electronic systems comply with the FDA’s ruling on
acceptance of Electronic Records and Electronic Signatures in place of their paper equivalents (21 CFR Part 11). Although the ruling has been in
place since 1997, there is often a lack of clarity concerning what characteristics and features a software solution must have to comply with 21 CFR
Part 11. Even when a solution meets all of its requirements, ensuring that procedural requirements are met may be a bigger challenge.

Although sponsors’ concerns are certainly valid, Part 11 compliance also provides an opportunity. Sponsors and the FDA share a common goal
of ensuring the integrity of their data, documentation and computer systems. If Part 11 compliance can be achieved by software configured to
represent the sponsor’s desired business process, the burden on both system users and IT administrators can be minimal. The sponsor can then
achieve benefits around both process automation and process transparency.

The intent of this paper is to describe how NextDocs products provide a built-in platform for 21 CFR Part 11 compliance while providing capabilities
that allow sponsors to automate, monitor and control their processes.


21 CFR PART 11 Background
21 CFR Part 11 Definitions
The FDA provides the following definitions in 21 CFR Part 11 for Electronic Records and Electronic Signatures:




                          “Electronic record means any 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.”

                          “Electronic signature means a 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
                          individual’s handwritten signature.”




                                                                                      3



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21 CFR Part 11 Challenges and Solutions
     NextDocs Product Compliance
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Scope of 21 CFR Part 11
The Code of Federal Regulations [1] statement of scope regarding Part 11 clarifies what Part 11 applies to:

The regulations in this part set forth the criteria under which the agency considers electronic records, electronic signatures, and handwritten
signatures executed to electronic records to be trustworthy, reliable, and generally equivalent to paper records and handwritten signatures executed
on paper.

      a.   This part applies to records in electronic form that are created, modified, maintained, archived, retrieved, or transmitted, under any
           records requirements set forth in agency regulations. This part also applies to electronic records submitted to the agency under
           requirements of the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act, even if such records are not specifically
           identified in agency regulations. However, this part does not apply to paper records that are, or have been, transmitted by electronic
           means.

      b.   Where electronic signatures and their associated electronic records meet the requirements of this part, the agency will consider
           the electronic signatures to be equivalent to full handwritten signatures, initials, and other general signings as required by agency
           regulations, unless specifically excepted by regulation(s) effective on or after August 20, 1997.

      c.   Electronic records that meet the requirements of this part may be used in lieu of paper records, in accordance with Sec. 11.2, unless
           paper records are specifically required.

      d.   Computer systems (including hardware and software), controls, and attendant documentation maintained under this part shall be readily
           available for, and subject to, FDA inspection.

In August 2003, FDA provided non-binding clarification pertaining to the scope of Part 11 and their intentions related to enforcing the provisions of
Part 11 in the document entitled “Guidance for Industry Part 11, Electronic Records; Electronic Signatures — Scope and Application” (published
8/28/2003).[2] Important comments on scope included the following:

“Under the narrow interpretation of the scope of Part 11, with respect to records required to be maintained under predicate rules or submitted to
FDA, when persons choose to use records in electronic format in place of paper format, Part 11 would apply. On the other hand, when persons
use computers to generate paper printouts of electronic records, and those paper records meet all the requirements of the applicable predicate
rules and persons rely on the paper records to perform their regulated activities, FDA would generally not consider persons to be “using electronic
records in lieu of paper records” under §§ 11.2(a) and 11.2(b). In these instances, the use of computer systems in the generation of paper records
would not trigger Part 11.”


                                                                                      4



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21 CFR Part 11 Challenges and Solutions
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Under this narrow interpretation, FDA considers Part 11 to be applicable to the following records or signatures in electronic format:

     ●   Records that are required to be maintained under predicate rule requirements and that are maintained in electronic format in place of
         paper format.

     ●   Records that are required to be maintained under predicate rules, that are maintained in electronic format in addition to paper format, and
         that are relied on to perform regulated activities.

     ●   Records submitted to FDA, under predicate rules (even if such records are not specifically identified in Agency regulations) in electronic
         format (assuming the records have been identified in docket number 92S-0251 as the types of submissions the Agency accepts in
         electronic format).

     ●   Electronic signatures that are intended to be the equivalent of handwritten signatures, initials, and other general signings required by
         predicate rules.

Further FDA guidance states: “Electronic documents that bypass the controls for electronic files described in 21 CFR 11 are not considered official
documents for review.” [3]

Based upon this guidance, it is clear that document management systems used to create, review, approve and archive documentation produced
in support of predicate rules such as (but not limited to) Good Laboratory Practice, Good Clinical Practice, and Good Manufacturing Practice are
subject to 21 CFR Part 11.

Open vs. Closed Systems
An important consideration in evaluating the impact of 21 CFR Part 11 on NextDocs applications is whether the specific system implementation is
considered a closed or open system.

The FDA provides the following definitions in 21 CFR Part 11 for closed and open systems.


                             “Closed system means an environment in which system access is controlled by persons
                             who are responsible for the content of electronic records that are on the system.”

                             “Open system means an environment in which system access is not controlled by persons
                             who are responsible for the content of electronic records that are on the system.”


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21 CFR Part 11 Challenges and Solutions
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Electronic Record Functionality and Issues for NextDocs
The following table describes the functionality that NextDocs provides in support of 21 CFR Part 11.


 21 CFR 11 Requirement [1]        Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

 § 11.10 CONTROLS FOR CLOSED SYSTEMS.

  (a) Validation of systems to     Validation is ultimately the responsibility      “The Agency intends to exercise enforcement              Most of our clients’ implementations
  ensure accuracy, reliability,    of the client as validation can only be          discretion regarding specific Part 11 requirements       require validation under a strict
  consistent intended              performed in the environment in which            for validation of computerized systems (§                interpretation of part 11. In addition,
  performance, and the ability     the software will be used, and against           11.10(a) and corresponding requirements in §             validation of any computer system that
  to discern invalid or altered    specifications defined by system users.          11.30). Although persons must still comply with          manages essential records is highly
  records.                                                                          all applicable predicate rule requirements for           recommended. Only execution of a
                                   NextDocs offers a validation toolkit to          validation (e.g., 21 CFR 820.70(i)), this guidance       sound validation program ensures that a
                                   streamline the validation process. The           should not be read to impose any additional              computerized system has been properly
                                   toolkit includes a sample validation             requirements for validation.” [2]                        installed and will function as expected,
                                   master plan and traceability matrix,                                                                      both under normal operations and when
                                   ready-to-run scripts for IQ and OQ,              “We suggest that your decision to validate               stressed to its expected limits.
                                   summary report templates, and sample             computerized systems, and the extent of the
                                   PQ scripts.                                      validation, take into account the impact the             NextDocs’ validation toolkit and expert
                                                                                    systems have on your ability to meet predicate           advice significantly decrease time and
                                   NextDocs also has standard professional          rule requirements. You should also consider              effort in implementing a validated system.
                                   services packages that include                   the impact those systems might have on the               Our configuration-only approach avoids
                                   assistance with validation planning, PQ          accuracy, reliability, integrity, availability, and      the high risk associated with deploying
                                   script preparation, and managing PQ              authenticity of required records and signatures.         custom software.
                                   script execution and documentation               Even if there is no predicate rule requirement
                                   activities.                                      to validate a system, in some instances it may           NextDocs provides in-place software
                                                                                    still be important to validate the system. We            upgrades that ensure lower cost of
                                                                                    recommend that you base your approach on a               ownership for the system over time. With
                                                                                    justified and documented risk assessment and             each software release, NextDocs updates
                                                                                    a determination of the potential of the system           the relevant portions of the validation
                                                                                    to affect product quality and safety, and record         toolkit to further simplify the work required
                                                                                    integrity. For instance, validation would not be         by our clients. Clients can then use the
                                                                                    important for a word processor used only to              updated toolkit as the basis for their re-
                                                                                    generate SOPs.” [2]                                      validation.




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                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
      NextDocs Product Compliance
      WHITE PAPER                                                                                                                                                                     November 2010




21 CFR 11 Requirement [1]       Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

                                                                                                                                           Many of our clients upgrade the underlying
                                                                                                                                           software themselves without NextDocs’
                                                                                                                                           involvement.

                                                                                                                                           With a business-critical system such as
                                                                                                                                           electronic document management, an
                                                                                                                                           investment in validation yields a return
                                                                                                                                           after go-live in the form of decreased
                                                                                                                                           problem reports and clarity on how the
                                                                                                                                           system meets user requirements.

 (b) The ability to generate     Actual generation of records is a client         “The Agency intends to exercise enforcement              Since the document management system
 accurate and complete           responsibility. NextDocs facilitates             discretion with regard to specific Part 11               automatically manages properties that
 copies of records in both       generating copies of records by:                 requirements for generating copies of records (§         indicate the status, nature and scope of
 human readable and                                                               11.10 (b) and any corresponding requirement in           each document, it is easy for an authorized
 electronic form suitable        •	   Viewing records in native electronic        §11.30).” [2]                                            user to locate records needed by a
 for inspection, review, and          format with any computer running                                                                     regulatory authority (or internal auditor).
 copying by the agency.               one of several supported browsers.          “We recommend that you supply copies of                  Therefore, the time to respond to a request
 Persons should contact                                                           electronic records by:                                   for records is decreased and confidence in
 the agency if there are                                                                                                                   the ability to supply the correct records is
                                 •	   Allowing records to be exported by
 any questions regarding                                                                                                                   increased.
                                      dragging and dropping to any de-            •	    Producing copies of records held in com-
 the ability of the agency to
                                      sired file system location                        mon portable formats when records are
 perform such review and
                                                                                        maintained in these formats . . .
 copying of the electronic
 records.                        •	   Providing sophisticated controlled,
                                      uncontrolled and clean copy printing        •	    Using established automated conversion or
                                      capabilities                                      export methods, where available, to make
                                                                                        copies in a more common format (ex-
                                                                                        amples of such formats include, but are not
                                                                                        limited to, PDF, XML, or SGML)” [2]




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                                NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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21 CFR 11 Requirement [1]         Supporting NextDocs Functionality                Notes and References                                     Potential Business Benefits

 (c) Protection of records to       NextDocs systems automatically “lock             “The Agency intends to exercise enforcement             Measures are put in place to protect
 enable their accurate and         down” official versions of documents so          discretion with regard to the Part 11 requirements       documents against accidental deletion or
 ready retrieval throughout the    that they cannot be deleted or modified          for the protection of records to enable their            modification, such as might occur on a file
 records retention period.         without following system configurable            accurate and ready retrieval throughout the              system.
                                   change control procedures.                       records retention period (§ 11.10 (c) and any
                                                                                    corresponding requirement in §11.30).”[2]                Flexible support for archiving electronic
                                                                                                                                             records enables NextDocs clients to
                                                                                    “FDA does not intend to object if you decide to          support multiple scenarios, including but
                                                                                    archive required records in electronic format            not limited to:
                                                                                    to non-electronic, media such as microfilm,
                                                                                    microfiche, and paper, or to a standard electronic             •	      Maintaining electronic records
                                                                                    file format (examples of such formats include, but                     in the production NextDocs
                                                                                    are not limited to, PDF, XML, or SGML).” [2]                           system.

                                                                                    Archiving of documents and eventual destruction                •	      Moving electronic records to
                                                                                    should be controlled by a records management                           other media formats.
                                                                                    policy and an SOP. This is generally a legal and
                                                                                    corporate policy issue rather than a technology
                                                                                    issue.




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                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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21 CFR 11 Requirement [1]        Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

 (d) Limiting system access to    Access to NextDocs can be controlled by          In general, an SOP is needed on establishing             Access can be controlled at the site or
 authorized individuals.          configuration. Security can be configured        and maintaining user access to the system and/           sub-site level. For example, a repository
                                  to use Active Directory or Active Directory      or network.                                              can be created for documents associated
                                  Lightweight Directory Services accounts                                                                   with a single product, clinical study or
                                  or accounts created within SharePoint.                                                                    clinical or manufacturing site if desired,
                                                                                                                                            and system access limited to users having
                                  Internal users with on-premises                                                                           a need to access those documents.
                                  deployments can access NextDocs
                                  applications through single sign-on                                                                       Access can also be controlled at the
                                  without requiring additional system login                                                                 library, list or individual document level.
                                  unless performing a signature related
                                  action in the system. Alternatively, if a                                                                 The use of Active Directory means that
                                  client’s Part 11 interpretation requires                                                                  enabling access is fast and easy. Access
                                  explicit sign-on to access the system,                                                                    can even be granted by non-administrators
                                  single sign-on can be disabled.                                                                           using NextDocs workflows to approve
                                                                                                                                            access requests. Requests can be
                                  Internal users with hosted deployments                                                                    expedited by configuring electronic forms
                                  access NextDocs applications by                                                                           that include only essential information
                                  providing a user name and password.                                                                       needed to confirm and activate a user
                                                                                                                                            account.
                                  External users access NextDocs
                                  applications by providing a user name                                                                     The resulting benefit is the ability to
                                  and password. Depending on a client’s                                                                     grant fast, targeted access to users both
                                  security set-up, Virtual Private Network                                                                  within and outside the organization. For
                                  (VPN) access may be required as well.                                                                     example, external investigators can be
                                                                                                                                            granted clinical portal access in minutes,
                                                                                                                                            without the need for any hard copy
                                                                                                                                            paperwork, but with an electronic record
                                                                                                                                            and corresponding audit trail instead.




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                                 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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     WHITE PAPER                                                                                                                                                                              November 2010




21 CFR 11 Requirement [1]         Supporting NextDocs Functionality                Notes and References                                     Potential Business Benefits

 (e) Use of secure, computer-      NextDocs records:                                An SOP may be needed to govern retention and             Audit trails have value not only in fulfilling
 generated, timestamped                                                             archiving of audit trail items.                          the requirements of Part 11, but also in
 audit trails to independently     •	   Record modification events including                                                                 providing transparency into document
 record the date and time               check-in and check-out.                                                                              management processes. For example:
 of operator entries and
 actions that create, modify,                                                                                                                •	    If a defined process was not followed,
 or delete electronic records.
                                   •	   Move, copy, delete and undelete
                                        events.                                                                                                    the audit trail provides insight into the
 Record changes shall not                                                                                                                          discrepancy occurred.
 obscure previously recorded
 information. Such audit trail     •	   Electronic/Digital Signature events.
 documentation shall be
                                                                                                                                             •	    If a question arises over who partici-
                                                                                                                                                   pated in the approval of a document,
 retained for a period at least    •	   Lifecycle promotions and demotions
                                                                                                                                                   the audit trail will provide names and
 as long as that required for
                                                                                                                                                   dates for all involved.
 the subject electronic records    •	   Workflow events
 and shall be available for
 agency review and copying.                                                                                                                  •	    If defined timelines are not being met,
                                   •	   Permission changes                                                                                         audit trails can uncover if this was
                                                                                                                                                   due to delayed review or approval,
                                   •	   Record viewing (configurable).                                                                             multiple review cycles, or inexpertly
                                                                                                                                                   long times in preparing drafts.

                                                                                                                                             Audit trails are supplemented by detailed
                                   Audit trail entries include event, user                                                                   workflow histories providing even more
                                   name and server-based time/date stamp.                                                                    insight into the actions taken on a
                                   Local time/date stamps can also be                                                                        document.
                                   configured if desired.

                                   Audit trail records are retained indefinitely
                                   unless manually purged from the system.

                                   NextDocs also provides access to and
                                   copying of the audit trail. The audit trail
                                   can be saved to Excel with a single
                                   click for advanced sorting, filtering and
                                   analysis.




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                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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     WHITE PAPER                                                                                                                                                                      November 2010




21 CFR 11 Requirement [1]        Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

 (f) Use of operational system    These checks are implemented in a                Since these operational checks are configurable,         A NextDocs system guides a user through
 checks to enforce permitted      number of areas. Some examples                   NextDocs works with the client during the                the creation, review, approval and release
 sequencing of steps and          include:                                         requirements phase of a project to define the            of a document in accordance with a series
 events, as appropriate.                                                           specific checks that add value in the client’s           of defined steps. Benefits include:
                                  •	   Ensuring that documents follow a            environment.
                                       defined lifecycle                                                                                    •	    Decreased training time, since a user
                                                                                                                                                  is prompted to follow steps rather
                                  •	   Ensuring that workflows are used                                                                           than having to memorize them or
                                       when needed to move a document                                                                             consult documentation
                                       through its lifecycle
                                                                                                                                            •	    Decreased remediation time for IT
                                  •	   Ensuring that documents are proper-                                                                        and business administrators to repair
                                       ly set up to display digital signatures                                                                    flawed documents that were not cre-
                                       before they can be signed                                                                                  ated or managed in accordance with
                                                                                                                                                  standards
                                  •	   Ensuring that all required signatures
                                       are collected before a document is                                                                   •	    Increased standardization, making
                                       approved                                                                                                   documents easier to find and work
                                                                                                                                                  with
                                  •	   Ensuring that documents meet re-
                                       quirements such as having a valid
                                       PDF rendition before becoming ap-
                                       proved or effective

                                  •	   Ensuring that all required metadata
                                       is entered for a document

                                  •	   Enforcing the use of approved tem-
                                       plates for authoring

                                  •	   Limiting pick lists to appropriate
                                       values when creating or modifying
                                       document properties




                                                                                         11



                                 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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     WHITE PAPER                                                                                                                                                                    November 2010




21 CFR 11 Requirement [1]         Supporting NextDocs Functionality                Notes and References                                     Potential Business Benefits

 (g) Use of authority checks to    These checks are implemented in a                Generally, a client will need an SOP on system           As with operational checks, authority
 ensure that only authorized       number of areas. Some examples include           security and/or SOP on physical security to              checks result in decreased training time
 individuals can use the           limiting the following to authorized users:      prevent access to system by unauthorized users.          (since users will not be able to perform
 system, electronically sign a                                                                                                               operations in which they have not been
 record, access the operation      •	   Modifying a document’s content or                                                                    trained) and decreased need for document
 or computer system input or            properties                                                                                           remediation.
 output device, alter a record,
 or perform the operation at
 hand.
                                   •	   Initiating or participating in workflows

                                   •	   Applying digital/electronic signatures

                                   •	   Modifying system configurations

                                   •	   Generating controlled or uncon-
                                        trolled copy prints

                                   •	   Modifying essential information,
                                        such as study investigators

                                   •	   Approving requests for system ac-
                                        cess

 (h) Use of device (e.g.,          This requirement does not apply to
 terminal) checks to               NextDocs since the system does not
 determine, as appropriate,        have any functionality where information
 the validity of the source of     is valid only when entered from specific
 data input or operational         terminals.
 instruction.




                                                                                          12



                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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     WHITE PAPER                                                                                                                                                                        November 2010




21 CFR 11 Requirement [1]         Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

 (i) Determination that            NextDocs maintains resumes and training          Much of the burden of meeting this requirement           NextDocs also provides built-in support
 persons who develop,              records s to provide evidence that our           falls on the client. The client will need an SOP         for maintaining training records within
 maintain, or use electronic       employees who develop and deploy our             on training for users and administrators, and            the system. Users can be assigned to
 record/electronic signature       software are trained and qualified to do         must maintain applicable training records in             roles, and those roles can be assigned
 systems have the education,       so.                                              accordance with those SOPs.                              a training curriculum. The users then
 training, and experience to                                                                                                                 receive notifications containing the details
 perform their assigned tasks.     NextDocs also provides client-specific           The client can arrange an audit where NextDocs           of the training to be completed. A training
                                   training documentation to help our clients       will present our methodology and practices.              administrator can manage the ongoing
                                   comply with this requirement. We also                                                                     training and monitor progress of a user in
                                   offer end user training, train-the-trainer                                                                completing assigned training. The training
                                   training and administrator training.                                                                      status of users for a specific document can
                                                                                                                                             also be monitored and, if desired, used to
                                                                                                                                             control document effectivity.

 (j) The establishment of,         Client responsibility
 and adherence to, written
 policies that hold individuals
 accountable and responsible
 for actions initiated under
 their electronic signatures,
 in order to deter record and
 signature falsification.




                                                                                          13



                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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     WHITE PAPER                                                                                                                                                                       November 2010




21 CFR 11 Requirement [1]         Supporting NextDocs Functionality               Notes and References                                      Potential Business Benefits

 (k) Use of appropriate            NextDocs’s documentation is maintained           The client will need SOPs on document control            If desired, a client can maintain system
 controls over systems             in our configuration management system           applied to system operation and maintenance              documentation within their NextDocs
 documentation including:          and available for review during audits.          documentation (i.e. SOPs on use, operation and           system. This will provide the necessary
                                                                                    maintenance, user guides and manuals, etc.).             control over the documentation in terms of
 Adequate controls over the        However, ultimately it is the client’s                                                                    change control and availability.
 distribution of, access to,       responsibility to control system                 The client will need SOPs on document change
 and use of documentation          documentation in their environment.              control applied to system operation and
 for system operation and                                                           maintenance documentation.
 maintenance.                      NextDocs’ release notes describe the
                                   names and versions of documentation
 Revision and change control       that apply to each product release.
 procedures to maintain an         In addition, each client receives
 audit trail that documents        documentation specific to their NextDocs
 time sequenced development        implementation.
 and modification of systems
 documentation.

 § 11.10 CONTROLS FOR CLOSED SYSTEMS.

 § 11.30 Controls for Open         NextDocs systems that are hosted                 The client and validation team must determine if         The ability to meet open systems
 Systems. Same as § 11.10          may be considered open based on the              the system is closed or open.                            requirements means that our clients
 plus document encryption          specific circumstances and the client’s                                                                   can achieve benefits associated with
 and use of appropriate            21 CFR Part 11 interpretation. The use                                                                    application hosting if this is the most
 digital signature standards to    of digital signature is available in all                                                                  appropriate solution for them.
 ensure, as necessary under        NextDocs products to fulfill the additional
 the circumstances, record         requirements imposed on open systems.
 authenticity, integrity, and
 confidentiality.




                                                                                          14



                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
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      WHITE PAPER                                                                                                                                                               November 2010




Electronic Signature Functionality and Issues for NextDocs
NextDocs clients have reported significant benefits in implementing electronic signature including:

     ●    Decreased time to complete the approval process, especially when approvers are located in different buildings, different sites, or different
          countries

     ●    Increased transparency into the review and approval process, as it’s always clear which approvers have completed a task and which have
          yet to complete it

     ●    Decreased cost and complexity of handling and retrieving official paper copies

The following table describes the electronic signature functionality that NextDocs provides in support of 21 CFR Part 11.


  21 CFR 11 Requirement[1]                                                     Supporting NextDocs Functionality                                             Notes and References

  § 11.50 Signature manifestations.

  (a) Signed electronic records shall contain information associated with      Signatures can be applied directly against a document or within a
  the signing that clearly indicates all of the following:                     workflow task.

  (1) The printed name of the signer;                                          Meaning of signature must be selected by the signer from a list that is
                                                                               configured by an administrator. The available meanings of signatures
  (2) The date and time when the signature was executed; and                   are based on what type of task is being performed. For example, the
                                                                               meanings available in the list might be different for a QA Approval task
                                                                               and a Regulatory Approval task. If appropriate for the business process,
  (3) The meaning (such as review, approval, responsibility, or
                                                                               it’s possible to configure the system to allow the signer to enter a custom
  authorship) associated with the signature.
                                                                               meaning.

                                                                               NextDocs validates the signature and captures the user name, local date
                                                                               and time and GMT/UTC offset, server date and time, and meaning for
                                                                               signature. Local date and time or server date and time can be displayed
                                                                               in the manifestation as desired. This information is recorded in the audit
                                                                               trail.




                                                                                            15



                                    NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
    NextDocs Product Compliance
    WHITE PAPER                                                                                                                                                                       November 2010




21 CFR 11 Requirement[1]                                                      Supporting NextDocs Functionality                                             Notes and References

b) The items identified in paragraphs (a)(1), (a)(2), and (a)(3) of this      A document must have predefined locations for digital signature to be         By using digital signature
section shall be subject to the same controls as for electronic records       manifested. The digital signature appears in the preconfigured location,      technology, NextDocs
and shall be included as part of any human readable form of the               generally with a facsimile of the hard copy signature. The digital            clients benefit from
electronic record (such as electronic display or printout).                   signature manifests in various document formats including MS Office and       a standard that goes
                                                                              PDF.                                                                          beyond the requirements
                                                                                                                                                            of 21 CFR Part 11
                                                                                                                                                            including:

                                                                                                                                                            •	   Document modifi-
                                                                                                                                                                 cations after sign-
                                                                                                                                                                 ing will physically
                                                                                                                                                                 change the appear-
                                                                                                                                                                 ance of the signa-
                                                                                                                                                                 ture to indicate it is
                                                                                                                                                                 no longer valid.

                                                                                                                                                            •	   Signatures are
                                                                                                                                                                 portable outside the
                                                                                                                                                                 NextDocs system
                                                                                                                                                                 in which they were
                                                                                                                                                                 signed and univer-
                                                                                                                                                                 sally accepted.

                                                                                                                                                            •	   Signatures meet
                                                                                                                                                                 the more stringent
                                                                                                                                                                 requirements of
                                                                                                                                                                 some European
                                                                                                                                                                 countries.


§ 11.70 Signature/record linking.




                                                                                           16



                                   NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
    NextDocs Product Compliance
    WHITE PAPER                                                                                                                                                                         November 2010




21 CFR 11 Requirement[1]                                                      Supporting NextDocs Functionality                                             Notes and References

Electronic signatures and handwritten signatures executed to                  Signatures are bound directly to a specific version of a document.            The advantage of a
electronic records shall be linked to their respective electronic records                                                                                   digital signature is that
to ensure that the signatures cannot be excised, copied, or otherwise         NextDocs digital signatures are based on Public Key Infrastructure (PKI)      the signature remains
transferred to falsify an electronic record by ordinary means.                and are a result of a cryptographic operation that guarantees signer          verifiable as valid even
                                                                              authenticity, data integrity and non-repudiation of signed documents. The     when the document
                                                                              digital signature cannot be copied, tampered or altered.                      is removed from the
                                                                                                                                                            SharePoint repository
                                                                                                                                                            (such as when it is
                                                                              Digital signatures appearing in a document automatically appear as
                                                                                                                                                            removed for submission
                                                                              invalid when the document changes in any way.
                                                                                                                                                            publishing, archiving, or
                                                                                                                                                            transfer via email).
                                                                              During change control the signature is removed for the draft version in
                                                                              anticipation of future approval and signing.

§ 11.100 General requirements.

(a) Each electronic signature shall be unique to one individual and           Since NextDocs is generally implemented such that user credentials are        The client will need an
shall not be reused by, or reassigned to, anyone else.                        supplied via Active Directory (or Active Directory Lightweight Directory      SOP on establishing
                                                                              Services), compliance is built in.                                            and maintaining user
                                                                                                                                                            accounts – generally
                                                                              Active Directory will ensure that a user name cannot be re-used within a      something that is already
                                                                              given domain, and provide the ability to disable (rather than delete) users   needed in order to
                                                                              who are removed from the system. By maintaining a record of previous          access the network.
                                                                              users, reuse of user IDs will not be possible.
                                                                                                                                                            Clients will benefit from
                                                                              NextDocs signatures authenticate the content of documents by attributing      NextDocs seamlessly
                                                                              the signer to the signed document. Every signer is identified by an issued    integrating into their
                                                                              certificate (or by that of an external trusted entity). This identification   existing infrastructure
                                                                              is based on the fact that the user is a recognized employee in the            and policies around
                                                                              organization.                                                                 credential management
                                                                                                                                                            as opposed to deploying
                                                                                                                                                            and managing a wholly
                                                                                                                                                            separate system.




                                                                                           17



                                   NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
     NextDocs Product Compliance
     WHITE PAPER                                                                                                                                                                    November 2010




21 CFR 11 Requirement[1]                                                      Supporting NextDocs Functionality                                             Notes and References

(b) Before an organization establishes, assigns, certifies, or otherwise      Client responsibility.                                                        The client will need a
sanctions an individual’s electronic signature, or any element of such                                                                                      policy on verifying user
electronic signature, the organization shall verify the identity of the                                                                                     identity – generally
individual.                                                                                                                                                 something that is already
                                                                                                                                                            needed for employment
                                                                                                                                                            and network access.

(c) Persons using electronic signatures shall, prior to or at the time        Client responsibility.
of such use, certify to the agency that the electronic signatures in
their system, used on or after August 20, 1997, are intended to be
the legally binding equivalent of traditional handwritten signatures. (1)
The certification shall be submitted in paper form and signed with a
traditional handwritten signature, to the Office of Regional Operations
(HFC–100), 5600 Fishers Lane, Rockville, MD 20857. (2) Persons
using electronic signatures shall, upon agency request, provide
additional certification or testimony that a specific electronic signature
is the legally binding equivalent of the signer’s handwritten signature.


§ 11.200 Electronic signature components and controls.




                                                                                           18



                                   NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
    NextDocs Product Compliance
    WHITE PAPER                                                                                                                                                               November 2010




21 CFR 11 Requirement[1]                                                     Supporting NextDocs Functionality                                             Notes and References

(a) Electronic signatures that are not based upon biometrics shall:          Each time a signature is applied, both a user name and password are
                                                                             required.
(1) Employ at least two distinct identification components such as an
identification code and password.                                            NextDocs supports a configurable automatic time-out during periods of
                                                                             system inactivity. This time-out will also end a user’s continuous and
            (i) When an individual executes a series of signings             controlled access to the system.
                  during a single, continuous period of controlled
                  system access, the first signing shall be executed
                  using all electronic signature components;
                  subsequent signings shall be executed using at
                  least one electronic signature component that is
                  only executable by, and designed to be used only
                  by, the individual.

            (ii) When an individual executes one or more signings
                  not performed during a single, continuous period
                  of controlled system access, each signing shall
                  be executed using all of the electronic signature
                  components.

(2) Be used only by their genuine owners; and

(3) Be administered and executed to ensure that attempted use of
an individual’s electronic signature by anyone other than its genuine
owner requires collaboration of two or more individuals.

(b) Electronic signatures based upon biometrics shall be designed to         NA – Biometrics are not used by NextDocs.
ensure that they cannot be used by anyone other than their genuine
owners.




                                                                                          19



                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CFR Part 11 Challenges and Solutions
    NextDocs Product Compliance
    WHITE PAPER                                                                                                                                                                  November 2010




21 CFR 11 Requirement[1]                                                     Supporting NextDocs Functionality                                                Notes and References

§ 11.300 Controls for identification codes/ passwords. Persons who use electronic signatures based upon use of identification codes in combination with passwords shall employ
controls to ensure their security and integrity. Such controls shall include:

(a) Maintaining the uniqueness of each combined identification               See item § 11.100 (a).
code and password, such that no two individuals have the same
combination of identification code and password.

(b) Ensuring that identification code and password issuances are             This is a client responsibility, generally achieved through settings in
periodically checked, recalled, or revised (e.g., to cover such events       Active Directory. Windows and Active Directory infrastructure can enforce
as password aging).                                                          password policy for complexity and expiration. Windows integrated
                                                                             authentication and Basic authentication can leverage this automatically.

(c) Following loss management procedures to electronically                   NextDocs does not make use of tokens, cards, and other devices that
deauthorize lost, stolen, missing, or otherwise potentially                  bear or generate identification code or password information.
compromised tokens, cards, and other devices that bear or generate
identification code or password information, and to issue temporary or       Windows and Active Directory administrators can deactivate users,
permanent replacements using suitable, rigorous controls.                    change users’ passwords, or require users to change passwords after
                                                                             issuing a temporary password. Windows integrated authentication and
                                                                             Basic authentication can leverage this automatically

(d) Use of transaction safeguards to prevent unauthorized use of             This is a client responsibility, generally achieved through settings in Active
passwords and/or identification codes, and to detect and report in           Directory.
an immediate and urgent manner any attempts at their unauthorized
use to the system security unit, and, as appropriate, to organizational      The Microsoft Windows family of products can audit logon changes and
management.                                                                  failed attempts. Group policy can enforce account lockout policy to help to
                                                                             prevent brute force password guessing. Lockout policy is based on failed
                                                                             attempts for a time window and users can be locked out for specified
                                                                             times before they can attempt again (or not).

(e) Initial and periodic testing of devices, such as tokens or cards,        NextDocs does not make use of tokens, cards, and other devices that
that bear or generate identification code or password information to         bear or generate identification code or password information.
ensure that they function properly and have not been altered in an
unauthorized manner.




                                                                                          20



                                  NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
21 CRF Part 11 Challenges and Solutions
       NextDocs Product Compliance
       WHITE PAPER                                                                                                                                    November 2010




Summary
NextDocs solutions are packaged products deployed widely throughout the life sciences industry by configuring, not customizing, to meet user
requirements. Our client base ranges from small start-ups to top ten Biopharmaceutical, Medical Device, CRO and technology companies. Nearly
all of NextDocs clients require validated, Part 11 compliant software. We have worked with our clients to enable them to gain and demonstrate Part
11 compliance – and associated business benefits – as quickly and easily as possible.

Our recommended approach for clients creating a plan to deploy NextDocs products in a regulated environment is:

      ●   Review this position paper and work with us to address any questions or concerns.

      ●   Map out the activities and deliverables needed to achieve Part 11 compliance for your specific implementation.

      ●   Determine how NextDocs can best support you by providing templates, creating plans and scripts, augmenting your staff to perform
          validation activities, or simply providing advice.

References
[1]
      Code of Federal Regulations, Title 21 - Food and Drugs, Part 11 - Electronic Records; Electronic Signatures

[2]
      Guidance for Industry, Part 11, Electronic Records; Electronic Signatures - Scope and Application (FDA, August 2003)

[3]
      Guidance for Industry: Providing Regulatory Submissions in Electronic Format — General Considerations (FDA, January 1999)




                                                 PAGE 21
                                                  NextDocs Corporation
                                                  500 N. Gulph Road, Suite 240, King of Prussia, PA 19406
                                                  Tel: 610.265.9474

                                                  NextDocs is the leading provider of regulatory document and quality management software solutions
                                                  based on SharePoint 2007. Our products are purpose-built for businesses in highly regulated
                                                  environments. By improving on Microsoft’s dynamic SharePoint platform, NextDocs document
                                                  management solutions are cost-effective, intuitive, flexible and scalable.

                                                  For more information visit: www.nextdocs.com

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21 CFR Part 11 Challenges and Solutions - White Paper

  • 1. 21 CRF Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER WHITE PAPER November 2010 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance Kathie Clark Director, Product Management NextDocs Corporation November 2010 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 2. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Contents Introduction.................................................................................................................................................... 3 21 CFR PART 11 Background ....................................................................................................................... 3 21 CFR Part 11 Definitions ......................................................................................................................... 3 Scope of 21 CFR Part 11 ........................................................................................................................... 4 Open vs. Closed Systems............................................................................................................................. 5 Electronic Record Functionality and Issues for NextDocs ....................................................................... 6 Electronic Signature Functionality and Issues for NextDocs ................................................................. 15 Summary ...................................................................................................................................................... 21 References ................................................................................................................................................... 21 2 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 3. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Introduction Many sponsors are concerned with the risks and costs involved in ensuring that their electronic systems comply with the FDA’s ruling on acceptance of Electronic Records and Electronic Signatures in place of their paper equivalents (21 CFR Part 11). Although the ruling has been in place since 1997, there is often a lack of clarity concerning what characteristics and features a software solution must have to comply with 21 CFR Part 11. Even when a solution meets all of its requirements, ensuring that procedural requirements are met may be a bigger challenge. Although sponsors’ concerns are certainly valid, Part 11 compliance also provides an opportunity. Sponsors and the FDA share a common goal of ensuring the integrity of their data, documentation and computer systems. If Part 11 compliance can be achieved by software configured to represent the sponsor’s desired business process, the burden on both system users and IT administrators can be minimal. The sponsor can then achieve benefits around both process automation and process transparency. The intent of this paper is to describe how NextDocs products provide a built-in platform for 21 CFR Part 11 compliance while providing capabilities that allow sponsors to automate, monitor and control their processes. 21 CFR PART 11 Background 21 CFR Part 11 Definitions The FDA provides the following definitions in 21 CFR Part 11 for Electronic Records and Electronic Signatures: “Electronic record means any 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.” “Electronic signature means a 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 individual’s handwritten signature.” 3 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 4. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Scope of 21 CFR Part 11 The Code of Federal Regulations [1] statement of scope regarding Part 11 clarifies what Part 11 applies to: The regulations in this part set forth the criteria under which the agency considers electronic records, electronic signatures, and handwritten signatures executed to electronic records to be trustworthy, reliable, and generally equivalent to paper records and handwritten signatures executed on paper. a. This part applies to records in electronic form that are created, modified, maintained, archived, retrieved, or transmitted, under any records requirements set forth in agency regulations. This part also applies to electronic records submitted to the agency under requirements of the Federal Food, Drug, and Cosmetic Act and the Public Health Service Act, even if such records are not specifically identified in agency regulations. However, this part does not apply to paper records that are, or have been, transmitted by electronic means. b. Where electronic signatures and their associated electronic records meet the requirements of this part, the agency will consider the electronic signatures to be equivalent to full handwritten signatures, initials, and other general signings as required by agency regulations, unless specifically excepted by regulation(s) effective on or after August 20, 1997. c. Electronic records that meet the requirements of this part may be used in lieu of paper records, in accordance with Sec. 11.2, unless paper records are specifically required. d. Computer systems (including hardware and software), controls, and attendant documentation maintained under this part shall be readily available for, and subject to, FDA inspection. In August 2003, FDA provided non-binding clarification pertaining to the scope of Part 11 and their intentions related to enforcing the provisions of Part 11 in the document entitled “Guidance for Industry Part 11, Electronic Records; Electronic Signatures — Scope and Application” (published 8/28/2003).[2] Important comments on scope included the following: “Under the narrow interpretation of the scope of Part 11, with respect to records required to be maintained under predicate rules or submitted to FDA, when persons choose to use records in electronic format in place of paper format, Part 11 would apply. On the other hand, when persons use computers to generate paper printouts of electronic records, and those paper records meet all the requirements of the applicable predicate rules and persons rely on the paper records to perform their regulated activities, FDA would generally not consider persons to be “using electronic records in lieu of paper records” under §§ 11.2(a) and 11.2(b). In these instances, the use of computer systems in the generation of paper records would not trigger Part 11.” 4 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 5. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Under this narrow interpretation, FDA considers Part 11 to be applicable to the following records or signatures in electronic format: ● Records that are required to be maintained under predicate rule requirements and that are maintained in electronic format in place of paper format. ● Records that are required to be maintained under predicate rules, that are maintained in electronic format in addition to paper format, and that are relied on to perform regulated activities. ● Records submitted to FDA, under predicate rules (even if such records are not specifically identified in Agency regulations) in electronic format (assuming the records have been identified in docket number 92S-0251 as the types of submissions the Agency accepts in electronic format). ● Electronic signatures that are intended to be the equivalent of handwritten signatures, initials, and other general signings required by predicate rules. Further FDA guidance states: “Electronic documents that bypass the controls for electronic files described in 21 CFR 11 are not considered official documents for review.” [3] Based upon this guidance, it is clear that document management systems used to create, review, approve and archive documentation produced in support of predicate rules such as (but not limited to) Good Laboratory Practice, Good Clinical Practice, and Good Manufacturing Practice are subject to 21 CFR Part 11. Open vs. Closed Systems An important consideration in evaluating the impact of 21 CFR Part 11 on NextDocs applications is whether the specific system implementation is considered a closed or open system. The FDA provides the following definitions in 21 CFR Part 11 for closed and open systems. “Closed system means an environment in which system access is controlled by persons who are responsible for the content of electronic records that are on the system.” “Open system means an environment in which system access is not controlled by persons who are responsible for the content of electronic records that are on the system.” 5 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 6. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Electronic Record Functionality and Issues for NextDocs The following table describes the functionality that NextDocs provides in support of 21 CFR Part 11. 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits § 11.10 CONTROLS FOR CLOSED SYSTEMS. (a) Validation of systems to Validation is ultimately the responsibility “The Agency intends to exercise enforcement Most of our clients’ implementations ensure accuracy, reliability, of the client as validation can only be discretion regarding specific Part 11 requirements require validation under a strict consistent intended performed in the environment in which for validation of computerized systems (§ interpretation of part 11. In addition, performance, and the ability the software will be used, and against 11.10(a) and corresponding requirements in § validation of any computer system that to discern invalid or altered specifications defined by system users. 11.30). Although persons must still comply with manages essential records is highly records. all applicable predicate rule requirements for recommended. Only execution of a NextDocs offers a validation toolkit to validation (e.g., 21 CFR 820.70(i)), this guidance sound validation program ensures that a streamline the validation process. The should not be read to impose any additional computerized system has been properly toolkit includes a sample validation requirements for validation.” [2] installed and will function as expected, master plan and traceability matrix, both under normal operations and when ready-to-run scripts for IQ and OQ, “We suggest that your decision to validate stressed to its expected limits. summary report templates, and sample computerized systems, and the extent of the PQ scripts. validation, take into account the impact the NextDocs’ validation toolkit and expert systems have on your ability to meet predicate advice significantly decrease time and NextDocs also has standard professional rule requirements. You should also consider effort in implementing a validated system. services packages that include the impact those systems might have on the Our configuration-only approach avoids assistance with validation planning, PQ accuracy, reliability, integrity, availability, and the high risk associated with deploying script preparation, and managing PQ authenticity of required records and signatures. custom software. script execution and documentation Even if there is no predicate rule requirement activities. to validate a system, in some instances it may NextDocs provides in-place software still be important to validate the system. We upgrades that ensure lower cost of recommend that you base your approach on a ownership for the system over time. With justified and documented risk assessment and each software release, NextDocs updates a determination of the potential of the system the relevant portions of the validation to affect product quality and safety, and record toolkit to further simplify the work required integrity. For instance, validation would not be by our clients. Clients can then use the important for a word processor used only to updated toolkit as the basis for their re- generate SOPs.” [2] validation. 6 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 7. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits Many of our clients upgrade the underlying software themselves without NextDocs’ involvement. With a business-critical system such as electronic document management, an investment in validation yields a return after go-live in the form of decreased problem reports and clarity on how the system meets user requirements. (b) The ability to generate Actual generation of records is a client “The Agency intends to exercise enforcement Since the document management system accurate and complete responsibility. NextDocs facilitates discretion with regard to specific Part 11 automatically manages properties that copies of records in both generating copies of records by: requirements for generating copies of records (§ indicate the status, nature and scope of human readable and 11.10 (b) and any corresponding requirement in each document, it is easy for an authorized electronic form suitable • Viewing records in native electronic §11.30).” [2] user to locate records needed by a for inspection, review, and format with any computer running regulatory authority (or internal auditor). copying by the agency. one of several supported browsers. “We recommend that you supply copies of Therefore, the time to respond to a request Persons should contact electronic records by: for records is decreased and confidence in the agency if there are the ability to supply the correct records is • Allowing records to be exported by any questions regarding increased. dragging and dropping to any de- • Producing copies of records held in com- the ability of the agency to sired file system location mon portable formats when records are perform such review and maintained in these formats . . . copying of the electronic records. • Providing sophisticated controlled, uncontrolled and clean copy printing • Using established automated conversion or capabilities export methods, where available, to make copies in a more common format (ex- amples of such formats include, but are not limited to, PDF, XML, or SGML)” [2] 7 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 8. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (c) Protection of records to NextDocs systems automatically “lock “The Agency intends to exercise enforcement Measures are put in place to protect enable their accurate and down” official versions of documents so discretion with regard to the Part 11 requirements documents against accidental deletion or ready retrieval throughout the that they cannot be deleted or modified for the protection of records to enable their modification, such as might occur on a file records retention period. without following system configurable accurate and ready retrieval throughout the system. change control procedures. records retention period (§ 11.10 (c) and any corresponding requirement in §11.30).”[2] Flexible support for archiving electronic records enables NextDocs clients to “FDA does not intend to object if you decide to support multiple scenarios, including but archive required records in electronic format not limited to: to non-electronic, media such as microfilm, microfiche, and paper, or to a standard electronic • Maintaining electronic records file format (examples of such formats include, but in the production NextDocs are not limited to, PDF, XML, or SGML).” [2] system. Archiving of documents and eventual destruction • Moving electronic records to should be controlled by a records management other media formats. policy and an SOP. This is generally a legal and corporate policy issue rather than a technology issue. 8 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 9. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (d) Limiting system access to Access to NextDocs can be controlled by In general, an SOP is needed on establishing Access can be controlled at the site or authorized individuals. configuration. Security can be configured and maintaining user access to the system and/ sub-site level. For example, a repository to use Active Directory or Active Directory or network. can be created for documents associated Lightweight Directory Services accounts with a single product, clinical study or or accounts created within SharePoint. clinical or manufacturing site if desired, and system access limited to users having Internal users with on-premises a need to access those documents. deployments can access NextDocs applications through single sign-on Access can also be controlled at the without requiring additional system login library, list or individual document level. unless performing a signature related action in the system. Alternatively, if a The use of Active Directory means that client’s Part 11 interpretation requires enabling access is fast and easy. Access explicit sign-on to access the system, can even be granted by non-administrators single sign-on can be disabled. using NextDocs workflows to approve access requests. Requests can be Internal users with hosted deployments expedited by configuring electronic forms access NextDocs applications by that include only essential information providing a user name and password. needed to confirm and activate a user account. External users access NextDocs applications by providing a user name The resulting benefit is the ability to and password. Depending on a client’s grant fast, targeted access to users both security set-up, Virtual Private Network within and outside the organization. For (VPN) access may be required as well. example, external investigators can be granted clinical portal access in minutes, without the need for any hard copy paperwork, but with an electronic record and corresponding audit trail instead. 9 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 10. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (e) Use of secure, computer- NextDocs records: An SOP may be needed to govern retention and Audit trails have value not only in fulfilling generated, timestamped archiving of audit trail items. the requirements of Part 11, but also in audit trails to independently • Record modification events including providing transparency into document record the date and time check-in and check-out. management processes. For example: of operator entries and actions that create, modify, • If a defined process was not followed, or delete electronic records. • Move, copy, delete and undelete events. the audit trail provides insight into the Record changes shall not discrepancy occurred. obscure previously recorded information. Such audit trail • Electronic/Digital Signature events. documentation shall be • If a question arises over who partici- pated in the approval of a document, retained for a period at least • Lifecycle promotions and demotions the audit trail will provide names and as long as that required for dates for all involved. the subject electronic records • Workflow events and shall be available for agency review and copying. • If defined timelines are not being met, • Permission changes audit trails can uncover if this was due to delayed review or approval, • Record viewing (configurable). multiple review cycles, or inexpertly long times in preparing drafts. Audit trails are supplemented by detailed Audit trail entries include event, user workflow histories providing even more name and server-based time/date stamp. insight into the actions taken on a Local time/date stamps can also be document. configured if desired. Audit trail records are retained indefinitely unless manually purged from the system. NextDocs also provides access to and copying of the audit trail. The audit trail can be saved to Excel with a single click for advanced sorting, filtering and analysis. 10 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 11. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (f) Use of operational system These checks are implemented in a Since these operational checks are configurable, A NextDocs system guides a user through checks to enforce permitted number of areas. Some examples NextDocs works with the client during the the creation, review, approval and release sequencing of steps and include: requirements phase of a project to define the of a document in accordance with a series events, as appropriate. specific checks that add value in the client’s of defined steps. Benefits include: • Ensuring that documents follow a environment. defined lifecycle • Decreased training time, since a user is prompted to follow steps rather • Ensuring that workflows are used than having to memorize them or when needed to move a document consult documentation through its lifecycle • Decreased remediation time for IT • Ensuring that documents are proper- and business administrators to repair ly set up to display digital signatures flawed documents that were not cre- before they can be signed ated or managed in accordance with standards • Ensuring that all required signatures are collected before a document is • Increased standardization, making approved documents easier to find and work with • Ensuring that documents meet re- quirements such as having a valid PDF rendition before becoming ap- proved or effective • Ensuring that all required metadata is entered for a document • Enforcing the use of approved tem- plates for authoring • Limiting pick lists to appropriate values when creating or modifying document properties 11 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 12. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (g) Use of authority checks to These checks are implemented in a Generally, a client will need an SOP on system As with operational checks, authority ensure that only authorized number of areas. Some examples include security and/or SOP on physical security to checks result in decreased training time individuals can use the limiting the following to authorized users: prevent access to system by unauthorized users. (since users will not be able to perform system, electronically sign a operations in which they have not been record, access the operation • Modifying a document’s content or trained) and decreased need for document or computer system input or properties remediation. output device, alter a record, or perform the operation at hand. • Initiating or participating in workflows • Applying digital/electronic signatures • Modifying system configurations • Generating controlled or uncon- trolled copy prints • Modifying essential information, such as study investigators • Approving requests for system ac- cess (h) Use of device (e.g., This requirement does not apply to terminal) checks to NextDocs since the system does not determine, as appropriate, have any functionality where information the validity of the source of is valid only when entered from specific data input or operational terminals. instruction. 12 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 13. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (i) Determination that NextDocs maintains resumes and training Much of the burden of meeting this requirement NextDocs also provides built-in support persons who develop, records s to provide evidence that our falls on the client. The client will need an SOP for maintaining training records within maintain, or use electronic employees who develop and deploy our on training for users and administrators, and the system. Users can be assigned to record/electronic signature software are trained and qualified to do must maintain applicable training records in roles, and those roles can be assigned systems have the education, so. accordance with those SOPs. a training curriculum. The users then training, and experience to receive notifications containing the details perform their assigned tasks. NextDocs also provides client-specific The client can arrange an audit where NextDocs of the training to be completed. A training training documentation to help our clients will present our methodology and practices. administrator can manage the ongoing comply with this requirement. We also training and monitor progress of a user in offer end user training, train-the-trainer completing assigned training. The training training and administrator training. status of users for a specific document can also be monitored and, if desired, used to control document effectivity. (j) The establishment of, Client responsibility and adherence to, written policies that hold individuals accountable and responsible for actions initiated under their electronic signatures, in order to deter record and signature falsification. 13 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 14. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement [1] Supporting NextDocs Functionality Notes and References Potential Business Benefits (k) Use of appropriate NextDocs’s documentation is maintained The client will need SOPs on document control If desired, a client can maintain system controls over systems in our configuration management system applied to system operation and maintenance documentation within their NextDocs documentation including: and available for review during audits. documentation (i.e. SOPs on use, operation and system. This will provide the necessary maintenance, user guides and manuals, etc.). control over the documentation in terms of Adequate controls over the However, ultimately it is the client’s change control and availability. distribution of, access to, responsibility to control system The client will need SOPs on document change and use of documentation documentation in their environment. control applied to system operation and for system operation and maintenance documentation. maintenance. NextDocs’ release notes describe the names and versions of documentation Revision and change control that apply to each product release. procedures to maintain an In addition, each client receives audit trail that documents documentation specific to their NextDocs time sequenced development implementation. and modification of systems documentation. § 11.10 CONTROLS FOR CLOSED SYSTEMS. § 11.30 Controls for Open NextDocs systems that are hosted The client and validation team must determine if The ability to meet open systems Systems. Same as § 11.10 may be considered open based on the the system is closed or open. requirements means that our clients plus document encryption specific circumstances and the client’s can achieve benefits associated with and use of appropriate 21 CFR Part 11 interpretation. The use application hosting if this is the most digital signature standards to of digital signature is available in all appropriate solution for them. ensure, as necessary under NextDocs products to fulfill the additional the circumstances, record requirements imposed on open systems. authenticity, integrity, and confidentiality. 14 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 15. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Electronic Signature Functionality and Issues for NextDocs NextDocs clients have reported significant benefits in implementing electronic signature including: ● Decreased time to complete the approval process, especially when approvers are located in different buildings, different sites, or different countries ● Increased transparency into the review and approval process, as it’s always clear which approvers have completed a task and which have yet to complete it ● Decreased cost and complexity of handling and retrieving official paper copies The following table describes the electronic signature functionality that NextDocs provides in support of 21 CFR Part 11. 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References § 11.50 Signature manifestations. (a) Signed electronic records shall contain information associated with Signatures can be applied directly against a document or within a the signing that clearly indicates all of the following: workflow task. (1) The printed name of the signer; Meaning of signature must be selected by the signer from a list that is configured by an administrator. The available meanings of signatures (2) The date and time when the signature was executed; and are based on what type of task is being performed. For example, the meanings available in the list might be different for a QA Approval task and a Regulatory Approval task. If appropriate for the business process, (3) The meaning (such as review, approval, responsibility, or it’s possible to configure the system to allow the signer to enter a custom authorship) associated with the signature. meaning. NextDocs validates the signature and captures the user name, local date and time and GMT/UTC offset, server date and time, and meaning for signature. Local date and time or server date and time can be displayed in the manifestation as desired. This information is recorded in the audit trail. 15 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 16. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References b) The items identified in paragraphs (a)(1), (a)(2), and (a)(3) of this A document must have predefined locations for digital signature to be By using digital signature section shall be subject to the same controls as for electronic records manifested. The digital signature appears in the preconfigured location, technology, NextDocs and shall be included as part of any human readable form of the generally with a facsimile of the hard copy signature. The digital clients benefit from electronic record (such as electronic display or printout). signature manifests in various document formats including MS Office and a standard that goes PDF. beyond the requirements of 21 CFR Part 11 including: • Document modifi- cations after sign- ing will physically change the appear- ance of the signa- ture to indicate it is no longer valid. • Signatures are portable outside the NextDocs system in which they were signed and univer- sally accepted. • Signatures meet the more stringent requirements of some European countries. § 11.70 Signature/record linking. 16 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 17. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References Electronic signatures and handwritten signatures executed to Signatures are bound directly to a specific version of a document. The advantage of a electronic records shall be linked to their respective electronic records digital signature is that to ensure that the signatures cannot be excised, copied, or otherwise NextDocs digital signatures are based on Public Key Infrastructure (PKI) the signature remains transferred to falsify an electronic record by ordinary means. and are a result of a cryptographic operation that guarantees signer verifiable as valid even authenticity, data integrity and non-repudiation of signed documents. The when the document digital signature cannot be copied, tampered or altered. is removed from the SharePoint repository (such as when it is Digital signatures appearing in a document automatically appear as removed for submission invalid when the document changes in any way. publishing, archiving, or transfer via email). During change control the signature is removed for the draft version in anticipation of future approval and signing. § 11.100 General requirements. (a) Each electronic signature shall be unique to one individual and Since NextDocs is generally implemented such that user credentials are The client will need an shall not be reused by, or reassigned to, anyone else. supplied via Active Directory (or Active Directory Lightweight Directory SOP on establishing Services), compliance is built in. and maintaining user accounts – generally Active Directory will ensure that a user name cannot be re-used within a something that is already given domain, and provide the ability to disable (rather than delete) users needed in order to who are removed from the system. By maintaining a record of previous access the network. users, reuse of user IDs will not be possible. Clients will benefit from NextDocs signatures authenticate the content of documents by attributing NextDocs seamlessly the signer to the signed document. Every signer is identified by an issued integrating into their certificate (or by that of an external trusted entity). This identification existing infrastructure is based on the fact that the user is a recognized employee in the and policies around organization. credential management as opposed to deploying and managing a wholly separate system. 17 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 18. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References (b) Before an organization establishes, assigns, certifies, or otherwise Client responsibility. The client will need a sanctions an individual’s electronic signature, or any element of such policy on verifying user electronic signature, the organization shall verify the identity of the identity – generally individual. something that is already needed for employment and network access. (c) Persons using electronic signatures shall, prior to or at the time Client responsibility. of such use, certify to the agency that the electronic signatures in their system, used on or after August 20, 1997, are intended to be the legally binding equivalent of traditional handwritten signatures. (1) The certification shall be submitted in paper form and signed with a traditional handwritten signature, to the Office of Regional Operations (HFC–100), 5600 Fishers Lane, Rockville, MD 20857. (2) Persons using electronic signatures shall, upon agency request, provide additional certification or testimony that a specific electronic signature is the legally binding equivalent of the signer’s handwritten signature. § 11.200 Electronic signature components and controls. 18 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 19. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References (a) Electronic signatures that are not based upon biometrics shall: Each time a signature is applied, both a user name and password are required. (1) Employ at least two distinct identification components such as an identification code and password. NextDocs supports a configurable automatic time-out during periods of system inactivity. This time-out will also end a user’s continuous and (i) When an individual executes a series of signings controlled access to the system. during a single, continuous period of controlled system access, the first signing shall be executed using all electronic signature components; subsequent signings shall be executed using at least one electronic signature component that is only executable by, and designed to be used only by, the individual. (ii) When an individual executes one or more signings not performed during a single, continuous period of controlled system access, each signing shall be executed using all of the electronic signature components. (2) Be used only by their genuine owners; and (3) Be administered and executed to ensure that attempted use of an individual’s electronic signature by anyone other than its genuine owner requires collaboration of two or more individuals. (b) Electronic signatures based upon biometrics shall be designed to NA – Biometrics are not used by NextDocs. ensure that they cannot be used by anyone other than their genuine owners. 19 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 20. 21 CFR Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 21 CFR 11 Requirement[1] Supporting NextDocs Functionality Notes and References § 11.300 Controls for identification codes/ passwords. Persons who use electronic signatures based upon use of identification codes in combination with passwords shall employ controls to ensure their security and integrity. Such controls shall include: (a) Maintaining the uniqueness of each combined identification See item § 11.100 (a). code and password, such that no two individuals have the same combination of identification code and password. (b) Ensuring that identification code and password issuances are This is a client responsibility, generally achieved through settings in periodically checked, recalled, or revised (e.g., to cover such events Active Directory. Windows and Active Directory infrastructure can enforce as password aging). password policy for complexity and expiration. Windows integrated authentication and Basic authentication can leverage this automatically. (c) Following loss management procedures to electronically NextDocs does not make use of tokens, cards, and other devices that deauthorize lost, stolen, missing, or otherwise potentially bear or generate identification code or password information. compromised tokens, cards, and other devices that bear or generate identification code or password information, and to issue temporary or Windows and Active Directory administrators can deactivate users, permanent replacements using suitable, rigorous controls. change users’ passwords, or require users to change passwords after issuing a temporary password. Windows integrated authentication and Basic authentication can leverage this automatically (d) Use of transaction safeguards to prevent unauthorized use of This is a client responsibility, generally achieved through settings in Active passwords and/or identification codes, and to detect and report in Directory. an immediate and urgent manner any attempts at their unauthorized use to the system security unit, and, as appropriate, to organizational The Microsoft Windows family of products can audit logon changes and management. failed attempts. Group policy can enforce account lockout policy to help to prevent brute force password guessing. Lockout policy is based on failed attempts for a time window and users can be locked out for specified times before they can attempt again (or not). (e) Initial and periodic testing of devices, such as tokens or cards, NextDocs does not make use of tokens, cards, and other devices that that bear or generate identification code or password information to bear or generate identification code or password information. ensure that they function properly and have not been altered in an unauthorized manner. 20 NextDocs Corporation: 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406. Tel: 610.265.9474 Web: www.nextdocs.com
  • 21. 21 CRF Part 11 Challenges and Solutions NextDocs Product Compliance WHITE PAPER November 2010 Summary NextDocs solutions are packaged products deployed widely throughout the life sciences industry by configuring, not customizing, to meet user requirements. Our client base ranges from small start-ups to top ten Biopharmaceutical, Medical Device, CRO and technology companies. Nearly all of NextDocs clients require validated, Part 11 compliant software. We have worked with our clients to enable them to gain and demonstrate Part 11 compliance – and associated business benefits – as quickly and easily as possible. Our recommended approach for clients creating a plan to deploy NextDocs products in a regulated environment is: ● Review this position paper and work with us to address any questions or concerns. ● Map out the activities and deliverables needed to achieve Part 11 compliance for your specific implementation. ● Determine how NextDocs can best support you by providing templates, creating plans and scripts, augmenting your staff to perform validation activities, or simply providing advice. References [1] Code of Federal Regulations, Title 21 - Food and Drugs, Part 11 - Electronic Records; Electronic Signatures [2] Guidance for Industry, Part 11, Electronic Records; Electronic Signatures - Scope and Application (FDA, August 2003) [3] Guidance for Industry: Providing Regulatory Submissions in Electronic Format — General Considerations (FDA, January 1999) PAGE 21 NextDocs Corporation 500 N. Gulph Road, Suite 240, King of Prussia, PA 19406 Tel: 610.265.9474 NextDocs is the leading provider of regulatory document and quality management software solutions based on SharePoint 2007. Our products are purpose-built for businesses in highly regulated environments. By improving on Microsoft’s dynamic SharePoint platform, NextDocs document management solutions are cost-effective, intuitive, flexible and scalable. For more information visit: www.nextdocs.com