--- name: design-compliance-architecture-pjt222 title: 設合規架構 description: Design a compliance architecture that maps applicable regulations to computerized systems. Covers system inventory, criticality classification (GxP-critical, GxP-supporting, non-GxP), GAMP 5 category assignment, regulatory requirements traceability, and governance structure definition. Use when establishing a new regulated facility, formalising compliance across multiple systems, addressing a regulatory gap analysis, harmonising compliance after mergers or reorganisations, or preparing a site master file that references computerized systems. author: pjt222 author_url: https://github.com/pjt222/agent-almanac/tree/main/i18n/wenyan/skills/design-compliance-architecture license: MIT version: 0.1.1 execution_mode: open jurisdiction: general practice: life-sciences language: en --- # 設合規架構 立頂層合規框,映法規至系統、分要度、定受管境之治理。 ## 用時 - 新受管之設施、部門或項目立 - 既有組織需跨諸系正其合規態 - 合規差析揭系統分類或驗策之缺 - 併購或重組需跨實體統合規 - 備場主文件或質手冊引諸計算系統 ## 入 - **必要**:在範計算系統之單(名、用、供/自造) - **必要**:適法規框(21 CFR Part 11、EU Annex 11、GMP、GLP、GCP、ICH Q7、ICH Q10) - **必要**:組境(部、場、品類) - **可選**:既有之驗主計或質手冊 - **可選**:前審發或法規察 - **可選**:附質與 IT 報告線之組圖 ## 法 ### 第一步:建系統清冊 建全面之計算系統清冊: ```markdown # System Inventory ## Document ID: SI-[SITE]-[YYYY]-[NNN] | ID | System Name | Version | Vendor | Purpose | Department | Data Types | Users | |----|-------------|---------|--------|---------|------------|------------|-------| | SYS-001 | LabWare LIMS | 8.1 | LabWare Inc. | Sample management and testing | QC | Test results, COA | 45 | | SYS-002 | SAP ERP | S/4HANA | SAP SE | Batch release and inventory | Production | Batch records, BOM | 120 | | SYS-003 | Custom R/Shiny | 2.1.0 | Internal | Statistical analysis | Biostatistics | Clinical data | 8 | | SYS-004 | Windows Server | 2022 | Microsoft | File server | IT | Documents | 200 | ``` **得:** 建、改、存、取、傳 GxP 相關數據之諸系統皆列。 **敗則:** 若系統主不能供全資,錄缺而排發現會。缺系統為關鍵合規險。 ### 第二步:分系統要度 各系統賦要度層: ```markdown # System Criticality Classification ## Document ID: SCC-[SITE]-[YYYY]-[NNN] ### Classification Criteria | Tier | Definition | Validation Required | Examples | |------|-----------|-------------------|----------| | **GxP-Critical** | Directly impacts product quality, patient safety, or data integrity. Generates or processes GxP records. | Full CSV per GAMP 5 | LIMS, ERP (batch), CDMS, MES | | **GxP-Supporting** | Supports GxP processes but does not directly generate GxP records. Failure has indirect impact. | Risk-based qualification | Email, document management, scheduling | | **Non-GxP** | No impact on product quality, safety, or data integrity. | IT standard controls only | HR systems, cafeteria, general web | ### System Classification Matrix | System ID | System | Tier | Rationale | |-----------|--------|------|-----------| | SYS-001 | LabWare LIMS | GxP-Critical | Generates test results used for batch release | | SYS-002 | SAP ERP | GxP-Critical | Manages batch records and material traceability | | SYS-003 | R/Shiny App | GxP-Critical | Performs statistical analysis for regulatory submissions | | SYS-004 | Windows Server | GxP-Supporting | Stores controlled documents but does not generate GxP data | ``` **得:** 各系統有層賦並記由。 **敗則:** 若系統要度有爭,升至質委。疑則分高一層,正險析後重評。 ### 第三步:賦 GAMP 5 軟類 為各 GxP-Critical 與 GxP-Supporting 系統賦 GAMP 5 類: ```markdown # GAMP 5 Category Assignment | System ID | System | GAMP Category | Rationale | Validation Effort | |-----------|--------|---------------|-----------|-------------------| | SYS-001 | LabWare LIMS | 4 — Configured Product | COTS with extensive workflow configuration | Medium-High | | SYS-002 | SAP ERP | 4 — Configured Product | COTS with custom transactions | Medium-High | | SYS-003 | R/Shiny App | 5 — Custom Application | Internally developed | High — Full lifecycle | | SYS-004 | Windows Server | 1 — Infrastructure | Operating system, no custom configuration | Low — Verify installation | ``` 類參: - **Category 1**:基礎設施(OS、固件)——驗裝 - **Category 3**:未配 COTS——驗功能如是 - **Category 4**:已配產品——驗諸配 - **Category 5**:自造應用——全生命驗 **得:** 類賦合系統實用,非唯其性。 **敗則:** 若系統跨類(如 COTS 附自加),自加部分類為 Category 5,基為 Category 4。 ### 第四步:映法規至系統 建法規可溯矩陣: ```markdown # Regulatory Requirements Traceability Matrix ## Document ID: RRTM-[SITE]-[YYYY]-[NNN] | Regulation | Clause | Requirement | Applicable Systems | Control Type | |-----------|--------|-------------|-------------------|--------------| | 21 CFR 11 | 11.10(a) | Validation | SYS-001, SYS-002, SYS-003 | Procedural + Technical | | 21 CFR 11 | 11.10(d) | Access controls | SYS-001, SYS-002, SYS-003, SYS-004 | Technical | | 21 CFR 11 | 11.10(e) | Audit trail | SYS-001, SYS-002, SYS-003 | Technical | | 21 CFR 11 | 11.50 | Signature manifestation | SYS-001, SYS-002 | Technical | | EU Annex 11 | §4 | Validation | SYS-001, SYS-002, SYS-003 | Procedural + Technical | | EU Annex 11 | §7 | Data storage and backup | All | Technical | | EU Annex 11 | §9 | Audit trail | SYS-001, SYS-002, SYS-003 | Technical | | EU Annex 11 | §12 | Security and access | All | Technical | | ICH Q10 | §3.2 | Change management | All GxP-Critical | Procedural | | ICH Q10 | §1.8 | Knowledge management | SYS-001, SYS-003 | Procedural | ``` **得:** 諸適法規款映至少一系統,諸 GxP-Critical 系統映相關款。 **敗則:** 未映款為合規缺。為各缺建修計附時限。 ### 第五步:定各系統驗策 依要度、類、法規映: ```markdown # Validation Strategy Summary | System | Category | Criticality | Validation Approach | Key Deliverables | |--------|----------|------------|--------------------|--------------------| | LabWare LIMS | 4 | Critical | Prospective CSV | URS, RA, VP, IQ, OQ, PQ, TM, VSR | | SAP ERP | 4 | Critical | Prospective CSV | URS, RA, VP, IQ, OQ, TM, VSR | | R/Shiny App | 5 | Critical | Prospective CSV + code review | URS, RA, VP, IQ, OQ, PQ, TM, VSR, code audit | | Windows Server | 1 | Supporting | Installation qualification | IQ checklist | ``` 簡:URS(用者要求)、RA(險評)、VP(驗計)、IQ/OQ/PQ(裝/運/性能合格)、TM(可溯矩陣)、VSR(驗總結報)。 **得:** 驗力比險——Category 5 GxP-Critical 系統全生命;Category 1 基礎設施簡 IQ。 **敗則:** 若關者欲減關鍵系統之驗,以 QA 簽錄險受。 ### 第六步:設治理結構 定持續合規之組框: ```markdown # Compliance Governance Structure ## Roles and Responsibilities | Role | Responsibility | Authority | |------|---------------|-----------| | Quality Director | Overall compliance accountability | Approve validation strategies, accept risks | | System Owner | Day-to-day system compliance | Approve changes, ensure validated state | | Validation Lead | Plan and coordinate validation activities | Define validation scope and approach | | IT Operations | Technical infrastructure and security | Implement technical controls | | QA Reviewer | Independent review of validation deliverables | Accept or reject validation evidence | ## Governance Committees | Committee | Frequency | Purpose | Members | |-----------|-----------|---------|---------| | Change Control Board | Weekly | Review and approve system changes | System owners, QA, IT, validation | | Periodic Review Committee | Quarterly | Review system compliance status | Quality director, system owners, QA | | Audit Programme Committee | Annual | Plan internal audit schedule | Quality director, lead auditor, QA | ## Escalation Matrix | Issue | First Escalation | Second Escalation | Timeline | |-------|-----------------|-------------------|----------| | Critical audit finding | System Owner → QA Director | QA Director → Site Director | 24 hours | | Validated state breach | Validation Lead → System Owner | System Owner → Quality Director | 48 hours | | Data integrity incident | System Owner → QA Director | QA Director → Regulatory Affairs | 24 hours | ``` **得:** 諸合規活有清責無孤責。 **敗則:** 若責疊或未賦,集 RACI 會以解。責歧為常法規引。 ### 第七步:匯合規架構文件 合諸件為主文件: ```markdown # Compliance Architecture ## Document ID: CA-[SITE]-[YYYY]-[NNN] ## Version: 1.0 ### 1. Purpose and Scope [Organisation, site, product scope, regulatory scope] ### 2. System Inventory [From Step 1] ### 3. Criticality Classification [From Step 2] ### 4. GAMP 5 Category Assignments [From Step 3] ### 5. Regulatory Requirements Traceability [From Step 4] ### 6. Validation Strategy [From Step 5] ### 7. Governance Structure [From Step 6] ### 8. Periodic Review Schedule - System inventory refresh: Annual - Criticality re-assessment: When new systems added or regulations change - Regulatory mapping update: When new guidance issued - Governance review: Annual or after organisational change ### 9. Approval | Role | Name | Signature | Date | |------|------|-----------|------| | Quality Director | | | | | IT Director | | | | | Regulatory Affairs | | | | ``` **得:** 單一文為全受管境之合規藍圖。 **敗則:** 若文超實用大小,建主文件附按系或域之從屬文件。 ## 驗 - [ ] 系統清冊含諸理 GxP 數據之系 - [ ] 各系統有要度層並記由 - [ ] GAMP 5 類賦諸 GxP-Critical 與 GxP-Supporting 系 - [ ] 法規可溯矩陣覆諸適款 - [ ] 諸 GxP-Critical 系統有定驗策 - [ ] 治理結構定責、委、升階線 - [ ] 諸文有唯一 ID 與版控 - [ ] 合規架構文經質與 IT 領導准 ## 陷 - **清冊不全**:缺系統於合規為隱。用網掃、軟資產理具、部問——非唯問 IT。 - **二元思**:系統非唯「GxP」或「非 GxP」。三層模(關鍵、支持、非 GxP)避過驗與欠驗。 - **類惑**:GAMP 5 類述軟件是何,然驗力宜反如何用。用於批放之 Category 4 需測多於用於排程之 Category 4。 - **靜架構**:合規架構為活文件。新系、法規變、審發皆需更。 - **治理無牙**:紙上委從不集則合規無值。定會頻與定足。 ## Related Skills - `perform-csv-assessment` — 為個系統執此所定之驗策 - `manage-change-control` — 運治理中定之變控程 - `implement-electronic-signatures` — 實法規矩陣映之電簽控 - `prepare-inspection-readiness` — 以此架構為察備基 - `conduct-gxp-audit` — 以合規架構為基線審