Cover image
Whitepaper · October 2026
AI assurance for Quality and IT leaders in regulated industries

Building an AI Strategy You Can Defend

Regulatory readiness is not a brake on AI adoption. It is what allows an organisation to adopt AI with confidence, defend it to an inspector, and move faster than competitors still waiting for certainty.

AuthorJonathan Pieterse
Published13 October 2026
AudienceQuality · Validation · IT leadership
FrameworksEU AI Act · Annex 22 · Annex 11 · FDA · EMA
AiVACOBuilding an AI Strategy You Can Defend
CONTENTS

What this paper covers

Part one makes the case and gives Quality and IT leaders the tools to act on it. The technical annex gives the teams who will build or buy the system the engineering detail to do it defensibly.

Part one · The case and the method
—Executive summary: this already happened03
1Why AI governance became a board level issue in 202604
2The regulatory landscape05
3The critical boundary: intended use and consequence06
4The pharmaceutical use case: the hardest environment as the reference standard07
5A consequence based model for scoping AI pilots09
6A six phase framework for building an AI strategy or pilot10
7Technical assurance checklist for Quality and IT11
7.1Five questions for the executive conversation13
8The AiVACO Assurance Layer in practice14
9The inspector is acquiring AI too16
10Where to start17
Technical annex · RAG in a regulated enterprise
A.1What RAG changes, and what it does not18
A.2Reference architecture19
A.3Deployment steps: from intended use to production20
A.4Pharmaceutical case study: the same steps under GMP25
A.5Transferring the pattern to other regulated sectors26
A.6Build, buy or hybrid27
A.7Failure modes to design against28
A.8Team, timeline and a first deployment28
Back matter
11Core reading list29
About AiVACO · Start a conversation30
Eleven exhibits in part one

Regulatory timeline · four layer stack · Annex 22 boundary matrix · before and after deviation flow · four tier consequence ladder · six phase chevrons · icon keyed checklist · Assurance Layer architecture · event assistant swimlane · finding versus explaining · priority staircase and 90 day Gantt

Ten exhibits in the annex

Seven layer reference architecture · twelve step roadmap · metadata record card · seven gate orchestration sequence · evaluation metric board · threat and control matrix · pharma mapping ladder · five sector comparison · eight failure mode cards · fourteen week Gantt

If you read only three pages

The consequence model (page 09), the five executive questions (page 13) and the assurance checklist (pages 11 to 12). Together they answer where AI may be used, what to ask about it, and how to evidence it.

Contents image
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AiVACOBuilding an AI Strategy You Can Defend
EXECUTIVE SUMMARY

This already happened.

AI regulation in regulated industries has moved from broad principles to specific, inspectable expectations. The organisations that will scale AI safely are the ones that build assurance capability now rather than retrofit it later.

2 Aug 2025
EU AI Act general purpose AI obligations apply to model providers
7 Jul 2025
Draft EU GMP Annex 22 published: the first GMP annex dedicated to AI
2 Aug 2026
EU AI Act transparency duties live and formal enforcement begins

Three things changed between mid 2025 and October 2026. The EU AI Act began applying in stages. The European Commission published draft EU GMP Annex 22 on Artificial Intelligence alongside revised Annex 11 and Chapter 4, setting out which model types are and are not acceptable in critical GMP applications. And the FDA, EMA and other regulators began deploying AI themselves, changing the inspection dynamic from finding information to explaining it.

The common thread across every framework is the same. The closer an AI output gets to a decision that affects safety, quality or data integrity, the stronger the expectation for a defined intended use, evidence of trustworthiness, traceability and retained human accountability. The technology name matters less than the consequence of being wrong.

The strategic position

Regulatory readiness is not a brake on AI adoption. It is what lets an organisation adopt AI with confidence, defend it to an inspector, and move faster than competitors who are still waiting for certainty.

This paper covers
  1. The regulatory landscape across the EU AI Act, EU GMP, FDA and EMA, and where they converge
  2. The critical boundary that separates permitted from discouraged AI uses, and why generative AI sits where it does
  3. Pharmaceutical manufacturing as the reference case for every regulated sector, because it is the hardest environment in which to prove safety and compliance
  4. A consequence based model for scoping pilots and a six phase framework for building an AI strategy
  5. A technical assurance checklist that Quality and IT can apply to any AI use case today
  6. How the AiVACO Assurance Layer applies these principles in practice as a deterministic control layer between AI output and the regulated process
  7. A technical annex for IT, platform and security teams: a twelve step guide to deploying retrieval augmented generation in a regulated enterprise, with a reference architecture, a pharmaceutical case study and a cross sector mapping

Written for Quality, Validation and IT leaders who are being asked to approve, pilot or scale AI and who need a defensible basis for doing so.

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AiVACOBuilding an AI Strategy You Can Defend
SECTION 1

Why AI governance became a board level issue in 2026

For most regulated organisations, AI adoption started before AI governance. The governance question arrived afterwards, and in 2026 it arrived with regulatory weight behind it.

EXHIBIT 1Six milestones in fourteen months put inspectable AI expectations on the calendar
JUL 25
SEP
NOV
JAN 26
MAR
MAY
AUG 26
7 JUL 2025Draft Annex 22, revised Annex 11 and Chapter 4 published for consultation
JUN 2025FDA launches Elsa agency wide
2 AUG 2025EU AI Act general purpose AI obligations apply
7 OCT 2025Annex 22 consultation closes
14 JAN 2026EMA and FDA publish ten joint principles of good AI practice
MAY 2026FDA announces Elsa 4.0 and the HALO data platform
2 AUG 2026AI Act Article 50 transparency duties apply; enforcement begins

Drawn to scale, July 2025 to August 2026. Blue: EU regulatory milestones. Red: the draft GMP package. Green: the regulator adopting AI itself.

Employees began using general purpose assistants, suppliers embedded models into enterprise applications, and data science teams deployed classification and prediction models into operational systems. Alongside the regulatory milestones, the FDA launched its own generative AI assistant, Elsa, in June 2025 and extended it with Elsa 4.0 and the HALO data platform in May 2026. The regulator is now equipped with the same class of technology that industry is adopting.

The consequence for Quality and IT leaders is that two previously separate questions have merged. "Can we validate this system?" and "Can we defend this decision to an inspector?" are now the same question, and the answer depends on whether the organisation can show intended use, evidence, traceability and accountability for every AI output that touches a regulated process.

Too fast

Deploying tools without defined intended use, testing, ownership or oversight, and discovering the gap during an inspection.

Too slow

Waiting for final regulation while competitors build the capability that every framework is converging on.

The capabilities themselves are already clear: risk management, accountability, data governance, lifecycle control, evidence and human oversight. Building them now is the only strategy that works under both the current drafts and whatever final form they take.

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SECTION 2

The regulatory landscape

A regulated organisation deploying AI is now subject to at least four layers of expectation that apply simultaneously.

EXHIBIT 2Four layers of expectation apply to one manufacturer at once
LAYER 1 · STATUTORYHorizontal AI law
EU AI Act, Regulation (EU) 2024/1689GPAI duties since Aug 2025Article 50 transparency and enforcement since Aug 2026
LAYER 2 · IN FORCE AND PROPOSEDSector quality regulation
EudraLex Vol. 4, Annex 11 (in force)Draft Annex 22 Artificial IntelligenceRevised Annex 11Revised Chapter 4
LAYER 3 · GUIDANCERegulator AI guidance
FDA draft guidance on AI credibility (Jan 2025)EMA reflection paper on AI in the medicinal product lifecycleEMA and FDA ten joint principles (Jan 2026)
LAYER 4 · EXISTINGData integrity and protection
ALCOA+GDPRExisting Annex 11 audit trail and e-signature controls
APPLIES TOOne regulated manufacturer, all four layers, simultaneously

Layer 1: The EU AI Act

Technology law rather than quality regulation. It classifies AI systems by risk, prohibits a small set of unacceptable practices, imposes obligations on high risk systems, and adds transparency duties for AI that interacts with people or generates content. For most manufacturers the direct effect is on documentation, transparency and supplier due diligence. Prohibitions under the AI Act are statutory. Nothing in sector quality guidance has that force.

Layer 2: EU GMP and the proposed Annex 22

Existing Annex 11 already requires validated, risk managed computerised systems. The proposed package extends this: revised Chapter 4 recognises electronic, imagery, video and audio records; revised Annex 11 strengthens lifecycle, supplier, identity, audit trail, e-signature and archiving controls and links data integrity to ALCOA+; new Annex 22 supplements Annex 11 for systems containing AI in critical applications.

Layer 3: The FDA credibility framework

The January 2025 draft guidance reframes the question from "is this model validated?" to "is there sufficient evidence to trust this model for this context of use?" Evidence depth scales with the model's influence on a decision and the consequence of it being wrong. The same model may warrant very different controls in different applications.

Layer 4: EMA and the joint principles

The EMA reflection paper names the risks of complex, non transparent architectures: bias, reliability and trustworthiness. The ten joint principles signal that future guidance on both sides of the Atlantic will rest on shared foundations. This convergence is the most useful planning assumption available.

Annex 22's headings, from intended use through test data independence to explainability, confidence and operation, are a blueprint for an internal AI assurance programme and the backbone of the Section 7 checklist.

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SECTION 3

The critical boundary: intended use and consequence

Acceptability depends on what the AI is asked to do and what happens if it is wrong, not on the name of the technology.

EXHIBIT 3Generative, probabilistic and dynamic models sit on the non critical side of the Annex 22 line
Model characteristicCritical GMP application
affects patient safety, product quality or data integrity
Non critical application
StaticDoes not adapt its performance during operationIn scope · acceptable with full assuranceProportionate governance
Deterministic outputIdentical inputs produce identical outputsIn scope · acceptable with full assuranceProportionate governance
DynamicContinuously learns and adapts during operationNot in scope · should not be usedProportionate governance
Probabilistic outputIdentical inputs may produce different outputsNot in scope · should not be usedProportionate governance
Generative AI and LLMsProduces novel text, code or media from a promptNot in scope · should not be usedExplicitly contemplated · qualified person responsible · human in the loop
Draft Annex 22 boundary
Precision 1

Annex 22 is draft guidance under consultation. "Banned under Annex 22" is too strong. The accurate formulation: the draft indicates the regulatory direction and states these model types "should not be used" in critical GMP applications. Statutory prohibitions exist only under the EU AI Act, and concern unacceptable risk practices, not model architectures.

Precision 2

Annex 22 does not prohibit generative AI in regulated organisations. It places generative AI on the non critical side of the line, under human supervision.

Where generative AI legitimately fits

Knowledge discovery across SOPs and records · first drafts for controlled review · regulatory intelligence and change impact analysis · training content. Illustrative, not a whitelist: each still needs intended use, ownership, access controls and an accountable human.

Three questions that define the boundary

  1. What is this AI being asked to do? The intended use, written precisely enough that an inspector could test the system against it.
  2. Does the output directly affect patient safety, product quality or data integrity? If yes, the use is critical and the model type restrictions and full assurance expectations apply.
  3. What happens if the output is wrong? The consequence of error, not the sophistication of the model, sets the depth of evidence and control required.

A generative assistant that summarises a batch record for a qualified reviewer is a different system from one whose output determines whether a batch is released, even if the model is identical. Same technology, different intended use, different answer.

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SECTION 4

The pharmaceutical use case: the hardest environment as the reference standard

If an assurance approach holds up under GMP inspection, it will hold up in MedTech, aerospace, defence, financial services or industrial control.

EXHIBIT 4Moving the AI one step back from the decision changes the regulatory answer
✕ Critical · should not be used

"The AI classifies the deviation and proposes the CAPA"

Input

Deviation raised

→
AI

Classifies and proposes CAPA

→
Output

Decision recorded

✓ Non critical · human in the loop

"The AI prepares, the investigator decides"

Input

Deviation raised

→
AI

Retrieves history, SOP versions, specification

→
Record

What was retrieved and shown

→
Human

Investigator classifies and owns CAPA

Same model, same productivity, a fraction of the validation burden, and a clear answer for the inspector. The controls required: data access governance, version control on sources, an audit record, and investigator training.

1 · Consequence is direct and irreversible

An incorrect output that influences batch release, deviation classification or a specification decision can reach a patient. There is no rollback.

2 · Data integrity is a regulated discipline

ALCOA+ has been inspected against for over a decade. AI raises new questions: what source data did the model see, which version did it retrieve, can the output be reconstructed. Revised Annex 11 answers: AI does not bypass data integrity expectations. It inherits them.

3 · Validation culture already exists

CSV, ICH Q9(R1) risk management and GAMP 5 lifecycle thinking are mature. The challenge is extending them to systems whose behaviour is harder to specify, test and explain.

Pharma manufacturing
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SECTION 4 · CONTINUED

What pharma teaches every regulated sector

Six principles that GMP makes explicit, and their general form for any organisation whose AI output touches a regulated decision.

Pharma principleGeneral form for any regulated organisation
Scope assurance to critical applicationsClassify every AI use by the consequence of a wrong output; scale control to that consequence
Exclude dynamic, probabilistic and generative models from critical decisionsKeep non deterministic AI in advisory roles until deterministic controls can verify its output before use
Apply ALCOA+ to AI inputs and outputsRecord source, version, provenance and lineage for every AI interaction that touches a controlled record
Require qualified personnel and human in the loopName an accountable owner; make human acceptance of AI output an explicit, attributable act
Keep validated systems in a validated stateMonitor performance, govern change, capture incidents, trigger reassessment
Be able to explain the system to an inspectorDesign for defensibility: if it cannot be explained and evidenced, it is not ready
The pattern that generalises

Moving the AI one step back from the decision and inserting a deterministic record and a qualified human is the core of what an assurance layer does, and it generalises far beyond pharma.

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SECTION 5

A consequence based model for scoping AI pilots

Classify every use case by the consequence of a wrong output, because the consequence determines the depth of evidence, control and human oversight required. A practical interpretation of the regulatory direction, not an official classification.

EXHIBIT 5Control depth scales with the consequence of a wrong AI output
1

Low consequence: AI assists a person with information

Examplesdrafting, searching, summarising, knowledge retrieval, document comparison

Approachgovernance, defined intended use, trained human review of every output

2

Moderate consequence: AI recommends or prioritises

Examplestrend detection, investigation support, risk prioritisation, anomaly flagging

Approachstronger evidence, acceptance criteria, SME review, performance monitoring

3

High consequence: AI materially influences a critical activity

Scopepatient safety, product quality and data integrity become central to the assessment

Approachformal risk based controls, deterministic verification of output before use

Draft Annex 22: generative, probabilistic and dynamic models should not cross this line
4

Critical autonomous decision: AI decides with direct GMP consequences

Examplesbatch disposition, deviation classification, specification or release decisions

Approachstatic, deterministic models only, full Annex 22 assurance, explicit human accountability

Start here

Most organisations should start their pilots in tiers 1 and 2, where generative AI is explicitly contemplated and the assurance burden is proportionate.

Where an assurance layer earns its place

Tier 3 is where a non deterministic model can contribute while a deterministic control verifies, tiers and records the output before it reaches a person or a system.

Reserved

Tier 4 remains the domain of static, deterministic, fully validated models and explicit human decision.

The question every Quality function faces

"Why are we allowed to use this tool here but not there?" The answer is the tier, and the tier is the consequence.

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SECTION 6

A six phase framework for building an AI strategy or pilot

An AI strategy for a regulated organisation is an operating capability, not a technology purchase. The sequence works for a first pilot and scales to an enterprise programme.

EXHIBIT 6Six phases, each with an output the next one depends on, and a loop back when anything changes
PHASE 1

Discover

PHASE 2

Classify

PHASE 3

Define intended use

PHASE 4

Assign ownership

PHASE 5

Evidence and controls

PHASE 6

Operate and monitor

OutputAn AI inventory covering approved, employee led, embedded, supplier and operational ML
OutputA classified inventory with a consequence tier per use case and model types present
OutputAn intended use statement per use case, approved by process owner and Quality
OutputA RACI covering business owner, Quality, IT and security, data specialists and SMEs
OutputA control set per use case, with test evidence where the tier requires it
OutputA lifecycle record showing the system remains fit for its intended use
Change, drift or incident returns to Phase 1

1 · Discover

Find every place AI is already in use before designing any programme. Look for approved tools; employee led use of general purpose assistants, often on personal accounts; AI embedded inside purchased applications (eQMS, EDMS, ERP, MES, LIMS, LMS) and often enabled by default; supplier and third party AI on your data; and ML models already operating in manufacturing, quality or analytical systems. Without the inventory an inspector's first question cannot be answered.

2 · Classify

For every system: what it does, whether it affects patient safety, product quality or data integrity, whether it supports or makes a decision, and what happens if it is wrong. Assign a tier of the consequence model.

3 · Define intended use

Draft Annex 22 and the FDA credibility framework both make intended use (or context of use) the anchor for every subsequent control. A good statement names the task, the inputs, the output, the decision or process it supports, the boundary of acceptable use and the prohibited uses.

4 · Assign ownership

Every use case needs a named accountable owner, and governance cannot sit with IT alone. Draft Annex 22 expects collaboration between process SMEs, QA, data scientists, IT and consultants across algorithm selection, training, validation, testing and operation.

5 · Establish evidence and controls

Proportionate to the tier. Tiers 1 and 2: data access governance, version control on sources, output review by trained personnel, a record of use. Tiers 3 and 4: acceptance criteria, independent test data, documented test execution, explainability, a confidence measure and formal risk based controls.

6 · Operate and monitor

Monitor model performance, capture incidents, govern changes to models, prompts, data sources and integrations, and trigger reassessment on change or drift. Review periodically, as revised Annex 11 expects for any validated system.

Skip to Phase 5 and the validation package cannot answer an inspector's questions. Stop at Phase 2 and you have a risk register with no controls. The sequence is what makes the capability repeatable.

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SECTION 7

Technical assurance checklist for Quality and IT

Organised around draft Annex 22 and the lifecycle expectations of revised Annex 11, so each control maps to an expectation an inspector would recognise. Applies to any AI use case in any regulated sector.

A

Visibility

  • Every AI system in use is inventoried, including employee led, embedded and supplier AI
  • Each use case is classified by consequence tier and by whether it affects safety, quality or data integrity
  • Model characteristics (static or dynamic, deterministic or probabilistic, generative) are recorded
  • The inventory has an owner and a review cadence
Board question: if an inspector asked tomorrow where AI was being used, could we answer with confidence and evidence?
B

Intended use

  • The intended purpose, inputs, outputs and supported decision are documented
  • The boundary of acceptable use and the prohibited uses are defined and enforced technically where possible
  • The consequence of an incorrect output is understood and documented
  • Intended use is approved by the process owner and Quality
Maps toAnnex 22 Intended UseFDA context of use
C

Governance and people

  • A named accountable owner exists for each use case
  • Quality, IT and security, process SMEs and data specialists are involved according to the use case
  • Responsibilities, qualifications and access rights are documented
  • Supplier and third party AI is covered by supplier management controls
Maps toAnnex 22 PrinciplesAnnex 11 supplier management
D

Data

  • Data sources the model can access are enumerated and access is controlled
  • The current approved version of controlled information is the version the model retrieves
  • Source provenance can be traced for every output that touches a controlled record
  • Confidential, personal and commercially sensitive information is protected in prompts, retrieval and outputs
  • ALCOA+ expectations are applied to AI inputs and outputs, not only to the underlying records
Maps toAnnex 11 data integrityChapter 4 data governance
Readiness assessment

Recognise a gap in A to D? AiVACO's AI readiness assessment produces a consequence tiered inventory and a gap analysis against this checklist. See page 30.

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SECTION 7 · CONTINUED

Technical assurance checklist: testing to lifecycle

Groups E to H cover the evidence, explainability, oversight and operation expectations that distinguish a validated AI use from a documented one.

E

Testing and evidence

  • Acceptance criteria are defined before testing, in terms a reviewer can verify
  • An appropriate test dataset exists and its independence from training and tuning data is documented
  • Test execution is recorded with pass and fail outcomes against the acceptance criteria
  • Known failure modes, edge cases and adversarial inputs are included in testing
  • Evidence depth is proportionate to the consequence tier
Maps toAnnex 22 Acceptance CriteriaTest Data · Independence · Execution
F

Explainability and confidence

  • Responsible users can understand the significance and limitations of an output
  • The system's role can be explained to Quality and during inspection
  • Where the model provides a confidence measure, its meaning and thresholds are defined
  • Outputs that fall below defined confidence are routed to a human rather than used
Maps toAnnex 22 Explainability · Confidence
Quality lab review
G

Human oversight and accountability

  • Human review is required at the points the tier demands, and the reviewer is qualified
  • The reviewer understands the AI's limitations and can reject its output
  • Acceptance of an AI output is an explicit, attributable act, not a default
  • Accountability for the decision stays with a named person, never with the system
Maps toAnnex 22 human in the loop
H

Lifecycle and monitoring

  • Model performance is monitored in operation against defined indicators
  • Incidents, errors and near misses are captured and investigated
  • Changes to models, prompts, data sources, integrations and suppliers are controlled
  • Reassessment is triggered by change or drift, and periodic review is scheduled
  • Audit records are complete, attributable, tamper evident and retrievable for the retention period
Maps toAnnex 11 lifecycleAudit trails · periodic reviewAnnex 22 Operation

Rendered as tick box lists so the checklist can be printed and used in a review meeting; the regulatory mapping beneath each group shows an inspector where the expectation originates.

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SECTION 7.1

Five questions for the executive conversation

If the whole checklist had to be compressed for a board or executive team.

An organisation that cannot answer all five has an AI governance gap, whatever its technology investment.

Boardroom
1

Where are we using AI?

2

What decisions does it influence?

3

Who is accountable?

4

What evidence tells us it is trustworthy for that use?

5

Could we explain and defend its use to an inspector?

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SECTION 8

The AiVACO Assurance Layer in practice

How can an organisation benefit from generative and probabilistic models when those models should not make critical decisions? Separate the AI that generates from the control that verifies, and make the control deterministic.

EXHIBIT 7A deterministic layer verifies every AI output before it reaches a regulated process

AI outputs from any model, routed through a model agnostic gateway

Generative assistants, LLMs, ML classifiers and third party AI platforms: swappable, never trusted directly

↓

AiVACO Assurance Layer: deterministic by design, contains no AI

1
Ground

bind output to approved, current source

→
2
Validate

encoded rules, pass or fail, identical every time

→
3
Risk tier

A1 to D4 by consequence and context

→
4
Record

before release, refusals too

→
5
Release

or refuse, or escalate

APPEND ONLY · HASH CHAINED AUDIT TRAIL  every output, refusal and decision is recorded and reconstructable
↓

Regulated systems and processes

eQMS, EDMS, ERP, MES, LIMS, LMS

Accountable, qualified person

Accepts residual risk by e-signature, owns the decision

StageWhat happensRegulatory expectation it serves
1 · GroundThe output is bound to the approved, current version of the source material it claims to rest on. An output that cannot be substantiated against a controlled source does not proceedAnnex 11 data integrity · ALCOA+ Chapter 4
2 · ValidateDeterministic rule checks encoded from the applicable regulatory and company requirements. Identical inputs give identical results. Rules are authored and version controlled by qualified regulatory specialistsAnnex 22 acceptance criteria · test execution Annex 11 validation
3 · Risk tierThe output is assigned a tier from A1 to D4 according to the consequence of it being wrong and the context of use, which determines the route it takes nextAnnex 22 intended use · scope FDA credibility
4 · RecordThe output, its grounding, its validation result, its tier and any refusal are written to the audit trail before anything is released. Refusals are recorded as fully as releasesAnnex 11 audit trails Annex 22 operation
5 · ReleaseLow tier outputs that pass are released. Higher tier outputs are routed to a qualified person for explicit acceptance by electronic signature. Outputs that fail are refused or escalatedAnnex 22 human in the loop Annex 11 e-signatures
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SECTION 8.1

Design principles that make it defensible, and a worked use case

The control contains no AI

Engine, tiering service and audit trail are deterministic software: validated under existing computerised system expectations, explained to an inspector without reference to model internals.

Residual risk acceptance is always a human act

No output above the lowest tier is used on the strength of the system alone. Acceptance is an explicit, e-signed decision by a named, qualified person.

Records before release, including refusals

An inspector can reconstruct not only what was used but what was rejected and why.

Severity is immutable

The FMEA behind tiering fixes severity by consequence. Controls reduce occurrence and detectability only, per ICH Q9(R1).

Scope exclusions enforced at platform level

Uses with unacceptable exposure, such as clinical Q&A with pharmacovigilance implications, are excluded by configuration, not policy alone.

Validate the deterministic layer once; govern each new use through the same pipeline: a content pack, a rule set, a tier mapping and an accountable owner. New uses are added by configuration, not by a new validation project.

EXHIBIT 8AI assisted content at a regulated event: one question, three possible exits, every one recorded
Attendee
Asks about a product or therapy area at the stand
↓
AI model
Drafts a response from the sponsor's approved content pack
↓
Assurance Layer
1Ground against pack
2Validate: encoded rules
3Tier by sensitivity
4Record before release
Outcome
Released with citation
Refused · logged as correct behaviour
Escalated to a human
Approver
Medical and compliance accept residual risk by e-signature before go live; complete tamper evident record of every interaction afterwards

Validation rules for the pilot: no off label claims, no comparative statements, no clinical advice. Clinical and adverse event enquiries are excluded at platform level. Without assurance this is a generative model producing unreviewed statements about medicines in public, with ABPI Code, pharmacovigilance and promotional compliance exposure.

Identical to the deviation scenario in Section 4, and to any case where an organisation wants the productivity of generative AI without allowing it to make, or appear to make, a regulated decision.

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SECTION 9

The inspector is acquiring AI too

The regulator is adopting the same class of technology it is asking industry to govern, and that changes what inspection readiness means.

EXHIBIT 9Inspection shifts from finding the information to explaining it
Historically

Finding the information

  • Limiting factor: the inspector's capacity to locate and cross reference records
  • Sampling of documents and systems
  • Gaps in documentation may go unexamined
  • Preparation means assembling binders and locating evidence
→
With an AI equipped regulator

Explaining the information

  • Submission and inspection data processed at scale
  • Patterns surfaced across data sources; undocumented AI use is exactly the kind of finding this is well placed to surface
  • Quality of data, traceability, audit trails and system ownership become more exposed, not less
  • Preparation means being able to explain and defend every output
Data analysis at scale

The FDA launched Elsa, an LLM powered assistant for agency staff, agency wide in June 2025. The FDA states it is used to accelerate clinical protocol reviews, support scientific evaluations, help identify high priority inspection targets, summarise adverse events, compare labels and generate code for nonclinical database work.

In May 2026 the FDA announced Elsa 4.0 and HALO (Harmonized AI and Lifecycle Operations for Data). HALO consolidates more than 40 application and submission data sources across FDA centres so that staff can query data and build workflows without manually uploading documents. Announced capabilities include custom agents, document generation, quantitative analysis and visualisation, secure web search, voice to text, OCR and large repository search.

What can and cannot be said

It is accurate to say that FDA already uses AI to support inspection targeting, since the agency states this directly. It is not accurate, on the public record, to say that Elsa or HALO conducts autonomous inspections or determines findings. Public claims should stay within that line.

For an organisation deploying AI, this cuts two ways. The audit trail from an assurance layer, with every output, refusal and decision recorded and reconstructable, is exactly the kind of evidence an AI equipped inspector can consume efficiently. The organisations best positioned are those whose AI governance produces evidence as a by product of operation rather than as a retrospective exercise.

A forward looking interpretation. Regulators do not universally inspect this way today, and the pace of change will differ by agency and jurisdiction. The direction of travel is nonetheless consistent across FDA, EMA and the EU AI Office.
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SECTION 10

Where to start

Sequence investment so that governance capability is always one step ahead of deployment ambition.

EXHIBIT 10Six priorities, each unlocked by the one before it
1

AI governance and inventory

Classified inventory with owners and tiers. Nothing else is complete without it.

2

Knowledge access

Governed retrieval over approved SOPs and records. Highest value, lowest consequence.

3

Quality team augmentation

Assisted investigation prep, document comparison, trend surfacing for SME review.

4

Workforce capability

Role based training on intended use, limitations and review responsibilities.

5

Manufacturing and analytical AI/ML

Static, deterministic models with Annex 22 aligned test evidence.

6

AI enabled workflows and agents

Only once governance is mature enough to govern autonomy. Every step tiered, recorded, owned.

EXHIBIT 11A 90 day assurance pilot produces inspectable evidence in thirteen weeks
Discover and classify
wk 1 to 3
Define and own
wk 4 to 6
Establish controls and test
wk 7 to 10
Operate and review
evidence pack
12345678910111213
DeliverableInventory, tiers, one tier 1 or 2 use case with a willing owner
DeliverableIntended use statement, RACI, data sources, acceptance criteria
DeliverableConfigured pipeline, test execution against independent data, evidence
DeliverableLive use, audit trail, evidence pack presented as an inspection readiness exercise
What the pilot leaves behind

Not only a working use case. A repeatable method, a trained team, a validated control layer and an evidence pack that can be shown to an auditor or inspector. The second use case takes a fraction of the time.

Phrases that keep the conversation grounded
  • Regulatory uncertainty should not mean organisational inactivity
  • Annex 22 is fundamentally about whether AI can be trusted for its intended use
  • The question is not whether generative AI is useful but whether the intended use and the consequence of failure are compatible with the controls around it
  • AI can assist the decision; it does not transfer accountability for the decision
  • Start with the process, not the platform
  • Do not ask whether you could demonstrate the AI; ask whether you could defend why you trusted it
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AiVACOTechnical annex
Technical annex

Deploying retrieval augmented generation in a regulated enterprise

Written for the IT, platform, security and data engineering teams who will build or buy it, and for the Quality and validation colleagues who will have to defend it. Industry neutral in its engineering; pharmaceutical GMP as the case study.

Why RAG

Almost every tier 1 and tier 2 use case in this paper, from knowledge retrieval to investigation preparation to first draft documentation, is delivered through this one architecture. A RAG system that satisfies a GMP inspector will satisfy any other regulator's expectations of the same pattern.

A.1 · What RAG changes, and what it does not

A model on its own answers from what it absorbed in training

That knowledge has a cutoff, contains none of the organisation's controlled documents, and is produced by a probabilistic process that will sometimes generate fluent, confident, wrong text. None of that is acceptable where the answer informs a regulated activity.

RAG changes the model's job from remembering to reading

Before the model generates anything, the system retrieves the relevant passages from a governed store of approved documents, places them in front of the model with their identifiers, and constrains it to answer only from those passages and to cite them. The decision about what to do with the answer stays with a person.

RAG does not make the model deterministic, or the system compliant

Retrieval can return the wrong passages, a superseded version, or passages the user should not see. The model can still paraphrase loosely or ignore an instruction. The engineering in this annex closes those gaps with testable controls; the assurance layer verifies the result deterministically before it is used.

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AiVACOTechnical annex
A.2

Reference architecture

Separate the three things that must never be confused: the organisation's knowledge, the organisation's controls, and the model. Each layer has its own owner, test evidence and change control, so any one can be replaced without invalidating the others.

EXHIBIT A1Seven layers, each validated and replaceable on its own; the compliance logic lives in layer 5
1

Governed sources

Systems of record with lifecycle states and owners

↓
2

Ingestion pipeline

Connectors, parsing, structure aware chunking, pinned embeddings, event driven sync

↓
3

Knowledge store

Hybrid index, document level access control, partitions, versioned snapshots

↓
4

Retrieval service

Query rewriting, hybrid search, reranking, permission filtering, context budget

↓
5

Orchestration and guardrails: AiVACO Assurance Layer

Prompt as controlled document, screening, cite or refuse, deterministic validate, tier, record, release

↓
6

Model gateway

Enterprise endpoint or self hosted model: pinned version, zero retention, residency, swappable

↓
7

Experience and oversight

Embedded in existing tools, citations shown, review queue, e-signed acceptance by tier

CROSS CUTTING EVERY LAYER  identity and access · immutable audit trail · observability · change control
LayerTypical ownerWhat breaks if it is wrong
1 Governed sourcesDocument and process owners; QualityAnswers grounded in drafts, superseded versions or unapproved content
2 IngestionData engineeringIndex drifts from the controlled state; metadata lost so citations cannot be verified
3 Knowledge storePlatform engineering; information securityUsers retrieve content they are not authorised to read; cross client leakage
4 RetrievalData and AI engineeringRelevant passages missed, so the model refuses or answers from partial evidence
5 OrchestrationAI engineering with Quality; the Assurance LayerUngrounded or unsafe outputs reach users; no evidence trail
6 Model gatewayPlatform engineering; supplier managementSilent vendor updates change behaviour; data leaves the boundary
7 ExperienceProduct and application teamsReviewers accept outputs by default; feedback and incidents not captured

The cross cutting services are not optional extras. Identity decides what a user may retrieve. The audit trail is the evidence an inspector reads. Observability is how drift is noticed. Change control keeps a validated system validated after the first release.

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AiVACOTechnical annex
A.3

Deployment steps: from intended use to production

The engineering expansion of phases 3 to 6. Steps 1 and 2 are governance decisions that shape everything downstream; teams that start at step 3 build pipelines over data they have not yet agreed they may use.

EXHIBIT A2Twelve steps in three groups: govern, build, then prove and run
GOVERNsteps 1 to 2
STEP 1

Intended use, tier and refusal policy

Who may ask, what is in scope, which decisions answers may inform, what must be refused. One page, before any code.

Annex 22 intended useFDA context of use
STEP 2

Corpus governance and metadata schema

Eligible documents, authoritative systems, metadata every chunk carries. Only approved, effective versions enter.

Chapter 4
BUILDsteps 3 to 7
STEP 3

Ingestion pipeline

Event driven sync, structure aware chunking, pinned embeddings, dead letter queue, pipeline as code.

Annex 11 data integrity
STEP 4

Knowledge store

Hybrid index; permission filter before ranking; hard partitions; versioned snapshots.

Annex 11 access
STEP 5

Retrieval service

Glossary based rewriting, hybrid search and reranking, context budget, freshness surfaced, diagnostics.

ALCOA+
STEP 6

Orchestration and guardrails

Prompt as controlled document; screening; cite or refuse; deterministic validation; tier; record before release.

Annex 22 operation
STEP 7

Model gateway

Version pinned, zero retention, residency, no auto upgrade; fallback is a refusal.

Annex 11 suppliers
PROVE AND RUNsteps 8 to 12
STEP 8

Identity, access and audit trail

SSO, permissions re-evaluated per query, the interaction record, append only hash chained store.

Annex 11 audit trails
STEP 9

Evaluation harness

Independent golden set, retrieval and generation metrics, thresholds set first, adversarial set, regression.

Annex 22 test data
STEP 10

Security engineering

Threat model the RAG surface: injection via corpus, permission leakage, poisoning, vendor exfiltration.

AI Act risk mgmt
STEP 11

Observability and operations

Quality indicators, drift alerts, incident route into CAPA, change control, periodic review.

Annex 11 periodic review
STEP 12

Validation deliverables and the evidence pack

Everything the preceding steps produced, organised under the Annex 22 headings so evidence is re-indexed, not recreated, when guidance changes.

Annex 22 structureFDA credibilityAI Act documentation
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A.3 · STEPS 2 AND 6

The two controls that decide what the model can see and what it can say

EXHIBIT A3Eight metadata fields turn a document into something the system can cite, filter and prove

SOP-0114 Dissolution testing

chunk 0114-06-03 · parser v2.4 · embed v1.1
Effective
Identifier and titleSOP-0114 · Dissolution testingStable reference for citation · from the DMS
Version and statev4.0 · effectiveDraft, approved, effective, superseded, withdrawn. Supersession enforced, not assumed
Effective and review01 Mar 2026 · review 01 Mar 2027Freshness rules and periodic review
Owner and approverQC Manager · Head of QualityAccountability and escalation route
ClassificationInternal · group QC-Site-APermission filtering at index and query time
Scope tagsSite A · Product X · Analytical · EURetrieval filters and multi tenant walls
Section path§6.3 Stage 2 criteria · p.4Citation precision; structure aware chunking
Content hash9f3a…c21eChange detection, integrity check, audit linkage

Metadata is authored once in the system of record and propagated. A corpus that depends on engineers hand tagging documents will not survive its first periodic review.

EXHIBIT A4Seven gates between the question and the answer, with refusal as an explicit exit
1
Input screening

Out of scope classes, sensitive data, injection patterns

→
2
Retrieval

Permission filtered, within context budget

→
3
Cite or refuse

Answer only from passages; structured output

→
4
Validate

Deterministic rules, identical every time

→
5
Tier

A1 to D4 sets the route

→
6
Record

Full record before anything is shown

→
7
Release

Or route to e-signed review

Refusal exit from gates 1, 3 or 4A success state, not an error. Logged as fully as an answer.
The prompt is a controlled document

The system prompt and templates are versioned, approved and change controlled like an SOP, because they define the model's permitted behaviour. The prompt version is recorded with every logged interaction.

Deterministic validation checks

Each cited passage exists in the retrieved set · each cited version is the effective version · claims outside the cited passages are flagged · prohibited content classes are detected · required qualifiers are present.

Document content is data, never instructions

Retrieved content is wrapped and labelled as data, and the prompt structure makes that distinction explicit. This is the primary defence against prompt injection via the corpus.

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A.3 · STEPS 7 AND 8

Model gateway, identity and the audit trail

Step 7 makes the model a swappable commodity behind one interface. Step 8 produces the evidence an inspector or auditor reads, and it is the one most often under built.

Step 7 · Model gateway
  • Deployment pattern. Enterprise cloud endpoint with zero retention and residency; private deployment in your tenancy; or self hosted open weight model for full sovereignty
  • Version pinning. A vendor model update is a change to a validated system: assess, run the harness, document, release. Never an automatic upgrade path
  • Contractual controls. No training on your data, zero retention, named residency, sub processor disclosure, deprecation notice
  • Fallback. A refusal, never a different, unvalidated model
Step 8 · The interaction record

For every query, at minimum: user identity · timestamp · original and rewritten query · filters applied · retrieved chunk identifiers with document, version and content hash · prompt version · model identifier and version · sampling parameters · full output · validation results · tier · routing decision · reviewer identity and outcome · refusal reason.

Written to an append only, hash chained store. The property an auditor tests is that a record cannot be changed after the fact without evidence. Retained for the regulated period, and provably reconstructable, including the index snapshot it relied on.

Separation of duties

The people who can change the prompt, the rules or the index are not the people who approve those changes, and neither can alter the audit trail.

Platform operations

The gateway makes the model a swappable component; the audit trail makes every use of it reconstructable. Together they are what let the evidence chain survive a model change.

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AiVACOTechnical annex
A.3 · STEP 9

Evaluation harness and acceptance criteria

How the organisation demonstrates, with evidence, that the system meets its acceptance criteria for its intended use, and how it detects regression after any change.

EXHIBIT A5Measure retrieval and generation separately; set the thresholds before the test

Retrieval

Recall of correct passages at cut off
Precision of correct passages
Superseded or out of scope passage rate

Generation

Groundedness: every claim supported
Citation accuracy
Refusal correctness
Answer completeness
Any change to model, prompt, chunking, embedding, reranker, rules or index → rerun against baseline

Illustrative values. Red markers are thresholds approved by Quality before testing; a system tuned until it passes a threshold set afterwards has not been tested.

Golden set

SMEs write representative questions with reference answers and supporting passages: in scope classes, refusal classes, edge and hard cases. Held independent of anything used to tune. A few hundred items per use case.

Adversarial testing

Injection embedded in corpus documents, questions designed to elicit out of scope answers, permission probing across tenants, questions whose answer changed between versions.

Thresholds

Set pass thresholds per metric before testing, approved by Quality, and record the rationale.

Regression on change

Rerun the harness on every change to model, prompt, chunking, embedding, reranker, rules or index. This is the technical meaning of keeping the system in a validated state.

Human review calibration

Sample live outputs for expert review on a schedule and compare expert judgements with automated metrics, so the metrics remain trustworthy proxies.

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AiVACOTechnical annex
A.3 · STEPS 10 TO 12

Security, operations and the evidence pack

EXHIBIT A6Eight RAG specific threats; prompt injection via the corpus is the one ordinary security reviews miss
ThreatHow it manifests in RAGControl
Prompt injection via the corpusA document, attachment, ticket or email contains text instructing the model to ignore its rules or exfiltrate data, and is retrieved into contextCorpus admissionContent wrapped as dataScreened at ingestion and outputNo tool capability
Prompt injection via the userA user attempts to override the system prompt or extract itInput screeningPrompt not exposedAlert on repeat
Permission leakageRestricted content reaches a user through retrieval, relevance scores or paraphraseFilter before rankPartitionsPermission probing in tests
Corpus poisoningUnapproved or altered content enters the index and grounds answersApproved states onlyHash verificationPeriodic reconciliation
Exfiltration to the model vendorPrompts, passages or outputs are retained or used for trainingZero retention contractPrivate or self hostedEgress monitoring
Over permissioned connectorsPipeline service accounts can read more than the corpus scopeLeast privilegeScoped credentialsAccess reviews
Supply chainVulnerable or malicious libraries in the orchestration or pipeline stackDependency pinningSBOMSigned builds
Denial of service and cost abuseAutomated or runaway queryingRate limits per identityCost ceilingsAnomaly alerting

Commission penetration testing that includes these threats, not only the web application surface, and repeat it on major change.

Step 11 · A validated system stays validated only if someone is watching it
  • Quality indicators. Refusal rate and trend, low retrieval score share, citation validation failures, reviewer rejection rate. A rising refusal rate often signals corpus drift or a broken connector before anyone reports it
  • Drift detection. Retrieval score distributions and validation failure rates against the step 9 baseline
  • Incident management. A route into the incident and CAPA process, with triage that distinguishes retrieval, generation, rules and corpus failures, because the fixes differ
  • Change control and periodic review. Every change assessed, regression tested, approved and released with evidence; review at a frequency proportionate to the tier
Step 12 · Evidence itemContentFrom
Intended use and riskStatement, tier, refusal policy, risk assessment with controlsStep 1
RequirementsTraceable to intended use; acceptance criteria and thresholds1, 9
Design and configurationArchitecture, schema, prompt set, rule set, tier mapping, pinned versions2 to 7
Supplier assessmentVendor assessments, contracts, attestations7
SecurityThreat model, penetration tests, access model8, 10
Test evidenceGolden set, executed protocols, results, adversarial report, baselines9
Operational proceduresMonitoring, incident, change, review, reconstruction8, 11
Audit trailThe live interaction record and its integrity evidence8
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AiVACOTechnical annex
A.4

Pharmaceutical case study: the same steps under GMP

How each step is instantiated in a manufacturer deploying RAG over its quality documentation, and which expectation drives it. Substitute the sector's own system of record, integrity rules and accountable role and the controls are the same.

EXHIBIT A7Every engineering step has a named regulatory reason
1Retrieval and investigation prep for QA; excludes disposition, deviation classification, specification decisions; tier 1 to 2
→
Draft Annex 22 intended use and scope; non critical generative AI with human in the loop
2Effective SOPs, specifications, approved deviations and CAPAs only; lifecycle state is the eQMS workflow state
→
Revised Chapter 4 documentation and data governance
3Event driven from eQMS release and obsolescence; parser version recorded; tables as structured blocks
→
Revised Annex 11 data integrity; ALCOA+ original and accurate
4Partitioned per site and client; ACLs inherited from the EDMS; snapshots aligned to validation releases
→
Revised Annex 11 identity and access; quality agreements with clients
5Controlled glossary; effective date surfaced; superseded partition only for change history use cases
→
ALCOA+ consistent and enduring
6Prompt under document control; rules check cited versions are effective; quality touching outputs tiered for review; Assurance Layer validates, tiers, records, releases
→
Draft Annex 22 explainability, confidence, operation; Annex 11 e-signatures
7Zero retention endpoint with EU or UK residency, or self hosted; vendor under supplier management; version pinned
→
Revised Annex 11 supplier and service management
8Interaction record linked to EDMS identifiers; append only, hash chained; retained per GMP record retention
→
Revised Annex 11 audit trails; ALCOA+ attributable and contemporaneous
9Golden set by QA and SMEs, independent of tuning; thresholds approved by Quality; executed under protocol
→
Draft Annex 22 acceptance criteria, test data, independence, execution
10Threat model includes client confidentiality walls; penetration test covers permission probing across clients
→
Quality agreements; information security practice
11Incidents route to the deviation and CAPA system; periodic review under the quality management review cycle
→
Revised Annex 11 lifecycle, periodic review; ICH Q10
12Organised under Annex 22 headings; sits within the CSV documentation set
→
Draft Annex 22 structure; GAMP 5 second edition

The same system becomes tier 3 or 4 the moment its output classifies a deviation or informs disposition without a qualified person's explicit decision. The build does not change; the intended use, tier, routing and evidence burden do.

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AiVACOTechnical annex
A.5

Transferring the pattern to other regulated sectors

Every regulated sector has an equivalent of the three things GMP makes explicit. Map those three and the twelve steps transfer directly.

EXHIBIT A8Three transferable elements, five sectors, one build
Medical devices
Financial services
Aerospace and defence
Energy and industrial
Legal and professional
System of record and lifecycle
Design history file and QMS under ISO 13485; software lifecycle under IEC 62304
Policy libraries; model inventory under model risk management
Configuration managed technical data; export controlled information
Asset and engineering records; safety case documentation
Matter files and precedent libraries
Records and integrity regime
Technical documentation and post market surveillance
Record keeping and audit; operational resilience (DORA)
Configuration control, classification marking, export records
Functional safety records; operational and maintenance logs
Client confidentiality; professional conduct rules
Accountable role not displaced
Person responsible for regulatory compliance; design authority
Senior managers under accountability regimes; model risk owners
Design authority; accountable manager; export control officer
Safety case owner; authorised person
Supervising professional
Sector emphasis in the build
Never ground a design decision without design authority sign off; traceability to risk controls
Treat the RAG system itself as a model in the inventory; vendor concentration risk; conduct rules on outputs
Partitioning by classification and jurisdiction is a hard wall; sovereign deployment often mandatory
Must not ground permit to work or safety critical decisions; freshness tied to plant modification records
Client walls enforced at the index; refusal on advice outside the matter scope

In every case the consequence model applies unchanged: the build is the same for a tier 1 knowledge assistant and a tier 3 decision support tool; the intended use, the tier, the routing and the evidence burden differ.

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AiVACOTechnical annex
A.6

Build, buy or hybrid

A spectrum rather than a binary, and the regulatory burden does not move with the purchase order.

OptionWhat you getWhat stays with you regardlessFits when
Buy a packaged RAG platformFast time to pilot; vendor maintained ingestion, search and UIIntended use, corpus governance, acceptance criteria, evaluation, audit evidence, supplier managementLow consequence use cases; limited engineering capacity
Managed components, own orchestrationManaged model endpoint and search service; your own ingestion, guardrails, evaluation and auditEverything in the compliance layer, by designMost regulated organisations
Build or self hostFull control of every layer including the model; sovereigntyEverything, including inference operations and model lifecycleClassified, export controlled or sovereignty constrained data
Assurance layer plus any of the aboveA deterministic, validated control layer independent of retrieval and model choicesIntended use and corpus governance; the layer carries validation, tiering, record and releaseOne validated control pattern across many use cases and vendors
The common mistake

Assuming a bought platform's compliance features discharge the organisation's obligations. They do not. An inspector will ask the organisation, not the vendor.

What is always yours

The intended use, the corpus, the acceptance criteria and the evidence are the organisation's whatever the sourcing model. The managed components option keeps the evidence chain under your control while avoiding infrastructure operation, which is why it fits most regulated organisations.

Platform engineering team
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AiVACOTechnical annex
A.7 AND A.8

Failure modes to design against, and what a first deployment looks like

EXHIBIT A9Eight failures that recur in regulated RAG, each preventable by a control from the twelve steps

Stale knowledge

Answer grounded in a superseded document; the index lagged the system of record

Prevented byEvent driven ingestion; supersession enforced; effective date surfaced

Silent scope creep

A system approved for retrieval is used for decision support within weeks

Prevented byRefusal policy as concrete classes; refusal tested; routing by tier

Permission leakage

Restricted content surfaces through retrieval, scores or paraphrase

Prevented byFilter before rank; partitions; permission probing in tests

Embedding or parser change

A library upgrade changes vectors or chunk boundaries; citations stop resolving

Prevented byVersion pinning; reindex procedure; regression on change

Context stuffing

Too many passages reach the model; it synthesises across sources and mis attributes

Prevented byContext budget; parent expansion on need; citation accuracy metric

Reviewer rubber stamping

Outputs accepted by default because review is frictionless and unmeasured

Prevented byExplicit attributable acceptance; rejection rate monitored; expert calibration

Model update without assessment

A vendor update changes behaviour; metrics drift without anyone noticing

Prevented byPinned version; change control; regression; drift alerts

Evidence after the fact

Validation documentation written to fit a system already in production

Prevented byEvidence pack built step by step; thresholds approved before testing
EXHIBIT A10Four workstreams across fourteen weeks, aligned to the 90 day assurance pilot
Intended use and corpus governance
wk 1 to 3
Pipeline, store and retrieval
wk 4 to 7
Orchestration, gateway, audit, harness
wk 7 to 10
Adversarial test, security, training, supervised operation
reviewed pilot
1234567891011121314

Eight to fourteen weeks for a single tier 1 or 2 use case over an existing document estate. Corpus cleanup, where the estate is not under lifecycle control, is the most common cause of extension.

Eight responsibilities, not necessarily eight people, each named
Accountable business ownerIntended use, tier, go live, residual risk
Quality or complianceAcceptance criteria, thresholds, golden set, corpus scope
Document and process ownersCorpus membership; evaluation scoring
Data and AI engineeringIngestion, retrieval, orchestration, harness
Platform and infrastructureHosting, store, gateway, identity, backup
Information securityThreat model, residency, pen testing, vendor review
Regulatory affairs or legalRegulatory watch, AI Act, contracts, evidence mapping
TrainingRole based training; competence records
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SECTION 11

Core reading list

The primary sources that underpin this paper. Work from the official documents rather than secondary commentary, and check the status of the draft EU GMP texts, which may have progressed since October 2026.

EU GMP European Commission
EudraLex Volume 4, EU Guidelines for Good Manufacturing PracticeIn force
Draft Annex 22: Artificial IntelligenceDraft · closed 7 Oct 2025
Proposed revised Annex 11: Computerised SystemsDraft · closed 7 Oct 2025
Proposed revised Chapter 4: DocumentationDraft · closed 7 Oct 2025
AI Act European Commission, AI Office
Regulation (EU) 2024/1689, the Artificial Intelligence ActIn force · staged
Commission guidance on general purpose AI obligationsPublished
Commission guidance on Article 50 transparencyPublished
EMA European Medicines Agency
Reflection paper on the use of artificial intelligence in the medicinal product lifecycleAdopted
AI/ML Horizon Scanning Report 2025Published
FDA US Food and Drug Administration
Considerations for the Use of AI to Support Regulatory Decision Making for Drug and Biological ProductsDraft · Jan 2025
Announcement of Elsa agency wide launchJun 2025
Announcement of Elsa 4.0 and HALOMay 2026
Joint EMA and FDA
Ten guiding principles of good AI practice in drug development14 Jan 2026
Risk and lifecycle ICH · ISPE
ICH Q9(R1) Quality Risk ManagementIn force
GAMP 5 Second EditionCurrent guidance

Official URLs to be added at publication from the publisher sites listed.

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AiVACOBuilding an AI Strategy You Can Defend
Start a conversation

If your organisation is developing an AI strategy, planning a first pilot, or needs to bring existing AI use under governance before an inspection, AiVACO can help in four ways.

01

AI readiness assessment

A structured discovery and classification exercise producing a consequence tiered inventory and a gap analysis against the checklist in this paper.

Next step: a scoping call to agree the business unit or site in scope
02

Assurance pilot

A 90 day programme that validates the Assurance Layer for one use case and leaves your team with a repeatable method and an evidence pack.

Next step: select one tier 1 or tier 2 use case with a willing process owner
03

RAG deployment support

Architecture, build or vendor selection support for a governed retrieval system following the twelve steps in the technical annex, with the Assurance Layer at the guardrail tier.

Next step: a review of your document estate and target use cases
04

Capability building

Role based training for Quality, IT and process owners on intended use, model types, testing expectations and inspection readiness.

Next step: agree the roles and a first cohort
About AiVACO

AiVACO is a sovereign AI assurance platform for regulated industries. It provides a deterministic assurance layer that grounds, validates, risk tiers, records and releases AI outputs so that organisations in pharmaceutical, life sciences and other regulated sectors can adopt generative and machine learning AI with evidence they can defend. Its regulatory rule sets are authored by practising pharmaceutical quality specialists, and its architecture is designed around draft EU GMP Annex 22, revised Annex 11, the EU AI Act and the FDA credibility framework. AiVACO's compliance language describes its engagement with the regulatory frameworks; it does not claim regulatory endorsement.

How to read AiVACO's compliance language

Throughout this paper, phrases such as "aligned to", "engages with" and "designed around" describe how the platform relates to a regulatory framework. They are deliberate. No regulator or industry body endorses AiVACO or any other AI assurance platform, and responsibility for approving an AI use remains with the deploying organisation's Quality, regulatory and compliance functions. What AiVACO provides is the mechanism by which that approval is enforced and evidenced.

Contact

Contact AiVACO to arrange an initial scoping discussion on your AI strategy or pilot. AI-Validated & Compliant.

This paper reflects the regulatory position as understood in October 2026. Draft guidance may change on finalisation, and nothing in this paper constitutes legal or regulatory advice. Organisations should verify current requirements with the relevant authorities and their own regulatory advisers. © 2026 AiVACO Ltd.
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