HOW TO WORK TOWARDS PHARMA COMPLIANCE FOR CLOUD COMPUTING WHAT DO FDA AND SIMILAR REGULATIONS MEAN FOR YOUR (CLOUD) IT DELIVERY ORGANISATION?



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IN OUR SERIES: FROM THE TRENCHES: http://www.users.zetnet.co.uk/dms/past/ww1/trenches/ww1b-091b1.jpg HOW TO WORK TOWARDS PHARMA COMPLIANCE FOR CLOUD COMPUTING WHAT DO FDA AND SIMILAR REGULATIONS MEAN FOR YOUR (CLOUD) IT DELIVERY ORGANISATION? 1

THIS IS A PERSONAL ENDEAVOUR SO PERSONAL INSIGHTS SO WHAT I DO FOR WORK ENABLES ME TO SHARE THIS HAD TO DO QUALIFICATION OF CLOUD COMPONENTS, SEARCHED AROUND, FOR RE-USE, NOTHING REALLY, SO CAME UP WITH SOMETHING MYSELF, AND THAT S WHAT I WOULD LIKE TO SHARE!! 2

ABOUT ME Technically educated as construction engineer and -designer. 1997 turned into IT. Yeah DTS CTS, Atalk, IPX/SPX ODI, DLSW+, TR etc Last 11 years as consultant / architect I took care of mostly bespoke and complex IT transformations for global pharma and manufacturing customers starting to be exposed quality and compliance since 2006. Ran a Middle-East Telco GRC project in 2012 I currently work as Security Controls Assurance manager (?) for the Compliance department of a global Telco. 3

-FROM THE TRENCHES- I have been working full time, in Pharma compliance for a few years now so by all means NOT a Compliance Industry expert! However since I have described, designed, planned, implemented and tested quality for the conformance towards applicable regulations and company policies, from the standpoint of a technical guy that s exactly what I would like to share. Combining these enhancements with a Telco security control mapping framework and Pharma tooling test automation ideas while we are at it. Most of the principles are guidance for you, miles need to made. http://www.users.zetnet.co.uk/dms/past/ww1/trenches/ww1b-091b1.jpg 4

WHAT IS THIS PRES ABOUT 1 The translation of Pharmaceutical regulations (what regulations?) that could be projected to any (cloud-) related IT service into a quality management strategy and hands-on IT controls that could work for each one of us. How to bring compliance into the lifecycle of requirements, design, install and configuration plans etc. Furthermore we ll discuss different types of controls in service creation or delivery, be them administrative, technical, procedural controls. Usable quality assurance controls for People, Process and Technology, projected onto services (components). All this from practical experience. These controls might be there already to reuse (but not auditable) or might need to be created. Focus on the lower IT people, processes, systems showing smart samples. 5

WHAT IS THIS PRES ABOUT 2 NOT a lecture about straight up (?) Computer Systems Validation CSV, which is about making sure that Pharma application and information processing system are FDA compliant. There is already a lot of research material on the topic of CSV principles. Cannot be exhaustive trying to assure the area of Cloud Orchestration as the world of Cloud automation is partially or greatly proprietary, and moving very fast. 6 (CLOUD COMPUTING DOES NOT EXIST, ITS ELASTIC COMPUTING I KNOW)

WHAT IS THIS PRES ABOUT MARTIJN GET GOING!!!!- assuring quality leading to compliance And yes you need documentation we have built it yes we used our config guide ofcourse I have tested it 7

HIGH-LEVEL AGENDA Problem statement Computer Systems Validation for Cloud Computing Quality Management Systems and (Modern) networking Qualification Application of Telco standards Lets qualify some cloud components Future work and such 8

>>> THE FLOW OF THE PRESENTATION >>> Opening/ Disclaimer What is this presentation about Agenda Problem Statement Computer System Validation Concepts Some words about regulations Possible Strategy Possible Solution Pharma Quality Management system Now the application of aforemetioned First a little Qualification Application of IT and Telco standards to qualification Closure Future work Life Cycle of a qualified component Qualify a few Cloud things 9

PROBLEM STATEMENT What regulations, policies Who is the regulated entity What does FDA compliance in IT mean to whom Vendors How to comply Scope Cloud computing 10

PROBLEM STATEMENT, NOW HANDS-ON How much quality is enough compliance? Need to assure fit for purpose, auditability, traceability What type of and how many controls to choose From what planes, layers, dimensions How to measure quality for compliance Now make it Cloud Computing? 11

SOLUTION IDEAS Types of Business processes and operating countries dictate applicable regulation Your company or your customer is the regulated entity, who develops and manufactures drugs All Personnel, all Processes and (supporting) systems servicing the Pharma business processes are in scope Need to fully understand the organisation supporting the service, personnel and their processes in use 3 rd Party vendor assurance Need to understand what components are in Pharma IT, physical and virtual Taking into account possible vectors and threats Re-use Existing installation and operational procedures 12

STRATEGY IDEAS Scan the organisation for support personnel and their processes 3 rd Party vendor assurance via assessment (at least) Scan the live system and documentation for Pharma IT systems and components, physical and virtual Assure the different components from installation and operational perspective Need a (security) framework to (re) identify tests for critical controls 13

REGULATIONS 14

REGULATORY COMPLIANCE In Pharma, the primary regulations regard drug manufacturing, clinical research & development and impacts in the laboratory FDA (the US Food and Drug Administration) GxP Good Clinical / Laboratory / Manufacturing Practices 21 CFR Part 11 electronic records and signatures 15

COMPUTER SYSTEM VALIDATION CONCEPTS 16

SOME CONCEPTS BEFORE WE GO FURTHER CSV QMS(M) Records Qualified people, process, systems (actual and supporting tools) 17

WHAT IS CSV COMPUTER SYSTEMS VALIDATION Validation V Tell the whole story How do we do that in practice? http://www.spkaa.com/wp-content/uploads/2011/04/csv-process.jpg 18

QUALITY MANAGEMENT SYSTEM 1/2 Just a few QMS basics QM Procedures Qualification Plan, Standard operating Procedure Work Instruction DQ/IQ/OQ/PQ How do we do that in practice? http://mnasq.org/benchmarq/2012/may/pyr_img001.jpg 19

QUALITY MANAGEMENT SYSTEM 2/2 Qualification plan (QP) - describes qualification activities, quality requirements and documented evidences needed to qualify a Pharma System. A Pharma System may include its underlying software application, software elements and hardware components. Standard Operating Procedure (SOP) defines the activities required to qualify devices (components) that service Pharma services. Installation Qualification (IQ) checks whether the System is installed and configured as per its design specifications Operational Qualification (OQ) demonstrates that the System operates as per its functional specifications Performance Qualification (PQ) demonstrates (where possible) that the System performs according to a specification appropriate for its routine use 20

A PHARMA QUALITY MANAGEMENT SYSTEM Pillars Qualified Persons Explanation Work effort must be performed by qualified resources to ensure compliance If it wasn t documented, it wasn t done (e.g. training, installation, etc.) Consistent and Replicable Processes Provides leverage and scale across delivery teams Documented standards and processes define the baseline for compliance Standardized Systems Provides leverage and scale across delivery teams Enables repeatability in system functionality, controls and document retention Validated systems are key element for compliance Streamlines assurance activities 21

A PHARMA QUALITY MANAGEMENT SYSTEM Pillars Qualified Persons Consistent and Replicable Processes Standardized Systems What components Training records and management tools On-boarding and off-boarding records Access control lists, reviews and reporting Qualified Persons Subject Matter Experts in regulatory regimes Controlled and standard document management Standard device qualification methodology Quality Management Manual (QMM) Control Self Assessments and frameworks Monitoring and metrics reporting Validated systems Organization-wide system stacks Service design standards Operating model Quality Gates 22

NOW THE APPLICATION 23

QUALIFICATION OF DATA CENTER AND CLOUD COMPONENTS Data Center and Cloud components Networks systems applications How do we do that in practice? Where would you be able to automate testing? 24

QUALIFICATION OF DATA CENTER AND CLOUD COMPONENTS I ll keep this one condensed! Check Data center physical, security, DR certifications Security controls pipe into Pass/Fail criteria on the device Installation Qualification test steps! You can do separate DC Qualification Say assessment, not audit. 25

BASELINE: QUALIFICATION OF COMPONENTS Scope GxP Applications/services CMDB + Asset Classification Identification of (Physical/Virtual) Component(s) What is the intended usage Operational Qualification Installation Qualification Original test records? Retrospective testing? Physical/Virtual assessment Deviation Qualified state Run in-life, change control system/process system Archive record 26

TRENCHY: FULL PICTURE QUALIFICATION GOVERNANCE EXAMPLE Core business processes User requirements/ Demand Statement of Applicability External Regulations/ Internal Policies Qualification Documentation Work Instructions Qualification Plans / Standard Operating Procedures Quality Management Manual Controlled documents Flow down of requirements to controlled docs 27

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER 28

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER (this sequence goes into a SOP-you write) Blank qualification plan Select component CATEGORY to qualify (write the QP for that) Look up the Asset classification (duh) These steps land in a Work Instruction detailing what needs to be done Service assurance controls: usage of FCAPS Security controls: application of ITU-X 805 Look at your policies and find the control strength for the asset class The tests need to be documented, write your IQ OQ 29

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER FCAPS is an ITU standard model for enterprise management. The five FCAPS domains are: Fault Management Configuration Management Accounting Management Performance Management Security Management 30

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER FCAPS Fault Management Design and configure Tooling for Faults Capacity Management Design and configure Tooling for Capacity Accounting management Design and configure Tooling for Accounting and access Performance Management Design and configure Tooling for Performance Security Management Design and configure Tooling for Security and Management access 31

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER ITU-T X.805 SERIES X: DATA NETWORKS AND OPEN SYSTEM COMMUNICATIONS Security architecture for systems providing end-to-end communications Security dimensions Security planes Security threats 32

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER ITU-T X.805 Security dimensions Access control Authentication Non-repudiation Data confidentiality Communication security Data integrity Availability Privacy ITU-T X.805 Security planes User/data plane Management plane Control plane ITU-T X.805 Security layers Infrastructure Security Layer Services Security Layer Applications Security Layer 33

THE APPLICATION OF IT AND TELCO TECHNICAL STANDARDS TO MAKE QUALIFICATION EASIER Applying FCAPS to OQ testing, use the methodology to include teststeps for Define faults, watermarks exception handling Fault Management NMS polls/listens for device faults, mutual configuration Capacity Management Include teststeps checking NMS monitors and generates capacity alerts, mutual configuration Accounting management Access management, logging access, authorisation review Performance Management Include teststeps checking NMS monitors and generates capacity alerts, mutual configuration Security Management Management, Monitoring, etc etc Exception handling 34

TRENCHY: QUALIFICATION OF CLOUDPORTAL PRESENTED USER CLOUDMANAGEMENT AUTOMATED FUNCTIONS INTERSECTION BETWEEN ITU X-805 AND IQOQ User/data plane Management plane Control plane Security dimensions Access control Authentication Non-repudiation Data confidentiality Communication security Data integrity Availability Privacy Security threats destruction of resources modification of information; loss of information and/or resources; disclosure of information interruption of services CONFIDENTIALITY INTEGRITY AVALABILITY 35

TRENCHY: QUALIFICATION OF CLOUDSTACK??? WHAT S THAT? http://philippe.scoffoni.net/wp-content/uploads/2012/02/cloudstack-oss-product_archtiecture.png 36

TRENCHY: QUALIFICATION OF CLOUDSTACK??? WHAT S THAT? We ll do 2 parts in this talk The core functions - fiddle with VM and side features The Virtual layer servers, network, storage http://philippe.scoffoni.net/wp-content/uploads/2012/02/cloudstack-oss-product_archtiecture.png 37

TRENCHY: QUALIFICATION THE CORE FUNCTIONS - FIDDLE WITH VM AND SIDE FEATURES http://philippe.scoffoni.net/wp-content/uploads/2012/02/cloudstack-oss-product_archtiecture.png 38

TRENCHY: QUALIFICATION OF CLOUDPORTAL PRESENTED USER CLOUDMANAGEMENT AUTOMATED FUNCTIONS OVERVIEW QUALIFICATION PLAN LEVEL Get the designs!!! Get the install documentation!! Qualified Component selected Write: Cloud Management System base functions Qualification plan Apply FCAPS/X-805 Execute Train Write: Operational Qualification Write: Installation qualification Write: Work instruction 39

TRENCHY: QUALIFICATION OF CLOUDPORTAL PRESENTED USER CLOUDMANAGEMENT AUTOMATED FUNCTIONS PART 1- GENERAL (WORK INSTRUCTION LEVEL) Work includes and functions IQ tested are Template documentation work Account manipulation VM manipulation Manipulate firewall Manipulate pri/sec storage Work includes and functions OQ tested are Cloudmanagement Qualification - Cloud Platform Test Plan (automated) Pipeline Pilot V9 protocol loaded on PCVM manipulation Start protocol Capture output and formally archive QP compares output 40

TRENCHY: QUALIFICATION OF CLOUDPORTAL PRESENTED USER CLOUDMANAGEMENT AUTOMATED FUNCTIONS PART 2 INSTALLATION QUALIFICATION (IQ) Template documentation work Qualified person retrieves new template, populate document fields Document Other/ALL test parameters: Account manipulation Within customer account, addition of test user account Login with test account VM manipulation Start VM Acquire External IP Address (VM manipulation) Delete VM Is the VM really deleted? Is storage really deleted? Manipulate firewall Creation of a firewall rule Creation of a port forwarding rule Manipulate pri/sec storage Primary storage Secondary storage etc 41 Retrieving image

TRENCHY: QUALIFICATION OF CLOUDPORTAL PRESENTED USER CLOUDMANAGEMENT AUTOMATED FUNCTIONS PART 3 OPERATIONAL QUALIFICATION (OQ) Procedure used Cloudmanagement Qualification - Cloud Platform Test Plan (automated) (need to be defined and created) OQ tests cover the operation of the instances of Citrix CloudPlatform targeted (AZ ) as installed in your Cloud environment. CloudPlatform will be tested through the API via Pipeline Pilot. Checking via PP output and manual verification in Vcenter for VM s +storage browser Pipeline Pilot V9 protocol loaded on PC Start protocol CloudPlatform Testing V1 VM launch: cstestaapi4 VM stop: csteststopstart VM start: csteststopstart VM destroy: cstestkaput Archive excel Output file written as part of the protocol (fill in what you have) 42

TRENCHY: QUALIFICATION OF THE VIRTUAL LAYER SERVERS, NETWORK, STORAGE http://philippe.scoffoni.net/wp-content/uploads/2012/02/cloudstack-oss-product_archtiecture.png 43

TRENCHY: QUALIFICATION OF THE VIRTUAL LAYER SERVERS, NETWORK, STORAGE OVERVIEW QUALIFICATION PLAN LEVEL Get the (service) designs!! Get the install documentation!! Qualified Component(s) selected (blade) Servers (hyper)os sfirmware, config (phy, virt) Network (hyper)os sfirmware, VLAN, VRF, firewall rules, config Write: Installation qualification Write: Work instruction Apply FCAPS/X-805 Write: Virtualisation layer functions Qualification plan (phy, virt) Storage OS, VLAN, Vfiler/LUN etc config Write: Operational Qualification Train Execute 44

TRENCHY: QUALIFICATION OF THE VIRTUAL LAYER SERVERS, NETWORK, STORAGE PART 1/2- (WORK INSTRUCTION LEVEL-IQ/OQ CONDENSED) Network infrastructure Hypervisor and supporting services Servers for additional services Management 45

Network infrastructure WAN Inter-platform connectivity Customer connectivity Management connectivity LAN Configuration of User, Management, storage networks Management Management and monitoring of the individual devices Hypervisor and supporting services Vspherex SQL database Separation between different domains networks Vspherex SQL database Separation between different domains networks Servers for additional services Servers for additional services VMA, HDA Post install work /tidy up Management Management and monitoring of the individual devices. Storage vfiler Separation between different domains storage vfilers Separation between different domains storage VIF s NFS NFS shares made available to the ESXi hosts Management NetApp Operations Manager Management of the individual devices Computing X jump server Windows patching server Linux utility server Management Cisco UCS Manager Martijn J www.troopers.de 2014 - www.ernw.de Management and monitoring of the individual device 46

TRENCHY: FULL PICTURE LIFECYCLE OF A QUALIFIED COMPONENT Possibly existing component or new install Retention or safe disposal Where did the old hard disk end up?? Ebay? To a model on www.ispe.org 47

FUTURE WORK Look deeper into assuring the quality, repeatability, functionality of: black box CloudStack functions not touched yet (why not apply FCAPS on deamon(s) and services!) eeeh yes document - document. Investigate Other cloud computing functions like assuring quality leading to compliance for object storage and end-user application library In the future 48

CLOSURE Recap I have shared how to utilise a framework to test quality for the conformance towards applicable regulations and company policies, from the standpoint of a technical guy, with some ideas to optimize, reuse, smarten and enhance testing (qualification) Combining with a Telco security control mapping framework and Pharma tooling test automation ideas should give you the tools to write your own (smart) qualification strategy. 49

CLOSURE Questions Ask me at martijnmichiel@hotmail.com 50

REFERENCES Troopers References, virtualisation, Cloud, Compliance or all together ;-) Just a quick list maybe I miss a colleague, do check archives @ troopers website Troopers 2008 - ERNW_ESX-In-Security Troopers 2009 - Troopers 2010 - TROOPERS10_Clobbering_the_Cloud_Marco_Slaviero Troopers 2011 - TR11_Gall_Lueken_Security_and_regulatory_requirements_for_cloud_offerings Troopers 2012 - TR12_Day01_Leithner_Cloud_Storage_Security_and_Privacy Troopers 2013 A LOT of presentations from talks and workshops, additional files, go grab them! 51

REFERENCES External References ISPE, the International Society for Pharmaceutical Engineering. http://www.ispe.org/home 21CFR11 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr /cfrsearch.cfm?cfrpart=11 http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr /CFRSearch.cfm?fr=1002.11 EU version http://ec.europa.eu/health/documents/eudralex/vol-4/ http://ec.europa.eu/health/files/eudralex/vol- 4/annex11_01-2011_en.pdf X.805 : Security architecture for systems providing end-toend communications http://www.itu.int/rec/t-rec-x.805-200310-i/en http://en.wikipedia.org/wiki/fcaps GAMP http://www.ispe.org/index.php/ci_id/2652/la_id/1.htm 52

BACKUP 53

A LITTLE HIPAA REF 1 HIPAA Security Rule The HIPAA Security Rule specifically focuses on the safeguarding of EPHI. In general, the requirements, standards, and implementation specifications of the Security Rule apply to entities working with EPHI. Ensure the confidentiality, integrity, and availability of EPHI that it creates, receives, maintains, or transmits; Protect against any reasonably anticipated threats and hazards to the security or integrity of EPHI; and Protect against reasonably anticipated uses or disclosures of such information that are not permitted by the Privacy Rule. 54

A LITTLE HIPAA REF 2 Security Rule Organization Security standards: General Rules Administrative Safeguards Physical Safeguards Technical Safeguards Organizational Requirements Policies and Procedures and Documentation Requirements However, regardless of whether a standard includes implementation specifications, covered entities must comply with each standard. A required implementation specification is similar to a standard, in that a covered entity must comply with it. For addressable implementation specifications, covered entities must perform an assessment to determine whether the implementation specification is a reasonable and appropriate safeguard for implementation in the covered entity s environment 55

IMPORTANT PHARMA REGULATIONS GxP regulations at 21 CFR Parts 58, 210 and 211 Computer system validation principles defined in 21 CFR Part 11 and the guidance to companies who manufacture or sell drugs in the US Easy to replicate by other oversight bodies Most everyone wants to sell their products in the world s largest market Therefore, they MUST apply these principles in their environments; however, how they do so varies greatly EU Directives Directives 2004/9/EC, 2004/10/EC - GLP Directives 2001/20/EC, 2005/28/EC - GCP EU Directive 95/46/EC Data Protection 56

SUPPLIER DOMAIN CUST DOMAIN TRENCHY: FULL PICTURE OUTSOURCING GOVERNANCE EXAMPLE Customer Core business Customer External Regulations Customer requirements/ Demand RFP Flow down of requirements to controls Quality Management Manual Internal Policies Statement of Applicability Contract Qualification Plans / Standard Operating Procedures Work Instructions Qualification Documentation Controlled documents 57