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REGULATORY ARCHITECTURE & GXP VALIDATION

Regulatory Compliance

This document outlines Zen Health's regulatory compliance architecture, GxP computer system validation, 21 CFR Part 11 e-signature standards, ICH M11 protocol specifications, and audit readiness framework.

Last Updated: August 2026

01

21 CFR Part 11 & EU Annex 11 Electronic Records & Signatures

All electronic records, reviewer adjudications, and e-signatures fully satisfy US FDA 21 CFR Part 11 and EU Annex 11 regulatory requirements. Every medical review decision binds the authenticated identity of a named physician with a precise UTC timestamp, clinical review rationale, and short-lived OTP re-authentication into a tamper-evident, append-only audit trail enforced by database triggers.

02

ICH M11 Harmonised Clinical Protocol Standards & USDM Compliance

Zen Protocol AI aligns with the international ICH M11 guideline for electronic structured clinical trial protocols. The platform structures protocols across 133 standardized sections, links to CDISC Unified Study Definitions Model (USDM) representations, and maintains cross-section dependency impact tracking to ensure zero contradictions during protocol amendments.

03

ICH E6(R3) Good Clinical Practice (GCP) & Risk-Based Quality Management

Zen Health incorporates Risk-Based Quality Management (RBQM) principles under updated ICH E6(R3) GCP guidelines. Protocol-defined signal criteria (AE/SAE thresholds, lab trends, dose-limiting toxicities) are evaluated continuously against normalized FHIR R4 and ICSR payloads to maintain verifiable, inspection-ready decision lineage.

04

E2B(R3) ICSR XML & Aggregate Periodic Safety Reporting

Adjudicated safety cases export seamlessly into standard ICH E2B(R3) XML, CIOMS I, and MedWatch 3500A formats for expedited regulatory submissions to FDA FAERS, EMA EudraVigilance, and MHRA. Furthermore, adjudicated decision streams feed directly into periodic aggregate reporting workflows.

05

GxP Computer System Validation (CSV) & GAMP 5 Methodology

Software release pipelines adhere strictly to GAMP 5 risk-based computer system validation methodology. Complete validation documentation packages—including User Requirements Specifications (URS), Functional Specifications (FS), Traceability Matrices, and automated Installation/Operational/Performance Qualification (IQ/OQ/PQ) test execution packages—ensure continuous validation state across every production update.

06

Non-Authoritative AI Oversight & Deterministic Mathematical Invariants

Strict clinical governance invariants: AI outputs serve strictly as non-authoritative clinical decision support. AI never signs a safety case or files a protocol. Protected health information (PHI/PII) is automatically scrubbed and de-identified prior to analysis. In Zen Protocol AI, all enrollment timelines and feasibility metrics are calculated via statistical Monte Carlo modeling, eliminating generative numerical errors.

07

Contact Information & Regulatory Audit Packages

For questions regarding regulatory compliance standards, inspection readiness packages, ICH M11 mappings, or GxP validation documentation, please contact our regulatory affairs team.

Request IQ/OQ/PQ Validation Packages

Our regulatory team can provide complete software validation suites under NDA for your QA audit.