Good documentation practice: Difference between revisions

Content deleted Content added
See also: Site master file (pharmaceuticals); Best practice
GreenC bot (talk | contribs)
Rescued 9 archive links; reformat 1 link; Move 1 url. Wayback Medic 2.5 per WP:URLREQ#fda.gov
 
(46 intermediate revisions by 32 users not shown)
Line 1:
{{Short description|Document standards in pharmaceutical and medical device industry}}
{{Use dmy dates|date=April 2017}}
'''Good documentation practice''' (commonly abbreviated '''GDP''', recommended to abbreviate as '''GDocP''' to distinguish from "good [[gooddrug distribution|distribution]] practice]]" also abbreviated GDP) is a term in the [[pharmaceutical industry]]and medical device industries to describe standards by which [[document]]s are created and maintained. While some GDP / GDocP standards are [[Codification (law)|codified]] by various [[Competent authority|competent authorities]], others are not but are considered [[Good manufacturing practice|cGMP]] (with emphasis on the "c", or "current"). Some competent authorities release or adopt [[guidelines]], and they may include non-codified GDP / GDocP expectations. While not law, authorities will inspect against these guidelines and cGMP expectations in addition to the legal requirements and make comments or observations if departures are seen.
In the past years, the application of GDocP is also expanding to cosmetic industry, excipient and ingredient manufacturers.
 
== GDP / GDocP standards ==
=== Documentation creation ===
* Contemporaneous with the event they describe<ref name=EUGMP4 />{{Rp|___location=¶4.8}}<ref name="FDAGCP">[http://www.fda.gov/ICECI/EnforcementActions/BioresearchMonitoring/ucm135196.htm{{HHS UScontent|source={{Cite FDA.web "|date=April 1999 |title=Guidance for Industry - COMPUTERIZED SYSTEMS USED IN CLINICAL TRIALS" April|url=https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/fda-bioresearch-monitoring-information/guidance-industry-computerized-systems-used-clinical-trials 1999]|url-status=dead |archive-url=https://web.archive.org/web/20200924221420/https://www.fda.gov/inspections-compliance-enforcement-and-criminal-investigations/fda-bioresearch-monitoring-information/guidance-industry-computerized-systems-used-clinical-trials Accessed|archive-date=24 4September 2020 |access-date=15 October 2022 |website=U.S. Food and FebruaryDrug 2010Administration}}}}</ref><ref name=WHO4 /><ref name=ICH7 />
* Not handwritten (except for handwritten entries thereon)<ref name=EUGMP4 />{{Rp|___location=¶4.6}}
* When electronically produced, the documentation must be checked for accuracy<ref name=EUGMP4 />{{Page needed|date=October 2022|reason=Cannot find this in the document; needs additional reviewer to confirm.}}
* Free from errors<ref name=FDAGCP /><ref name=EC94>[http://ec.europa.eu/enterprise/sectors/pharmaceuticals/files/eudralex/vol-1/dir_2003_94/dir_2003_94_en.pdf European Commission Directive 2003/94/EC. (Article 9)]</ref>
* For some types of data, it is recommended that records are in a format that permits trend evaluation<ref name=EUGMP6>{{citecitation |chapterurlchapter-url=httphttps://ec.europa.eu/health/sites/default/files/files/eudralex/vol-4/pdfschapter4_01-en/2005_10_chapter_6_en2011_en.pdf |chapter-format=pdf <!-- |work=EudraLex --> |title=The rules governing medicinal products in the European Union |volume=Volume 4, EU Guidelines to Good Manufacturing Practice, Medicinal Products for Human and Veterinary Use. |chapter=Part I, Chapter 6 Quality Control, |date=Revised 1 June 2006 |page=3}}</ref>
 
=== Document approval ===
* Approved, signed, and dated by appropriate authorized personnel <ref name="EUGMP4">[http{{Cite report |chapter-url=https://health.ec.europa.eu/healthsystem/files/eudralex/vol2016-411/chapter4_01-2011_en2011_en_0.pdf EudraLex - |title=Volume 4,. Good Manufacturing Practice,: Medicinal Products for Human and Veterinary Use (|date=2010 |access-date=15 October 2022 |url-status=live |archive-url=https://web.archive.org/web/20220719030317/https://health.ec.europa.eu/system/files/2016-11/chapter4_01-2011_en_0.pdf |archive-date=19 July 2022 |chapter=Chapter 4:. Documentation |publisher=European Commission, RevisionHealth 1).]and Consumer Directorate-General |___location=Brussels }}</ref>{{Rp|___location=¶4.3}}<ref name=ICH7 /><ref name=FDAJ />
 
=== Handwritten entries ===
* Adequate space is provided for expected handwritten entries<ref name=EUGMP4 />{{Rp|___location=¶4.6}}<ref name=WHO4 />
* Handwritten entries are in [[indelible ink]]<ref name=EUGMP4 />{{Rp|___location=¶4.6}}<ref name=WHO4 /><ref name=ICH7 />
* Errors (i.e. misspelling, illegible entries, etc.) are corrected and reason is documented
* Critical entries must be independently checked (SPV, or second person verified)<ref name=EUGMP4 />{{Page needed|date=October 2022|reason=Cannot find this in the document; needs additional reviewer to confirm.}}<ref name=FDAJ />
* No spaces for handwritten entries are left blank - if unused, they are crossed out or "N/A" (or similar text) entered
* [[Ditto mark]]s or continuation lines are not acceptable<ref name=FDAnotes>[httphttps://www.fda.gov/downloads/Drugs/DevelopmentApprovalProcess/Manufacturing/UCM193421.pdf US FDA. "HUMAN DRUG CGMP NOTES" (Volume 8, Number 3) September, 2000]{{dead link|date=May 2025|bot=medic}}{{cbignore|bot=medic}}</ref>
* [[Correction fluid]] are not allowed to be used in correcting errors
* A stamp in lieu of a handwritten signature is not acceptable
 
=== Copies of documents ===
* Clear, legible<ref name=EUGMP4 />{{Page needed|date=October 2022|reason=Cannot find this in the document; needs additional reviewer to confirm.}}<ref name="WHO4">[http{{Cite tech report |url=https://whqlibdocapps.who.int/trsiris/bitstream/handle/10665/44079/WHO_TRS_961_eng.pdf |chapter-url=https://apps.who.int/iris/bitstream/handle/10665/44079/WHO_TRS_961_eng.pdf#page=106 |last=WHO. Expert TRSCommittee 961on "Good Manufacturing PracticesSpecifications for Pharmaceutical Products:Preparations Main|title=Forty-fifth Principles"Report |number=961 |institution=[[World Health Organization]] |date=2011 (|series=WHO Technical Report Series |chapter=Annex 3,. SectionWHO 15)]good manufacturing practices for pharmaceutical products: main principles |url-status=live |archive-url=https://web.archive.org/web/20220901051256/https://apps.who.int/iris/bitstream/handle/10665/44079/WHO_TRS_961_eng.pdf |archive-date=1 September 2022 }}</ref><ref name=MHLW169>[http://www.pmda.go.jp/english/service/pdf/ministerial/050909betsu3.pdf Japan MHLW. Ministerial Ordinance No. 169, 2004, "Ministerial Ordinance on Standards for Manufacturing Control and Quality Control for Medical Devices and In-Vitro Diagnostic Reagents" (Chapter 2, Section 2, Article 8, Paragraphs 2 and 4)] -{{Webarchive|url=https://web.archive.org/web/20110722105510/http://www.pmda.go.jp/english/service/pdf/ministerial/050909betsu3.pdf |date=22 July 2011 }} – Accessed 7 January 2011</ref>
* Errors are not introduced<ref name=EUGMP4 />{{Rp|___location=¶4.2}}<ref name=WHO4 /><ref name=FDAJ />
 
=== Document maintenance ===
* Regularly reviewed and kept current<ref name=EUGMP4 />{{Rp|___location=¶4.5}}<ref name=EC94 />
* Retained and available for appropriate duration<ref name=EUGMP4 />{{Rp|___location=¶4.12}}<ref name=EC94 /><ref name=EUGMP6 /><ref name=FDAJ>[http{{Cite web|title=Code of Federal Regulations Title 21|url=https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=211&showFR=1&subpartNode=21:4.0.1.1.11.10 21CFR211 Subpart J]</ref><ref name=MHLW169 />
|archive-url=https://web.archive.org/web/20091010065231/http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=211&showFR=1&subpartNode=21:4.0.1.1.11.10
|url-status=dead
|archive-date=10 October 2009
| volume= 4 | id = 21CFR211 Subpart J
|access-date=2023-03-07|publisher= U.S. Food and Drug Administration}}</ref><ref name=MHLW169 />
* Electronic [[document management system]]s are [[Validation (drug manufacture)|validated]]<ref name=EC94 />
* Electronic records are backed up<ref name=EUGMP4 /><ref name=EC94 />
 
=== Document modification ===
* Handwritten modifications are signed and dated<ref name=EUGMP4 />{{Rp|___location=¶4.9}}<ref name=FDAGCP /><ref name=WHO4 /><ref name=ICH7 />
* Altered text is not obscured (e.g., no [[correction fluid]])<ref name=EUGMP4 />{{Rp|___location=¶4.9}}<ref name=FDAGCP /><ref name=WHO4 /><ref name=ICH7 />
* Where appropriate, the reason for alteration must be noted<ref name=EUGMP4 />{{Rp|___location=¶4.9}}<ref name=FDAGCP /><ref name=WHO4 /><ref name=FDAJ />
* Controls exist to prevent the inadvertent use of superseded documents<ref name=EUGMP4 /><ref name=WHO4 /><ref name=MHLW169 />
* Electronic versions can only be modified by authorized personnel<ref name=EUGMP4 /><ref name=FDAGCP />
* A history ([[audit trail]]) must be maintained of changes and deletions to electronic versions<ref name=EUGMP4FDAGCP /><ref name=FDAGCP /ICH7><ref{{Cite nameweb|title=ICH7>[httpICH Official web site : ICH|url=https://www.ich.org/cache/compo/363index.html|access-272date=2023-103-07|website=www.html#Q7A ICHich. "Q7: Good Manufacturing Practice Guide for Active Pharmaceutical Ingredients" (Section 6)]org}}</ref><ref name=EC94 />
* Access to electronic versions must be controlled by password or other means<ref name=EUGMP4 />
* A history ([[audit trail]]) must be maintained of changes and deletions to electronic versions<ref name=EUGMP4 /><ref name=FDAGCP /><ref name=ICH7>[http://www.ich.org/cache/compo/363-272-1.html#Q7A ICH. "Q7: Good Manufacturing Practice Guide for Active Pharmaceutical Ingredients" (Section 6)]</ref><ref name=EC94 />
* Supporting documents can be added to the original document as an attachment for clarification or recording data. Attachments should be referenced at least once within the original document. Ideally, each page of the attachment is clearly identified (i.e. labeled as "Attachment X", "Page X of X", signed and dated by person who attached it, etc.)
 
== GDP / GDocP Interpretationinterpretation ==
From the regulatory guidance above, additional expectations or allowances can be inferred by extension. Among these are:
* Prohibition against removing pages<ref name=GDP-TOC>{{citecitation|last=Hurd |first=Don |others=''et al.'' |title=Good Documentation Practices |date=2010 |pages=11, 17, 30, 39 |publisher=Premier Validation |url=http://www.askaboutvalidation.com/wp-content/uploads/2012/07/51371-contents.pdf |deadurlurl-status=nousurped |archive-url=https://web.archive.org/web/20121113215747/http://www.askaboutvalidation.com/wp-content/uploads/2012/07/51371-contents.pdf |archive-date=13 November 2012 |isbn=978-1-908084-00-2 |df= }}<!-- For the original url etc, see oldid=626360228 --></ref> - Thethe removal of a page would obscure the data that were present, so this is not permissible.
* Page numbering<ref name=GDP-TOC /> - the addition of page numbers, particularly in "Page x of y" format, allows a reviewer to ensure that there are no missing pages.
* [[Seal (East Asia)|Stamped signatures in Asia]] - the culture of certain Asian countries, and the controls they employ, are such that their use of a stamp in lieu of handwritten signatures has been accepted.
* [[Calendar date#Date format|Date and time formats]]<ref name=GDP-TOC /> - dates may be written in a variety of formats that can be confusing if read by personnel with a different cultural background. In the context where different cultures interact, a date such as "07-05-10" can have numerous different meanings and therefore, by GDocP standards above, violates the requirement for being clear.
* Transcription<ref name=GDP-TOC /> - Aa transcription of data, where the original document is not retained, effectively obscures the original data and would be prohibited. Transcription may be helpful where the original is of poor quality writing or is physically damaged, but it should be clearly marked as a transcription and the original retained nevertheless.
* Scrap paper, [[Post-it note]]s - Intentionallyintentionally recording raw data on non-official records is a set-up for transcription and is therefore prohibited.
* Avoiding asterisks as part of the notation of a hand-change - Wherewhere insufficient white space permits a fully notated hand change, a common practice is to use an [[asterisk]] (or other mark) near the correction, and elsewhere record the same mark and the notation. The risk is that additional changes are made by another person who uses the same mark, and now the notation can be interpreted to apply to all changes with the mark. Some will therefore advise against the use of the asterisk.<ref name=GDP-TOC /> Others will accept it, if the notation clearly includes the number of changes that it applies to, such as, "* Three entries changed above due to entry errors. KAM 13-Jan-2011". There are no known instances of an agency rejecting such a notation.
 
== Enforcement ==
The competent authorities are empowered to inspect establishments to enforce the law and the interpretations of the law (e.g., the content of guidance documents and the cGMPs). Here are some examples where such enforcement has occurred that included departures from GDP:
 
Departures from GDocP that involved the regulator have included: documentation not contemporaneous,<ref>[https://web.archive.org/web/20111223061001/http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2011/ucm271708.htm US FDA. "Warning Letter" UCM271708. Observation #1] – Accessed 27 June 2013</ref><ref>[https://web.archive.org/web/20090806152611/http://www.fda.gov/downloads/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/UCM172108.pdf Caraco Pharmaceutical Laboratories, Ltd. Response to the FDA's May 12, 2009, 483. Observation #14a] – Accessed 1 June 2011</ref> use of [[ditto mark]]s,<ref>[https://web.archive.org/web/20090712112312/http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/1999/UCM067076.pdf US FDA. "Warning Letter" FLA-99-29]</ref> signature stamps.,<ref>[https://web.archive.org/web/20090710053141/http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2006/ucm075960.htm US FDA. "Warning Letter" UCM075960] – Accessed 4 February 2010</ref><ref>[https://web.archive.org/web/20090712084315/http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/1997/UCM066113.pdf US FDA. "Warning Letter" UCM066113]</ref> obscured original data,<ref name=SOL>[https://web.archive.org/web/20090712085504/http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/2000/UCM069041.pdf US FDA. "Warning Letter" UCM069041]</ref> Use of pencil,<ref name=SOL /> inaccurate records,<ref name=SOL /> and not dating changes.<ref>[https://web.archive.org/web/20121017205413/http://www.fda.gov/downloads/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/UCM214731.pdf US FDA. Form FDA 483 issued to L. Perrigo Co., dated 11/07/2008. Observation #9A]</ref>
=== Documentation not contemporaneous ===
* US [[FDA Warning Letter]] 320-11-20 (UCM271708) to Yag-Mag Labs Private Limited (Hyderabad, India), 12 September 2011 <ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2011/ucm271708.htm US FDA. "Warning Letter" UCM271708. Observation #1] - Accessed 27 June 2013</ref>
* US FDA Warning Letter UCM172108 to Caraco Pharmaceutical Laboratories, Ltd. (Caraco), 12 May 2009 <ref>[http://www.fda.gov/downloads/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/UCM172108.pdf Caraco Pharmaceutical Laboratories, Ltd. Response to the FDA's May 12, 2009, 483. Observation #14a] - Accessed 1 June 2011</ref>
* US FDA Warning Letter UCM076496 to Kunshan Chemical and Pharmaceutical Co., Ltd. (Kunshan City, Jiangsu, China), 6 September 2007 <ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2007/ucm076496.htm US FDA. "Warning Letter" UCM076496. Observation #1] - Accessed 16 August 2012</ref>
* US FDA Warning Letter UCM075472 to Litron Laboratories, Ltd. (Rochester, NY), 1 July 2005 <ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2005/ucm075472.htm US FDA. "Warning Letter" UCM075472 . Observation #4] - Accessed 16 August 2012</ref>
 
=== Use of ditto marks ===
* US FDA Warning Letter FLA-99-29 to All Medicare Home Aids, Inc., 28 January 1999.<ref>[http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/1999/UCM067076.pdf US FDA. "Warning Letter" FLA-99-29]</ref>
 
=== Use of signature stamp ===
* US FDA Warning Letter UCM075960 to Scott A. Spiro, MD, 28 June 2006.<ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2006/ucm075960.htm US FDA. "Warning Letter" UCM075960] - Accessed 4 February 2010</ref>
* US FDA Warning Letter UCM066113 to [[Medtronic]], Inc., 2 December 1997<ref>[http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/1997/UCM066113.pdf US FDA. "Warning Letter" UCM066113]</ref>
 
=== Obscured original data ===
* US FDA Warning Letter UCM069041 to SOL Pharmaceuticals Limited, 21 November 2000<ref name=SOL>[http://www.fda.gov/downloads/ICECI/EnforcementActions/WarningLetters/2000/UCM069041.pdf US FDA. "Warning Letter" UCM069041]</ref>
* US FDA Warning Letter UCM076246 to Gynetics Medical Products NV, 16 January 2007<ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2007/ucm076246.htm US FDA. "Warning Letter" UCM076246, Observation #13b.] - Accessed 1 June 2011</ref>
 
=== Use of pencil ===
* US FDA Warning Letter 320-01-02 to SOL Pharmaceuticals Limited, 21 November 2000<ref name=SOL />
* US FDA Warning Letter UCM221006 to Haw Par Healthcare Limited (Singapore), 20 July 2010<ref>[http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2010/ucm221006.htm US FDA. "Warning Letter" UCM221006. Observation #7.b.] - Accessed 16 August 2012</ref>
 
=== Inaccurate records ===
* US FDA Warning Letter 320-01-02 to SOL Pharmaceuticals Limited, 21 November 2000<ref name=SOL />
 
=== Hand changes not dated ===
* [[Form FDA 483]] issued to L. Perrigo Co., 7 November 2008.<ref>[http://www.fda.gov/downloads/AboutFDA/CentersOffices/ORA/ORAElectronicReadingRoom/UCM214731.pdf US FDA. Form FDA 483 issued to L. Perrigo Co., dated 11/07/2008. Observation #9A]</ref>
 
== See also ==
* [[Best practice]]
* [[Good manufacturing practice]]
* [[Site masterMaster file (pharmaceuticals)File]]
 
== References ==