# SEC-049A - GAISSF Pharmaceutical Sector Executive Primer **Version:** 1.1 **Status:** Controlled pre-release **Publisher:** ODA3 Institute ## Why this package exists Pharmaceutical AI risk is not only a model-performance problem. It intersects with patient safety, product quality, clinical integrity, pharmacovigilance, regulated records, validated-state maintenance, cybersecurity and supplier dependence. SEC-049 provides an implementation layer between the authoritative GAISSF controls and pharmaceutical operating evidence. ## What SEC-049 does not do It does not determine GxP applicability, provide legal advice, replace a quality system, establish regulator approval, or guarantee safety, security or compliance. ## Four implementation tiers - **Tier 1:** Administrative or low-impact support. - **Tier 2:** Controlled operational support. - **Tier 3:** GxP-significant or regulated decision support. - **Tier 4:** Safety-critical, quality-critical or high-autonomy regulated use. The workbook score is indicative only. Qualitative GxP, patient, product, regulated-record and autonomy triggers can require escalation. ## Five-step getting-started workflow 1. Inventory all AI systems, embedded components and external services. 2. Determine intended use, GxP status, regulated-record impact and physical/OT interaction. 3. Assign an initial criticality tier and obtain accountable approval. 4. Assess applicable GAISSF controls, document exceptions and link evidence. 5. Prioritise Tier 3/4 gaps, monitor changes and integrate incidents with deviation and CAPA. ## First 90 days During the first 30 days, identify unapproved regulated use, assign owners, classify high-risk systems and establish escalation. During days 31-90, complete GxP and criticality determinations, supplier reviews, control assessments, output-review rules, evidence capture and priority testing. ## Notably Absent **NA-001. No reliable public evidence was identified that autonomous AI compromise of pharmaceutical manufacturing is widespread.** Treat as a plausible high-impact scenario, not a prevalence claim. Confidence: Moderate; public reporting is incomplete. **NA-002. No claim is made that malicious manipulation of a pharmaceutical AI system has directly caused confirmed patient harm at scale.** Do not infer occurrence from threat plausibility. Confidence: Moderate; confidential incidents may not be public. **NA-003. No evidence supports routine regulator acceptance of fully autonomous regulated decisions without accountable human and organizational controls.** Default to explicit decision rights, qualified oversight and traceability. Confidence: High as a guide boundary; jurisdiction-specific review remains required. **NA-004. No universal global regulatory classification or validation method for pharmaceutical AI is assumed.** Determine requirements by jurisdiction, intended use and lifecycle stage. Confidence: High. **NA-005. Public incident datasets do not provide complete coverage of AI failures in pharmaceutical operations.** Frequency estimates are not supplied. Confidence: High. **NA-006. Conventional cybersecurity controls alone are not shown to be sufficient for GxP-relevant AI systems.** Integrate quality, validation, data integrity, human oversight and regulated escalation. Confidence: High as an implementation principle. **NA-007. Model accuracy alone is not treated as evidence of clinical, safety, quality or regulatory fitness.** Assess intended use, data, robustness, security, human factors, traceability and lifecycle control. Confidence: High. **NA-008. The guide does not establish that every listed threat has occurred.** Threat entries are explicitly classified as scenarios unless confirmed evidence is cited. Confidence: High. ## Release status The package remains controlled pre-release. Qualified pharmaceutical quality/GxP, pharmacovigilance, clinical, manufacturing/laboratory, privacy, legal and jurisdiction-specific reviews remain required before public release.