A drug company's staff now bring more AI ideas than anyone can read closely: a lab assistant, a hiring screen, a patient chatbot. Before any of them touches real data, someone has to sort each one under the EU AI Act, the manufacturing quality rules known as GMP (good manufacturing practice), privacy law and the vendor's contract, then decide how much review it needs and who signs. Some of those rules are law and some are still drafts, and the sorting itself is a judgment people own.
This guide is for anyone who receives, reviews or sponsors AI ideas in a pharma, biotech or device company: AI governance leads, IT Quality and computerized systems staff, privacy counsel, security architects, procurement and the business sponsors themselves. It also serves leaders deciding whether to automate the intake. No legal background needed, and nothing here is legal advice.
Imagine you are the lead of the AI governance office at Northwind Bio, a mid-size drug company. It is October 7, 2026. Dr. Maya Chen, who runs a quality control (QC) laboratory at the Leiden plant, wants a large language model, the kind of AI behind chat tools, to help sort deviations into minor, major or critical. A deviation is a report of something that went off plan in making or testing a drug, and about 40 a month are in scope. The class decides how deep the investigation goes, whether a corrective action is needed and whether the batch is held.
Her form reads well. Then you open page 4 of the design she attached, and it says something else.
Her intake form says
The assistant
suggests a class
Personal data
none
Her design says
Section 2.3
sets the class in the quality system
Section 3.1
sends analyst names
Proposed: minimal risk under the AI Act, critical for GMPNot allowed as designed, under your own policyIt becomes approvable once a qualified quality assurance (QA) reviewer decides every class and the names come out.
Good classification reads the design as well as the form, ties each conclusion to its clause, and tells the sponsor, the person proposing the idea, what would turn a no into a yes. People decide, and a lawyer answers the legal questions. What the work catches here is a form that says "suggests" and "none" over a design that sets the class and sends names.
Sorting AI ideas in a drug company: the rules as they stand in November 2026, and what goes wrong
What each rulebook asks, which of them are law and which are drafts, how one idea gets its review tier, and how teams do this today, explained without selling anything. If you are new to AI governance, start here.
01 · In plain words
AI use case risk classification means deciding, idea by idea, how much review an AI use needs and why
Suppose a colleague in your company wants to try an AI tool. A lab head wants help sorting deviation reports, the records of something that went off plan in making or testing a drug. Someone in HR wants a tool that ranks job applicants. The sales team likes a product that scores the mood of recorded calls. The patient program wants a chatbot. The legal team wants to pull clauses out of supplier contracts. All five sound like the same kind of request: please may we use some AI. They are different requests, with different risks.
Each one is called a use case: one AI tool, doing one job, for one group of people. The same model can sit behind several use cases, and the risk comes mostly from the job. A large language model (the kind of AI behind chat tools) drafting meeting notes is ordinary. The same model setting the class of a manufacturing deviation could affect whether a batch reaches patients. The same model ranking job applicants falls under a list of high-risk uses in European law.
So somebody has to read each idea and ask a short series of questions. Is it banned? Is it on the European list of high-risk uses? Does it touch a regulated process such as manufacturing or a clinical study? Does a person check the output before it counts? Whose data goes in? What may the vendor do with that data?
The answers set a review tier, which says how many people must look at the idea and what they must produce. A meeting-notes tool might need nothing more than a line in a register. A model in a sterile line might need a full test plan.
In most companies today that sorting happens through a long form and a series of separate reviews. Each reviewer reads a different rulebook. Sponsors answer loosely, because the form is long and they want a yes. The reason for the final tier is often never written down, so a similar idea can get a different answer six months later. When a rule changes, nobody can easily say which past decisions relied on it.
The output of good classification is a short record: the tier, each reason with the clause behind it, the conditions of approval, a named owner, and a date for the next review. It goes into an AI inventory, a single list of every AI use in the company. A classification is a proposal until a person decides it, and only a court or a regulator can settle what the law finally means.
One AI idea, from a sentence to the inventory
Someone has an ideaA lab head describes what the AI would do, in her own words, and attaches a design, a model card (the vendor's summary of what the model is and does) and the vendor's terms.
The facts are checkedSomeone compares the form with the attachments. What does the design say about who acts on the output and what data is sent?
The idea is classifiedFive questions, each answered against a named clause, lead to a proposed review tier and a list of reviewers. This is the step this guide is about.
People review and decideQuality, privacy and security confirm their parts. A review board approves, approves with conditions, sends back or rejects, and signs.
The use is registered and watchedAn inventory entry records the owner, the conditions and the next review. A rule change or a new model version sends it back to step 3.
Step 3 is the subject of this guide. The people, company and figures in the example are fictional.
Why a "minimal risk" AI can still be critical in a GMP plant, and three more surprises
The AI Act and GMP can give opposite answers
Manufacturing quality decisions are not on the AI Act's high-risk list, so an assistant setting a deviation class can sit in the Act's lowest group while being a critical use under draft EU GMP Annex 22, Europe's proposed manufacturing annex on AI.1,2 Asking only "what does the AI Act say?" misses the plant.
The most quoted GMP rule on AI is still a draft
The European Commission's GMP page lists no Annex 22 on November 3, 2026.3 EMA reports that consultation comments supported allowing large language models, and that the drafting group has discussed widening the scope.4 A policy built on today's wording may have to change.
One FDA warning letter on AI-written documents cites an old rule
In April 2026 FDA told one firm that it had to review its AI-written specifications and procedures, and called the failure a violation of 21 CFR 211.22(c), a rule about the quality unit that never mentions AI.5,6 FDA's AI guidance is still a draft.7
Changing what a tool is used for can change who you are in law
Use a general-purpose system for a purpose that makes it high-risk, and the AI Act treats you as its provider, with the provider's duties.1 The tool stays the same. A sponsor's small new idea can move a whole duty onto your company.
Provider, deployer, critical GMP use, human in the loop: the words this work runs on
Provider and deployer
In the AI Act, the provider develops an AI system and places it on the market. The deployer uses it under its own authority. A drug company buying a tool is usually a deployer.
Critical GMP use
Draft Annex 22's term for an AI use with direct impact on patient safety, product quality or data integrity.
Human in the loop
A set-up where the process waits for a qualified person to act before the output counts. A 2026 EMA workshop report records the view that it is one possible control.
Model risk
In FDA's draft, the combination of how much the AI output influences a decision and how serious a wrong decision would be.
Five questions sort almost every AI idea in a drug company, and each has its own rulebook
In shortNo single rule covers an AI idea in life sciences. Teams answer five questions: its AI Act category, its GxP criticality, its model risk, what personal data it uses, and what the vendor's terms allow. GxP is the family of good-practice rules for manufacturing, laboratories, clinical work and distribution, and GMP is its manufacturing member. A company's review tier usually follows the highest-risk answer on any of them.
Why the highest answer usually sets the tier. No law requires this. It is a common design choice for a company's own policy, and a sensible one: a tool that is harmless under four rulebooks and critical under the fifth still needs the review the fifth demands.
03 · EU AI Act risk categories
The EU AI Act's four groups, and where a pharma company's AI ideas tend to land
In shortThe Act bans a short list of practices, sets heavy duties for high-risk systems, requires honesty about some others and sets no rules for the rest. "Minimal risk" is the Commission's plain-words name for that last group, and it says most AI in use falls there. We found no split for life sciences. In a drug company, hiring, worker-management and device uses are the likely exceptions.
Group
Legal hook
A pharma example
What follows
Prohibited
Article 5. The Commission counts nine practices after the Omnibus13
Inferring the emotions of sales reps from recorded calls: Article 5(1)(f) bars inferring emotions "in the areas of workplace and education institutions", except for medical or safety reasons.1 The Commission's non-binding guidelines allow use only for a person's own training, if results stay away from HR and cannot affect that person's assessment14
Stop. No condition makes it acceptable. Fines reach EUR 35 million or 7% of worldwide turnover1
High-risk
Article 6(1) with Annex I products; Article 6(2) with Annex III uses1
Ranking job applicants, Annex III point 4(a). AI that is, or is a safety component of, a medical device needing third-party assessment1
Provider: risk management, data governance, documentation, conformity assessment. Deployer: use as instructed, human oversight by trained people, logs1
Article 4's AI literacy measures still apply to providers and deployers.8 Other law, including GMP and GDPR, applies in full
How a lawyer walks an idea down Article 6 and the Annex III list
Article 6 asks up to five questions, and the Annex III filter is the one that is argued
Our summary of the text. The Commission's draft guidelines add examples and are not binding.
1In scope at all?
Sole-purpose scientific research is out. So is development before market, apart from real-world testing.
Article 2(6), 2(8)First
2A product under Annex I?
A safety component of, or itself, a regulated product that needs third-party assessment.
Article 6(1)High-risk if yes
3On the Annex III list?
Biometrics, critical infrastructure, education, employment, essential services and others.
Article 6(2)If not, not high-risk
4Does the filter apply?
Narrow procedural task, improving finished human work, spotting pattern deviations, or a preparatory task.
Article 6(3)Documented
5Is anyone profiled?
Profiling uses personal data to evaluate or predict things about a person. An Annex III system that does it is always high-risk, and the filter cannot rescue it.
Sole-purpose scientific research is out. So is development before market, apart from real-world testing.
Article 2(6), 2(8)
First
A product under Annex I?
A safety component of, or itself, a regulated product that needs third-party assessment.
Article 6(1)
High-risk if yes
On the Annex III list?
Biometrics, critical infrastructure, education, employment, essential services and others.
Article 6(2)
If not, not high-risk
Does the filter apply?
Narrow procedural task, improving finished human work, spotting pattern deviations, or a preparatory task.
Article 6(3)
Documented
Is anyone profiled?
Profiling uses personal data to evaluate or predict things about a person. An Annex III system that does it is always high-risk, and the filter cannot rescue it.
Article 6(3), last part
Always high-risk
Four in ten systems could not be placed with confidence in the best-known study
The share of AI ideas in each group is less settled than vendor slides suggest. We found no published split for life sciences. The most cited study is appliedAI's review of 106 enterprise AI systems, published in March 2023: 18% came out high-risk, 42% low risk, and 40% unclear.16
It read an earlier draft of the Act, before the Article 6(3) filter existed, so treat it as a warning about ambiguity and leave the percentages out of your budget.17 Its authors note that even the 18% sat above the 15% maximum they say the Commission's impact assessment assumed.16 The Commission says today only that most AI systems in use fall into the minimal group.13
Clearly high-risk was the smallest group; 'unclear' was almost as big as 'low risk'
Classification of 106 enterprise AI systems against a pre-final draft of the Act, 2023. One more system was possibly prohibited.
Provider or deployer: why one sentence in Article 25 matters to a sponsor
A company that buys a tool is usually a deployer. Article 25(1)(c) says that anyone who modifies the intended purpose of an AI system, "including a general-purpose AI system", that was not classified as high-risk, so that it becomes high-risk, is treated as a provider.1 A sponsor who points a general chat tool at job applications may have just made the company a provider of a high-risk system. A review that checks the tool and skips the use will miss this.
Reach matters too. The Act covers deployers located in the Union and, for providers and deployers elsewhere, cases where "the output produced by the AI system is used in the Union".1 A US team's tool may or may not fall under it. That is a question for counsel, fact by fact. The Commission's draft guidelines themselves say that only the Court of Justice can give an authoritative interpretation.15
04 · AI Act dates after the Omnibus
What the AI Omnibus changed: high-risk rules move to December 2027 and August 2028
In shortThe delay is law. Regulation (EU) 2026/1744 was published July 24, 2026 and took effect July 27, 2026.8 Bans and general-purpose model rules already apply, and transparency has applied since August 2, 2026. Anything you read that calls the delay a proposal, or that gives August 2026 for high-risk duties, is out of date.
Two dates moved, and the bans never did
EU AI Act application dates as amended, read in the Official Journal
Aug 1, 2024In force
The Act enters into force.
Feb 2, 2025Bans apply
Article 5 practices and AI literacy.
Aug 2, 2025Model rules apply
General-purpose AI model duties; penalties provisions.
Jul 27, 2026Omnibus in force
Regulation (EU) 2026/1744.
Aug 2, 2026Transparency and enforcement
Article 50 applies; AI Office and national authorities enforce.
Dec 2, 2026Ninth ban; marking transition ends
Ban on generating non-consensual intimate material and child abuse material. Systems already on the market must meet Article 50(2) marking.
Dec 2, 2027Annex III high-risk
Hiring, worker management and the other listed uses.
Article 4 AI literacy became a duty to support, with no guaranteed level
Many company policies and training decks still quote the original Article 4, which asked for a "sufficient level" of AI literacy. The Omnibus replaced it. Providers and deployers now "shall take measures to support the development of AI literacy" of their staff, and the duty "does not require providers or deployers to guarantee any specific level of AI literacy of any individual".8 A company may still set a training bar of its own, and GMP training rules still apply in a plant. Update the quotation.
Medical devices stay in Annex I, Section A, for now
The Omnibus moved machinery out of Section A. It left medical devices and in vitro diagnostics there.8 The Commission's separate December 2025 proposal to revise the device regulations would move them to Section B, which would leave AI in devices mostly to the device rules. Parliament's file on that proposal, read November 3, 2026, says "Awaiting committee decision", so stay close to it if you build AI into a device.18,19
The Commission's high-risk guidelines are a late draft
Article 6(5) asked for guidelines by February 2, 2026. The Commission published a draft in three parts on May 19, 2026, and updated the page on July 23, 2026, with no final text as of November 3, 2026.15 One law firm reports that the consultation closed on June 23, 2026.20 The draft is useful for its examples: it says that not every AI system used in recruitment or at work is high-risk, and it walks through a recruitment tool that loses the filter because it profiles recruiters.15
Fines under Article 99: the top tier is reserved for banned practices
A banned practice carries more than twice the maximum fine of other breaches
Maximum fixed amounts in million euros. A company pays the percentage of worldwide turnover where that is higher. Small firms pay whichever is lower, and so do small mid-caps, except for banned practices.
Article 5 prohibited practice (or 7%)7% of turnover35 million euros
Most operator duties (or 3%)3% of turnover15 million euros
Incorrect information to authorities (or 1%)1% of turnover7.5 million euros
Draft EU GMP Annex 22: what it says about generative AI, and why its wording may move
In shortThe draft covers static, deterministic models (they do not change in use, and the same input gives the same output) in critical manufacturing uses and says generative AI and large language models "should not be used in critical GMP applications". It is a draft. It has no legal force, the consultation pushed back, and EMA's own report says there "may be viable pathways". Plan for it, and keep your policy easy to change.
Status on November 3, 2026. The joint consultation by the European Commission and PIC/S, the international co-operation scheme of GMP inspectorates, ran July 7 to October 7, 2025.2 EudraLex Volume 4, the EU's GMP guidelines, lists no Annex 22, and Annex 11 still at its January 2011 revision.3 The work plan of EMA's GMP inspectors' working group sets Q4 2026 as the target for giving the Commission a final text: a target, with no adoption date.21 No revised draft is published.
Section 1's two key sentences: the line on generative AI and the human-in-the-loop line
The draft applies to "all types of computerised systems used in the manufacturing of medicinal products and active substances, where Artificial Intelligence models are used in critical applications with direct impact on patient safety, product quality or data integrity".2 It applies to static models that do not adapt during use, and to models with deterministic output, meaning identical inputs give identical outputs. It then says: "the document does not apply to Generative AI and Large Language Models (LLM), and such models should not be used in critical GMP applications."2
On non-critical uses it says that "personnel with adequate qualification and training should always be responsible for ensuring that the outputs from such models are suitable for the intended use, i.e. a human-in-the-loop (HITL)".2
What the draft would ask of a model in a critical use
Section
The expectation, in plain words
What your intake should already capture
3 · Intended use
A detailed description, approved by a process expert before acceptance testing, including the full range of inputs
What the AI does, in which process, on which data
4 · Acceptance criteria
"At least as high as the performance of the process it replaces", so that process must be measured first
Today's manual baseline
5, 6 · Test data
Representative, verified, independent from training, with access controls. Generated test data "is not recommended"
Who holds the test data, and who has seen it
8 · Explainability
During testing of critical uses, record which features drove a decision, and review them
Whether the model can show its reasons
9 · Confidence
Log confidence where applicable. If it is very low, consider flagging the outcome as "undecided"
The threshold, and who gets the undecided cases
10 · Operation
Change and configuration control, performance monitoring, drift metrics (signs that accuracy is sliding), records of human review
Vendor's version notices; who monitors
Summary of the draft's sections.2 Read the text before relying on any line.
From consultation to workshop: where the argument has gone
Comments pushed against the generative AI line, and regulators listened without settling it
Jul 7, 2025Consultation opens
Draft Annex 22 and the revised Annex 11.
Oct 7, 2025Consultation closes
Comments support allowing LLMs and generative AI, per EMA.
Jan 14, 2026EMA and FDA principles
Ten shared principles of good AI practice.
Jun 30, 2026EMA expert workshop
Six topics, from regulatory pathways to outsourced activities.
EMA's report, EMA/156789/2026, records that the drafting group "has therefore discussed the scope of Annex 22 to allow dynamic or adaptive models, probabilistic models, and Generative AI/LLMs in GMP applications", provided they meet the annex under a documented, risk-based control strategy, and that "concerns remain" about what that strategy needs.4
One session's examples, some of them pilots or theoretical frameworks, included an AI system supporting deviation management and an LLM supporting a GMP risk assessment.4 Those are industry positions that a drafting group will now weigh. The report closes on the drafting group's next step, and that step is still open.
Does a person in the loop make a critical use non-critical? Many company policies assume so. The draft does not say it. Section 1 defines non-critical by the absence of direct impact. Sections 3.3 and 10.5 deal with a model tested with diminished effort, and there they treat a human operator as a reason for records and monitoring.2
EMA's workshop report records the view that human in the loop is "one possible control, not a default requirement". Regulators there asked how to manage automation bias, the habit of trusting a machine's answer too readily, and how to monitor the person doing the oversight.4 If your policy moves an idea to non-critical because a person decides, write down why your QA accepts that, and test the reading against the final text.
Batch release has its own rules, whatever the final annex says
An idea that releases batches with no quality sign-off fails before anyone opens Annex 22. In the US, 21 CFR 211.22(a) gives the quality control unit responsibility and authority to approve or reject drug products.6 In the EU, Annex 16 sets out certification by a Qualified Person, the named expert who certifies batches, and batch release, in operation since April 15, 2016.3
06 · FDA, EMA and GAMP
FDA's model influence and decision consequence grid, and what EMA's paper and the GAMP AI guide add
In shortFDA's January 2025 draft guidance gives a seven-step way to establish that an AI output is credible, and rates model risk by influence and consequence. It covers AI whose output supports a regulatory decision on safety, effectiveness or quality. Many companies borrow its grid for internal triage, which is sensible, as long as nobody mistakes the result for an FDA finding.
FDA's AI credibility framework: what the draft covers, and what it leaves out
The draft addresses AI used "to produce information or data intended to support regulatory decision-making regarding safety, effectiveness, or quality for drugs". It leaves out drug discovery. It also leaves out "operational efficiencies (e.g., internal workflows, resource allocation, drafting/writing a regulatory submission) that do not impact patient safety, drug quality, or the reliability of results from a nonclinical or clinical study".7 It is nonbinding, marked not for implementation, and still a draft on its docket page, FDA-2024-D-4689.7 FDA's drug center, CDER, counts over 500 submissions with AI components from 2016 to 2023.23
FDA's draft runs seven steps, and the third sets how much evidence the rest must produce
The draft's steps in short
11. Question of interest
What decision will the AI inform?
SponsorDefine
22. Context of use
What exactly the model does and how its output is used.
What exactly the model does and how its output is used.
Sponsor
Define
3. Model risk
Model influence and decision consequence.
Sponsor, with FDA as needed
Assess
4. Credibility plan
Activities in proportion to the risk.
Sponsor
Plan
5. Execute
Carry out the plan.
Sponsor
Do
6. Document
Record results and any deviations.
Sponsor
Record
7. Adequacy
Is the model adequate for this use?
Sponsor, FDA
Decide
The grid in one picture: influence across, consequence up
FDA's manufacturing example is a vision system checking fill volume in vials. Fill volume bears directly on quality (FDA calls it a critical quality attribute), so the consequence is high. Release testing also measures fill volume on a sample from each batch, so the model's influence is low, and the model risk comes out medium.7 The lesson for a sponsor: adding an independent check lowers influence and leaves the consequence where it was.
A second independent check moves an idea left, and leaves it just as high on the page
Fill check is FDA's fill-volume example, with release testing. The other three are a deviation assistant that sets or suggests a class and a demand forecast, placed by our judgment. Your facts move them.
What FDA warning letter 722591 says about one firm's AI-written documents
FDA warning letter 722591, April 2, 2026. Under the heading "Inappropriate Use of Artificial Intelligence in Pharmaceutical Manufacturing", FDA says a firm used AI to create drug product specifications, procedures and master production or control records. "If you use AI as an aid in document creation, you must review the AI generated documents to ensure they were accurate and actually compliant with CGMP. Your failure to do so is a violation of 21 CFR 211.22(c)." Told that process validation had not been done, the firm replied that the tool "never told you it was required", in FDA's words.
The firm had stopped making drugs. If it resumes and uses AI for CGMP activities, FDA says any output or recommendations must be "reviewed and cleared by an authorized human representative of your firm's QU", citing section 501(a)(2)(B) of the FD&C Act, and 21 CFR 211.22 and 211.100.5
The letter is addressed to one firm, on that firm's facts, alongside other findings under current good manufacturing practice (CGMP), FDA's manufacturing rules. It cites rules already in force. Read it for what it says to that firm: we draw no general FDA policy from it, and the letter states none.
EMA's paper, the EMA and FDA principles, GAMP and CSA: how far to lean on each
Final; adopted by EMA's human and veterinary medicines committees (CHMP and CVMP); a reflection on AI across the medicine's life. Uses "high patient risk" and "high regulatory impact"
The vocabulary for EU regulatory submissions and the applicant's responsibility
Final guidance for computers and automated data processing in medical device production or the quality system
Device makers. Drug teams may read it for ideas, and should say that it was written for devices
07 · Privacy and vendor terms
Personal data under GDPR and the vendor's training terms: where design documents contradict forms
In shortPrivacy and contract questions change the outcome more often than sponsors expect. A deviation report can name an analyst. A support chat can reveal a patient's illness. A vendor may train on your inputs unless an option is signed. These facts sit in the design and the contract, which is why those documents need reading.
A right "not to be subject to a decision based solely on automated processing" with legal or similarly significant effects
Hiring, pay and eligibility. In SCHUFA (C-634/21, December 7, 2023), the EU's top court held that a credit agency's automated score is itself automated decision-making where a third party "draws strongly" on it.25 On our reading, which counsel should test, a person who only signs off may not be enough
Digital Omnibus changes to GDPR are still a proposal: the Council agreed its mandate in October 2026, with Parliament's position and negotiations ahead.12 Work from the GDPR as it stands.
08 · One idea worked through
Sets or suggests: how one verb changes a deviation assistant's whole classification
In shortWork the example from the top of this page down the five questions, twice: once as designed, once with a QA reviewer deciding each class. The AI Act answer stays put. The GMP and model risk answers move, and so does the review it needs. The names and the contract are separate problems with their own fixes. Every answer here is a proposal until the company's reviewers and board decide.
Question
As designed: it sets the class
Redesigned: it suggests, QA decides
The reasoning
AI Act
Minimal risk
Minimal risk
Outside Article 5 and Annex III, and no regulated product.1 AI literacy measures still apply.8
GMP
Critical use
Non-critical, on the company's reading
The class drives corrective actions and whether the batch is released, and a generative model is what draft section 1 keeps out of critical uses.2 See the callout in section 5
Model risk
High influence, high consequence
Low influence, high consequence: medium
The company borrows FDA's grid as a method.7 An internal deviation class may fall outside the draft's scope, so this is no FDA finding
Personal data
Analyst names sent
Names removed
The form said none. The design says otherwise. Privacy counsel decides whether a full assessment is needed11
Vendor
May train on inputs
No-training option required
Batch and deviation data are confidential under the company's own policy
Moving one person into the process lowers two of five answers; names and vendor terms need their own fixes
The fictional deviation assistant, before and after each fix. Darker means more review.
NoneLowMediumHigh
AI ActGMPModel riskPersonal dataVendor termsAs designedNoneHighHighMediumMediumQA reviewer decides each classNoneMediumMediumMediumMediumAlso: names removedNoneMediumMediumLowMediumAlso: no-training option signedNoneMediumMediumLowLow
Fictional example from this guide
Show the numbers
AI Act
GMP
Model risk
Personal data
Vendor terms
As designed
None
High
High
Medium
Medium
QA reviewer decides each class
None
Medium
Medium
Medium
Medium
Also: names removed
None
Medium
Medium
Low
Medium
Also: no-training option signed
None
Medium
Medium
Low
Low
The second route, a static validated model, and why this sponsor takes the first
A team could also replace the generative model with a static one and validate it for the critical use. Draft Annex 22 is written for exactly that: test data held apart, acceptance criteria at least as good as today's manual process, explainability during testing, change control.2 The work takes much longer. In this fictional example the company's own plan compares about 6 weeks for the suggestion route with 4 to 6 months for a static, validated model.
In this example, the suggestion route takes about a quarter of the time of a validated static model
Planning estimates in the fictional case, in weeks. The static route shows the midpoint of 4 to 6 months.
Suggestion only, a QA reviewer decides6 weeks
A static, validated model22 weeks
Fictional example from this guide
Show the numbers
Item
Value
Suggestion only, a QA reviewer decides
6 weeks
A static, validated model
22 weeks
A person who reviews 40 suggestions a month and agrees with nearly all of them can drift into approving without reading. That is why the example's conditions include a quarterly review of agreement and override rates, and why draft section 3.3 asks that an operator's consistent performance be monitored like any other manual process.2
09 · Common errors
Eight ways AI classification goes wrong in pharma, and how each one shows up
In shortMost errors come from reading too little, such as taking a form at its word and leaving the design unopened. None has a published rate that we could find, so the table says how to look for each one in your own files.
The error
Why it happens
How to look for it
Answer contradicts the design
Forms are filled quickly; designs are written by someone else
Compare 20 forms with their attachments on who acts and what data
Asking about the tool and skipping the use
Procurement reviews products; risk comes from jobs
List approved tools. Which support several uses under one review?
A generative model enters through an old contract
Login and terms already exist, so nobody asks
Ask the vendor for usage by team. IBM's 2025 report found only 34% of breached organizations with policies audit for unsanctioned AI27
"Minimal risk" read as "no review"
The AI Act label feels final
Count minimal-risk entries touching GxP processes. Were they reviewed for GMP?
A draft quoted as law, or old text quoted as current
Slides outlive the rule
Search policies for "sufficient level", "August 2, 2026" and "Annex 22 requires"
The reason was never written down
The form records the tier and the meeting records the decision
Pick five past tiers. Can a newcomer say which clause drove each?
A person in the loop who never disagrees
Automation bias, which regulators raised at EMA's workshop4
Track override rates per reviewer. Plant wrong suggestions in training
No re-check when a rule or model changes
Nobody holds a list of what relies on what
Which decisions cite draft Annex 22? How long does it take to answer?
Reasonable readers can reach very different answers on the same systems
appliedAI's 2023 study also showed how far readings can spread. Depending on how the unclear cases fell, the high-risk share of its sample ran from 18% to 58%, with doubt clustering in critical infrastructure, jobs, law enforcement and product safety.16 The text has moved since then, and the filter in Article 6(3) now exists. Consistency across reviewers still takes a written method.
The same sample read as anywhere from 18% to 58% high-risk
High-risk share of 106 enterprise AI systems, depending on how unclear cases fall. Pre-final draft of the Act, 2023.
What a wrong AI classification can cost: findings, fines, breaches and a stalled idea
In shortFour costs sit apart. A GMP finding reaches product and license. An AI Act fine is large, and national enforcement is new. A data breach has published figures, though from all sectors. The everyday cost is the good idea that waits, and nobody publishes that one.
7%
of worldwide turnover, or EUR 35 million if higher, is the ceiling for a banned practice.1
AI Act Article 99
43%
of incidents in IBM's 2026 report involved shadow AI, meaning AI staff use without approval, up from 20% a year earlier.28
Baker Donelson on IBM and Ponemon, all sectors
Apr 2, 2026
is the date of an FDA warning letter to one firm, with its own heading on inappropriate AI use in drug manufacturing.5
FDA letter 722591
Shadow AI doubled in a year, and most organizations with an AI incident still lacked access controls
IBM and Ponemon, all sectors: 600 organizations, March 2024 to February 2025; 602 breaches, March 2025 to February 2026. 2026 figures as Baker Donelson reports them; we could not read IBM's full 2026 text. The 63% includes those still developing a policy.
2025 report2026 report
Incidents involving shadow AI20%43%
With an AI-related incident: lacked proper AI access controls97%92%
Breached organizations: lacked AI governance policies63%68%
With an AI-related incident: lacked proper AI access controls
97%
92%
Breached organizations: lacked AI governance policies
63%
68%
Risk
What it looks like
Who feels it
Inspection
An inspector asks who reviewed AI-written procedures, and the record is thin
Site quality; the license to make the product
Patient and product
A wrong deviation class means a shallower investigation and a batch not held
Patients first, then the company
Submission
An AI output supports a filing with no credibility evidence7
Regulatory affairs; review clocks
People
A hiring tool screens unfairly; a worker is scored by mood1
Candidates, employees, HR, works councils
Data and IP
Batch data trains a vendor's model
Legal, security, business development
Delay
A useful, low-risk idea waits weeks in a queue with risky ones. No public figure
Sponsors, who then look for a way around the process
11 · The AI inventory
What belongs in an AI inventory or AI register, so that a rule change takes hours
In shortAn AI inventory is a list of every AI use, each with enough facts to answer a regulator, an auditor or your own board. The AI Act does not ask deployers for a general company register, so this is your own control. Its most useful column records the clauses each decision relied on.
Field
Why you will want it
Owner and sponsor
A person answers questions and acts on the monitoring
Purpose, in one sentence
The AI Act and draft Annex 22 both turn on the intended purpose or use1,2
Model, vendor, version, region
A version notice can then find every affected use
Each classification with its clause
A rule change can find every decision relying on it
Validation, training, contract and privacy tasks close.
Named owners
Before go-live
Monitored
Agreement, overrides, drift, incidents.
Owner, IT Quality
Ongoing
Reopened
A clause changes, a model version changes, or the use changes.
AI office
On event
Retired
Use ends; records kept for your retention period.
Owner
At end
Frameworks that can shape your method, none of them required
NIST's AI Risk Management Framework, released January 26, 2023, and its Generative AI Profile of July 26, 2024, offer voluntary structure.30 ISO/IEC 42005, published in May 2025, offers process guidance for assessing an AI system's impact on people and society, without certification,31 and ISO/IEC 42001 covers AI management systems.31 A company can adopt them, and a management system standard can sit on top of this work. None of them replaces the five questions.
12 · Adoption and the wider rules
AI governance in life sciences: training is ahead of board attention, and US state rules are in flux
In shortAI budgets are rising and few companies have scaled their AI use. Surveys show training in place at about two in three companies, and governance at the board in about half. Outside Europe the picture shifts faster: Colorado replaced its AI law before it took effect. Software for this work is a young market.
Pharma runs above the average on AI training, device makers on board attention
Survey of 200 senior life sciences executives, 2025, by share of respondents
AI training in place, human pharma72%
AI training in place, all respondents63%
AI budgets to rise within 24 months, human pharma71%
AI governance often at the board, medical devices64%
AI governance often at the board, all respondents48%
life sciences leaders said they have successfully scaled AI; 9% reported significant returns (Deloitte, 2026 outlook)
22 of 100
More ideas are coming, and few have reached production. An intake built for today's volume will meet many more once pilots turn into programs.
Gartner's release of February 17, 2026 puts AI governance spending at $492 million in 2026, passing $1 billion by 2030. Its release of August 26, 2026 lists AI governance platforms at $275 million for 2026, inside a wider market for securing AI, so read any market size with its definition. We saw excerpts of both releases and could not read their full text.33 We found no public figure for how many AI ideas a pharma company receives a year, or how long a decision takes. Count your own.
Colorado's rewrite shows why a US team should not hard-code state rules
Colorado's 2024 AI Act never took effect. SB 26-189 repeals and replaces it, and narrows the law to transparency and rights around consequential automated decisions. The Attorney General has not finally adopted the implementing rules, and a federal court order in xAI v. Weiser holds back enforcement, so when enforcement starts is open.34,35 Keep rules like this in a library you can change, each with its status and date.
Colorado's AI law has a new text and a 2027 date, and the start of enforcement is still open
Apr 27, 2026Federal court order
xAI v. Weiser: no enforcement for violations up to 14 days after a ruling on an injunction motion still to come.
May 14, 2026SB 26-189 signed
It repeals and replaces the 2024 AI Act.
Oct 26, 2026Comment on the rules closes
The Attorney General's rules are not final.
Jan 1, 2027The law's new date
Its main requirements apply to consequential decisions from this date.
Who touches a new AI idea today: sponsor, AI office, IT Quality, privacy, security and the board
In shortA long form, then separate reviews, then a committee. No public study gives the time or the cost, so the split below is an illustration to replace. The hand-offs and the waiting are the part most teams recognize.
The six roles around one AI idea, and what each one cares about
BS
Business sponsor
Has the idea and owns the outcome. Rarely a lawyer or a validation expert.
Cares about: a fast answer, and what would make it a yes.
AO
AI governance lead
Runs intake, keeps the inventory, chairs or supports the board.
Cares about: which clause makes this high-risk, written down.
IQ
IT Quality or computerized systems validation
Sets the GxP approach, the validation plan and the monitoring.
Cares about: where the person sits in the process.
PC
Privacy counsel or data protection officer
Decides on impact assessments and data minimization.
Cares about: the fields that leave the company.
IS
Information security architect
Reviews hosting, connections, region and retention.
Cares about: which account, which region, who can read the logs.
VM
Procurement or vendor manager
Holds the contract and negotiates AI terms.
Cares about: whether the vendor may train on your inputs.
Most of the hand-offs happen before anyone has read the design
A typical path in illustrative form. Your company's steps may differ.
1Idea and long form
Questions answered from memory, attachments optional.
SponsorDay 0
2Triage
Office reads, chases missing answers.
AI officeDays 1 to 9
3Separate reviews
Quality, privacy, security and vendor each read their own rulebook.
Four reviewersDays 10 to 23
4Committee
Waits for the next meeting, sometimes monthly.
Review boardDays 24 to 35
5Record
Tier and decision, often in minutes or a spreadsheet.
AI officeDay 35
Illustrative · replace with your own numbers
Show the numbers
Step
What happens
Who
Time
Idea and long form
Questions answered from memory, attachments optional.
Sponsor
Day 0
Triage
Office reads, chases missing answers.
AI office
Days 1 to 9
Separate reviews
Quality, privacy, security and vendor each read their own rulebook.
Four reviewers
Days 10 to 23
Committee
Waits for the next meeting, sometimes monthly.
Review board
Days 24 to 35
Record
Tier and decision, often in minutes or a spreadsheet.
AI office
Day 35
In this illustration, reviews and waiting for the committee take most of a five-week path
Share of calendar days on one idea, assumed: about 9, 2, 12 and 12 of 35 days. Replace with a timed sample of your own.
Chasing sponsor answersReading and classifyingSeparate reviewsWaiting for the board
One idea on the usual path26%34%34%
Illustrative · replace with your own numbers
Show the numbers
Chasing sponsor answers
Reading and classifying
Separate reviews
Waiting for the board
One idea on the usual path
26%
6%
34%
34%
Form and spreadsheet, a risk module, or a dedicated platform: how teams build intake
The way
Good at
Where it strains
Office-run form and spreadsheet
Cheap, quick to start, easy to change
Attachments go unread, reasons are not linked, a rule change means re-reading everything
A module in your risk or quality system
Workflow, signatures and audit trail you already trust
Static questionnaires; rule content is yours to maintain
A general AI governance platform
Inventory, risk tiers, EU AI Act mapping
GMP criticality and FDA's grid may be missing or generic. Check
Outside counsel or consultants
Judgment on hard cases, defensible opinions
Cost and time per idea. Save them for the hard cases
It is an AI use itself. It proposes, and it needs its own review and its own measurement
Part B · See it working
Botminds AI Use Case Risk Classification, on one deviation assistant and a sentence typed live
Part A described the work without naming a product. This part shows how Botminds does it for a mid-size drug company's AI review board, starting from the assistant in the example at the top of the page. Every company, person, vendor, model and figure on these screens is sample data. Where a screen quotes draft Annex 22 or Article 4, we loaded the real wording for these pictures.
14 · One idea, start to finish
From "sets the class" to inventory entry REG-0413: a deviation assistant's whole classification path
In shortDr. Maya Chen's deviation triage assistant, AIU-2041, is proposed as minimal risk under the AI Act and critical for GMP. The proposed tier reads "High risk, not allowed as designed", with two redesigns offered. Dana Okafor, who leads the AI governance office and chairs the review board, picks the one where a QA reviewer decides. The path lights again, she approves with five conditions and signs, and the use enters the inventory.
What a classification on these screens is. A proposal. The agents read, compare, cite and route. Reviewers confirm their own branch, the AI review board decides and signs, and your counsel answers the legal questions. Nothing here is a legal determination or legal advice, and every rule in the library can be changed by your own team to match your counsel's reading.
1
Five branches light up, each with its reason and clause
The left of the screen holds Maya's intake. Each answer carries a tag saying where it came from: "read from the description", "Answer 2", or "design §3.1" with a link to the passage. Her description says the assistant "sets" the class. The GxP branch reads that, finds a generative model on the model card, and lights red.
The AI Act branch stays green, minimal risk, because this use sits outside Article 5 and Annex III. The personal data branch turns amber: design section 3.1 adds analyst names, where the answer said none. The vendor branch turns amber because the no-training option is not signed. All five wire into one proposed tier, routed to Sam Patel (IT Quality), Lena Ortiz (privacy), Omar Haddad (security), Hannah Brooks (vendor terms) and Dana.
The classification path, as designed. Minimal risk on one branch and critical GMP on another, on one screen. Numbered marks open the clause or the document page behind each reason.
2
The contradiction shows up on day one, with its page
Opening the full use case puts the intake conversation beside the evidence. The answer "No personal data" is outlined in amber. To the right, page 4 of the design reads: "analyst name and reviewer initials". Section 2.3 is highlighted too: "The assistant sets the deviation class". Maya wrote "suggest" in one answer and "ideally it sets the class" in the next. The record keeps both, and nobody has to find this at the privacy review.
One use case, the whole record. This picture was taken after signature, so the inventory entry shows above the classification sheet. Scores are the classifier's own confidence, which sends a dimension to a reviewer when it falls below the floor.
3
One redesign and the path lights again
Dana chooses "Suggestion only, a QA reviewer decides". The GxP branch moves from red to amber: non-critical, person decides, with the operator's duties written down. Model risk drops from high to medium, since a person decides on the full record while the consequence stays high. The proposed tier becomes Enhanced review: approvable, 5 conditions, 6 assessments.
The move to "non-critical" is the sample company's own reading, under its policy 6.5. The draft Annex does not say a person in the loop makes a critical use non-critical. That is why Sam Patel has to confirm this branch and why the decision is re-checked when the final text arrives.
Redesigned and lit again. The tag beside "Who acts on its output?" now says "redesign". The other branches stay amber until their own fixes are done.
4
Five conditions, and a signature that says what it means
Dana reads the five conditions: suggestion only; a qualified QA reviewer confirms or changes every suggestion, and the choice is recorded; names and initials removed before any text leaves the company; the no-training option signed and data kept in the EU region; a quarterly review of agreement and override rates, with a re-check on every model version change. Her signature records its meaning: "I approve this use case with the conditions above."
Approve with conditions. Controls that support your compliance with electronic signature rules: signer, meaning and time travel with the record. Your validation decides whether they meet your own requirements.
5
Into the inventory, with six assessments sent
The use becomes REG-0413 and the inventory moves from 412 to 413. Six assessments go to their owners with dates: an AI validation plan to Sam Patel by October 30, a security review to Omar Haddad by October 21, vendor terms to Hannah Brooks by October 16, the privacy note to Lena Ortiz by October 17, AI literacy training for 12 QA reviewers to Maya by November 6, and a monitoring plan to Sam before go-live.
Assessments with owners. Each carries the source that requires it. The privacy line records why no full impact assessment was opened. Lena Ortiz makes that call.
15 · A sentence typed live
Classifying an AI idea as it is typed: automated batch release, read from one sentence
In shortA new idea can be sorted while the sponsor is still writing. Sofia Marin, a QA operations manager, types one sentence. The path reads the process and who acts from her words and labels them as read. Once she picks a generative model, the GxP branch lights critical. The consequence of "sets" against "suggests" is visible before she finishes the form.
A new idea, read as it is typed. "Reads each batch record and releases clean batches automatically, with no QA sign-off." Inferred answers are labeled and can be changed. Branches without an answer stay dashed.
Critical GMP once the model is known. With data and vendor terms fine, one branch still drives the proposed tier. Real law says the same without any draft: the quality unit approves or rejects drug products under 21 CFR 211.22(a), and EU release runs through a Qualified Person under Annex 16.6,3
The clause behind the reason. Each numbered mark opens its source. The panel labels the text a draft. Wording here is from the consultation draft of section 1, with ellipses where we shortened it.2
Provisional until the sponsor answers. Batch record review by exception, AIU-2047, has 4 answers so far. The tier is dashed, the vendor branch waits, and a reminder to Sofia is one click away. A missing fact stays missing and gets no guess.
Intake by conversation. For sponsors who prefer to talk it through. Five short questions fill the same dimensions, and legal terms stay out of the sponsor's way.
16 · The rest of the screens
The AI register in daily use: use case list, risk map, rule library, dashboard and settings
In shortAround the path sit the screens an AI office uses every day: every idea sorted by what needs a decision, a map of the portfolio, the rule library with what cites each clause, the numbers, and the reviewers and routing rules your team can change.
All AI use cases. Fourteen sample ideas, ordered by what needs a decision, filtered by stage, tier or department. The vial inspection model reads minimal risk and critical GxP in one row. Each category and tier stays a proposal until reviewers confirm and the board signs.
Risk map and regulatory clock. Each idea by AI Act category and GxP impact. Most sit in the minimal row, and two of those are critical GxP. Each placement is a proposal until the board signs. The clock counts what each date touches, and marks Annex 22's Q4 2026 as a target.
A high-risk hiring tool. Candidate screening, proposed as Annex III point 4(a). Deployer duties apply from December 2, 2027, and the privacy review is already open. The sheet shows each dimension's confidence.
A banned practice. The proposal is to reject: scoring representatives' emotions at work falls under Article 5(1)(f). The sample's team is US field sales, so where the deployer sits and where the output is used under Article 2 go to counsel. The Commission's non-binding guidelines say tracking employees' emotions is banned and tracking customers' emotions is outside Article 5(1)(f), and they allow use only for a person's own training if results stay away from HR and cannot affect that person's assessment. Emotion recognition outside the ban can be high-risk under Annex III point 1(c).1,14
The rule library. Twenty-three sample clauses from the AI Act, draft Annex 22, a summary of the GAMP guide, FDA's draft, GDPR and the company's AI policy, each with its status and the use cases citing it. Your rule owners approve what goes in.
What a rule change would touch. A rehearsal on a what-if wording, since no revised Annex 22 text is published. It finds 3 open use cases and 3 inventory entries, re-classifies 6, and changes nothing until Dana confirms.
Dashboard. On the sample portfolio over 30 days: 24 ideas in, 19 decided, a median of 6.1 days against a target of 7, 14% sent back.
On the sample portfolio, three of every four ideas come out minimal risk
24 ideas classified in the last 30 days on the sample dashboard. Sample data, and no measure of any real company's mix.
24ideas
Minimal risk18
Transparency duty3
High-risk2
Prohibited1
Fictional example from this guide
Show the numbers
Part
Value
Minimal risk
18
Transparency duty
3
High-risk
2
Prohibited
1
Where the days go. 6.1 days now on the sample, against an estimated 35 before.
Department by tier. Quality carries the most enhanced reviews; IT ideas are mostly self-service.
Reviewers by dimension. Conclusions on a dimension need this person's confirmation. Change a reviewer and open assessments move with them.
Routing rules and service levels. Written in plain words, each with a switch. "Self-service approves automatically" covers one narrow class in the sample policy: an approved tool, internal data, and no decision about a person, a product or a submission. Your board sets it, and can turn it off.
17 · Agents and who signs
Six specialist agents read and route, reviewers confirm and the AI review board decides
In shortEach agent has one job and written limits. None of them approves a use. Reviewers confirm their own branch. The board chair signs, and only a signed decision, or the narrow self-service class your board has defined, creates an inventory entry.
Intake interviewer to assessment planner: each agent's job and its limit
Agent
What it does
Its limit
Intake interviewer
Reads the description as it is typed and asks only the questions that change the answer
Promises no approval and gives no legal advice to sponsors
Design and vendor document reader
Pulls model type, hosting, data fields, training terms and who acts on the output, each with its page, and compares them with the answers
Marks "not stated", and never assumes
AI Act classifier
Proposes a category against Article 5, Article 6 with Annexes I and III, and Article 50
Cites a clause for every conclusion; below the confidence floor it shows "undecided" and asks a reviewer
GxP and credibility classifier
Proposes GxP criticality against your policy, draft Annex 22 and GAMP, and model risk using the influence and consequence grid
Flags generative or adaptive models in critical GMP use; proposes redesigns and never approves
Privacy, IP and security classifier
Finds personal and special-category data, automated decisions, confidential data leaving, and vendor terms
Health data always raises an impact assessment proposal for counsel
Assessment planner and router
Creates assessments with owners and dates, routes reviews, builds the agenda, writes the entry
Writes a board-tier entry only after a signed decision
Activity trail. People and agents, each step with its time, and marked immutable. A sample of the audit trail you would export for an inspector or auditor.
Who answers for what: board, reviewers, sponsor, auditors
Person
Decides
Sees
AI review board chair
Approve, approve with conditions, send back or reject, with an e-signature
Everything
Reviewers (IT Quality, privacy, security, vendor)
Confirm or change their own branch; complete assessments
The cases routed to them, with evidence
Sponsor
Answers, redesign proposals, and ownership of the entry
Their own cases
Auditor
Nothing; read only
Everything, with the full trail
Maker-checker separation (one person prepares, another approves), audit export and role-based access are part of the design. The platform is SOC 2 Type II audited and its information security is managed to ISO 27001. GxP, 21 CFR Part 11 (FDA's electronic records rule) and EU Annex 11 (the EU's annex on computerized systems) are matters for your validated use: the product offers controls that support your compliance, and your quality team validates its intended use.
The classifier is an AI use too, so put it in your own inventory. On the path we show, it supports a decision that people make and record. Your counsel and quality team decide how to classify it for your company.
18 · Goes in, comes out
From a typed idea, design documents and vendor terms to a cited tier and an inventory entry
In shortThe inputs are what an AI idea already comes with. The outputs are a classification with citations, a checklist of assessments, an approval record and an inventory entry. Outcome numbers below are design targets, the goals the live solution is measured against.
Read, never changed
Architecture and data-flow documents
Vendor model cards and terms
QMS procedures that say what an output decides
Contracts
Rule library: AI Act, draft Annex 22, GAMP summary, FDA draft, GDPR, your AI policy
From your team
The sponsor's description and answers
Review tiers, routing rules and reviewers
Agents read, classify and routeEvery conclusion cites a clause or a document page
The board decides
Each classification is a proposal
What comes out
Risk classification with clause citations
Required assessments with owners and dates
Approval record with signature and meaning
AI inventory entry with owner, tier, conditions and next review
Audit trail export
Systems an AI office connects it to, by kind
Document management and collaboration tools for designs; the quality management system for procedures and deviations; the contract system for vendor terms; identity and access systems for roles; ticketing and email for reminders; and your data warehouse for inventory exports. Connections follow your security review, and the solution handles the document volumes of a global enterprise.
The sample shows where the days come back: sponsor answers, reviews and the board
Calendar days per step. Before: the solution's own estimate of a 35-day path. With the solution: dashboard medians on the sample portfolio, which sum to 6.1 with classification. Measure yours.
Before (estimated)Sample portfolio
Sponsor answers, re-interviews, missing documents9 days1.6 days
Separate reviews14 days2.3 days
Board decision12 days2.1 days
Fictional example from this guide
Show the numbers
Before (estimated)
Sample portfolio
Sponsor answers, re-interviews, missing documents
9 days
1.6 days
Separate reviews
14 days
2.3 days
Board decision
12 days
2.1 days
Design target
What it means
6.1 days
Median from intake to a board decision, every classification cited (design target, shown on the sample portfolio; the "before" of about 5 weeks is an estimate)
75%
Of new AI ideas needing only AI literacy measures under the AI Act (design target, set on the sample; see section 3 for why a real mix may differ)
412 uses
In one AI inventory, each with tier, conditions and review date (design target)
Part C · Are you ready to automate?
Automating AI use case intake: what a slow or careless review costs you, what it returns and how to test it
You run AI governance, IT Quality, privacy or a business that keeps bringing AI ideas, or you answer for what happens when one goes wrong. This part is written for you: what your present intake costs, what automating it could return, whether you are ready, and what to ask any vendor of AI governance software, including us.
19 · What it costs you
What your AI review backlog and unwritten reasons cost, and how to measure both in a week
In shortTwo kinds of cost. The everyday one is staff hours and good ideas waiting, and you can measure it this week. The rare one is a GMP finding, a fine or a breach, and nobody can predict it for you. We found no public figure for the hours or days a pharma AI review takes, so your first number is your own.
66%
of life sciences executives say a lack of legal clarity hinders AI deployment at their organization.26
White & Case with Mergermarket, 2025 survey
22%
of life sciences leaders say they have successfully scaled AI, and 9% report significant returns.32
Deloitte, 2026 outlook
Dec 2, 2027
is when high-risk duties reach hiring and the other Annex III uses, so you will want a list of what you run well before it.8
Regulation (EU) 2026/1744
An illustration: most ideas need little, so the hard ones should get your experts' time
200 AI ideas a year, assumed, by the review each might need. Replace with a count of your own last 12 months.
AI ideas received200
Need more than a light check70
Touch GxP, people's data or a new vendor45
Need the board's full attention15
Illustrative · replace with your own numbers
Show the numbers
Stage
Count
AI ideas received
200
Need more than a light check
70
Touch GxP, people's data or a new vendor
45
Need the board's full attention
15
What nobody publishes. We found no public figure for AI ideas per pharma company a year, days from idea to decision, reviewer hours per idea, how often a form contradicts its design, or the accuracy of any tool at this classification. Vendors may quote their own. Ask how they measured, and measure yours.
Timing ten past AI ideas and comparing their forms with their designs: your baseline in a week
Cost
Where it hides
How to find your number in a week
Days from idea to decision
Between inboxes and committee dates
Take the last 10 decisions and date each hand-off
Reviewer hours per idea
Inside quality, privacy and security's normal work
Ask each reviewer to log the next five ideas
Chasing sponsors
Email threads and meetings
Count the follow-ups on those same 10 ideas
Forms that contradict designs
Nobody compares them
Read 20 forms against their attachments: who acts, what data, which model
Tiers you cannot explain
Minutes that record the outcome and skip the reason
Pick five old decisions. Can someone name the clause?
AI nobody registered
Vendor features switched on, old contracts, personal accounts
Compare your inventory with single sign-on logs and vendor admin consoles
Re-checking after a rule change
An unplanned scramble
Time how long it takes to list every decision that relied on draft Annex 22
The sponsor who stops asking, the wrong precedent and other costs of AI review no calculator counts
The sponsor who stops askingA five-week wait teaches people to use the tool they already have, and tell nobody.
The precedent you cannot explainA similar idea gets a different answer, and a sponsor notices.
Your experts' attentionQuality and privacy staff reading meeting-note tools are absent from the two ideas that matter.
The inspection question"Who reviewed this?" is easy with a record, and hard without one.
Your standing with works councilsIn Europe, staff representatives ask about AI at work, and a clear record helps that talk.
20 · Your return
What faster AI classification returns when you count reviewer hours, waiting days and re-checks
In shortPut in your own numbers. Every default is a placeholder. The calculator counts staff time and shows waiting days separately, and it takes away what software would cost you. It gives no value to avoiding a finding or a fine, because nobody can promise that.
Reviewer hours, waiting days, re-checks: where automating AI intake can pay
Reviewers
Reading replaced by confirming
Your reviewers start from a cited proposal, and spend their time on what they disagree with.
ideas × hours saved per idea × hourly cost
Sponsors
Short questions in place of a long form
In the sample, five questions replace a 40-question form. Fewer re-interviews, and an answer to "what would make it a yes" while the idea is fresh.
ideas × sponsor hours saved × hourly cost
Waiting
Days back on useful ideas
Each low-risk idea that starts sooner begins paying sooner. Value it yourself, or leave it out.
ideas × days saved
Rule changes
A list of what relies on what
Annex 22, the high-risk guidelines and model versions all reopen past decisions.
changes × decisions touched × hours saved
Inventory
One record, ready for questions
Audits and board reports come from the record, with no special project.
requests a year × hours saved
Consistency
The same reasons six months later
Real, and left out of the calculator.
similar ideas with the same tier ÷ all similar ideas
Your yearly reviewer hours back on AI ideas and rule re-checks
Every default is a placeholder, chosen to show the arithmetic. Replace them with what you timed.
AI ideasRule and model changesCost
Illustrative yearly value
Hours freed on new ideas0
Hours freed on re-checks0
Time saved, valued$0
After the yearly cost$0
Idea-days of waiting removed, not valued0
Formula: (ideas × hours saved per idea + changes × decisions × hours per re-check) × hourly cost − yearly cost. Waiting days are shown and left out of the money.
Which AI ideas to automate first: high volume and clear rules
Start where volume is high and the rules are clear, and save the unclear for your experts
Our judgment, to adjust. Bigger gains come top right. Keep board attention on the top left.
Is your AI governance office ready to automate intake? Eight questions and a reflection
In shortAnswer honestly, 0 to 2 on each. Your score suggests whether to build a baseline, pilot on closed ideas, or plan a rollout. Nothing you choose leaves this page.
1
How many AI ideas reach you
How many new AI ideas does your office receive a year?
Why it mattersFew ideas may not repay automation, though the record still might.
A strong answer"We counted: about 180 last year, and rising."
2
A written AI policy with tiers
Do you have review tiers and a rule for what sets them?
Why it mattersA tool can apply your policy. It cannot invent it.
A strong answer"Yes: four tiers, the highest answer wins, approved by the board."
3
Named reviewers for each dimension
Who confirms GxP, privacy, security and vendor terms?
Why it mattersRouting fails without owners, and a reviewer who sponsors an idea should not review it.
A strong answer"A named person and a deputy for each, with a conflict rule."
4
Rule status, kept current
Can you say today what is law and what is a draft, with dates?
Why it mattersA policy quoting pre-Omnibus dates is wrong today.
A strong answer"An owner keeps the list, with counsel's sign-off on each change."
5
An inventory you trust
Could you list every AI use in production, with an owner?
Why it mattersA re-check is only as good as the list behind it.
A strong answer"Yes, reconciled against sign-on logs last quarter."
6
Documents that can be read
Do ideas arrive with designs, model cards and vendor terms?
Why it mattersContradictions can only be found in documents that exist.
A strong answer"Attachments are required above the lightest tier."
7
A baseline
Have you timed idea-to-decision, and sampled forms against designs?
Why it mattersWithout one, no vendor's number means anything.
A strong answer"Ten ideas dated by hand-off, twenty forms compared."
8
Who decides, and how a machine's proposal is treated
Have legal, quality and the board agreed that a classification is a proposal, and who decides it?
Why it mattersA proposal treated as a verdict is the failure this work is meant to prevent.
A strong answer"Yes, in writing: the board decides, counsel answers on law, and we watch override rates."
9
For reflection: the AI idea you hope is on no one's desk
If an inspector or a works council asked tomorrow about one AI tool you suspect is in use, what would you show them? Not scored. Your answer is where to start.
0–6
Explore
Write down your tiers, name your reviewers, fix your dates against the AI Omnibus, and time ten past ideas. Those steps pay off before any software arrives.
7–11
Ready to pilot
Replay closed ideas with planted contradictions, and score what a tool catches against what your reviewers caught. Fix the policy gaps the pilot shows up.
12–16
Ready to implement
Plan your rule library and who owns it, connections to contract and quality systems, your validation of the intended use, and read access for your auditors.
22 · Questions for any vendor
What to ask any AI governance platform about clauses, GMP, drafts and who decides
In shortAsk every vendor the same questions, us included. The answers show whether the tool reads your documents, whether it knows what is draft and what is law, what it does when it is unsure, and whether a person stays in charge.
Ask
A good answer
A warning sign
Reading the idea
Show me an idea where the form and the design disagree.
A live demo, with the page cited, on your documents
Reads form answers only
What happens when a fact is missing?
"Not stated", provisional tier, a question to the sponsor
A guess that looks like a fact
The rules
Show me your text of Article 4, and of draft Annex 22 section 1.
The Omnibus text, and the real draft wording, each with its status
"Sufficient level", or a neat paraphrase offered as a quotation
Do you classify under GMP as well as the AI Act?
Yes, as separate branches that can disagree
One risk score
Who keeps the library current, and how fast?
A named process, your approval of each change
"We update it regularly"
When a clause changes, what happens to past decisions?
A list of what cites it, a preview, your confirmation
A note in a release newsletter
Who decides
Can your software approve anything by itself?
A plain answer: only what your policy defines, and you can turn it off
"It is fully automated"
What do you call your output?
A proposal for your reviewers, and no legal advice
"Compliant", "certified", "determination"
How would we notice reviewers rubber-stamping?
Override rates by reviewer, sampling, planted errors
Nothing on this
Your own data and assurance
Do you train on our inputs? Which model runs, and which region?
Written terms, version notices, your region
A verbal assurance
What can you show for your own controls?
Audit reports, access controls and a trail you can export
"GxP certified" or "Part 11 compliant": no product can hold such a label
How accurate is it, and how did you measure?
Method, sample, and an offer to test on your closed ideas
One percentage with no method
23 · A pilot plan
Replaying closed AI ideas: a ten-week pilot with planted contradictions and a written decision
In shortPilot on closed ideas first, so nothing real depends on the tool. Plant known problems. Score it and your own reviewers side by side. Then run a few live ideas in parallel, and decide in writing.
Ten weeks, with live ideas only after the replay has been scored
An illustrative plan. Adjust to your board's calendar.
Your teamVendor
Baseline: time 10 ideas, compare 20 forms
Load policy, tiers and rule library
Counsel and QA sign off the rule library
Replay 30 closed ideas, with planted problems
Score against your reviewers
10 live ideas in parallel
Decide, and record why
Week 0246810
Illustrative · replace with your own numbers
Show the numbers
Activity
From
To
Baseline: time 10 ideas, compare 20 forms
0
2
Load policy, tiers and rule library
1
3
Counsel and QA sign off the rule library
2
4
Replay 30 closed ideas, with planted problems
3
6
Score against your reviewers
5
7
10 live ideas in parallel
6
9
Decide, and record why
9
10
Planted contradictions, clause checks and override rates: how to score an AI classification pilot
Measure
How
Why
Planted problems caught
Caught ÷ planted, by branch, for the tool and for your reviewers
A missed critical use is the failure that matters
Citation validity
Open 100 citations. Does the clause or page say it?
A wrong citation is worse than none
Agreement by branch
Tool's proposal against your reviewers' final answer
Shows where the rule library needs work
Overrides and their reasons
Rate per reviewer, with sampled reasons
Very low rates may mean nobody is reading
Undecided share
Branches below the floor ÷ all branches
Too low can mean overconfidence, and too high means little saved
Days to decision
Same steps as your baseline
Your own number, since no public one exists
Time to list a rule's dependents
Stopwatch, before and after
The re-check you will soon need for Annex 22
Deep questions to settle before you scale
The classifier itself. Is it in your inventory? Does your quality team treat it as GxP, given that it can route GxP decisions? Who checks its accuracy each quarter?
Legal privilege. Do your counsel's reasons belong in the record the auditors read, or in a separate file? Agree this before the first hard case.
The Annex 22 bet. Does your policy mirror the draft's generative AI line, stay stricter, or wait for the final? What re-check would each choice mean?
Reading a person in the loop. Will QA accept that a person deciding makes a use non-critical? What evidence of real review would it want?
Outside Europe. Which US state and other national rules go into the library, and who keeps them current as they change?
Sponsors. How will you keep the answer friendly enough that people still ask?
24 · Questions people ask
EU AI Act risk classification, draft Annex 22 and FDA's AI guidance: questions people ask
In shortShort answers to the questions people search. Each stands on its own. None of them is legal advice.
What is AI use case risk classification?
It is an AI risk assessment done idea by idea: each proposed AI use is sorted under the rules that apply to it, so it gets the right review and the right reviewers. In life sciences that usually means five questions: EU AI Act category, GxP criticality, model risk, personal data and vendor terms. The result is a proposal, and named people decide. The record goes into an AI inventory.
What are the EU AI Act risk categories?
The Commission describes four groups: unacceptable risk (banned practices under Article 5), high risk (Article 6 with Annexes I and III), transparency risk (Article 50) and minimal or no risk. The Act introduces no rules for the last group, which covers most AI in use. Article 4 on AI literacy, GDPR and GMP still apply where relevant.
When do the EU AI Act's high-risk rules apply after the AI Omnibus?
Regulation (EU) 2026/1744, in force since July 27, 2026, sets December 2, 2027 for Annex III uses such as hiring, and August 2, 2028 for AI in Annex I products such as medical devices. The delay is law. Bans have applied since February 2, 2025, with one more from December 2, 2026, and Article 50 transparency since August 2, 2026.
Is EU GMP Annex 22 in force?
No. On November 3, 2026 it is a draft; the Commission's GMP page lists no Annex 22. The consultation ran July 7 to October 7, 2025. The EMA inspectors' work plan sets Q4 2026 as a target for handing the Commission a final text, with no adoption date, and EMA says wording on generative AI is under discussion.
Can generative AI or an LLM be used in GMP?
The draft Annex 22 says generative AI and LLMs "should not be used in critical GMP applications", and that in non-critical uses qualified people should be responsible for outputs. It is a draft, and EMA reports there "may be viable pathways" under risk-based controls. Rules already in force still apply: in an April 2026 warning letter to one firm, FDA called unreviewed AI-written documents a violation of 21 CFR 211.22(c), and said that if the firm resumed production, AI output must be reviewed and cleared by an authorized person in its quality unit.
Is a QC deviation assistant high-risk under the EU AI Act?
Usually not: manufacturing quality decisions are not on the Annex III list, and a plant's assistant is not normally a product under Annex I. It can still be a critical use under GMP, depending on what the output decides and on the model. Ask counsel about your facts, and classify it under GMP separately.
What is FDA's model risk, and does FDA's AI guidance apply to internal tools?
In FDA's January 2025 draft, model risk combines model influence and decision consequence. The draft covers AI producing information to support regulatory decisions on safety, effectiveness or quality, and leaves out drug discovery and operational efficiencies with no impact on patient safety, drug quality or study reliability. Many companies borrow its grid for internal triage, which is their own choice and no FDA finding.
What is the difference between an AI provider and a deployer?
A provider develops an AI system and places it on the market or puts it into service under its own name. A deployer uses it under its own authority. A drug company is usually a deployer, but Article 25 treats it as a provider if it changes the purpose of a system, including a general-purpose one, so that it becomes high-risk.
Do we need an AI inventory?
The AI Act does not ask deployers for a general register of all their AI, though high-risk systems have registration rules of their own. A company keeps one for its own reasons: to answer auditors, re-check after a rule change and act on a vendor's model change. An inventory should hold owner, purpose, model, tier, the clauses relied on, conditions and next review.
Is emotion recognition at work banned?
Article 5(1)(f) bans AI that infers people's emotions in the workplace and in education, except for medical or safety reasons, and has applied since February 2, 2025. The Commission's non-binding guidelines say tracking customers' emotions falls outside it, and that a tool used only for a person's own training is allowed if results stay away from HR and cannot affect that person's assessment. Emotion recognition outside the ban can be high-risk under Annex III. A sales call tool that scores representatives is the case to look at closely.
Can software make an AI risk classification decision for us?
Software can read documents, apply your written logic, cite clauses and propose a tier, and it can do that consistently. The decision should stay with named people, and only a court or regulator settles what the law means. Treat any tool's output as a proposal, record who decided, and watch how often reviewers disagree.
Is any AI governance tool GxP certified or Part 11 compliant?
No product can hold those labels. GxP rules, FDA's electronic records rule (21 CFR Part 11) and EU Annex 11 on computerized systems apply to how you use a system, so a vendor can offer controls that support your compliance, and you validate your intended use. A vendor can hold real audits of its own, such as SOC 2 Type II.
25 · One-page summary
Classifying an AI idea on one page: the method, the November 2026 rules and the terms
Print this page
In shortThe whole guide on one screen: the method, the rules as of November 2026, the readiness bands and the terms.
The method
Describe the use in one sentence: what the AI does and who acts on it.
Read the design, model card and vendor terms, and compare them with the form.
Answer five questions: AI Act, GxP, model risk, personal data, vendor terms.
Tie each answer to a clause or a page. Mark what is draft.
Let your written policy set the tier, usually from the highest answer.
When the answer is no, say what would make it a yes.
Named reviewers confirm their part, and the board decides and signs.
Register it, watch it, and reopen it when a rule, a model or the use changes.
Readiness: score 0–2 on eight questions: 0–6 explore · 7–11 pilot · 12–16 implement.
As of November 2026. Law: AI Act with Regulation (EU) 2026/1744, in force July 27, 2026: Annex III December 2, 2027, Annex I August 2, 2028; GDPR; 21 CFR 211.22. Drafts: EU GMP Annex 22 and Annex 11 revision, inspectors' target Q4 2026; Commission high-risk guidelines; FDA AI guidance, January 2025. Guides: EMA reflection paper, 2024; ISPE GAMP AI, 2025. Device makers only: FDA CSA, February 2026.
14 terms
Use case
One AI tool doing one job for one group of people.
Review tier
How much review a use needs, set by your policy.
Provider and deployer
A provider develops an AI system and places it on the market. A deployer uses one under its own authority.
Annex III
The AI Act's list of high-risk uses, such as hiring.
Article 6(3) filter
Lets an Annex III system out of high-risk in narrow cases, never if it profiles people.
AI literacy
Article 4: measures to support staff understanding of AI.
GMP and GxP
GMP is good manufacturing practice. GxP is the family of good-practice rules for manufacturing, laboratories, clinical work and distribution.
Deviation
A report of something that went off plan in making or testing a drug.
Critical GMP use
An AI use with direct impact on patient safety, product quality or data integrity.
Static, deterministic model
Does not learn during use, and gives the same output for the same input.
Human in the loop
The process waits for a qualified person before the output counts.
Model risk
FDA draft: model influence combined with decision consequence.
DPIA
Data protection impact assessment under GDPR Article 35.
AI inventory
One list of AI uses, with owner, tier, conditions and next review.
26 · Sources
Sources
Accessed October 2026. Regulatory status statements are as of October 2026.
Regulation (EU) 2024/1689 (AI Act), Official Journal, July 12, 2024. eur-lex.europa.eu
European Commission and PIC/S, draft Annex 22: Artificial Intelligence, consultation July 7 to October 7, 2025. picscheme.org
European Commission, EudraLex Volume 4, read November 3, 2026. health.ec.europa.eu
EMA, report of the GMP multistakeholder workshop on AI guidance (Annex 22), EMA/156789/2026, workshop of June 30, 2026. ema.europa.eu
FDA, warning letter MARCS-CMS 722591, Purolea Cosmetics Lab, April 2, 2026. fda.gov
21 CFR 211.22, Responsibilities of quality control unit, 2025 edition. govinfo.gov
FDA, draft guidance, "Considerations for the Use of Artificial Intelligence to Support Regulatory Decision-Making for Drug and Biological Products", January 2025, docket FDA-2024-D-4689. fda.gov
Regulation (EU) 2026/1744 (AI Omnibus), Official Journal, July 24, 2026; in force July 27, 2026. eur-lex.europa.eu
ISPE, GAMP Guide: Artificial Intelligence, July 2025. ispe.org
EMA, Reflection paper on the use of Artificial Intelligence in the medicinal product lifecycle, September 9, 2024. ema.europa.eu
Council of the EU, document 14756/26, mandate on the Digital Omnibus, October 2026. data.consilium.europa.eu
European Commission, "AI Act", Shaping Europe's digital future, read November 3, 2026. digital-strategy.ec.europa.eu
European Commission, Guidelines on prohibited artificial intelligence practices, C(2025) 5052 final, July 29, 2025, paragraph 254 (non-binding). digital-strategy.ec.europa.eu
European Commission, Draft guidelines on the classification of high-risk AI systems, May 19, 2026; page updated July 23, 2026. digital-strategy.ec.europa.eu
appliedAI, "AI Act: Risk Classification of AI Systems from a Practical Perspective", March 2023 (106 systems). appliedai.de
appliedAI Institute for Europe, Risk Classification Database, read November 3, 2026: "The analysis was done in 2023", without the Article 6(3) filter. appliedai-institute.de
Osborne Clarke, "EU MDR and IVDR poised to remain main framework for medical AI in draft AI interface reforms", January 28, 2026. osborneclarke.com
European Parliament, Legislative Observatory, procedure 2025/0404(COD), read November 3, 2026. oeil.europarl.europa.eu
Burges Salmon, "EU AI Act: Commission publishes draft guidelines on high-risk AI classification", 2026. burges-salmon.com
EMA, 3-year work plan of the GMP/GDP Inspectors Working Group, 2026 to 2028. ema.europa.eu
EMA, "EMA and FDA set common principles for AI in medicine development", January 14, 2026. ema.europa.eu
FDA CDER, Artificial Intelligence for Drug Development, content current May 1, 2026. fda.gov
FDA, Computer Software Assurance for Production and Quality Management System Software, February 2026. fda.gov
Court of Justice of the EU, judgment of December 7, 2023, SCHUFA Holding (Scoring), C-634/21. eur-lex.europa.eu
White & Case with Mergermarket, "New frontiers: how AI is transforming the life sciences industry", key findings, January 21, 2026. whitecase.com
IBM and Ponemon Institute, Cost of a Data Breach Report 2025, July 30, 2025 (copy hosted by Baker Donelson; a 2026 edition has followed, see source 33). bakerdonelson.com
Baker Donelson, "Ten takeaways from IBM's 2026 Cost of a Data Breach Report", July 30, 2026. bakerdonelson.com
NIST, AI Risk Management Framework, read November 3, 2026. nist.gov
CMS, "ISO/IEC 42005:2025: a new blueprint for legal and commercial leaders", September 3, 2025. cms.law
Deloitte, 2026 Life Sciences Executive Outlook. deloitte.com
Gartner, "Global AI Regulations Fuel Billion-Dollar Market for AI Governance Platforms", February 17, 2026, and "Gartner Forecasts the Market for Securing AI Will Reach $4.8 Billion in 2027", August 26, 2026; excerpts only. gartner.com · gartner.com
Eckert Seamans, "Colorado Repeals and Replaces Its Landmark AI Statute", 2026. eckertseamans.com
Jones Walker, "The Colorado AI law you prepared for is gone", AI Law Blog, October 23, 2026. joneswalker.com
Next step
See it on your own AI ideas.
Explore the solution, or bring a sample of your own AI ideas and your AI policy. We will propose a classification for each, every conclusion tied to its clause, and your people decide.
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