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Agentic operating system

Agentic workflow for life sciences, built for regulated execution.

The Agentic OS is USDM's design system for agentic AI pharma, biotech, and medical device teams: a shared vocabulary, layer architecture, data ontology, and control topology that governs how agents work in regulated environments.

Operating model

Govern · Prepare · Build · Validate · Scale

Five layers. Every layer is a design decision with its own controls.

Decision rights

Human-owned, evidence-backed.

Compliance posture

Part 11-aligned controls where applicable.

The agentic stack

Every component in an agentic workflow is a design decision.

An agentic workflow isn't a single system — it's a stack. Each layer has a different owner, a different risk profile, and different controls. Understanding which layer a problem lives in determines how the workflow is governed, validated, monitored, and scaled.

Governance layer

Human approval gates, audit trails, evidence capture, and change control wrap every workflow. Nothing leaves without a review record.

GxPPart 11CSA/GAMPHuman-in-the-loop

Domain agent layer

Specialized agents scoped to regulated domains: Quality, RA, Clinical, Manufacturing, Safety, Medical Affairs, Cybersecurity, and Corporate Functions.

Bounded tasksApproved sourcesEscalation rules

Orchestration layer

Routes intent to the right tool, manages context and memory, controls prompt logic, and handles fallback and escalation paths.

Intent classificationTool selectionContext window

Model layer

Foundation models handle reasoning, long-document analysis, and structured output generation. Model selection matches task type and risk class.

Claude (Anthropic)Azure OpenAIVertex AIAmazon Bedrock

Data & integration layer

Regulated source systems provide the approved data. Every source is bounded by role, permission, and record type before agents can access it.

QMSRIMCTMSMESSafety DBERPGleanSharePoint

Workflow validation

How an agentic workflow for life sciences works.

USDM starts with the regulated work, not the demo. The operating model defines what the agent can see, what it can draft or route, what evidence it must retain, and where a qualified human must approve before the process advances.

That is the difference between a generic AI assistant and an agentic workflow GxP, Quality, Regulatory, Clinical, Manufacturing, and Safety teams can defend during review.

Workflow intent

Define the business process, regulated impact, user role, source systems, and output before deciding how much autonomy an agentic workflow should receive.

GxP boundary

For an agentic workflow GxP teams can defend, the architecture must separate allowed retrieval, drafting, routing, and escalation from actions that require formal human approval.

Validation scope

Agentic workflow validation focuses on intended use, source controls, prompt and tool behavior, evidence capture, exception handling, and change control.

Governance model

AI agent governance defines owners, approval gates, monitoring, access review, release controls, and lifecycle management before the workflow scales across teams.

Data ontology

Regulated source systems are the foundation.

Agents are only as good as the data they're allowed to see. USDM maps approved source systems to domain agents before any workflow is built — defining which records each agent can read, retrieve, and reference.

Quality
QMSeQMSDeviationsCAPAAudit findings
Quality Agent
Regulatory
RIMSubmissionsLabelsCommitments
RA Agent
Clinical
CTMSeTMFProtocolsSite trackers
Clinical Agent
Manufacturing
MESBatch recordsEquipment logsQMS
Manufacturing Agent
Safety / PV
Case intakeLiteratureSignal DBFollow-up queue
Safety Agent

Control topology

What the control stack looks like in practice.

Every agentic workflow has a boundary between what the agent can do independently and what requires human authorization. That boundary is explicit, tested, and validated before go-live so AI agent governance is visible in the process itself.

What agents are authorized to do

Useful work inside boundaries.

Classify intake and route work to the right queue.

Retrieve approved source records and cite every claim.

Draft summaries, packets, responses, and follow-up tasks.

Compare records, identify gaps, and escalate exceptions.

Monitor queues, missing evidence, and recurring patterns.

What requires human authorization

No surprise automation.

Approve regulated records or replace required reviewer sign-off.

Make release, disposition, medical, safety, or risk-acceptance decisions.

Invent citations, commitments, dates, or source evidence.

Bypass QMS, RIM, CTMS, MES, PV, or TPRM approval workflows.

Change vendor status, access rights, or controlled records without human approval.

Human-in-the-loop

What human oversight actually looks like in a GxP workflow.

Every USDM agentic workflow follows a 6-step pattern. Automation handles intake and routing; humans own review, disposition, and escalation. The audit trail captures everything needed for AI agent validation and agentic workflow validation.

1

Trigger

External event or system signal initiates the workflow.

automated
2

Agent intake

Classify, retrieve source records, draft output, flag gaps.

automated
3

Human review

Qualified owner reviews, edits, or rejects the draft.

required
4

Agent route

Route the reviewed result to the next system or queue.

automated
5

Final action

Disposition, approval, or escalation — human-owned.

human
6

Audit trail

Prompt + source + output + reviewer captured permanently.

always

Shared vocabulary

A shared vocabulary for architecture review boards.

These six terms define the operating model. When USDM and a regulated organization use the same vocabulary, the validation conversation moves faster.

Intended use

The specific workflow, source systems, and human decision points the agent is designed to support. Scoped before build, not after.

Agent boundary

The set of approved sources, queues, and permission sets the agent can access. Everything outside the boundary is off-limits by design.

Human decision gate

A required review point where a qualified human must approve the output before regulated action proceeds.

Evidence capture

The audit trail of prompts, retrieved sources, outputs, reviewer actions, and version history for each workflow execution.

Change control

Documented process governing updates to prompts, models, logic, or data sources — required before any change goes live.

Validation scope

The test evidence aligned to intended use, risk, data sources, and human decision points — not a validation of the model in the abstract.

FAQ

Agentic Workflow Questions for Life Sciences Teams

These are the questions Quality, IT, Regulatory, and business leaders should answer before an AI agent becomes part of regulated work.

What is an agentic workflow for life sciences?

An agentic workflow for life sciences is a controlled sequence where AI agents retrieve approved context, perform bounded tasks, route work, draft outputs, and escalate exceptions while humans retain responsibility for regulated decisions.

How should agentic workflow GxP use cases be validated?

Agentic workflow GxP validation should be based on intended use, risk, source systems, prompt and tool behavior, human approval gates, audit evidence, failure handling, monitoring, and change control.

What does AI agent validation cover?

AI agent validation covers the specific workflow the agent supports, not the model in the abstract. It should test source boundaries, retrieval behavior, output expectations, escalation paths, reviewer handoffs, and evidence capture.

What does AI agent governance require in pharma?

AI agent governance for pharma and life sciences requires clear ownership, access boundaries, approved data sources, human decision gates, validation scope, monitoring, issue management, and controlled updates to prompts, models, tools, and integrations.

Talk to an agentic AI specialist

Design the governed operating model your team needs.

USDM can help define the workflow, the validation scope, and the oversight controls — so the first use case is worth automating and audit-ready from day one.

Start here

Talk to USDM

Tell us which domain or workflow you're trying to accelerate and we'll map a governed path forward.

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