Sample Issue Submission Form
(Please provide a narrative of the problem)
Issue occurs in:
- Other (please specify):
Steps to Reproduce
(For clarity – please document the steps as if you were asking a peer to see if they could recreate the same issue)
- Patient Name/MRN:
- Encounter Date/Time:
- Note Type (Specialty, Age Range, Gender):
- Task List/Patient List/Text Template, etc:
- EHR Version/Build:
- Steps to Reproduce:
1. 2. 3. 4. 5.
- Expected Outcome:
- Actual Outcome:
- Never used feature before so unknown if it worked previously
- Work previously – not sure why we have an issue now
- Recent preference change (indicate preference below)
- Recent change/upgrade to OS/DB (indicate date and details below)
- Recent configuration change in TWAdmin or SA (indicate change below)
- Recent upgrade to a release or a hot fix (indicate version below)
- Other (indicate below)
- Clinical Support
How often does the issue happen for the affected user?
- Less than once/user/day
- Less than 5x/user/day
- Less than 10x/user/day
- Greater than 10x/user/day
Is this issue preventing you from implementing or rolling out a feature?
Specific to Org/Site/Location
Error message Text
If an error was encountered, please click on the buttons and copy/paste all information into the issue.