Difference between revisions of "Sample Issue Submission Form"
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(Created page with '=Issue Submittal Form= ==Short description== ==Full description== (Please provide a narrative of the problem) ==Environment== *Issue occurs in: Non-Production Production …') |
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==Full description== | ==Full description== | ||
(Please provide a narrative of the problem) | (Please provide a narrative of the problem) | ||
==Environment== | ==Environment== | ||
| − | + | Issue occurs in: | |
| + | *Non-Production | ||
| + | *Production | ||
| + | *Other (please specify): | ||
| + | |||
==Steps to Reproduce== | ==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) | (For clarity – please document the steps as if you were asking a peer to see if they could recreate the same issue) | ||
| Line 34: | Line 36: | ||
*Details: | *Details: | ||
==User/Devices Affected== | ==User/Devices Affected== | ||
| − | Provider | + | *Provider |
| − | + | *Clinical Support | |
| + | *Admin/IT/Other | ||
| + | |||
==Frequency== | ==Frequency== | ||
How often does the issue happen for the affected user? | How often does the issue happen for the affected user? | ||
Latest revision as of 12:26, 14 August 2014
Full description
(Please provide a narrative of the problem)
Environment
Issue occurs in:
- Non-Production
- Production
- 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:
- Username/Password:
- Provider:
- 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:
Onset
- 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)
- Details:
User/Devices Affected
- Provider
- Clinical Support
- Admin/IT/Other
Frequency
How often does the issue happen for the affected user?
- Less than once/user/day
- Once/user/day
- Less than 5x/user/day
- Less than 10x/user/day
- Greater than 10x/user/day
Preventing implementation
Is this issue preventing you from implementing or rolling out a feature?
- Yes
- No
Specific to Org/Site/Location
- Yes
- No
Details:
Error message Text
If an error was encountered, please click on the buttons and copy/paste all information into the issue.