Sample Issue Submission Form

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.