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Submit a ticket

Describe what happened in the order below. A clear report reaches the right team the first time.

Do not include patient names or identifiers in this form or in screenshots.

About you

Full name

FacilityYour hospital, laboratory, pharmacy or organisation.

Phone

About the request

Request type

Work area

SubjectOne line that names the screen and the problem.

What happened

What were you trying to do?

Where in the workflow?The menu path or the step you were on.

When did it happen?

Visible status or messageCopy the exact wording shown on screen.

Is patient care affected?

NoYes, care is delayedYes, there is an immediate risk

Patient care is affected. Do not wait for a ticket reply. Use your organisation's urgent patient-safety route.

Attachments

Use synthetic or de-identified data only.