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Path to Live environments incident reporting form
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Section 1: Your details
*Required field
Name
*
First and last name
Telephone number
Email
*
Section 2: Organisation details
Your organisation name
*
Type of organisation
*
Select an option
Trust
Commissioning Support Unit (CSU)
System supplier
NHS Digital
Other
Name of affected organisation if reporting on behalf of someone else
Section 3: Details of affected service
Affected service
*
Spine
NHS e-Referral Service (e-RS)
Care Identity Service (CIS)
Test lab
Other
Environment
*
Development
Deployment
Integration
Training
Non-functional testing (NFT)
Other (please specify)
e-RS environment
e-RS INT1
e-RS INT2
e-RS DEP1
e-RS DEV1
e-RS DEV3
e-RS TRAIN
e-RS TRAIN2
Other (please specify)
CIS environment
Development
Deployment
Integration
Training
Other (please specify)
Test lab environment (if known)
Section 4: Description of incident
Describe the problem
*
Please provide as much information as possible to assist diagnosis including Message IDs, time/date stamps and party keys/ASIDs where relevant.
Section 5: Error messages
Was an error message received?
*
Select an option
Yes (please specify)
No
Not applicable
Details of error message
Section 6: Smartcard details
Are you using a smartcard?
Select an option
Yes (provide UUID and version below)
No
Provide UUID and version
Section 7: History
Has the issue you're reporting ever worked successfully?
Select an option
Yes
No
Let us know when this worked successfully, providing any other details to help us identify and resolve the issue
Section 8: Replication steps
Provide step-by-step instructions to help us recreate the issue. Include as much information as possible, for example URL, role selection, option selection, NHS Numbers
*
Section 9: Expected behaviour
Describe what you were trying to achieve (the business process) and how what you were expecting to happen differed from what actually happened
Section 10: Additional information
Provide any additional information you think may assist us, including local configuration or connection details and/or recent changes
Failure to provide the requested detail may result in the request being rejected and/or delayed.