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Enterprise Support & Incident Request Forms

Welcome to the Interactive Enterprise Support & Request Center. Use the interactive ticket submission form below to report software bugs, request features, or log security incidents directly to the Medzit L1 Support Team.

📝 Enterprise Support & Bug Ticket Hub

Submit tickets directly to the Medzit L1 Support Team and track resolution statuses.


Service Level Agreement (SLA) & Priority Matrix​

Priority LevelResponse SLAResolution SLADescription / Trigger Criteria
P1 - Critical Outage15 Minutes2 HoursTotal system downtime, core database failure, inability to admit patients
P2 - High Severity1 Hour6 HoursCore module degraded e.g. Pharmacy dispensing offline, Lab machine sync fail
P3 - Medium Severity4 Hours24 HoursIndividual user login issue, minor billing report calculation discrepancy
P4 - Low / Feature1 Business Day5 Business DaysFeature enhancement request, non-blocking UI alignment tweak

Enterprise Support Request Forms Directory​


Form Specifications​

1. Bug Report Form​

  • Purpose: To log software defects, unexpected error stack traces, or UI anomalies.
  • Fields: Form Title, Affected Module (OPD/IPD/Billing/Lab/App), Summary, Steps to Reproduce, Expected Behavior, Actual Behavior, Priority, Browser/App Version, Logs Attachment, Screenshot/Video Upload.
  • Workflow: Reporter submits -> L1 Helpdesk Triage -> L2 Engineering Bug Fix -> QA Verification -> Deployment.

2. Feature Request Form​

  • Purpose: To request new functional enhancements or third-party integrations.
  • Fields: Request Title, Business Justification, Clinical Impact, Proposed Workflow, Target Target Date, Attachments.

3. Security Incident Form​

  • Purpose: To report suspected unauthorized data access, PHI leak, or phishing attempt.
  • Fields: Incident Title, Date & Time Detected, Affected User Account / UHID, Suspected Breach Type, Logs / Evidence, Immediate Action Taken.
  • Approval & Escalation: Auto-escalates instantly to CISO and Security Officer within 15 minutes.

4. Data Correction Request Form​

  • Purpose: To request correction of wrongly entered patient demographic or medical record data.
  • Fields: UHID, Patient Name, Field to Correct (Old Value -> New Value), Reason for Correction, Supporting Identity Proof Attachment.

5. User Access & Role Request Form​

  • Purpose: To request new staff account creation, role upgrade, or permission modification.
  • Fields: Staff Name, Employee ID, Requested Role (Doctor/Nurse/Cashier), Department, Manager Approval Signature.

Escalation Matrix​