Home // Reporting and Analytics Request Reporting and Analytics Request Requestor Name* First Last Email* Email CopiesProvide email addresses of individuals who should also receive a copy of this requestDate Submitted* MM slash DD slash YYYY Request Title*Brief summary of your requestNeed By Timing*Date you need this completed MM slash DD slash YYYY Timing Type*The timing date selected above is:Nice to have DateMust have by DatePurpose* Compliance/Regulatory Operational Report Other Request Type* Data Analysis Data Visualization Data Extraction Data Cleaning Data Mart Data Sources* ROS SIGMA Roosevelt Dentist Direct Describe Proposed Request*Describe the high-level context of the idea being proposedAnticipated Outcomes*Describe the anticipated outcomes or deliverables from this initiative, reasons to do the project, business benefits, etc.Consequences*Describe what will/won't happen if the initiative is not completedRequirement Details*Provide any additional requirement details for this requestUse Case Examples*When applicable, provide any use cases for this requestDependenciesOutline any 3rd party systems in case the new feature/enhancement is dependent on them (i.e. ROS systems, etc.)Does a Workaround Exist?*YesNoNot applicableWorkaround CommentsProvide a brief description of work around, time and effort, etc.StakeholdersDetermine potential impacts to overall system/processes (up and down stream), which Stakeholders (SME) should be included in a requirements meeting, etc.Analytics File 1Max. file size: 50 MB.Analytics File 2Max. file size: 50 MB.Analytics File 3Max. file size: 50 MB. Δ
