Driver Development Request

Driver Development Request
By providing the information on this form to Data Innovations LLC (“DI”), You agree that such
information shall be considered “Feedback” in accordance with the terms and conditions of the
software license agreement under which the DI software was licensed. Further, You agree that
DI may utilize such Feedback without any obligation to You and that such Feedback will become
the intellectual property of DI. (“You” shall mean the authorized representative of the company
using the DI Software or a business partner of DI.)
Directions
Please fill out and submit the following form to Data Innovations. If there are problems completing this
form, please contact your DI representative. Provide as much information as possible as the form will
be reviewed for completeness prior to being evaluated.
Section 1: Basic Information

Customer/Partner Instrument Manufacturer/Name
Click or tap here to enter text. Click or tap here to enter text.
Site Vendor Contact – phone and email (for a new driver)
License # 8-character Driver Name (or N/A if a new driver)
Request Date Driver Version Installed at Site (or N/A if a new driver)
Click or tap to enter a date. Click or tap here to enter text.
Application Application Version
Choose an item. Click or tap here to enter text.
Section 2: Request Details

What is the current problem / issue? What cannot be accomplished that is necessary? Why is this change required?
Describe the business/workflow problem. Do not describe the desired solution.
Click or tap here to enter text.
What changes are being requested and how does this solve the problem above?
What has already been done to try to solve the problem?
If there is an existing case/incident, please summarize (include support incident #).
Additional Notes or Comments:
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Driver Development Request
Section 3: Timelines
What is the desired timeline to implement/test these changes?
Application Installation date Click here to enter a date.
(leave blank if Application is already installed)
Instrument/LIS installation date Click here to enter a date.
(leave blank if Instrument/LIS is already installed)
Desired date to start testing Click here to enter a date.
Desired go-live date Click here to enter a date.
Section 4: Supporting Details

This section to be filled out with DI Service personnel while reviewing the request.
Select the Application System environment as a whole Choose an item.
Is this request part of a service engagement? Choose an item.
Is the change considered a new driver, bug or an enhancement? Choose an item.
Select the application environment that the driver being requested on is in Choose an item.
Is there an available licensed connection (if unsure attach a license report)? Choose an item.
Do you have the hardware, cables, etc. for this connection? Choose an item.
(choose N/A for a TCP only device)
Is the change optional or required to get the workflow to function as desired? Choose an item.
Enter the name of the LIS/Host being used? Click or tap here to enter text.
(include the 8 character driver name and version,
required for driver changes to confirm solution is obtainable)
Is there a current workaround for the workflow? Choose an item.
(If Yes, enter a quick explanation of workaround or add details in Service Notes) Click or tap here to enter text.
Is the requested feature available on a different driver? Choose an item.
(If Yes, enter the other driver name) Click or tap here to enter text.
Does the customer use Specimen Management and/or Rules? Choose an item.
Service Notes or Comments:
Section 5: Required Files

To aid in troubleshooting the problem and developing the solution, please submit all available and relevant files or
explain why it cannot be provided.
While gathering information, please use a test sample that does not contain patient data.
List the Specimen ID(s) that demonstrate the problem: Click here to enter text.
Description File Name(s) Notes
Analyzer or LIS Specifications (pdf, etc.) Click or tap here to enter text. Click or tap here to enter text.
(Required for New Driver Requests)
Global configuration and other backups Click or tap here to enter text. Click or tap here to enter text.
Host/LIS Trace Files Click or tap here to enter text. Click or tap here to enter text.
Instrument Trace Files Click or tap here to enter text. Click or tap here to enter text.
Specimen Event Log – Support File Click or tap here to enter text. Click or tap here to enter text.
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Driver Development Request

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Driver Development Request

Section 1: Basic Information

Section 2: Request Details

Page 1 Doc ID: DATAINN-1409820430-252 Version: 3.0

Section 4: Supporting Details

Section 5: Required Files

Page 2 of 2 Doc ID: DATAINN-1409820430-252 Version: 3.0

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