Request for Nursing Informatics Services

Utilize this form to request Nursing Informatics' assistance with your project, workgroup, analytics need, etc. Do not use this form to submit a system enhancement request; those can be submitted via a Pegasus Enhancement Request.


(Estimated time to complete: under 10 mins)

Please indicate when you expect this work to start. If the work is already underway, please list the date at which VNIS services are first needed.

Please indicate if a go live date is known. If unknown, please skip this question.

(for example: 6 hours, 3 months, 2 years, etc.)

Please indicate how quickly this work needs to begin to help us prioritize your request.*

Please enter in (xxx) xxx-xxxx format.

Select all that apply.

Select all that apply.

Select all that apply.

Indicate if appropriate.

Select all that apply.

Please include as much detail as possible.

Which Pillar Goal does this request primarily support?*

Pillar Goal definitions can be found at:

https://www.vumc.org/elevate/sites/default/files/public_files/VUMC-Pillars_2019_full_v1.pdf

If you have already spoken with a member of the VNIS team regarding this work, please indicate their name here.

If you have any additional documentation about your request, please feel free to attach it here.


PLEASE NOTE: We do not recommend uploading documents containing Patient Health Information (PHI).

Drag and drop files here or
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