Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device.
Atlassian uses cookies to improve your browsing experience, perform analytics and research, and conduct advertising. Accept all cookies to indicate that you agree to our use of cookies on your device. Atlassian cookies and tracking notice, (opens new window)
Please complete this form for a new device, component or material.
An approved Material Qualification form is required for registering the item in SAP Business One.
Required fields are marked with an asterisk*
{"xsrfToken":"581cf491d13ffd2fc74e8799eaa4510d88621cc6_lout","branding":{"id":"13","key":"dqmdc","name":"Device, Component or Material Qualification","portalBaseUrl":"/servicedesk/customer/portal/13"},"helpCenterBranding":{"logoUrl":"https://api.media.atlassian.com/file/f925b350-18c2-4712-9250-9545cf6e1bbc/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI5MTM5MTgyZS1jZDE3LTRhN2MtOWI0Zi1lNjg3ZDE2Zjk4NGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmY5MjViMzUwLTE4YzItNDcxMi05MjUwLTk1NDVjZjZlMWJiYyI6WyJyZWFkIl19LCJleHAiOjE3OTEyMjI2NjMsIm5iZiI6MTc5MTIyMjA2M30.Tcwkl1WTs4FFJXvFzlIP0h51QeOYEjdf6c9O_UPhhHU&client=9139182e-cd17-4a7c-9b4f-e687d16f984b&mode=fit","logoId":"f925b350-18c2-4712-9250-9545cf6e1bbc","isLogoAvailable":true,"helpCenterTitle":".","sharedPortalName":"Help Center","userInitialAnnouncementHeader":"","userInitialAnnouncementMessageWiki":"","translations":{"pt-PT":{"localeDisplayName":"Portuguese (Portugal)"},"en-US":{"helpCenterTitle":".","sharedPortalName":"Help Center","localeDisplayName":"English (United States)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-US","userLanguageTag":"en-US","portalThemeColor":"#205185","helpCenterTitleColor":"#ffffff","bannerMediaApiUrl":"https://api.media.atlassian.com/file/cc12ed20-321d-496a-9da6-3ea396569fff/image/cdn?token=eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI5MTM5MTgyZS1jZDE3LTRhN2MtOWI0Zi1lNjg3ZDE2Zjk4NGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTpmaWxlOmNjMTJlZDIwLTMyMWQtNDk2YS05ZGE2LTNlYTM5NjU2OWZmZiI6WyJyZWFkIl19LCJleHAiOjE3OTEyMjI2NjMsIm5iZiI6MTc5MTIyMjA2M30.DOCeXK-4R2R_7uYmsrLGnNVTIb-8_2bewLKTPhwb98Q&client=9139182e-cd17-4a7c-9b4f-e687d16f984b&height=300&mode=fit","bannerMediaApiFileId":"cc12ed20-321d-496a-9da6-3ea396569fff","useDefaultBanner":false,"isBannerAvailable":true,"topBarColor":"#ffffff","topBarTextColor":"#205185","hasTopBarBeenSplit":true},"portal":{"id":"13","key":"dqmdc","projectId":10042,"serviceDeskId":13,"name":"Device, Component or Material Qualification","description":"<p>Welcome. Here you can submit an item to qualify for use</p>","portalBaseUrl":"/servicedesk/customer/portal/13","onlyPortal":false,"reqTypes":[{"id":"140","name":"Device, Component or Material Qualification","descriptionHtml":"<p>Please complete this form for a new device, component or material.<br> An approved Material Qualification form is required for registering the item in SAP Business One.</p>","callToAction":"Device, Component or Material Qualification","introHtml":"<p>Device, Component or Material Qualification</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[59],"key":""},{"id":"137","name":"Change Management Request","descriptionHtml":"<p>Change management is a systematic approach in dealing with the transition or transformation of an organization's QMS processes and documentation.</p>\n<p>The purpose of change management is to implement methods for assessing change, effecting change, controlling change and successful implementing the change in the QMS.</p>\n<p>Specifically for Delft Imaging Systems, as we are in the medical device industry, all changes must be assessed in terms of risk and impact on regulatory requirements.</p>","callToAction":"Change Management Request","introHtml":"<p>Request a changes including changes to a process, documentation, product country registration or product documentation</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"138","name":"Corrective & Preventive Action","descriptionHtml":"","callToAction":"Corrective & Preventive Action","introHtml":"<p>Open a Corrective and Preventive Action for QMS issues or customer issues</p>","icon":10469,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10469","groups":[],"key":""},{"id":"139","name":"Critical Supplier Performance Review","descriptionHtml":"<p>A critical supplier is a supplier that delivers materials, components, or services that may influence the safety and performance of the medical device.</p>\n<p>The review rating is scored as below</p>\n<p>Excellent 25</p>\n<p>Acceptable 20</p>\n<p>Needs improvement 10</p>\n<p>Not acceptable 5</p>\n<p>The review pass score is >=80%. A score <80 shall trigger a Corrective and Preventive Action to improve the performance of the supplier in the areas(s) identified as Needs Improvement and/or Not Acceptable.</p>","callToAction":"Critical Supplier Performance Review","introHtml":"<p>Review performance of a critical supplier</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"145","name":"Emailed request","descriptionHtml":"","callToAction":"Emailed request","introHtml":"<p>Request received from your email support channel.</p>","icon":10527,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10527","groups":[],"key":""},{"id":"141","name":"QMS Audit Planner","descriptionHtml":"<p>We plan internal audits and develop audit schedules</p>\n<p>The purpose of an audit is to:</p>\n<ul class=\"alternate\" type=\"square\">\n <li>make sure that the processes are meeting the planned arrangements and regulatory requirements that are identified for the process in the QMS, and any requirements that the ISO 13485:2016 standard has in place for that process</li>\n</ul>\n<ul class=\"alternate\" type=\"square\">\n <li>make sure that the process is implemented and maintained effectively</li>\n</ul>","callToAction":"QMS Audit Planner","introHtml":"<p>Request and plan an audit</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"146","name":"QMS Onboarding","descriptionHtml":"","callToAction":"QMS Onboarding","introHtml":"","icon":10482,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10482","groups":[],"key":""},{"id":"142","name":"Software (Tool) Validation","descriptionHtml":"","callToAction":"Software (Tool) Validation","introHtml":"<p>Software (tools) interact with our QMS. Here you can submit a software tool to assess risk to the medical device product and identify validation actions, if any are required, for this software tool</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"143","name":"Supplier Qualification","descriptionHtml":"<p>There are three levels of supplier to Delft Imaging Systems.</p>\n<p>Trivial Supplier<br> These suppliers are suppliers that do not affect product quality and pose no risk to the medical device. These suppliers often do not even have an associated supplier file or have any requirements and are not registered on the approved supplier list<br> Supplier Examples: Office supplies, food, cleaning company<br> Methods of Qualification: None <br> IT IS NOT REQUIRED TO REGISTER AND SEEK APPROVAL FOR TRIVIAL SUPPLIERS VIA THIS FORM AND PROCESS.</p>\n<p>Non-Critical Supplier<br> These suppliers have minimal affect on product quality and pose no risk to the medical devices. Sometimes these are large companies that supply off-the-shelf goods or services.<br> Supplier Examples: non-critical tools, cosmetic-related goods, prototyping facilities, R&D equipment<br> Methods of Qualification: Supplier Survey (within this form).</p>\n<p>Critical Supplier<br> Critical suppliers pose a risk to product quality and the medical device, and supplier issues from these suppliers could result in recalls, and/or customer harm. These are the suppliers that require the most amount of attention. Metrics and monitoring should be a continuous part of supplier controls for these suppliers.<br> Supplier Examples: Outsourced training services, installation, manufacturers, distributors, service support<br> Methods of Qualification: Supplier Surveys (within this form), Quality Agreement, NDAs, Certifications, Audits, Annual re-evaluation of performance</p>\n<p>The supplier questionnaire FRM743 must be completed by the candidate supplier and attached to this request.</p>","callToAction":"Supplier Qualification","introHtml":"<p>Here you can submit a request to seek approval for a new supplier of products, material or services.</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"144","name":"Training Related","descriptionHtml":"<p>Here you can submit any type of record of training completed. This can be record of attendance, training report, exam result or certificate<br> You can also submit any training session you have planned</p>","callToAction":"Training Related","introHtml":"<p>Submit record of training, certification for record keeping</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""}],"reqGroups":[{"id":59,"name":"Device, Component or Material Qualification"}],"orderMapping":{"59":[140],"31":[140]},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"createPermission":true,"portalAnnouncement":{"portalId":13,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"DQMDC","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI5MTM5MTgyZS1jZDE3LTRhN2MtOWI0Zi1lNjg3ZDE2Zjk4NGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLTIxMjIzMTA0ODAiOlsicmVhZCIsImNyZWF0ZSIsInVwZGF0ZSJdLCJ1cm46ZmlsZXN0b3JlOmNodW5rOioiOlsicmVhZCIsImNyZWF0ZSJdfSwiZXhwIjoxNzkxMjIzMjYzLCJuYmYiOjE3OTEyMjIwNjMsImFub25JZCI6ImFub24tdXNlciIsImh0dHBzOi8vaWQuYXRsYXNzaWFuLmNvbS9hcHBBY2NyZWRpdGVkIjpmYWxzZX0.Rz0Ajb0gAt4pl5g3syxLK7fNaZo2K5EwJ_bcmvQI4fI","targetCollection":"upload-user-collection-2122310480","endpointUrl":"https://api.media.atlassian.com","clientId":"9139182e-cd17-4a7c-9b4f-e687d16f984b","tokenDurationInMins":20},"locale":"en-US","i18nTranslations":{}},"reqCreate":{"id":140,"projectId":10042,"issueType":{"id":"10011","name":"[System] Service request"},"form":{"name":"Device, Component or Material Qualification","descriptionHtml":"<p>Please complete this form for a new device, component or material.<br/>\nAn approved Material Qualification form is required for registering the item in SAP Business One.</p>","callToAction":"Device, Component or Material Qualification","intro":"<p>Device, Component or Material Qualification</p>","instructions":"<p>Please complete this form for a new device, component or material.<br/>\nAn approved Material Qualification form is required for registering the item in SAP Business One.</p>","icon":10550,"iconUrl":"https://delftimaging.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_10136","fieldConfigId":"10242","label":"Manufacturer Name","description":"This is the name of the company that makes the device, component or material, not the middleman or distributor that it is being purchased from","descriptionHtml":"<p>This is the name of the company that makes the device, component or material, not the middleman or distributor that it is being purchased from</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Device, Component or Material Qualification Checklist"]},{"fieldType":"text","jiraFieldType":"com.atlassian.jira.plugin.system.customfieldtypes:textfield","fieldId":"customfield_10141","fieldConfigId":"10247","label":"Manufacturer Part Number or Item Number:","description":"The manufacturer part number or item number. For example for the ASUS 14 Pro, the part number or item number given by ASUS is \"ASUS NUC 14 Pro\"","descriptionHtml":"<p>The manufacturer part number or item number. For example for the ASUS 14 Pro, the part number or item number given by ASUS is \"ASUS NUC 14 Pro\"</p>","required":true,"displayed":true,"presetValues":[]},{"fieldType":"textarea","jiraFieldType":"description","fieldId":"description","fieldConfigId":"","label":"Manufacturer description of Device, component or material:","description":"For example an ASUS Intel NUC 12 shall have a manufacturer description of \"Intel NUC 12 Pro Mini PC NUC12WSHi7(12-Core i7-1260P 32GB RAM 1TB SSD Iris XE Graphics)Windows 11 Pro Latest Desktop Computer Mini PC,2 x Thunderbolt 4, Intel nuc Wi-Fi 6E AX211 Wireless\"","descriptionHtml":"<p>For example an ASUS Intel NUC 12 shall have a manufacturer description of \"Intel NUC 12 Pro Mini PC NUC12WSHi7(12-Core i7-1260P 32GB RAM 1TB SSD Iris XE Graphics)Windows 11 Pro Latest Desktop Computer Mini PC,2 x Thunderbolt 4, Intel nuc Wi-Fi 6E AX211 Wireless\"</p>","required":true,"displayed":true,"presetValues":[],"rendererType":"atlassian-wiki-renderer"},{"fieldType":"attachment","jiraFieldType":"attachment","fieldId":"attachment","fieldConfigId":"","label":"Attachments","description":"Required: Declaration of Conformity","descriptionHtml":"<p>Required: Declaration of Conformity</p>","required":false,"displayed":true,"presetValues":[]}],"userOrganisations":[],"canBrowseUsers":false,"requestCreateBaseUrl":"/servicedesk/customer/portal/13/create/140","requestValidateBaseUrl":"/servicedesk/customer/portal/13/validate/140","calendarParams":{"firstDay":0,"date":"2026-10-05T17:41:03+0000","useISO8601WeekNumbers":true,"dateIfFormat":"%e/%b/%y","dateTimeIfFormat":"%e/%b/%y %I:%M %p","timeFormat":"12"},"kbs":{"kbEnabled":false,"serviceDeskId":-1},"canRaiseOnBehalf":false,"canSignupCustomers":false,"canCreateAttachments":true,"attachmentRequiredField":false,"hasGroups":true,"canSubmitWithEmailAddress":false,"showRecaptcha":true,"siteKey":"6LePXLkdAAAAAF4gCNalrL1IvZcqbNbZf_Zakudd","mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiI5MTM5MTgyZS1jZDE3LTRhN2MtOWI0Zi1lNjg3ZDE2Zjk4NGIiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLTIxMjIzMTA0ODAiOlsicmVhZCIsImNyZWF0ZSIsInVwZGF0ZSJdLCJ1cm46ZmlsZXN0b3JlOmNodW5rOioiOlsicmVhZCIsImNyZWF0ZSJdfSwiZXhwIjoxNzkxMjIzMjYzLCJuYmYiOjE3OTEyMjIwNjMsImFub25JZCI6ImFub24tdXNlciIsImh0dHBzOi8vaWQuYXRsYXNzaWFuLmNvbS9hcHBBY2NyZWRpdGVkIjpmYWxzZX0.Rz0Ajb0gAt4pl5g3syxLK7fNaZo2K5EwJ_bcmvQI4fI","targetCollection":"upload-user-collection-2122310480","endpointUrl":"https://api.media.atlassian.com","clientId":"9139182e-cd17-4a7c-9b4f-e687d16f984b","tokenDurationInMins":20},"hasProformaForm":true,"proformaTemplateForm":{"id":4724110913110721,"updated":"2026-03-11T09:39:50.166944251Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[140],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":4724110913110721,"name":"Device, Component or Material Qualification","submit":{"lock":false,"pdf":false},"templateFormUuid":"e5d70560-9076-4995-b1ec-8b62752f3efa"},"layout":[{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":14},"layout":"default","localId":"bc290636-9811-4992-a700-e0ce1c9b86b4"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"89606543-5b9d-4a53-b91a-e2f632c3a2a6"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":17},"layout":"default","localId":"dc9bd731-4593-4018-8784-f49816e7e906"}},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":13},"layout":"default","localId":"fc477671-adb1-46f4-8e77-8acaf3909352"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"bea6bec5-992e-4b64-8aaf-29e4be2f3e16"}},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":19},"layout":"default","localId":"86161fb9-cce1-4aaf-a15e-7b515f396de4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":21},"layout":"default","localId":"eae397d8-a74f-411e-8e54-97e965e9c5b0"}}]}],"conditions":{"15":{"i":{"co":{"cIds":{"14":["11361"]}}},"o":{"sIds":["1"]},"t":"sh"},"8":{"i":{"co":{"cIds":{"7":["1"]}}},"o":{"sIds":["2"]},"t":"sh"}},"sections":{"1":{"name":"Type of device","conditions":["15"]},"2":{"name":"CE Marking","conditions":["8"]}},"questions":{"19":{"type":"cd","label":"Country of Origin:","description":"This information is available from the manufacturer","validation":{"rq":true},"jiraField":"customfield_10213","questionKey":""},"13":{"type":"tl","label":"Storage or transport conditions (if applicable) - temperature, humidity, shelf life","description":"This information is available in the manufacturer spec sheet","validation":{"rq":true},"choices":[],"questionKey":""},"21":{"type":"at","label":"Image of device or component","description":"For internal identification purposes attach a clear photo or image of the actual item","validation":{"rq":true},"choices":[],"questionKey":""},"18":{"type":"ts","label":"HS code","description":"This information is available from the manufacturer","validation":{"rq":true},"choices":[],"questionKey":""},"7":{"type":"cd","label":"Is the component (part) CE marked?","description":"If yes, attach the Declaration of Conformity","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"defaultAnswer":{"text":""},"questionKey":""},"17":{"type":"cd","label":"Does this component contain Lithium batteries?","description":"If yes attach the UN38.3 test report from the manufacturer","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"defaultAnswer":{"text":""},"questionKey":""},"14":{"type":"cd","label":"Do any of the following conditions apply to this qualification of the item: IT equipment or item for company infrastructure purposes or intended for use in the office, a transport or support device for the medical device (tripod, bag, carrier), packaging, paper, cables, cable ties, screws, locks, paper items, labels, prepaid license, licenses of any type, OR CAD4TB license, OR intended as a SALES ONLY item in SAP","description":"","validation":{"rq":true},"jiraField":"customfield_10739","defaultAnswer":{"text":""},"questionKey":""}}},"uuid":"e5d70560-9076-4995-b1ec-8b62752f3efa"},"proforma":{"formExists":true,"formValid":true,"formTemplateData":{"id":4724110913110721,"updated":"2026-03-11T09:39:50.166944251Z","publish":{"jira":{"submitOnCreate":true,"validateOnCreate":true},"portal":{"portalRequestTypeIds":[140],"submitOnCreate":true,"validateOnCreate":true}},"design":{"settings":{"templateId":4724110913110721,"name":"Device, Component or Material Qualification","submit":{"lock":false,"pdf":false},"templateFormUuid":"e5d70560-9076-4995-b1ec-8b62752f3efa"},"layout":[{"version":1,"type":"doc","content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":14},"layout":"default","localId":"bc290636-9811-4992-a700-e0ce1c9b86b4"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":7},"layout":"default","localId":"89606543-5b9d-4a53-b91a-e2f632c3a2a6"}}]},{"version":1,"type":"doc","content":[{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":17},"layout":"default","localId":"dc9bd731-4593-4018-8784-f49816e7e906"}},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":13},"layout":"default","localId":"fc477671-adb1-46f4-8e77-8acaf3909352"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":18},"layout":"default","localId":"bea6bec5-992e-4b64-8aaf-29e4be2f3e16"}},{"type":"paragraph","content":[]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":19},"layout":"default","localId":"86161fb9-cce1-4aaf-a15e-7b515f396de4"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":21},"layout":"default","localId":"eae397d8-a74f-411e-8e54-97e965e9c5b0"}}]}],"conditions":{"15":{"i":{"co":{"cIds":{"14":["11361"]}}},"o":{"sIds":["1"]},"t":"sh"},"8":{"i":{"co":{"cIds":{"7":["1"]}}},"o":{"sIds":["2"]},"t":"sh"}},"sections":{"1":{"name":"Type of device","conditions":["15"]},"2":{"name":"CE Marking","conditions":["8"]}},"questions":{"19":{"type":"cd","label":"Country of Origin:","description":"This information is available from the manufacturer","validation":{"rq":true},"jiraField":"customfield_10213","questionKey":""},"13":{"type":"tl","label":"Storage or transport conditions (if applicable) - temperature, humidity, shelf life","description":"This information is available in the manufacturer spec sheet","validation":{"rq":true},"choices":[],"questionKey":""},"21":{"type":"at","label":"Image of device or component","description":"For internal identification purposes attach a clear photo or image of the actual item","validation":{"rq":true},"choices":[],"questionKey":""},"18":{"type":"ts","label":"HS code","description":"This information is available from the manufacturer","validation":{"rq":true},"choices":[],"questionKey":""},"7":{"type":"cd","label":"Is the component (part) CE marked?","description":"If yes, attach the Declaration of Conformity","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"defaultAnswer":{"text":""},"questionKey":""},"17":{"type":"cd","label":"Does this component contain Lithium batteries?","description":"If yes attach the UN38.3 test report from the manufacturer","validation":{"rq":true},"choices":[{"id":"1","label":"Yes","other":false},{"id":"2","label":"No","other":false}],"defaultAnswer":{"text":""},"questionKey":""},"14":{"type":"cd","label":"Do any of the following conditions apply to this qualification of the item: IT equipment or item for company infrastructure purposes or intended for use in the office, a transport or support device for the medical device (tripod, bag, carrier), packaging, paper, cables, cable ties, screws, locks, paper items, labels, prepaid license, licenses of any type, OR CAD4TB license, OR intended as a SALES ONLY item in SAP","description":"","validation":{"rq":true},"jiraField":"customfield_10739","defaultAnswer":{"text":""},"questionKey":""}}},"uuid":"e5d70560-9076-4995-b1ec-8b62752f3efa"},"linkedJiraFields":["customfield_10739","customfield_10213"]},"key":""},"portalWebFragments":{"headerPanels":[],"subheaderPanels":[],"footerPanels":[],"pagePanels":{"propertyPanels":[],"legacyPropertyPanels":[]}}}