Quite often we have existing User Stories (Features) in Visual Studio, that I then want to manage within Aha. I cannot appear do this without the feature being first created in Aha and then sync'd with VSO.
Ideally we would have everything originate in Aha, however this is just not possible for all scenarios. Without this I have to manually maintain status changes in two systems.
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The status of this idea was out of date. Since this idea was created we have added the ability to link Aha! records with existing records in Azure Devops. This article explains in more detail.