Name of applicant Contact email Name of Organisation Clinical Setting Describe the environment where SmartCHANGE would be deployed (e.g., Pediatric Clinic, School Health Program, General Practice). Process Mapping Describe exactly where the SmartCHANGE tool fits into your current patient journey. Who triggers the risk assessment, and who discusses the results with the patient/family? Electronic Health Record and Medical Record Systems What Electronic Health Record (EHR) system do you use? Describe your capability to integrate external AI insights into these records (e.g., via SMART on FHIR). Human validation How will your clinical staff use the SmartCHANGE output to change patient management or behavior? Health Outcomes What specific NCD-related KPI (e.g., BMI reduction, physical activity increase, early screening rates) are you aiming to improve via this integration? Implementation Barriers What would be the barriers to integrating this solution? Privacy Policy I've read and acknowledged the SmartCHANGE Privacy Policy and confirm that I haven't provided any thid-party sensitive data. CAPTCHA Math question (6 + 0 =) Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
