FORM1

Topic L1 Topic L2 Topic L3

Institution data Health Institution Name

Health Institution Type
Health Institution Location Address
Longitude
Latitude
No of Health Care Workers

Facilities of the Institution (No of facilities)

Summary of the Name of the Health Information System /
Proposal Digital Health Solution
Version
Release year
Main Scope

Please attach the detailed SRS

Primary Purpose of the Solution Option list

What are the System Challengers addressed

by the Digital Health Intervention? -
Desciption-->Need or problem to be
addressed WHO Health System Challenges List

What is the Digital Health Intervention?

Desciption--> Digital functionality for
addressing
the Health System Challenge
 What is the Health System Category?
Desciption--> ICT system that delivers one or
more
of the Digital Health Interventions WHO Health System Category List

Proposed
Solution Details Proposed Solution (Details)

If existing solusions are available for the

same scope, rationale of the proposed
solution
What other system do you intended to
interoperate with?
Timeline of the Project Start Date

Current stage

Data Standards (What data standards

Standards does your digital health project use)
 Securty Standards (What information
security standards does your digital
health project use)

Proposed List of Categories from MOH and Other

Implementation Places (Category) of proposed Implementation
instituion list

Ownership
Details Ownership [Person(s) / Organisation(s)]

Owners Category Option list

Copyright
Details Licensing Type Options list
 Please attach the licensing Document

Front User Category of the Proposing

User Category System Option list

Deliverables Deliverables (Can select more than one) Option list

Please provide a link to code
documentation (optional)
Please provide a link to a demo of the
solution (Opti
Please prov provide a link to the solution
wiki page (Optional)
Technical
Details Nature of the Development Option list
Nature of the Software Option list

Funding Details Funding Source (Can select more than one) Option list

Approximate cost of Development in LKR

Conflicts Of Interests

Project Team Principle Contact (Mandatory) Contact number

 Contact Email

Signatures of the
Applicant/
Applicants -----the text appeare here

This application is approved by Check box

Applicant Details Name of the Applicant
Designation
Contact Number
Contact Email

Details of the Head of the institution Name of Head of the institution

Designation

Email of the Head of the Insitiution

Status Update Institution Head Status Update Date

Head of institution Status Update

MoH Verification MOH
MOH Status
Status Update Date

Other Changes Required for Forms

Inability to add Characters, like Commas and

1 fullstops etc. in descriptions. Eg: Main Scope
 2 Default of all check boxes → please discuss

3 Add Piolting for the map - Discuss

4 Staus updates and verificaion - Discuss
Explain the implemetation and piolting part
5 of Form 3

Eg: Error message on Form 1 to be

corrected “If you have attached a file
Common error messages - should be please check again” like “Please fill out all
6 corrected accordingly required fields”.

7 Give home button for users in all forms

Home page should be the Form 1 summary -
9 Not Users

After completion of a task go to the home

page and should display the successfull
8 message

Institution name and other details should be

auto filled (location, type, address) and made
10 non-editable

11 Remove “Health Focus area” in All 3 Forms,

The submission date should always be the
12 system date.

Once MOH reverted : Comment is not

showing to the approver and It should be
showed to the data approver in non editable
13 format.

Name of the institution should be

automatically updated after the Data
15 Approver login.

Digital Health Interventions

 Digital Health Interventions

Example
 Green
Red

Filed type Other change

Topic L4 change required/Remarks Topic L1

Institution data

make text

Summary of the Solution

make text

Able attach
documents

Make multple
selection possible.
Description should
make dropdown list
apearhttps://www.who.int/publications/i/item/WHO-RHR-18.06
as information page 4

See example below.

This should be 3
dropdown lists with
make dropdown list
dynamic
https://www.who.int/publications/i/item/WHO-RHR-18.06
selection page 6-9
 make dropdown list https://www.who.int/publications/i/item/WHO-RHR-18.06 page 5

Proposed Solution Details

Default text in the

box should be
"Rationale of the
proposed solution "
instead Choose
proposed solution

Option to be
Options list nunbered
make this a
dropdown list Proposed Implementation

Details of Pilotting

Ownership Details

Other (Specify) -
leave text box here

Copyright Details
Default text in the
box should be -
Please attach the
Licensing Documents

Other (Specify) -
have a text box here User Category

Deliverables

Technical Details

Funding Details

Project Team
 Details of the developer

Signatures of the
Applicant/ Applicants

correct the spellings

Other Changes Required

Observer:
MOH- Implemented list

Reports

0
Level 1 Level 2 Level 3

Transmit health
event
Targeted client alerts to specific
Clients communication population group(s)
We need these changes to the topic headings
Refence to the old topic
FORM 2

Filed type
Topic L2 Topic L3 Topic L4 change

Health Institution Name

Health Institution Type
Health Institution Location Address
Longitude
Latitude
No of Health Care Workers

Facilities of the Institution (No of facilities) make text

Name of the Health Information System /
Digital Health Solution
Version make text
Release year
Main Scope
Able attach
Please attach the detailed SRS documents
Primary Purpose of the Solution Option list

What are the System Challengers

addressed by the Digital Health
Intervention? - Desciption-->Need or
problem to be addressed WHO Health System Challenges List make dropdown list https://

What is the Digital Health Intervention?

Desciption--> Digital functionality for
addressing
the Health System Challenge make dropdown list https://
What is the Health System Category?
Desciption--> ICT system that delivers one
or more
of the Digital Health Interventions WHO Health System Category List make dropdown list https://

Proposed Solution (Details)

If existing solusions are available for the

same scope, rationale of the proposed
solution
What other system do you intended to
interoperate with?
Timeline of the Project Start Date

Current stage Options list

Data Standards (What data

standards does your digital health
Standards project use)

Technical and the interoperability

standards Text box Text box
 Technical and
the
interoperabilit
Attach standards documents here y standards
(Technical and the interoperability used (Please
standards used (Please Attached the Attached the
document) document)

Securty Standards (What

information security standards does
your digital health project use)

System security Certificates (Please

Attached the document)

Places (Category) of proposed List of Categories from MOH and make this a
Implementation Other instituion list dropdown list

Combine with
other field and
able to add
Instituions where the system is Piloted and remove

Combine with
other field and
able to add
Duration and remove

Ownership [Person(s) / Organisation(s)]

Owners Category Option list

Licensing Type Options list

Please attach the licensing Document

Front User Category of the Proposing

System Option list

Deliverables (Can select more than one) Option list

Please provide a link to code
documentation (optional)
Please provide a link to a demo of the
solution (Opti
Please provide a link to the solution wiki
page (Optional)

Nature of the Development Option list

Nature of the Software Option list
Software Architecture
Database Structure
Funding Source (Can select more than
one) Option list
Approximate cost of Development in
LKR
Conflicts Of Interests

Principle Contact (Mandatory) Contact number

 Contact Email

Name
Contact number
Contact Email
Other Team members

Link with
other field an
able to add
Enter Developer name and remove

Link with
other field an
able to add
Enter Developer Email and remove

-----the text appeare here

This application is approved by Check box

Applicant Details Name of the Applicant
Designation
Contact Number
Contact Email

Details of the Head of the institution Name of Head of the institution

Designation

Email of the Head of the Insitiution

Institution Head Status Update
Status Update Date

Head of institution Status Update

MoH Verification MOH
MOH Status
Status Update Date

Other Changes Required

Remove enlistment forms tab and remove

home tab application
There are multuple entries for one solution
When discontinue --> Add a button state
Active
Summary - Default

All feilds

Select feild
Don't repeat feilds. Show only the
current form
Add check box to the drop down or add
button for following feilds

Health Information System\

Health Institution type

Form Name
 FORM 3

Other change
required Topic L1 Topic L2

Institution data Health Institution Name

Health Institution Type
Health Institution Location

No of Health Care Workers

Facilities of the Institution (No of
facilities)
Summary of the Name of the Health Information
Solution System / Digital Health Solution
Version
Release year
Main Scope

Please attach the detailed SRS

Primary Purpose of the Solution

Make multple
selection
possible. What are the System Challengers
Description addressed by the Digital Health
should apear Intervention? - Desciption-->Need or
as information problem to be addressed

See exaple
below. This
should be 3
dropdown What is the Digital Health
lists with Intervention? Desciption--> Digital
dynamic functionality for addressing
selection the Health System Challenge
 What is the Health System Category?
Desciption--> ICT system that delivers
one or more
of the Digital Health Interventions

Proposed
Solution Details Proposed Solution (Details)

Default text in
the box
should be
"Rationale of
the proposed
solution "
instead
Choose If existing solusions are available for
proposed the same scope, rationale of the
solution proposed solution
What other system do you intended
to interoperate with?
Timeline of the Project
Option to be
nunbered

Standards

Add a new
text box here
 Geographic Scope of the project (If
Details of Sub-national give Place/s
Implementation implemented)

Place/s implemented

Details of Instituions where the system is

Pilotting Piloted

Duration

Outcome
Ownership Ownership [Person(s) /
Details Organisation(s)]

Other
(Specify) -
leave text box
here Owners Category

Copyright Details Licensing Type

Default text in
the box
should be -
Please attach
the Licensing
Documents Please attach the licensing Document

Other
(Specify) - add
a check box
and- remove Front User Category of the
the bold Users Proposing System
How many Health workers will use
the system? (Please provide an
approximate value)
How many Clients will use the
system? (Please provide an
approximate value)

Deliverables (Can select more than

Deliverables one)
Please provide a link to code
documentation (optional)
Please provide a link to a demo of
the solution (Opti
Please prov provide a link to the
solution wiki page (Optional)
Technical
Details Nature of the Development
Nature of the Software
Software Architecture
Database Structure
Funding Source (Can select more
Funding Details than one)
Approximate cost of Development
in LKR
Conflicts Of Interests
Implementation
Mechanism/Support: D (Please
Reusability provide details on the
Support implementation mechanism)
Training Support: (Please provide
details on the training)
Investment Partner

Implementing Partner

Project Team Principle Contact (Mandatory)

 Details of the
developer Name
Contact number
Contact Email
Other Team members

Signatures of
the Applicant/
Applicants -----the text appeare here
correct the
spellings This application is approved by
Applicant Details

Details of the Head of the institution

Status Update

MoH Verification
 FORM 3

Filed type Other change

Topic L3 Topic L4 change required

Address
Longitude
Latitude

make text

make text

Able attach
documents
Option list

Make multple
selection
possible.
Description
should apear
WHO Health System Challenges List make dropdown
as information
list https://www.who.int/publications/i/

See exaple
below. This
should be 3
dropdown
lists with
dynamic
make dropdown
selection
list https://www.who.int/publications/i/
WHO Health System Category List make dropdown list https://www.who.int/publications/i/

Default text in
the box
should be
"Rationale of
the proposed
solution "
instead
Choose
proposed
solution

Start Date
Option to be
Current stage Options list nunbered

Data Standards (What data standards does your

digital health project use)

Add a new
Technical and the interoperability standards Text box Text box text box here
 Technical and
the
interoperabilit
y standards
Attach standards documents here (Technical and used (Please
the interoperability standards used (Please Attached the
Attached the document) document)

Securty Standards (What information security

standards does your digital health project use)

System security Certificates (Please Attached the

document)

Options

Select from list of MOH and Other instituions

Link with
other field an
able to add
and remove

Link with
other field an
able to add
and remove

Link with
other field an
able to add
and remove

Other
(Specify) -
leave text box
Option list here

Options list
 Default text in
the box
should be -
Please attach
the Licensing
Documents

Other
(Specify) - add
a check box
and- remove
Option list the bold

Option list

Current users(at the date of sumssion opf the

form)?
Users after full implementation

Option list

Option list
Option list

Option list

Investment Partner Contact Number

Investment Partner Email
Implementing Partner Contact Number
Implementing Partner Contact Email
Contact number
Contact Email

Able to add
Enter Developer name and remove

Able to add
Enter Developer Email and remove

correct the
Check box spellings
Name of the Applicant
Designation
Contact Number
Contact Email

Name of Head of the institution

Designation

Email of the Head of the Insitiution

Institution Head Status Update Date

Head of institution Status Update

MOH
MOH Status
Status Update Date
 Main Topic Fields Form 1 Form 2

Institution data Health Institution Name

Health Institution Type
Health Institution Location
No of Health Care Workers

complete complete
Facilities of the Institution (No of
facilities)

Name of the Health Information

Summary of the Proposal System / Digital Health Solution
Version
Release year
Main Scope
Primary Purpose of the Solution

What are the System Challengers

addressed by the Digital Health
Intervention? - Desciption-->Need
or problem to be addressed

What is the Digital Health

Intervention? Desciption--> Digital
functionality for addressing
the Health System Challenge

What is the Health System complete complete

Category? Desciption--> ICT system
that delivers one or more
of the Digital Health Interventions

Proposed Solution Details Proposed Solution (Details)

If existing solusions are available

for the same scope, rationale of the
proposed solution
What other system do you intended
to interoperate with?
Timeline of the Project complete complete
Standards
 Places (Category) of proposed complete complete
Proposed Implementation Implementation
Instituions where the system is
Details of Pilotting Piloted
Duration complete
Ownership [Person(s) /
Ownership Details Organisation(s)] complete complete
Owners Category
Copyright Details Licensing Type
Please attach the licensing complete complete
Document
Front User Category of the complete
User Category Proposing System
Deliverables (Can select more
Deliverables than one)
Please provide a link to code
documentation (optional)
Please provide a link to a demo of
the solution (Opti

Please prov provide a link to the complete complete

solution wiki page (Optional)
Technical Details Nature of the Development
Nature of the Software complete complete
Funding Source (Can select more
Funding Details than one)
Approximate cost of Development
in LKR complete complete
Conflicts Of Interests

Project Team Principle Contact (Mandatory) complete complete

Details of the developer Name

Contact number
Contact Email complete
Other Team members

Signatures of the Applicant/

Applicants -----the text appeare here
This application is approved by complete complete
Applicant Details
Details of the Head of the
institution
Form 3 Description

complete

Change Health System Challenges column

name into What is the Digital Health
Intervention (Form 1 ),(Form 2)

Technical and the interoperability standards Text

box Added for form two but not intergate
This section is not in the first form

"Front User Category of the Proposing System"

haven't to insert form one

Newly Added this section to Form 1 , Principle

Contact (Mandatory) added into frontend but not
integrate with backend

This section is not in the first form

Name of Head of the institution , Designation

columns added into Frontend but not integrate
with backend ( Form one and two )
 Other Tasks Progress

Remove “Health Focus area” in Form 1 complete

Notices