Heath Frankel

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Chris Paton

University of Oxford

Michael Finn

Edith Cowan University

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Benjamin Kutsyuruba

Queen's University at Kingston

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Papers by Heath Frankel

Automated attention flags in chronic disease care planning

by Heath Frankel and Richard Ruffin

The Medical journal of Australia, Jan 17, 2001

To assess the value of computerised decision support in the management of chronic respiratory dis... more To assess the value of computerised decision support in the management of chronic respiratory disease by comparing agreement between three respiratory specialists, general practitioners (care coordinators), and decision support software. Care guidelines for two chronic obstructive pulmonary disease projects of the SA HealthPlus Coordinated Care Trial were formulated. Decision support software, Care Plan On-Line (CPOL), was created to represent the intent of these guidelines via automated attention flags to appear in patients' electronic medical records. For a random sample of 20 patients with care plans, decisions about the use of nine additional services (eg, smoking cessation, pneumococcal vaccination) were compared between the respiratory specialists, the patients' GPs and the CPOL attention flags. Agreement among the specialists was at the lower end of moderate (intraclass correlation coefficient [ICC], 0.48; 95% CI, 0.39-0.56), with a 20% rate of contradictory decisions...

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Chronic disease coordinated care planning: flexible, task-centered decision support

Topics in health information management, 1999

SA HealthPlus is a trial of coordinated care enrolling 4000 high-use patients in South Australia ... more SA HealthPlus is a trial of coordinated care enrolling 4000 high-use patients in South Australia in 10 groups including diabetes, cardiac, aged care and lung disease. These patients each have a designated general practitioner (GP) care coordinator who formulates an individualized care plan designed to keep them as healthy as possible. An on-line interface to SA HealthPlus has been developed for the care coordinators. The Care Plan On-Line (CPOL) system provides a single coherent source whereby the GP can review the available information on a HealthPlus patient in the context of devising a care plan of prospective services and medications. In the same application environment CPOL provides access to care guidelines tailored for SA HealthPlus.

EHR query language (EQL)--a query language for archetype-based health records

Studies in health technology and informatics, 2007

OpenEHR specifications have been developed to standardise the representation of an international ... more OpenEHR specifications have been developed to standardise the representation of an international electronic health record (EHR). The language used for querying EHR data is not as yet part of the specification. To fill in this gap, Ocean Informatics has developed a query language currently known as EHR Query Language (EQL), a declarative language supporting queries on EHR data. EQL is neutral to EHR systems, programming languages and system environments and depends only on the openEHR archetype model and semantics. Thus, in principle, EQL can be used in any archetype-based computational context. In the EHR context described here, particular queries mention concepts from the openEHR EHR Reference Model (RM). EQL can be used as a common query language for disparate archetype-based applications. The use of a common RM, archetypes, and a companion query language, such as EQL, semantic interoperability of EHR information is much closer. This paper introduces the EQL syntax and provides ex...

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Supporting special-purpose health care models via adaptive interfaces to the web

Interacting with Computers, 2002

The potential of the Internet and intranets to facilitate development of clinical information sys... more The potential of the Internet and intranets to facilitate development of clinical information systems has been evident for some time. Most Web-based clinical workstation interfaces, however, provide merely a loose collection of access channels. There are numerous examples of systems for access to either patient data or clinical guidelines, but only isolated cases where clinical decision support is presented integrally with the process of patient care, in particular, in the form of active alerts and reminders based on patient data. Moreover, ...

An On-line Care Planning System for Chronic/Complex Illness

HIC 98: Proceedings, 1998

Supporting special-purpose health care models via Web interfaces

The potential of the World Wide Web, via both the Internet and intranets, to facilitate the devel... more The potential of the World Wide Web, via both the Internet and intranets, to facilitate the development of clinical information systems has been evident for some time. Most Web-based clinical workstation interfaces, however, merely provide a loose collection of access channels. There are numerous examples of systems for access to either patient data or clinical guidelines, but only isolated cases where clinical decision support is presented integrally with the process of patient care, in particular, in the form of active alerts and ...

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Automated attention flags in chronic disease care planning

by Heath Frankel and Richard Ruffin

The Medical journal of Australia, Jan 17, 2001

Download

Chronic disease coordinated care planning: flexible, task-centered decision support

Topics in health information management, 1999