Dr. Fraser trained in General Medicine, Cardiology and Knowledge Based Systems at Edinburgh University, in Scotland, and in Clinical Decision Making at MIT and the New England Medical Center. His work has led to the migration of medical informatics tools and expertise from high income countries to some of the most challenging environments in low income countries.
Dr Fraser was the Co-PI and Informatics and evaluation lead for a grant from the US CDC to evaluate the functioning, clinical impact and costs of an OpenMRS based EMR system for HIV care in Rwanda. This project has led to 3 published studies with a large cluster randomized controlled trial currently being analysed. He has previously held grants as PI from the CDC, the Rockefeller Foundation, and IDRC Canada for eHealth work in Rwanda. From 2015-2017 he held a Marie Skłodowska-Curie Fellowship from the European Union Horizon 2020 program. He is currently co-editing and co-authoring a new text book on Global Health Informatics and Digital Health.
In 2021 He received an R01 grant as Co-PI with Professor Hogan at the Brown University School of Public Health and Ann Mwangi at Moi University in Kenya, entitled "Data Science for Decision Support in the HIV Care Cascade". This project has built prediction models using machine learning techniques and deployed them using the OpenMRS EHR, with the goal to improve HIV care at the AMPATH project in Westen Kenya. We are nearing completion of a large cluster randomized, controlled trial of the effect of the prediction model on patient clinic attendance and loss to follow up rates.
Dr Fraser's recent work at Brown also includes leading an evaluation study of a diagnostic app or "Symptom Checker" from Ada health in use by patients in the ED at Rhode Island hospital and with patients setting seeking urgent primary care at Brown Medicine. This initial work led to an R01 grant from AHRQ on which I am PI that is currently recruiting new patients at RIH and soon in primary care.
A key part of these studies is the evaluation of a range of Large Language Models with symptom data collected by the Ada app. The AHRQ grant also supports studies of LLMs diagnostic and traige accuracy in out of hospital diagnosis of stroke, using two large data sets of possible stroke patients.
Training and previous experience
As Director of Informatics at the leading Healthcare NGO Partners In Health, Dr Fraser co-founded OpenMRS an open source Electronic Health Record project. He was also an Assistant Professor of Medicine at Harvard Medical School from 2006 - 2015. He has co-created and taught courses in Global eHealth at Leeds University, Edinburgh University and MIT, and co-authored a text book on this field. His main academic focus is in the evaluation of medical information systems particularly in Low and Middle Income Countries, and understanding the impact of information and communications on quality of healthcare world wide. He also focusses on improvement of care for non-communicable diseases particularly Heart Disease.
| Campbell, Elizabeth, Bear Don’t Walk, Oliver J, Fraser, Hamish, Gichoya, Judy, Wagholikar, Kavishwar B, Kanter, Andrew S, Holl, Felix, Craig, Sansanee. "Principles and implementation strategies for equitable and representative academic partnerships in global health informatics research." Journal of the American Medical Informatics Association, vol. 32, no. 5, 2025, pp. 958-963. |
| Bai, Eric, Song, Sophia L., Fraser, Hamish S. F., Ranney, Megan L. "A Graphical Toolkit for Longitudinal Dataset Maintenance and Predictive Model Training in Health Care." Applied Clinical Informatics, vol. 13, no. 01, 2022, pp. 056-066. |
| Fraser HSF, Mugisha M, Remera E, Ngenzi JL, Richards J, Santas X, Naidoo W, Seebregts C, Condo J, Umubyeyi A. "User Perceptions and Use of an Enhanced Electronic Health Record in Rwanda With and Without Clinical Alerts: Cross-sectional Survey." JMIR Medical Informatics, vol. 10, no. 5, 2022, pp. e32305. |
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Jeremy Wyatt, Hamish Fraser.
"Health Information and Information Technology (book chapter, forthcoming)." Making health systems work in developing countries – Textbook for public health practitioners, edited by Sameen Siddiqi, Awad Mataria, 2021.
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| David, Rodreck, Evans, Ruth, Fraser, Hamish SF. "Modelling Prenatal Care Pathways at a Central Hospital in Zimbabwe." Health Services Insights, vol. 14, 2021, pp. 117863292110627. |
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"The importance of primary care records in low and middle income settings for care, resource management and disease surveillance." ICT in Health 2021, Survey on the Use of Information and Communication Technologies in Brazilian Healthcare Facilities, 2021, pp. 273 – 295.
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| Kobayashi, Shinji, Falcón, Luis, Fraser, Hamish, Braa, Jørn, Amarakoon, Pamod, Marcelo, Alvin, Paton, Chris. "Using Open Source, Open Data, and Civic Technology to Address the COVID-19 Pandemic and Infodemic." Yearbook of Medical Informatics, vol. 30, no. 01, 2021, pp. 038-043. |
| Indria D, Alajlani M, Fraser HSF. "Clinicians perceptions of a telemedicine system: a mixed method study of Makassar City, Indonesia." BMC medical informatics and decision making, vol. 20, no. 1, 2020, pp. 233. |
| Muinga N, Magare S, Monda J, English M, Fraser H, Powell J, Paton C. "Digital health Systems in Kenyan Public Hospitals: a mixed-methods survey." BMC medical informatics and decision making, vol. 20, no. 1, 2020, pp. 2. |
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Janise Richards, Hamish Fraser, Gerald Douglas.
"Global Public Health Informatics." Public Health Informatics and Information Systems, edited by J.A. Magnuson and B. Dixon, Springer, 2020.
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| Gilbert S, Mehl A, Baluch A, Cawley C, Challiner J, Fraser H, Millen E, Montazeri M, Multmeier J, Pick F, Richter C. "How accurate are digital symptom assessment apps for suggesting conditions and urgency advice? A clinical vignettes comparison to GPs." BMJ Open, vol. 10, no. 12, 2020, pp. e040269. |
| Li C*, Chen E, Savova G, Fraser H, Eickhoff C. "Mining Misdiagnosis Patterns from Biomedical Literature." AMIA Joint Summits on Translational Science proceedings AMIA Summit on Translational Science, 2020, pp. 360-366. |
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Carsten Eickhoff , Floran Gmehlin, Anu V Patel, Jocelyn Boullier, Hamish Fraser.
"DC3 -- A Diagnostic Case Challenge Collection for Clinical Decision Support." ICTIR, 2019, pp. 141-144.
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Taiwo Adedeji, Philip Scott, Hamish Fraser.
"How can we deliver the vision of electronic medical records to improve maternal and child healthcare in low- and middle-income countries?." medinfo, 2019.
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| Fraser H, Keshavjee S. "Video-observed therapy for tuberculosis: strengthening care." The Lancet, vol. 393, no. 10177, 2019, pp. 1180-1181. |
| Naomi Muinga, Steve Magare, Jonathan Monda, Onesmus Kamau, Stuart Houston, Hamish Fraser, John Powell; Mike English, Chris Paton. "Case Study: Implementing an Open Source Electronic Health Record (EHR) System in Kenyan Healthcare Facilities." JMIR Med Inform, vol. 6, no. 2, 2018, pp. e22. |
| Fraser H, Coiera E, Wong D. "Safety of patient-facing digital symptom checkers." The Lancet, vol. 392, no. 10161, 2018, pp. 2263-2264. |
| Agoro, Oscar O, Kibira, Sarah W, Freeman, Jenny V, Fraser, Hamish S F. "Barriers to the success of an electronic pharmacovigilance reporting system in Kenya: an evaluation three years post implementation." Journal of the American Medical Informatics Association, 2017. |
| Oza, Shefali, Jazayeri, Darius, Teich, Jonathan M, Ball, Ellen, Nankubuge, Patricia Alexandra, Rwebembera, Job, Wing, Kevin, Sesay, Alieu Amara, Kanter, Andrew S, Ramos, Glauber D, Walton, David, Cummings, Rachael, Checchi, Francesco, Fraser, Hamish S. "Development and Deployment of the OpenMRS-Ebola Electronic Health Record System for an Ebola Treatment Center in Sierra Leone." Journal of Medical Internet Research, vol. 19, no. 8, 2017, pp. e294. |
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Global Health Informatics: Principles of eHealth and mHealth to Improve Quality of Care . edited by Leo Anthony G. Celi, Hamish S. F. Fraser, Vipan Nikore, Juan Sebastián Osorio and Kenneth Paik, MIT press, 2017.
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| Kingkaew, Pritaporn, Glidewell, Liz, Walwyn, Rebecca, Fraser, Hamish, Wyatt, Jeremy C. "Identifying effective components for mobile health behaviour change interventions for smoking cessation and service uptake: protocol of a systematic review and planned meta-analysis." Systematic Reviews, vol. 6, no. 1, 2017. |
| Fraser HSF, Clamp S, Wilson CJ. "Limitations of Study on Symptom Checkers." JAMA Internal Medicine, vol. 177, no. 5, 2017, pp. 740-741. |
| Jazayeri D, Oza S, Ramos G, Fraser H, Teich JM, Kanter AS, Ball E. "Design and development of an EMR for Ebola Treatment Centers in Sierra Leone using OpenMRS." Studies in health technology and informatics, vol. 216, 2015, pp. 916. |
| Johnson OA, Fraser HS, Wyatt JC, Walley JD. "Electronic health records in the UK and USA." The Lancet, vol. 384, no. 9947, 2014, pp. 954. |
| Blaya, Joaquín A., Shin, Sonya S., Yagui, Martin, Contreras, Carmen, Cegielski, Peter, Yale, Gloria, Suarez, Carmen, Asencios, Luis, Bayona, Jaime, Kim, Jihoon, Fraser, Hamish S. F. "Reducing Communication Delays and Improving Quality of Care with a Tuberculosis Laboratory Information System in Resource Poor Environments: A Cluster Randomized Controlled Trial." PLoS ONE, vol. 9, no. 4, 2014, pp. e90110. |
| Kwan GF, Bukhman AK, Miller AC, Ngoga G, Mucumbitsi J, Bavuma C, Dusabeyezu S, Rich ML, Mutabazi F, Mutumbira C, Ngiruwera JP, Amoroso C, Ball E, Fraser HS, Hirschhorn LR, Farmer P, Rusingiza E, Bukhman G. "A simplified echocardiographic strategy for heart failure diagnosis and management within an integrated noncommunicable disease clinic at district hospital level for sub-Saharan Africa." JACC. Heart failure, vol. 1, no. 3, 2013, pp. 230-6. |
| Mitnick CD, Franke MF, Rich ML, Alcantara Viru FA, Appleton SC, Atwood SS, Bayona JN, Bonilla CA, Chalco K, Fraser HS, Furin JJ, Guerra D, Hurtado RM, Joseph K, Llaro K, Mestanza L, Mukherjee JS, Muñoz M, Palacios E, Sanchez E, Seung KJ, Shin SS, Sloutsky A, Tolman AW, Becerra MC. "Aggressive regimens for multidrug-resistant tuberculosis decrease all-cause mortality." PLoS ONE, vol. 8, no. 3, 2013, pp. e58664. |
| Fraser HS, Habib A, Goodrich M, Thomas D, Blaya JA, Fils-Aime JR, Jazayeri D, Seaton M, Khan AJ, Choi SS, Kerrison F, Falzon D, Becerra MC. "E-health systems for management of MDR-TB in resource-poor environments: a decade of experience and recommendations for future work." Studies in health technology and informatics, vol. 192, 2013, pp. 627-31. |
| Catalani C, Philbrick W, Fraser H, Mechael P, Israelski DM. "mHealth for HIV Treatment & Prevention: A Systematic Review of the Literature." The open AIDS journal, vol. 7, 2013, pp. 17-41. |
| Fraser HS, Thomas D, Tomaylla J, Garcia N, Lecca L, Murray M, Becerra MC. "Adaptation of a web-based, open source electronic medical record system platform to support a large study of tuberculosis epidemiology." BMC medical informatics and decision making, vol. 12, 2012, pp. 125. |
| Mirza M, Kratz M, Medeiros D, Pina J, Richards J, Zhang X, Fraser H, Bailey C, Krishnamurthy R. "Building the foundations of an informatics agenda for global health - 2011 workshop report." Online journal of public health informatics, vol. 4, no. 1, 2012. |
| Mitchell M, Hedt BL, Eshun-Wilson I, Fraser H, John MA, Menezes C, Grobusch MP, Jackson J, Taljaard J, Lesh N. "Electronic decision protocols for ART patient triaging to expand access to HIV treatment in South Africa: a cross sectional study for development and validation." International Journal of Medical Informatics, vol. 81, no. 3, 2012, pp. 166-72. |
| Piette JD, Lun KC, Moura LA Jr, Fraser HS, Mechael PN, Powell J, Khoja SR. "Impacts of e-health on the outcomes of care in low- and middle-income countries: where do we go from here?." Bulletin of the World Health Organization, vol. 90, no. 5, 2012, pp. 365-72. |
| Blaya JA, Shin S, Contreras C, Yale G, Suarez C, Asencios L, Kim J, Rodriguez P, Cegielski P, Fraser HS. "Full impact of laboratory information system requires direct use by clinical staff: cluster randomized controlled trial." Journal of the American Medical Informatics Association : JAMIA, vol. 18, no. 1, 2011, pp. 11-6. |
| Tierney WM, Kanter AS, Fraser HS, Bailey C. "A toolkit for e-health partnerships in low-income nations." Health Affairs, vol. 29, no. 2, 2010, pp. 268-73. |
| Blaya JA, Fraser HS, Holt B. "E-health technologies show promise in developing countries." Health Affairs, vol. 29, no. 2, 2010, pp. 244-51. |
| Blaya JA, Shin SS, Yale G, Suarez C, Asencios L, Contreras C, Rodriguez P, Kim J, Cegielski P, Fraser HS. "Electronic laboratory system reduces errors in National Tuberculosis Program: a cluster randomized controlled trial." The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, vol. 14, no. 8, 2010, pp. 1009-15. |
| Waters E, Rafter J, Douglas GP, Bwanali M, Jazayeri D, Fraser HS. "Experience implementing a point-of-care electronic medical record system for primary care in Malawi." Studies in health technology and informatics, vol. 160, no. Pt 1, 2010, pp. 96-100. |
| Seebregts CJ, Mamlin BW, Biondich PG, Fraser HS, Wolfe BA, Jazayeri D, Miranda J, Blaya J, Sinha C, Bailey CT, Kanter AS. "Human factors for capacity building: lessons learned from the OpenMRS implementers network." Yearbook of medical informatics, 2010, pp. 13-20. |
| Fraser HS, Blaya J. "Implementing medical information systems in developing countries, what works and what doesn't." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, vol. 2010, 2010, pp. 232-6. |
| Seymour RP, Tang A, DeRiggi J, Munyaburanga C, Cuckovitch R, Nyirishema P, Fraser HS. "Training software developers for electronic medical records in Rwanda." Studies in health technology and informatics, vol. 160, no. Pt 1, 2010, pp. 585-9. |
| Amoroso CL, Akimana B, Wise B, Fraser HS. "Using electronic medical records for HIV care in rural Rwanda." Studies in health technology and informatics, vol. 160, no. Pt 1, 2010, pp. 337-41. |
| Blaya JA, Cohen T, Rodríguez P, Kim J, Fraser HS. "Personal digital assistants to collect tuberculosis bacteriology data in Peru reduce delays, errors, and workload, and are acceptable to users: cluster randomized controlled trial." International Journal of Infectious Diseases, vol. 13, no. 3, 2009, pp. 410-8. |
| Seebregts CJ, Mamlin BW, Biondich PG, Fraser HS, Wolfe BA, Jazayeri D, Allen C, Miranda J, Baker E, Musinguzi N, Kayiwa D, Fourie C, Lesh N, Kanter A, Yiannoutsos CT, Bailey C, OpenMRS Implementers Network. "The OpenMRS Implementers Network." International Journal of Medical Informatics, vol. 78, no. 11, 2009, pp. 711-20. |
| Mitnick CD, Shin SS, Seung KJ, Rich ML, Atwood SS, Furin JJ, Fitzmaurice GM, Alcantara Viru FA, Appleton SC, Bayona JN, Bonilla CA, Chalco K, Choi S, Franke MF, Fraser HS, Guerra D, Hurtado RM, Jazayeri D, Joseph K, Llaro K, Mestanza L, Mukherjee JS, Muñoz M, Palacios E, Sanchez E, Sloutsky A, Becerra MC. "Comprehensive treatment of extensively drug-resistant tuberculosis." New England Journal of Medicine, vol. 359, no. 6, 2008, pp. 563-74. |
| Blaya JA, Gomez W, Rodriguez P, Fraser H. "Cost and implementation analysis of a personal digital assistant system for laboratory data collection." The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, vol. 12, no. 8, 2008, pp. 921-7. |
| Clifford GD, Blaya JA, Hall-Clifford R, Fraser HS. "Medical information systems: a foundation for healthcare technologies in developing countries." Biomedical engineering online, vol. 7, 2008, pp. 18. |
| Kerrison F, Fraser HS. "The impact of uncertain diagnostic results on responses to a decision support system for TB drug prescribing." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2008, pp. 949. |
| Fraser HS, Seaton M, Jazayeri DG. "Tracking HIV patients in rural Haiti to ensure compliance with ART treatment." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2008, pp. 948. |
| Blaya JA, Yagui M, Contreras CC, Palma B, Shin SS, Yale G, Suarez C, Fraser HS. "Using the e-Chasqui, web-based information system, to determine laboratory guidelines and data available to clinical staff." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2008, pp. 881. |
| Blaya JA, Shin SS, Yagui MJ, Yale G, Suarez CZ, Asencios LL, Cegielski JP, Fraser HS. "A web-based laboratory information system to improve quality of care of tuberculosis patients in Peru: functional requirements, implementation and usage statistics." BMC medical informatics and decision making, vol. 7, 2007, pp. 33. |
| Blaya JA, Shin SS, Yagui MJ, Yale G, Suarez C, Asencios L, Fraser H. "Assessing effects of the e-Chasqui laboratory information system on accuracy and timeliness of bacteriology results in the Peruvian tuberculosis program." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2007, pp. 873. |
| Allen C, Manyika P, Ufitamahoro E, Musabende A, Rich M, Jazayeri D, Fraser H. "Expanding an electronic medical record to support community health worker and nutritional support programs in rural Rwanda." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2007, pp. 860. |
| Allen C, Jazayeri D, Miranda J, Biondich PG, Mamlin BW, Wolfe BA, Seebregts C, Lesh N, Tierney WM, Fraser HS. "Experience in implementing the OpenMRS medical record system to support HIV treatment in Rwanda." Studies in health technology and informatics, vol. 129, no. Pt 1, 2007, pp. 382-6. |
| Berger EJ, Jazayeri D, Sauveur M, Manasse JJ, Plancher I, Fiefe M, Laurat G, Joseph S, Kempton K, Fraser HS. "Implementation and evaluation of a web based system for pharmacy stock management in rural Haiti." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2007, pp. 46-50. |
| Fraser HS, Allen C, Bailey C, Douglas G, Shin S, Blaya J. "Information systems for patient follow-up and chronic management of HIV and tuberculosis: a life-saving technology in resource-poor areas." Journal of Medical Internet Research, vol. 9, no. 4, 2007, pp. e29. |
| Mamlin BW, Biondich PG, Wolfe BA, Fraser H, Jazayeri D, Allen C, Miranda J, Tierney WM. "Cooking up an open source EMR for developing countries: OpenMRS - a recipe for successful collaboration." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 529-33. |
| Blaya J, Fraser HS. "Development, implementation and preliminary study of a PDA-based tuberculosis result collection system." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 41-5. |
| Fraser HS, Blaya J, Choi SS, Bonilla C, Jazayeri D. "Evaluating the impact and costs of deploying an electronic medical record system to support TB treatment in Peru." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 264-8. |
| Allen C, Manyika P, Jazayeri D, Rich M, Lesh N, Fraser H. "Rapid deployment of electronic medical records for ARV rollout in rural Rwanda." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 840. |
| Fraser H, Choi SS, Galipot M, Jazayeri D, Mangubat N. "Successful transfer of a Web-based TB medical record from Peru to the Philippines." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 924. |
| Wolfe BA, Mamlin BW, Biondich PG, Fraser HS, Jazayeri D, Allen C, Miranda J, Tierney WM. "The OpenMRS system: collaborating toward an open source EMR for developing countries." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2006, pp. 1146. |
| Fraser HS. "Academic medicine: who is it for? Academic physicians are affected by specific failures of postgraduate training." BMJ, vol. 330, no. 7487, 2005, pp. 363; discussion 363-4. |
| Fraser HS, Biondich P, Moodley D, Choi S, Mamlin BW, Szolovits P. "Implementing electronic medical record systems in developing countries." Informatics in primary care, vol. 13, no. 2, 2005, pp. 83-95. |
| Choi SS, Jazayeri DG, Fraser HS. "Optimizing data analysis tools to support healthcare workers in Peru." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2005, pp. 923. |
| Laserson KF, Thorpe LE, Leimane V, Weyer K, Mitnick CD, Riekstina V, Zarovska E, Rich ML, Fraser HS, Alarcón E, Cegielski JP, Grzemska M, Gupta R, Espinal M. "Speaking the same language: treatment outcome definitions for multidrug-resistant tuberculosis." The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease, vol. 9, no. 6, 2005, pp. 640-5. |
| Fraser HS, Jazayeri D, Nevil P, Karacaoglu Y, Farmer PE, Lyon E, Fawzi MK, Leandre F, Choi SS, Mukherjee JS. "An information system and medical record to support HIV treatment in rural Haiti." BMJ, vol. 329, no. 7475, 2004, pp. 1142-6. |
| Szot A, Jacobson FL, Munn S, Jazayeri D, Nardell E, Harrison D, Drosten R, Ohno-Machado L, Smeaton LM, Fraser HS. "Diagnostic accuracy of chest X-rays acquired using a digital camera for low-cost teleradiology." International Journal of Medical Informatics, vol. 73, no. 1, 2004, pp. 65-73. |
| Choi SS, Jazayeri DG, Mitnick CD, Chalco K, Bayona J, Fraser HS. "Implementation and initial evaluation of a Web-based nurse order entry system for multidrug-resistant tuberculosis patients in Peru." Studies in health technology and informatics, vol. 107, no. Pt 1, 2004, pp. 202-6. |
| Fine AM, Wong JB, Fraser HS, Fleisher GR, Mandl KD. "Is it influenza or anthrax? A decision analytic approach to the treatment of patients with influenza-like illnesses." Annals of Emergency Medicine, vol. 43, no. 3, 2004, pp. 318-28. |
| Jazayeri D, Farmer P, Nevil P, Mukherjee JS, Leandre F, Fraser HS. "An Electronic Medical Record system to support HIV treatment in rural Haiti." AMIA ... Annual Symposium proceedings / AMIA Symposium. AMIA Symposium, 2003, pp. 878. |
| Fraser HS, Long WJ, Naimi S. "Evaluation of a cardiac diagnostic program in a typical clinical setting." Journal of the American Medical Informatics Association : JAMIA, vol. 10, no. 4, 2003, pp. 373-81. |
| Fraser HS, Jazayeri D, Mitnick CD, Mukherjee JS, Bayona J. "Informatics tools to monitor progress and outcomes of patients with drug resistant tuberculosis in Peru." Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 2002, pp. 270-4. |
| Lober WB, Karras BT, Wagner MM, Overhage JM, Davidson AJ, Fraser H, Trigg LJ, Mandl KD, Espino JU, Tsui FC. "Roundtable on bioterrorism detection: information system-based surveillance." Journal of the American Medical Informatics Association : JAMIA, vol. 9, no. 2, 2002, pp. 105-15. |
| Marques EP, Marin HF, Massad E, Fraser H, Ohno-Machado L. "Training in health informatics in Brazil." Studies in health technology and informatics, vol. 90, 2002, pp. 757-60. |
| Fraser HS, Jazayeri D, Bannach L, Szolovits P, McGrath SJ. "TeleMedMail: free software to facilitate telemedicine in developing countries." Studies in health technology and informatics, vol. 84, no. Pt 1, 2001, pp. 815-9. |
| Wang SJ, Ohno-Machado L, Fraser HS, Kennedy RL. "Using patient-reportable clinical history factors to predict myocardial infarction." Computers in biology and medicine, vol. 31, no. 1, 2001, pp. 1-13. |
| Fraser HS, McGrath SJ. "Information technology and telemedicine in sub-saharan Africa." BMJ, vol. 321, no. 7259, 2000, pp. 465-6. |
| Fraser HS, Naimi S, Long WJ. "New approaches to measuring the performance of programs that generate differential diagnoses using ROC curves and other metrics." Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 2000, pp. 255-9. |
| Hauskrecht M, Fraser H. "Planning treatment of ischemic heart disease with partially observable Markov decision processes." Artificial intelligence in medicine, vol. 18, no. 3, 2000, pp. 221-44. |
| Ohno-Machado L, Fraser HS, Ohrn A. "Improving machine learning performance by removing redundant cases in medical data sets." Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 1998, pp. 523-7. |
| Hauskrecht M, Fraser H. "Modeling treatment of ischemic heart disease with partially observable Markov decision processes." Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 1998, pp. 538-42. |
| Tsien CL, Fraser HS, Long WJ, Kennedy RL. "Using classification tree and logistic regression methods to diagnose myocardial infarction." Studies in health technology and informatics, vol. 52 Pt 1, 1998, pp. 493-7. |
| Kennedy RL, Harrison RF, Burton AM, Fraser HS, Hamer WG, MacArthur D, McAllum R, Steedman DJ. "An artificial neural network system for diagnosis of acute myocardial infarction (AMI) in the accident and emergency department: evaluation and comparison with serum myoglobin measurements." Computer methods and programs in biomedicine, vol. 52, no. 2, 1997, pp. 93-103. |
| Long WJ, Fraser H, Naimi S. "Reasoning requirements for diagnosis of heart disease." Artificial intelligence in medicine, vol. 10, no. 1, 1997, pp. 5-24. |
| Fraser HS, Kohane IS, Long WJ. "Using the technology of the World Wide Web to manage clinical information." BMJ, vol. 314, no. 7094, 1997, pp. 1600-3. |
| Gulliford MC, Alert CV, Mahabir D, Ariyanayagam-Baksh SM, Fraser HS, Picou DI. "Diabetes care in middle-income countries: a Caribbean case study." Diabetic medicine : a journal of the British Diabetic Association, vol. 13, no. 6, 1996, pp. 574-81. |
| Long WJ, Fraser H, Naimi S. "Web interface for the Heart Disease Program." Proceedings : a conference of the American Medical Informatics Association. AMIA Fall Symposium, 1996, pp. 762-6. |
My research interests cover:
- Evaluation of eHealth systems with a particular focus on low and middle income countries (LMIC)
- Improving access to and quality of care in LMICs, with a particular focus on TB, HIV and Non-communicable diseases
- Evaluation of diagnostic decision support systems particularly symptom checker apps
- Evaluation of the performance and safety of LLMs like ChatGPT in diagnsosis and traige of patients
- Diagnosis and management of cardiac disease in high and low income countries
I am currently completing the analysis of an evaluation of an EMR for HIV care in Rwanda (built using OpenMRS) funded by the US Centers for Disease Control and Prevention. Published studies include the usability and use of the EHR in 54 health facilities in Rwanda, a study of data quality in 50 health facilities and almost 4000 records, and a qualitative research study in press. A large cluster RCT is under analysis (fall 2025).
I have led many evaluation projects of health information systems in LMICs with MSc and PhD students in Peru, Tanzania, Kenya, Rwanda, Bangladesh, Indonesia, Zimbabwe and Nigeria.
Other interests include projects to improve the use of EHR data for research, and improving the usability and use of health Information systems in high and low income settings.
For a full list of my publications go to my ResearchGate Profile
R01 funded November 2021 "Data Science for Decision Support in the HIV Care Cascade" to support improvement in HIV care in Western Kenya with CoPIs Professor Hogan SPH and Ann Mwangi Moi University Kenya
AHRQ R01HS029513, 07/01/2023 – 6/30/2028
Diagnostic decision support systems for patients in urgent primary care or with stroke”:
evaluation of safety, usability and effectiveness for diagnosis, triage and patient decision making.
Role PI
OVPR Seed grant Brown University: "Observational study of the safety, accuracy and usability of digital diagnosis apps in primary care and for TIA and stroke patients" with Dr Tracy Madsen, Dr Ross Hilliard and Professor Megan Ranney.
I am finalizing a project funded by a $960,000 CDC Global AIDS program funded study of the impact of clinical decision support on HIV care in Rwanda.
| Year | Degree | Institution |
|---|---|---|
| 1991 | MSc | University of Edinburgh |
| 1986 | MB ChB | University of Edinburgh |
| 1984 | BSc | University of Edinburgh |
| Fellowship in Clinical Decision Making | Massachusetts Institute of Technology and New England Medical Center, Clinical Decision Making and Cardiology | 1995-1999 |
Fellow American College of Medical Informatics
Marie Skłodowska-Curie Fellow, European Community Horizon 2020 program (2015-2017)
Fellow of the International Academy of Health Sciences Informatics
| Name | Title |
|---|---|
| Bock, Beth | Professor of Psychiatry and Human Behavior, Professor of Behavioral and Social Sciences |
| Chen, Elizabeth | Interim Director of the Center for Biomedical Informatics, Associate Professor of Medical Science, Associate Professor of Health Services, Policy and Practice |
| Hogan, Joseph | Carole and Lawrence Sirovich Professor of Public Health, Professor of Biostatistics, Chair of Biostatistics |
| Langdon, Kirsten | Associate Professor of Psychiatry and Human Behavior (Research), Associate Professor of Behavioral and Social Sciences (Research) |
| Levine, Adam | Associate Dean of Biology and Medicine, Perri Peltz and Eric Ruttenberg Professor of the Practice of Human Rights, Professor of Emergency Medicine, and Director of Global Health Initiative |
| Madsen, Tracy | Adjunct Associate Professor of Emergency Medicine, Associate Professor of Epidemiology |
| Nagle, Drew | Assistant Professor of Medicine, Clinician Educator |
| Ranney, Megan | Adjunct Professor of Behavioral and Social Sciences |
| Rosen, Rochelle | Associate Professor of Psychiatry and Human Behavior, Associate Professor of Behavioral and Social Sciences |
| Wray, Tyler | Associate Professor of Behavioral and Social Sciences |
Co-founder and leadership team, OpenMRS Open source EHR project
| Membership of the Royal College of Physicians, Edinburgh | 1990- | ||
| UK Medical Registration and License | GMC | 1987- | #3131541 |
| Chair, Global Health Informatics Working Group. amia, 2017-2019 |
I teach courses on Health Informatics and Clinical Decision Making
In 2010 I co-founded a course on Global eHealth at the Massachusetts Institute of Technology, this course is now a MOOC.
I co-edited and co-wrote textbook from this course, published in 2017-
Global Health Informatics: Principles of eHealth and mHealth to Improve Quality of Care (link)
Section 5 of the text book is composed of case studies and is freely available here
From 2014 to 2018 I taught a course on International eHealth at the University of Leeds. I also co-wrote and co-taught a course on Clinical Knowledge Management and Decision Support.
For 3 years I taught on a distance learning MSc in Global eHealth through Edinburgh University. I wrote and co-teach the course Introduction to Global eHealth.
I am current teach a course I created at Brown on evaluation of health information systems with focus in both high and low income settings.
| BIOL 1575 - Evaluation of Health Information Systems |
| BIOL 2075 - Evaluation of Health Information Systems |
