{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:43:51Z","timestamp":1786999431170,"version":"build-2736575974"},"reference-count":13,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:00:00Z","timestamp":1698105600000},"content-version":"unspecified","delay-in-days":296,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ASHE"],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite the considerable advances in the last years, the health information systems for health surveillance still need to overcome some critical issues so that epidemic detection can be performed in real time. For instance, despite the efforts of the Brazilian Ministry of Health (MoH) to make COVID-19 data available during the pandemic, delays due to data entry and data availability posed an additional threat to disease monitoring. Here, we propose a complementary approach by using electronic medical records (EMRs) data collected in real time to generate a system to enable insights from the local health surveillance system personnel. As a proof of concept, we assessed data from S\u00e3o Caetano do Sul City (SCS), S\u00e3o Paulo, Brazil. We used the \u201cfever\u201d term as a sentinel event. Regular expression techniques were applied to detect febrile diseases. Other specific terms such as \u201cmalaria,\u201d \u201cdengue,\u201d \u201cZika,\u201d or any infectious disease were included in the dictionary and mapped to \u201cfever.\u201d Additionally, after \u201ctokenizing,\u201d we assessed the frequencies of most mentioned terms when fever was also mentioned in the patient complaint. The findings allowed us to detect the overlapping outbreaks of both COVID-19 Omicron BA.1 subvariant and Influenza A virus, which were confirmed by our team by analyzing data from private laboratories and another COVID-19 public monitoring system. Timely information generated from EMRs will be a very important tool to the decision-making process as well as research in epidemiology. Quality and security on the data produced is of paramount importance to allow the use by health surveillance systems.<\/jats:p>","DOI":"10.1017\/ash.2023.451","type":"journal-article","created":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:51:27Z","timestamp":1698108687000},"source":"Crossref","is-referenced-by-count":3,"title":["Thinking out of the box: revisiting health surveillance based on medical records"],"prefix":"10.1017","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7307-8851","authenticated-orcid":false,"given":"Vanderson S.","family":"Sampaio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Lopes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1272-2380","authenticated-orcid":false,"given":"Mina Cintho","family":"Ozahata","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5297-9108","authenticated-orcid":false,"given":"Helder I.","family":"Nakaya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erick","family":"Sousa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 D.","family":"Ara\u00fajo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6031-4755","authenticated-orcid":false,"given":"Marcelo A.S.","family":"Bragatte","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anderson F.","family":"Brito","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina Maura Zettoni","family":"Grespan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3467-6805","authenticated-orcid":false,"given":"Maria Ligia Damato","family":"Capuani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helves Humberto","family":"Domingues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3799-9415","authenticated-orcid":false,"given":"Alessandra Cristina Guedes","family":"Pellini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5416-2724","authenticated-orcid":false,"given":"Sheila de Oliveira Garcia","family":"Mateos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6122-1729","authenticated-orcid":false,"given":"M\u00f4nica Tilli Reis Pessoa","family":"Conde","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Eudes Leal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2623-5126","authenticated-orcid":false,"given":"Ester","family":"Sabino","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Sim\u00e3o","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8415-4274","authenticated-orcid":false,"given":"Jorge","family":"Kalil","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2023,10,24]]},"reference":[{"key":"S2732494X23004515_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/sim.8303"},{"key":"S2732494X23004515_ref3","unstructured":"3. Jorge, M , Laurenti, R , Gotlieb, S. Avalia\u00e7\u00e3o dos sistemas de informa\u00e7\u00e3o em sa\u00fade no Brasil. Cad Sa\u00fade Colet Rio J 2010. http:\/\/www.iesc.ufrj.br\/cadernos\/images\/csc\/2010_1\/artigos\/Modelo%20Livro%20UFRJ%201-a.pdf. Accessed January 18, 2023."},{"key":"S2732494X23004515_ref2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311x00182119"},{"key":"S2732494X23004515_ref6","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2020-042745"},{"key":"S2732494X23004515_ref1","unstructured":"1. Lei 8.080 de cria\u00e7\u00e3o do SUS. http:\/\/www.planalto.gov.br\/ccivil_03\/leis\/l8080.htm. Accessed January 18, 2023."},{"key":"S2732494X23004515_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijmedinf.2008.06.005"},{"key":"S2732494X23004515_ref10","unstructured":"10. Monitoring panel of electronic health records at S\u00e3o Caetano do Sul City. 2022. https:\/\/github.com\/InstitutoTodosPelaSaude\/SCS. Accessed January 19, 2023."},{"key":"S2732494X23004515_ref7","doi-asserted-by":"publisher","DOI":"10.1590\/1413-81232017221.18362015"},{"key":"S2732494X23004515_ref11","unstructured":"11. ITpS. Monitoramento de pat\u00f3genos respirat\u00f3rios - relat\u00f3rio 14. Monit. Pat\u00f3genos Respir. - Relat\u00f3rio 14. https:\/\/www.itps.org.br\/pesquisa-detalhe\/monitoramento-de-patogenos-respiratorios-relatorio-14. Accessed January 19, 2023."},{"key":"S2732494X23004515_ref12","doi-asserted-by":"publisher","DOI":"10.1007\/s10916-018-1075-6"},{"key":"S2732494X23004515_ref13","doi-asserted-by":"publisher","DOI":"10.1136\/amiajnl-2011-000261"},{"key":"S2732494X23004515_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s13278-021-00776-6"},{"key":"S2732494X23004515_ref8","doi-asserted-by":"publisher","DOI":"10.21105\/joss.00655"}],"container-title":["Antimicrobial Stewardship &amp; Healthcare Epidemiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2732494X23004515","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,24]],"date-time":"2023-10-24T00:51:29Z","timestamp":1698108689000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2732494X23004515\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023]]}},"alternative-id":["S2732494X23004515"],"URL":"https:\/\/doi.org\/10.1017\/ash.2023.451","relation":{},"ISSN":["2732-494X"],"issn-type":[{"value":"2732-494X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e185"}}