Biosurveillance; influenza; twitter; open source; spanish A demonstration of meaningfully using the ISDSrecommended data elements Introduction National Health IT Initiatives are helping to advance the state of automated disease surveillance through incentives to healthcare facilities to implement electronic medical records and provide data to health departments and use collaborative systems to enhance quality of care and patient safety. While the emergence of a standard for the transfer of surveillance data is urgently needed, migrating from the current practice to a future standard can be a source of frustration.