From the community health worker's home visit to scientific evidence: we turn Brazilian primary care into data that cares.
Source: medRxiv, 2026.
Published and presented in
Far from “basic”: primary care is the front door of Brazil’s public health system (SUS) and one of the largest national health information systems in the world.
Nationwide scale
Since 2013, every Family Health team in Brazil has recorded care in the same standard: a foundation for real-world evidence.
From chronic to rare
Digital care pathways follow each condition closely, from hypertension to rare diseases, while patients stay in their community.
The front door of the system
Care starts at the primary care unit and in families’ homes, long before the hospital.
37×
Growth in 11 years
From 53.3 million records in 2014 to 1.96 billion in 2025.
Who research usually leaves out
Rural, Amazonian and peri-urban populations, historically underrepresented in biomedical research.
Data that becomes science
Results published in international journals.
Source: medRxiv, 2026.
CRITICAL INFRASTRUCTURE
We turn everyday care into reliable evidence, with security and governance, and bring the results back to the community.
01 · GOVERNANCE
Government, industry, academia and nonprofits collaborate smoothly and under control, with protection and autonomy.
02 · SECURITY AND ETHICS
Focused on patient protection, ethics committee approval and legal compliance.
03 · INTEGRITY
Data qualified to international standards for evidence generation.
04 · INTELLIGENCE (AI)
Rigorous control and automation standards, with guardrails adapted to the local context.
Four complementary services: from real-world evidence to training the people who provide care, always rooted in primary care.
The community health worker records the visit on a tablet, in each family's home.
Municipal databases corrected and updated with digital support, with no rework.
Hypertension and diabetes closely monitored, including at home.
Real-world data that becomes studies, publications and health decisions.
Wherever public health happens, technology needs to get there. Real photos of teams in the field.
Scientific output with international reach and public health impact.
Registered on ClinicalTrials.gov and approved by Brazil's research ethics system.
ARISE
45,000planned participants
Prediabetes and type 2 diabetes screening in primary care. Implementation study.
View on ClinicalTrials.govCLEAR-HTN
15,000planned participants
Hypertension treatment patterns in public primary care. Observational.
View on ClinicalTrials.govSAPPHIRE-LDL
1,465patients across 28 clinics
Digital intervention for LDL control. Cluster randomized trial.
View on ClinicalTrials.govRWE-Statins
2.1 millionparticipants (2,133,900)
Real-world evidence on statin use in Brazil.
View on ClinicalTrials.gov| epCertify Hiperdia | Hypertension and diabetes · Hospital Moinhos de Vento | 16/12/2025 |
| COVID-19 ACS Brasil | Respiratory symptom screening by community health workers · Hospital Israelita Albert Einstein | 28/09/2022 |
| AVC ACS Brasil | Profile of stroke patients and access to rehabilitation in the Family Health Strategy · Hospital Israelita Albert Einstein | 23/05/2022 |
| ICHealth | Profile of heart failure patients cared for by the Family Health Strategy | 13/10/2020 |
| DPOC ACS Brasil | Profile of COPD patients cared for by the Family Health Strategy · Hospital Israelita Albert Einstein | 30/04/2020 |
Approval can be verified at plataformabrasil.saude.gov.br (Público › Confirmar aprovação, using the CAAE or opinion number).
National reports built from public SUS data — from viral hepatitis testing to 12 years of primary care output.
United KingdomUniversity of Cambridge
Paris, FranceEuropean Society of Cardiology Congress
New Orleans, USAAmerican College of Cardiology Scientific Session
It comes from studies that use everyday care data — such as primary care records — rather than controlled settings alone. It helps support public policy, clinical decisions and health strategies.
Yes. Our studies are approved by Brazil's CEP/CONEP system, and our clinical trials are registered on ClinicalTrials.gov.
It is the continuing education platform for primary care professionals: short courses with video lessons, support materials and a certificate at the end, designed for mobile.
epHealth is the technology and research company. Instituto epHealth is the nonprofit organization that works in public health.
Write to us using the form below or at info@ephealth.com.br. Our team replies within 2 business days.
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