HSX Services and Systems Status

HSX Services and Systems Status

Secure data connection among multiple providers.  Supports functional status of all other services.

Secure point-to-point exchange of clinical information between providers

Send clinical information to a patient's care team

Identifies a patient’s location and status within the regional healthcare system

Provides a unified view of a patient's history from multiple sources

Receive a Clinical Activity History for a patient

Notifies subscribers when a patient is hospitalized and/or discharged

Real-time notifications to subscribers about patient encounters

System Down
Under Maintenance

HSX Metrics

Patients in HSX’s
Master Patient Index
as of May 2018
Total messages exchanged via HSX through May 2018
Practitioners in the
HSX Provider Directory
as of May 2018
Percentage of messages sent via HSX in May 2018 that are inter-health system
Number of ENS subscribing entities as of May 2018
Direct Secure Messaging (DIRECT)

Point-to-point exchange of clinical information between providers’ direct addresses using the national Direct Project standards — included, but not limited to, sending of continuity of care (C-CDA) documents with discharge information and referrals for transitions of care. HSX can offer direct addresses to providers and organizations, as needed.

Encounter Notification Service (ENS)

Delivers to service subscribers a notification when one of their patients or members is hospitalized or presents to an emergency department and/or is subsequently discharged.

Provider Directory (PD)

Contains direct addresses for healthcare providers who actively participate with HSX; interoperability testing completed before providers’ direct addresses are added to the PD.

Clinical Activity History (CAH)

Collects recent clinical history about a patient from the patient’s healthcare insurer, based on the patient’s member identification within the health plan and translates this claims/utilization data to a clinical care document — returning this information to the requesting provider or emergency department.

Automated Care Team Finder (ACTF)

Uses the patient’s member identification with his or her healthcare insurer to identify the patient’s primary care provider and route continuity of care (C-CDA) documents, containing discharge information, leveraging the HSX PD.

Urgent Patient Activity Liaison Service (uPAL)

The Urgent Patient Activity Liaison (uPAL) service identifies a patient’s admission, discharge, or transfer location and date/time within the regional healthcare system, serving as a patient locator service that takes advantage of member-hospital admission-discharge-transfer (ADT) data feeds and the HSX CDR; used in mass crisis scenarios or more routine, individual cases.

  • UPAL Timeline

    July 25th-28th 2016
    Democratic National Convention – UPAL went to Stand-by.
    April 27-29th 2017
    NFL Draft
    February 4th 2018
    Eagles win the Superbowl
    February 8th 2018
    Eagles Parade
  • Pope Visit

    The visit of Pope Francis to the U.S. this past fall inspired progress on many fronts including, now, international exchange of patient medical information. Read More

  • DNC Plans

    HSX placed its uPAL patient locator service on standby during the Democratic National Convention in Philadelphia. The service, available for tracking patients during large-scale emergency or routine individual events, was in a heightened state of readiness from July 24 to July 29, 2016. Read More

Clinical Data Repository (CDR)

Collects and retains medical-records data about patients, permitting a patient’s provider and/or care-team members to query for clinical information about the patient.

Service Snapshot

  • Service Adoption
  • Data Feed Implementation Status


Published in Provider Directory

Direct Secure Messaging (Sending Discharge Info)

Encounter Notification Service Subscriber

Automated Care Team Finder

Clinical Activity History

Access to Clinical Data Repository

Abington – Jefferson HealthYesNoLiveMember Readiness TBDMember Readiness TBDMember Readiness TBD
AmeriHealth Caritasn/an/aLiveLiveIn ProgressLive (Payer Portal)
Aria HealthYesYesLiveLiveIn ProgressMember Readiness TBD
CHOPYesYesLiveMember Readiness TBDMember Readiness TBDMember Readiness TBD
Crozer-Keystone Health SystemYesYesLive LiveMember Readiness TBDMember Readiness TBD
Doylestown HospitalYesYesLive (Doylestown Healthcare Partnership)LiveLiveLive (Hospital/ED)
Einstein Healthcare NetworkYesYesLiveLiveMember Readiness TBDMember Readiness TBD
Grand View HealthYesYesLiveMember Readiness TBDMember Readiness TBDIn Progress
Hahnemann University HospitalNoNoLive (ENS for Hospitals)Member Readiness TBDMember Readiness TBDMember Readiness TBD
Health Partners Plansn/an/aLiveLiveIn ProgressMember Readiness TBD
Holy RedeemerNoNoMember Readiness TBDMember Readiness TBDMember Readiness TBDMember Readiness TBD
Independence Blue Crossn/an/aLiveLiveLiveLive (Payer Portal)
Jefferson HealthYesYesLiveMember Readiness TBDMember Readiness TBDLive
Main Line HealthYesYesLiveIn ProgressLiveMember Readiness TBD
Mercy Health System (Trinity)NoNoLive (Mercy Accountable Care and Mercy Home Health)Member Readiness TBDMember Readiness TBDMember Readiness TBD
Penn MedicineYesYesLive Member Readiness TBDLiveMember Readiness TBD
Prime Healthcare – Lower BucksYesYes – ED onlyMember Readiness TBDLiveMember Readiness TBDMember Readiness TBD
Prime Healthcare - Roxboroughn/aYesLive (ENS for Hospitals)LiveMember Readiness TBDMember Readiness TBD
Prime Healthcare - Suburban Community HospitalNoNoMember Readiness TBDMember Readiness TBDMember Readiness TBDMember Readiness TBD
St. Christopher's Hospital for ChildrenNoYesLive (St. Chris Pediatric Associates)Member Readiness TBDMember Readiness TBDMember Readiness TBD
St. Mary Medical Center (Trinity)NoNoLive (Quality Health Alliance)Member Readiness TBDMember Readiness TBDLive (Quality Health Alliance Portal Access)
Temple HealthYesYesLive (TUP & TPI)Member Readiness TBDMember Readiness TBDMember Readiness TBD

Data Source ID


ADT Data Feed

C-CDA Data Feed

Lab Data Feed


HAHNNAmerican Academic Health System - Hahnemann University HospitalOctober 2016TBDSeptember 2017TBD
STCHRNAmerican Academic Health System - St. Christopher's Hospital for ChildrenSeptember 2016TBDSeptember 2017TBD
STCPANAmerican Academic Health System - St. Christopher's AmbulatoryIn ProgressTBDTBDN/A
SNHAbramson Center for Jewish LifeMay 2017N/AN/AN/A
CCPCardiology Consultants of PhiladelphiaN/AJanuary 2018N/AN/A
CHOPChildren's Hospital of PhiladelphiaAugust 2017TBDTBDTBD
CHOPAMChildren's Hosptial of Philadelphia AmbulatoryAugust 2017TBDTBDN/A
CHDCDCommunity Health and Dental CareFebruary 2018February 2018N/AN/A
CCMCProspect Healthcare - Crozer-Chester Medical CenterMay 2015TBDIn PogressTBD
DCMHProspect Healthcare - Crozer Delaware County Memorial HospitalMay 2015TBDIn PogressTBD
SPGFProspect Healthcare - Crozer Springfield HospitalMay 2015TBDIn PogressTBD
TAYLProspect Healthcare - Crozer Taylor HospitalMay 2015TBDIn PogressTBD
Prospect Healthcare - Crozer AmbulatoryTBDTBDTBDN/A
DVCHDelaware Valley Community HealthFebruary 2018February 2018N/AN/A
DOHAMBDoylestown Health - AmbulatoryTBDJanuary 2018N/AN/A
DOHDoylestown Health - HospitalApril 2015August 2016 (Hospital C-CDA)In ProgressIn Progress
PRHCDoylestown Health - Pine RunTBDTBDTBDN/A
ENHFEinstein Healthcare Network - Ambulatory and Non-Hospital FacilitiesApril 2015September 2016N/AN/A
MREPEinstein Healthcare Network - Einstein Medical Center Elkins ParkApril 2015September 2016September 2017TBD
EMCMEinstein Healthcare Network - Einstein Medical Center MontgomeryApril 2015September 2016September 2017TBD
AEMCEinstein Healthcare Network - Einstein Medical Center PhiladelphiaApril 2015September 2016September 2017TBD
MOSSEinstein Healthcare Network - Einstein Moss RehabApril 2015September 2016N/AN/A
WCBEinstein Healthcare Network - Einstein Willowcrest Skilled Nursing and Rehabilitation CenterApril 2015September 2016N/AN/A
GHC133Genesis Healthcare Brandywine HallMarch 2017In ProgressN/AN/A
GHC083Genesis Healthcare Crestview CenterNovember 2017TBDN/AN/A
GHC121Genesis Healthcare Norriton Square Nursing and Rehabilitation CenterNovember 2017TBDN/AN/A
GHC185Genesis Healthcare Powerback Center CityMarch 2017In ProgressN/AN/A
GHC273Genesis Healthcare Powerback PhoenixvilleNovember 2017TBDN/AN/A
GHC146Genesis Healthcare Powerback Willow GroveMarch 2017In ProgressN/AN/A
GHC150Genesis Healthcare Quakertown CenterNovember 2017TBDN/AN/A
GHC152Genesis Healthcare Sanatoga CenterNovember 2017TBDN/AN/A
GHC134Genesis Healthcare Wayne CenterMarch 2017In ProgressN/AN/A
GVHGrand View Health - Grand View HospitalNovember 2017In ProgressIn ProgressTBD
GVHAMBGrand View Health - Grand View AmbulatoryTBDIn ProgressTBDN/A
HRHSHoly Redeemer HospitalSeptember 2015TBDSeptember 2017TBD
Holy Redeemer AmbulatoryTBDTBDTBDN/A
JHNHJefferson Health - Jefferson Hospital for NeuroscienceSeptember 2015September 2017TBDTBD
MHDEJefferson Health - Jefferson Methodist HospitalSeptember 2015September 2017TBDTBD
AHLHJefferson Health - Abington HospitalJune 2015TBDAugust 2017TBD
AHMHJefferson Health - Lansdale HospitalJune 2015TBDAugust 2017TBD
ABCCJefferson Health - Bucks HospitalApril 2015August 2017In ProgressTBD
AFCJefferson Health - Frankford HospitalApril 2015August 2017In ProgressTBD
ATCJefferson Health - Torresdale HospitalApril 2015August 2017In ProgressTBD
TJUHJefferson Health - Thomas Jefferson University HospitalSeptember 2015September 2017TBDTBD
Jefferson Health - Cherry Hill HospitalIn ProgressTBDTBDTBD
Jefferson Health - Washington Township HospitalIn ProgressTBDTBDTBD
Jefferson Health - Stratford HospitalIn ProgressTBDTBDTBD
AHMHPPJefferson Health - Abington Health PhysiciansNovember 2015TBDTBDN/A
Jefferson Health - New Jersey AmbulaotryTBDTBDTBDN/A
TJUAMBJefferson Health - Jefferson Northeast Health PhysiciansTBDTBDAugust 2017N/A
Jefferson Health - Jefferson University PhysiciansSeptember 2017September 2017TBDTBD
Jefferson Health - Rothman Orthopaedic Speciality HospitalIn ProgressIn ProgressTBDN/A
Jefferson Health - Abington Home HealthIn ProgressTBDTBDN/A
MLHPMain Line Health - Ambulatory PracticesDecember 2015TBDTBDN/A
BGEMain Line Health - Bryn Mawr HospitalMay 2015September 2017TBDTBD
RGEMain Line Health - Bryn Mawr Rehab HospitalMay 2015September 2017N/AN/A
LGEMain Line Health - Lankenau Medical CenterMay 2015September 2017TBDTBD
PGEMain Line Health - Paoli HospitalMay 2015September 2017TBDTBD
DGEMain Line Health - Riddle HospitalMay 2015September 2017TBDTBD
CCHPenn Medicine - Chester County HospitalMay 2015In ProgressTBDTBD
PMCPenn Medicine - Penn-Presybyterian HospitalJuly 2017TBDTBDTBD
PAHPenn Medicine - Pennsylvania HospitalJuly 2017TBDTBDTBD
HUPPenn Medicine - University of Pennsylvania HospitalJuly 2017TBDTBDTBD
PENPANPenn Medicine - AmbulatoryMay 2018TBDTBDN/A
PCOMPhiladelphia College of Osteopathic MedicineIn ProgressIn ProgressN/AN/A
Public Health Management CorporationIn ProgressIn ProgressN/AN/A
LBHPrime Healthcare - Lower Bucks HospitalSeptember 2015TBDTBDTBD
RMHPrime Healthcare - Roxborough Memorial HospitalOctober 2015TBDTBDTBD
Prime Healthcare - Suburban Community HospitalTBDTBDTBDTBD
FCCTemple Health - Fox Chase Cancer CenterSeptember 2015In ProgressTBDTBD
JHTemple Health - Jeanes HospitalSeptember 2015October 2016TBDTBD
TUHTemple Health - Temple University HospitalSeptember 2015In ProgressTBDTBD
Temple Health - TPI and TUP AmbulatoryIn ProgressIn ProgressTBDN/A
FTZTrinity Health - Mercy Fitzgerald HospitalAugust 2016TBDTBDTBD
NAZTrinity Health - Mercy Nazareth HospitalAugust 2016TBDTBDTBD
PHLTrinity Health - Mercy Philadelphia HospitalAugust 2016TBDTBDTBD
Trinity Health - Mercy AmbulatoryTBDTBDTBDN/A
MLPTrinity Health - St. Mary Medical CenterNovember 2016TBDIn ProgressTBD
Trinity Health - St. Mary Medical Center AmbulatoryTBDTBDTBDN/A