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

(855) 479-7372 | support@healthshareexchange.org

Support Tickets

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HSX Metrics

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

    April 27-29th 2017
    NFL Draft
    February 4th 2018
    Eagles win the Superbowl
    February 8th 2018
    Eagles Parade
    July 4th 2018
    Welcome America celebration
  • 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 HealthYesYesLiveLiveMember Readiness TBDMember 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 Hospitaln/aNoLive (ENS for Hospitals)Member Readiness TBDMember Readiness TBDMember Readiness TBD
Health Partners Plansn/an/aLiveLiveMember Readiness TBDMember Readiness TBD
Holy RedeemerNoNoMember Readiness TBDMember Readiness TBDMember Readiness TBDIn Progress
Independence Blue Crossn/an/aLiveLiveLiveLive (Payer Portal)
Jefferson HealthYesYesLiveMember Readiness TBDMember Readiness TBDLive
Main Line HealthYesYesLiveMember Readiness TBDLiveMember Readiness TBD
Mercy Health System (Trinity)In ProgressNoLive (Mercy Accountable Care and Mercy Home Health)Member Readiness TBDMember Readiness TBDIn Progress
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 TBDIn ProgressIn Progress

Data Source ID


ADT Data Feed

C-CDA Data Feed

Lab Data Feed


SNHAbramson Center for Jewish LifeMay 2017N/AN/AN/A
Alliance Cancer SpecialistsTBDIn ProgressN/AN/A
American Academic Health System
HAHNNHahnemann University HospitalOctober 2016TBDSeptember 2017TBD
STCHRNSt. Christopher's Hospital for ChildrenSeptember 2016TBDSeptember 2017TBD
St. Christopher's Pediatric AssociatesIn ProgressIn ProgressN/AN/A
CCPCardiology Consultants of PhiladelphiaN/AJanuary 2018N/AN/A
Caregivers America Home HealthIn ProgressTBDN/AN/A
Children's Hospital of Philadelphia
CHOPAMCHOP Care NetworkAugust 2017TBDN/AN/A
Clarke & Gardner Internal MedicineN/AJuly 2018N/AN/A
CHDCDCommunity Health and Dental CareFebruary 2018February 2018N/AN/A
DVCHDelaware Valley Community HealthFebruary 2018February 2018N/AN/A
DePaul Healthcare
Angela Jane PavilionIn ProgressTBDN/AN/A
River's Edge Nursing & Rehabilitation CenterIn ProgressTBDN/AN/A
Doylestown Health
DOHAMBDoylestown ambulatory practicesTBDJanuary 2018N/AN/A
DOHDoylestown HospitalApril 2015August 2016 (Hospital C-CDA)TBDJune 2018
PRHCPine Run Retirement CommunityJune 2018TBDN/AN/A
Einstein Healthcare Network
ENHFEinstein ambulatory practicesApril 2015September 2016N/AN/A
MREPEinstein Medical Center Elkins ParkApril 2015September 2016September 2017TBD
EMCMEinstein Medical Center MontgomeryApril 2015September 2016September 2017TBD
AEMCEinstein Medical Center PhiladelphiaApril 2015September 2016September 2017TBD
MOSSEinstein Moss RehabApril 2015September 2016N/AN/A
WCBEinstein Willowcrest Skilled Nursing and Rehabilitation CenterApril 2015September 2016N/AN/A
Esperanza Health CenterIn ProgressIn ProgressN/AN/A
Genesis Healthcare
GHC133Brandywine HallMarch 2017May 2018N/AN/A
GHC131Chapel ManorAugust 2018September 2018N/AN/A
GHC083Crestview CenterNovember 2017May 2018N/AN/A
GHC122Hillcrest CenterAugust 2018September 2018In ProgressIn Progress
GHC121Norriton Square Nursing and Rehabilitation CenterNovember 2017May 2018N/AN/A
GHC185Powerback Rehabilitation, Lombard StreetMarch 2017May 2018N/AN/A
GHC381Powerback Rehabilitation, MoorestownAugust 2018September 2018N/AN/A
GHC273Powerback Rehabilitation, PhoenixvilleNovember 2017May 2018N/AN/A
GHC284Powerback Rehabilitation, Route 73August 2018September 2018N/AN/A
GHC146Powerback Rehabilitation, Davisville RoadMarch 2017May 2018N/AN/A
GHC150Quakertown CenterNovember 2017May 2018N/AN/A
GHC152Sanatoga CourtNovember 2017May 2018N/AN/A
GHC100The Belvedere August 2018September 2018N/AN/A
GHC134Wayne CenterMarch 2017May 2018N/AN/A
Grand View Health
GVHGrand View HospitalSeptember 2017In ProgressIn ProgressTBD
GVHAMBGrand View Medical PracticesTBDIn ProgressN/AN/A
Greater Philadelphia Health Action In Progress In ProgressN/AN/A
Holy Redeemer
Holy Redeemer Physician ServicesTBDIn ProgressN/AN/A
HRHSHoly Redeemer HospitalSeptember 2015TBDSeptember 2017TBD
Jefferson Health
AHMHAbington HospitalJune 2015TBDAugust 2017TBD
AHLHAbington - Lansdale HospitalJune 2015TBDAugust 2017TBD
AHMHPPAbington Health PhysiciansNovember 2015TBDN/AN/A
ABCCJefferson Bucks HospitalApril 2015July 2017In ProgressTBD
Jefferson Cherry Hill HospitalAugust 2018TBDTBDTBD
TJUAMBJefferson Community Physicians (Aria)TBDTBDN/AN/A
AFCJefferson Frankford HospitalApril 2015July 2017In ProgressTBD
Jefferson Home Care and HospiceIn ProgressTBDN/AN/A
JHNHJefferson Hospital for NeuroscienceSeptember 2015August 2018TBDTBD
Jefferson Medical Group New JerseyTBDTBDN/AN/A
Jefferson Stratford HospitalAugust 2018TBDTBDTBD
ATCJefferson Torresdale HospitalApril 2015July 2017In ProgressTBD
TJUAMBJefferson University PhysiciansSeptember 2017September 2017TBDTBD
Jefferson Washington Township HospitalAugust 2018TBDTBDTBD
MHDEMethodist HospitalSeptember 2015August 2018TBDTBD
Rothman Orthopaedic Specialty HospitalIn ProgressIn ProgressN/AN/A
TJUHThomas Jefferson University HospitalSeptember 2015August 2018TBDTBD
La Comunidad HispanaIn ProgressIn ProgressTBDTBD
Lower Merion Family MedicineN/AJuly 2018N/AN/A
Main Line Health
BGEBryn Mawr HospitalMay 20159/1/2017 (No Data Between 3/1/2018 and 7/1/2018)TBDTBD
RGEBryn Mawr Rehab HospitalMay 20159/1/2017 (No Data Between 3/1/2018 and 7/1/2018)N/AN/A
LGELankenau Medical CenterMay 20159/1/2017 (No Data Between 3/1/2018 and 7/1/2018)TBDTBD
MLHPMain Line HealthCare ambulatory practicesDecember 2015July 2018N/AN/A
PGEPaoli HospitalMay 20159/1/2017 (No Data Between 3/1/2018 and 7/1/2018)TBDTBD
DGERiddle HospitalMay 20159/1/2017 (No Data Between 3/1/2018 and 7/1/2018)TBDTBD
Maxim Healthcare ServicesIn ProgressTBDN/AN/A
NSIMDNinth Street Internal MedicineN/AJune 2018N/AN/A
Penn Medicine
CCHChester County HospitalMay 2015TBDTBDTBD
PENAMBClinical Care Associates - ambulatoryMay 2018TBDN/AN/A
PENAMBClinical Practices of the Univeristy of Pennsylvania - ambulatoryMay 2018TBDN/AN/A
PMCPenn-Presybyterian HospitalJuly 2017TBDTBDTBD
PAHPennsylvania HospitalJuly 2017TBDTBDTBD
HUPUniversity of Pennsylvania HospitalJuly 2017TBDTBDTBD
PCOMPhiladelphia College of Osteopathic MedicineMay 2018May 2018N/AN/A
Pickering ManorIn ProgressTBDN/AN/A
Prime Healthcare
LBHLower Bucks HospitalSeptember 2015TBDTBDTBD
RMHRoxborough Memorial HospitalOctober 2015TBDTBDTBD
Suburban Community HospitalTBDTBDTBDTBD
Project HOMEIn ProgressIn ProgressN/AN/A
Prospect Healthcare
CCMCCrozer-Chester Medical CenterMay 2015TBDIn ProgressTBD
Crozer Keystone Health Network - ambulatoryTBDTBDN/AN/A
DCMHDelaware County Memorial HospitalMay 2015TBDIn ProgressTBD
SPGFSpringfield HospitalMay 2015TBDIn ProgressTBD
TAYLTaylor HospitalMay 2015TBDIn ProgressTBD
Public Health Management CorporationIn ProgressIn ProgressN/AN/A
Temple Health
FCCFox Chase Cancer CenterSeptember 2015TBDTBDTBD
JHJeanes HospitalSeptember 2015October 2016TBDTBD
Temple Physicians, Inc.In ProgressIn ProgressTBDN/A
TUHTemple University HospitalSeptember 2015In ProgressTBDTBD
Temple University PhysiciansIn ProgressIn ProgressTBDN/A
The Hill at WhitemarshIn ProgressTBDN/AN/A
Trinity Health
Langhorne Physician ServicesTBDTBDN/AN/A
FTZMercy Fitzgerald HospitalAugust 2016In ProgressIn ProgressTBD
MERHHMercy Home HealthJuly 2018TBDTBDTBD
NAZMercy Nazareth HospitalAugust 2016In ProgressIn ProgressTBD
PHLMercy Philadelphia HospitalAugust 2016In ProgressIn ProgressTBD
Mercy Physician NetworkTBDTBDN/AN/A
MLPSt. Mary Medical CenterNovember 2016In ProgressIn ProgressTBD