UPHIE Services

UPHIE is designed to offer any provider of Health IT deployment the advantage of data sharing.

No implemented EHR

No Technology
  • Browser-based secure web portal access
  • Access UPHIE Virtual Health Record (VHR)
  • View patient charts (ADTs, CCDs/C-CDAs)
  • Secure direct messaging
  • Receive patient specific ADT alerts
  • Receive patient specific discharge summaries
  • View lab and radiology results

Implemented EHR w/ no gateway technology

Medium Technology
  • Access UPHIE Virtual Health Record (VHR)
  • HL7 ADT interface integration with HIE
  • HL7 lab & radiology interface integration with HIE
  • Lab & radiology results delivery to EHR & JVHL
  • Consolidated Clinical Document Architecture (C-CDA) delivery
  • State of Michigan Public Health Reporting

Implemented EHR w/ gateway integration

High Technology
  • Bi-directional C-CDA chart push and pull
  • UPHIE VHR patient data displayed via EHR
  • Lab & radiology results delivery to EHR & JVHL
  • Bi-directional State of Michigan Public Health Reporting

Use Case Summary

Meaningful Use

BCBSM – PGIP/PCMH initiative

May Satisfy PQRS, NCQA, HEDIS, and other federal and state quality initiatives.

Public Health & Statewide Initiatives

MCIR Immunization Interface
The immunization interface eliminates duplication of entering immunizations into an EMR and the State of Michigan’s MCIR Single Sign-on. It automatically transfers the information to the State from your EMR.
QBP Immunization History & Forecasting
Allows organizations to send electronic queries through the statewide health information network to an Immunization Information System to retrieve electronic data containing a patient’s immunization records.
Reportable Labs (MDSS) Interface
The Michigan Disease Surveillance System (MDSS) is a system that allows for the electronic capture of disease data for the tracking and case management of communicable disease. MDSS fulfills the physician communicable disease reporting requirements and has the ability to receive HL7 laboratory reports using LOINC and SNOMED codes for lab tests and lab results.
Syndromic Surveillance (MSSS) Interface
The Michigan Syndromic Surveillance System (MSSS) is a real-time surveillance system that tracks the chief presenting complaints from healthcare providers, allowing public health officials and providers to monitor trends and investigate unusual increases in symptoms.
Statewide Lab Result Submission
Allows participants to electronically deliver demographic and test order information for specimens that were sent to the state lab for testing and receive those results more quickly.
Active Care Relationship Service (ACRS)
This use case helps link patients with their care team members (providers who are involved in a patient’s care). The Active Care Relationship Service® (ACRS®) solution enables organizations to send data files which record the relationships between health professionals at that organization and patients. This data is then used to accurately route information for this patient to all members of their care team.
Admission, Discharge, Transfer (ADT) Alerting
The statewide notification service enables practitioners to receive daily, all-payer Admission, Discharge, Transfer (ADT) and ER census reports for their patients. The service utilizes the UPHIE HIE infrastructure to receive hospital ADT and ER visit data, identify the physicians who have a care relationship with each patient, and transmit a notification to the relevant physician organization (PO). The statewide service is an all-payer, all provider solution, which routes ADT information regardless of where the patient has been admitted or whether his or her primary caregivers have an affiliation with the hospital.
Admission, Discharge, Transfer (ADT) Submission
All POs must connect to the statewide service via an HIE qualified organization (QO) or virtual qualified organization (VQO). UPHIE is an HIE Qualified Organization (QO) and has a contractual agreement with MiHIN obligating both parties to maintain all privacy and legal requirements associated with the transmission of data into and out of the statewide service.
Discharge Summary Delivery (Med Rec)
Helps healthcare providers share patient medication information (via full CCD) at the time of discharge with other care team members and organizations, including physicians, practices, pharmacies, hospitals, and others.
Common Key Service (CKS)
Provides a consistent and reliable way to match patients with their electronic health information across multiple organizations, applications, and services.
Clinical Quality Measure (CQM) Submission
The capability to submit QRDA files (Clinical Quality Measures – CQM’s) to the Michigan Health Information Network Shared Services (MiHIN) in one central location for different State and Federal initiatives.

UPHIE MIGateway Portal

UPHIE Portal User w/ Direct Messaging
Gives users access to the online UPHIE Portal where they can view UPHIE vaulted clinical information and query other connected EMR systems. This information includes labs, radiology, discharge summaries, medications, allergies, patient’s visits, diagnosis/procedures, CCD/CDAs, etc.
UPHIE Direct Messaging
Gain access to a secure messaging account in UPHIE’s DTAAP certified HISP which gives you access to the eHealth Exchange, the Veteran’s Administration (VA), MiHIN Statewide Community, and various other national HISPs. You can send and receive any ePHI or other secure files up to 10 MB.
Health Provider Directory
A repository of physician names, entities, affiliations, security credentials, and direct message account information at the U.P. and Statewide level. All providers that provide services in Michigan are eligible to be listed in the statewide directory.
Vaulted Patient Health Information Exchange
Vaulted PHI allows providers to view key patient data elements from many different HIT / EHR sources and compile them all together under one common viewer that can be accessed anywhere via the web.
ADT – Lab – Radiology HL7 Feed
Submit real-time clinical information to the UPHIE repository to create a virtual health record for patients in the region where healthcare professionals can effectively utilize lookup services for pertinent information along with the ability to query information to improve safety and efficiency for transitions of care.

EMR Integration

Lab & Radiology Results
Lab and radiology results can be pushed directly to other provider’s EMRs as discrete reportable data from the UPHIE Lab Hub.
HISP to HISP Connection
UPHIE uses a Health Information Service Provider (HISP) to provide our Direct Messaging services. The HISP connection allows for secure Direct Messaging between other HIE’s or EMR vendors. Our vendor, Informatics Corporation of America (ICA), is DTAAP certified and they have their full accreditation from DirectTrust.
XDR Direct Messaging
Cross-Enterprise Document Reliable Interchange (XDR) provides document interchange using a reliable messaging system and the transfer is direct from the source to recipient, no repository or registry actors are involved.
XCA – Cross Community Query
The Cross-Community Access IHE profile allows you to query and retrieve patient electronic health records held by other communities. It can be accomplished in the UPHIE portal and/or your EMR system.
XDS.b Bi-directional CCD/CDA Exchange
The Cross-Enterprise Document Sharing IHE profile can be used to automatically push and pull discrete CCD’s or CDA’s to and from the UPHIE repository and used for transitions of care.

Secure Message Handling


Health Provider Directory (HPD)

Repository of physician names, entities, affiliations and direct addresses at the UP and State Level.

Certificate Repository

Repository of security certificates for authorized users of HIE services.

DIRECT Gateway

Adaptor that transforms messages from one standard to another without decrypting the message.

Web Portal Mailbox

Secure, encrypted mailbox for users without a standards compliant EHR.