University of Texas Health Science Center at San Antonio and the Rio Grande Valley Health Information Exchange contracted Flipside to create a web-based system for managing diabetes patients within an educational program. Similar to the functionality of the AADE7 System and Chronicle Diabetes, UTHealth needed a tool that could be used by diabetes educators for patient management, data collection, education documentation, reporting and analytics. Flipside used the ScoreMD platform to create a customized system for UTHealth called the UTHealth Diabetes Registry (UTDR). In addition to use by diabetes educators, patients would be seen by transition specialists and community health workers, so Flipside created unique intake forms for each caregiver that guided the process of data collection. Since many of the users of the system had Spanish as their primary language, Flipside converted the system to be bilingual, allowing users to select their display language. UTHealth used ScoreMD's existing reports engine for analytics, and also needed to have portions of the data flow in the a health information exchange (HIE). To accomplish this, Flipside worked with RelayHealth to build data integration with their standards-based HIE.