No it requires an in wall tank system.
For this wall-hung toilet, here is the copper supply in-wall system. here is the pex supply in-wall system. Those links should also provide the installation manuals.
To use this product you will need an in wall tank system. It is recommended to use the TOTO in wall tank system for maximum performance. This tank will be installed behind any finished drywall between the studs.
The only way this could be used as an up flush system would be if your flush went into a sewage ejector pump in a sewage basin and then was pumped up to your drain line.