Difference between revisions of "OpenEMR ePrescribe"

From OpenEMR Project Wiki
(247 intermediate revisions by 6 users not shown)
Line 1: Line 1:
=='''Overview'''==
=='''Overview'''==
There are currently three known options for e-prescribing in OpenEMR.  
There are currently two known options for e-prescribing in OpenEMR.  


'''Newcrop''', a subscription service, is well integrated into OpenEMR.
'''Newcrop''', a subscription service, is well integrated into OpenEMR.


'''Allscripts''' is quite good and requires no fees.  
'''Weno Exchange''' a subscription service,is well integrated for narcotic/ECPS. (updated 27 May 2024)


'''Weno Exchange''' is well integrated and requires no fees.
=='''Ensora Health'''==
Ensora Health (formerly NewCrop) eRx is a robust e-prescribing solution provided by Ensora Health LLC/ Scriptx and supported in OpenEMR.
In addition to basic e-prescribing of all medications to any registered pharmacy in the USA, Ensora Health also supports (list from their website):
:*Scalable, dynamic display responsive to all screen and window sizes, including mobile.
:*Record free-form drug and allergy records without the need of a medication database.
:*Map free-form allergies with codified instances to be included in future checks.
:*Queue saved diagnoses with your most written prescriptions.
:*Build custom SIGs for insulin drugs.
:*Consult pharmacogenomic support tools.
:*Use “strength unknown” when recording medications and still use them in interaction checking. No more guesswork.
:*Access a convenient map of drugs that are no longer available.
:*Write prescriptions for future dates.


===Meaningful Use===
A partnership of ZH Healthcare and Medical Information Integration, LLC (mi-squared) called ZMG created the Ensora Health interface for e-prescribing through OpenEMR. As of Dec 2020 were the only vendors ZH Healthcare and MI-Squared are authorized of Ensora Health eRx with OpenEMR. Med Boss Consulting has become an authorized vendor.  
The Newcrop solution can be deployed to achieve Meaningful Use. The alternative is to add both the Allscripts website and the Greasemonkey script.
The Weno Exchange can possibly be used for Meaningful Use if these policies are enacted again in the future.


=='''Allscripts'''==
Subscribing to Ensora Health eRx is a simple matter of contracting for the desired services and support with the vendor, who then configures some OpenEMR globals settings with their Ensora Health account connectors.  Assuming that the patient demographics and the facility and user data are properly formed, the subscriber is ready to use Ensora Health's regular eRx immediately.
This section describes the integration of the [https://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2f Allscripts ePrescribe] website with OpenEMR.
 
===Website===
:*Clicking the green button, with the question mark in the middle of it, navigates to the Help Section.  This button is located at the bottom.  The Help Section will give instructions regarding account acquisition and website use.
 
:*It is not necessary to pay for Deluxe Allscripts to use the Greasemonkey script.  Choose Free Allscripts instead.
[[File:Mm3.png|center]]


Electronic Prescription of Controlled Substances (EPCS) is an optional separate add-on subscription requiring an 'Identity Proofing' (IDP) process of the applicant.  The steps for EPCS and regular eRx are the same except for entering a 6-digit One Time Password (OTP) when their batch of orders contains a controlled substance.
Please note that the demo video that used to be on this page has been taken down.  As of 2019, Ensora Health demo videos presented by outfits other than Ensora Health themselves are not authorized.  Additionally, if they exist, they may be long out of date.


===Firefox and Greasemonkey===
The only video of an example of general usage that I know of is this one, which shows OpenEMR's walkthrough of the G3 Usability testing performed in 2015. As it happens that G3 testing used the Ensora Health eRx service.
:*The Firefox browser and the [https://addons.mozilla.org/en-US/firefox/addon/greasemonkey/ Greasemonkey add-on] must be installed.
[[File:Gm.png|center]]


===Integration Script===
''' NOTE: The video shows Ensora Health v1, which has been superseded by v2, which contains major interface changes and does not visually resemble v1 at all.
:*The last step is the installation of the script, found [https://greasyfork.org/en/scripts/9306-allscripts-integrationmm here].
:: If you are interested in seeing a demo of the current Ensora Health contact
:: helpdesk@mi-squared.com or
:: support@ehrcommunityhelpdesk.com


:*Click "Install this script".
{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ Ensora Health eRx walkthrough for G3 Usability testing by MI-Squared'''  [[file:MI2Bug40.png]]}}
[[File:Grease.png|center]]


=='''Weno Exchange'''==


'''EZ Integration:''' The No-Code Solution, available for v7.0.2 and above.  
:*A Greasemonkey Installation dialog will appear. Click the "Install" button.
[[File:Mm.png|center]]




:*Check the Add-ons Manager of Firefox to ensure that Allscripts IntegrationMM had been installed.
WENO Exchange is a low-cost ePrescribing intermediary that offers a direct-to-network solution, providing a competitive alternative to Surescripts. A portion of revenue from OpenEMR clients is donated back to support the OpenEMR project.




===Using the Script===
Learn more at [https://wenoexchange.com www.wenoexchange.com]  
:*Go to the Patient Summary screen and click the "Allscripts" button at the top, to the right of the patient's age. If viewing with split screens, the Allscripts logon will appear in one of the  two screens. If a check mark had been placed in the box between the patient's age and the "Allscripts" button, clicking the button will cause the Allscripts logon to appear in another tab.
[[File:Mm1.png|center]]


Register for EZ Integration at [https://online.wenoexchange.com www.online.wenoexchange.com]


:*If the Untrusted Connection warning appears in a split screen and an exception cannot be added, open Allscripts in another tab.
[[File:Warning.png|center]]


=====Key Features=====


:*Click "I Understand the Risks" and add an exception.
    '''No-Code Setup:''' Install WENO Online (WOL) module, register for WOL, and map your prescribers and clinics.  
[[File:Warning1.png|center]]


    '''Compliance & Functionality:''' OpenEMR iFrames WOL's DEA 1311.120 compliant eRx screens in OpenEMR's dashboard.


    '''Automatic Sync:''' Patient records sync automatically from OpenEMR, eliminating duplicate patient entry.


    '''Scalable:''' There are no limitations on the number of clinics or prescribers.


    '''Network Connection:''' Connected to the WENO intermediary network for routing NewRx and CancelRxs to pharmacies.


:*After logging on, the patient data will populate automatically if an account had been created previously.  If a new account needs to be established, click the "Add Patient" button.
    '''Global Support:''' WENO supports ePrescribing for the US, International, narcotics (EPCS), and Veterinarian use.
[[File:4.png]]
:*In the Add New Patient screen, click the "Load from OpenEMR" button to import the data and click "Save".
[[File:Loading.png|center]]


===Non-Functioning===
    '''Start in Test Mode:''' Begin with free testing in TEST MODE, then switch to live when ready.
If both the split screen login and the "Load From OpenEMR" button are non-functional; the cause stems from the fact that the version of Firefox, when first installed, pre-dated version 31.0.  Firefox underwent major changes with 31.0.  Upgrading to the latest version will not permit the script to work properly, thus the following steps are necessary.


:*Uninstall Greasemonkey and the script.
    '''Go Live:''' The $400 Sign-on Fee is required to move the account off TEST MODE and enable live prescribing.
:*Browser customizations should be preserved with Sync.
:*Uninstall Firefox and reinstall the latest version.
:*Reinstall Greasemonkey and the Allscripts IntegrationMM script.


===Acknowledgment===
The author of this clever and exceedingly useful script is Kevin Yeh, M.D., of IntegralEMR.


Modifications were contributed by Marcin Matuszkiewicz.


WENO is the lowest cost ePrescribing solution because your eRxs are going directly to WENO's Intermediary/network (no middleman).


=='''NewCrop'''==
:A partnership of ZH Healthcare and Medical Information Integration, LLC (mi-squared) called ZMG created the NewCrop interface for e-prescribing.
:*See [https://sourceforge.net/p/openemr/discussion/202504/thread/b9bc3b50#c554 Tony McCormick's 9/19/2011 post] in the Sourceforge Forum for details.
:*Following is a video tutorial:
{{#ev:youtube|wKArdpIeOUw|875||'''NewCrop eRx Demo'''}}


==Weno==
=====WENO Transaction Routing Rules=====


===Understanding Weno:===
WENO ensures all electronic prescriptions (eRx) are legally routed to the designated pharmacies. Prescribers receive full eRx credit for the transaction.


Weno is a message gateway that is going up against SureScripts.
:*RULE 1 '''(Preferred):''' Route the eRx directly to the pharmacy's software - if it is connected to the WENO Intermediary network.
The Weno system is a hybrid system that can send a prescription to a pharmacy via electronic message or fax.
Either way it is counted as electronic prescribing by CMS.
 
The benefit to a practice is that no matter how the prescription arrives at the pharmacy from Weno.
At attestation, the practice can be credited with using eRx.
 
:*A partnership with Weno Exchange will be bringing a free Rx service to the OpenEMR platform.
:*The reason that the service will be free is that the pharmaceutical company will be paying us incentives from the prescribing volume
:*This money will be used to continually build and enhance the interface and 5% of the proceeds will be donated the OpenEMR project.
:*A first draft has been submitted for review and we are hard at work on the second draft.
:*We are hoping to make it into the 5.0.0 for prescribing none narcotics and refill Rx.
:*More to come.
   
   
:*RULE 2 '''(Fallback):''' If the pharmacy is not directly connected, the eRx is routed to WENO Online's free pharmacy stand-alone application. The pharmacy receives a fax alert with instructions on how to process the electronic version. The pharmacy must either process from the fax (if allowed) or register for a free WENO Online account to use as a bridge application.
     


After the meeting with Tina to review the software workflow, she suggested the change below. The system will utilize the pharmacy setting in the patient demographics. And offer and mail order pharmacy. The mail order pharmacy is cheaper and convenient for the patient.
=====Cost=====
The Weno connected pharmacies will be factored in at a later date. Right now we solved the issue of the current pharmacies in a practice database.
 
The confirmation on the page is a real time response from the Weno system. It takes approximately up to 10 sec.
 
[[File:Confirmation redo 21.png|1000px|thumb|left|Screenshot of Transmit Screen]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===Activate Service===
To activate the service:
 
* Go to site and signup http://www.openmedpractice.com/os/eRx-Sign-Up
      We will send you a packet of information and forms to fill out and send back to us
 
* Go Administration -> Globals -> Connectors
Go down to Enable Weno eRx Service and place check in the box.
We will email you the account ID, password, and Clinic ID.
For testing purposes, enter the information below. Also, create a provider Mark East and add his credentials to the user profile
 
[[File:ERx-activation.png|1000px|thumb|left|Screenshot of enable service]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
* Go to Users/Groups and select providers and enter Weno Provider ID there also.
This will be sent via email also
[[File:ERx_provider_id.png|1000px|thumb|left|Screenshot of provider information entry]]
 
===Configurations===
 
*Set the patient pharmacy in the Choices section of the demographics.
 
*Set the prescriptions to simplified because the information will be in the drug description.
[[File:Simplifiedprescriptions.png‎|1000px|thumb|left|Screen]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Run the Weno Management to update database.
[[File:WenoInstall.png|500px|thumb|left|Screenshot of administration setup]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 


Most prescribers on WENO Online pay less than $200 per year (depending on prescription volume).
You can view current pricing  [https://online.wenoexchange.com/en/Help/WOLPricing HERE]




''''''IMPORTANT LIMITATIONS and Next Steps''''''


Before signing up, it is VITAL to determine if WENO's current pharmacy coverage meets your needs, especially in certain locations or for specific drug classes.


'''For Testing Add this pharmacy information'''
Check Pharmacy Coverage If:
*Test Direct Pharmacy
*8127 Mesa Drive
*Austin, TX 78759
*580-000-1234 Fax
*281-758-1155 Ph
*NPI 321
*NCPDP 1234567


:*Your clinic prescribes many DEA Schedule II drugs (narcotics).


:*Your facility is located in West Virginia, Louisiana, or New York.


=====Getting Started=====


1. '''Review the Forum:''' For a complete description and the latest release details, see the [https://community.open-emr.org/t/new-weno-module-install-and-setup/21995 OpenEMR forum post]


===eRx Savings Card===
2. '''Watch the demo: {{#ev:youtube| yW2ajMl0c0U |275|}}


[[File:RxSavingsCard.png‎‎|1000px|thumb|left| Rx Savings Card, print and give to patients today!]]
3. '''Register:''' Go to online.wenoexchange.com and sign up for the EZ Integration service type.


The WENO Rx Savings Card provides discounts of 10%-85% on brand and generic prescriptions. '''Give this to patients, now.'''
4. '''Stand-alone Option:''' If your prescribers need to ePrescribe before your OpenEMR version is ready, they can register for a separate medical or veterinarian ePrescribing account at online.wenoexchange.com


The card is valid at most pharmacies, with over 60,000 participating locations nationwide. [https://ctrx.benefits.catamaranrx.com/rxpublic/portal/memberMain  Participating pharmacy lookup].


*No cost to sign up
====Other WENO Integration Options (For Developers)====
*Share with anyone!
*No Restrictions
*Take a picture of the WENO Rx Savings Card and use it anytime you are paying cash for a prescription.
*Present the card with a valid prescription at a participating pharmacy and your discount will be applied
*''Discount Only, Not Insurance''


WENO offers two other API-based integration methods for EHRs, including any version of OpenEMR. These require custom coding but offer greater flexibility.


:*'''WENO SWITCH API'''


:****Maximum developer independence and lowest long-term cost


:****NARCOTICS Support:  Only with the DEA 1311 FAST PATH (requires meeting)


:****Your EHR screens handle all functions; zero dependency on WENO Online middleware


:*'''WENO ONLINE API'''


:****A hybrid approach to ensure DEA compliance


===Troubleshooting===
:****NARCOTICS Support:  Yes (uses WENO Online for signing and transmission)


[[File:Confirmation trouble.png]]
:****Your EHR composes the Rx, but IFRAMES are used only for signing and transmitting (DEA audit)
:If after clicking the Transmit button, you do not receive a confirmation reply from Weno that looks like the image above.


That means there is missing data.
====Contact WENO====


:*Make sure the patient demographics is complete with full address
If any of the limitations above apply, or for International ePrescribing (to discuss drug databases, language, and in-country data requirements), please set up a meeting:
:*Make sure that only the prescribing doctor is logged in and sending the prescription.


'''When Testing'''
• Kevin Pauley, President of WENO: [https://www.google.com/url?q=https://calendar.google.com/calendar/u/0/appointments/AcZssZ35xwopPnZX3lri73SApao_ZD10MposSH_VqGU%3D&source=gmail-imap&ust=1743799710000000&usg=AOvVaw2wgkZiFwu3HfRBVn2VC5I4 Schedule a meeting]


:*Be sure to use Mark East, or the system will reject the prescription, or it will silently fail
:*Be sure to use the test pharmacy "Test Direct Pharmacy"  or it will silently fail
:*Be sure to add NPI and NCPDP number to the pharmacy  or it will silently fail
:*Make sure the practice/facility fax number is not 0000000000 or 1111111111 or such like or it will silently fail


'''Default Test'''
:To verify connection to Weno, go to http://youlocalinstall/openemr/interface/weno/ajax_sample_code.php
:Click the confirm button and then click the transmit button. A hard coded message will be sent to the Weno system that should give you a success return within 10 - 15 seconds.


[[Category:User Guide 4.1.2]][[Category:User Guide 4.1.1]][[Category:User Guide 4.1.0]][[Category:User Guide]][[Category:Video Tutorial]]
For more information go to [https://wenoexchange.com www.wenoexchange.com] or call WENO at 877-890-3726.
Set up steps require you to register for the EZ integration service at [https://online.wenoexchange.com www.online.wenoexchange.com]

Revision as of 20:05, 29 October 2025

Overview

There are currently two known options for e-prescribing in OpenEMR.

Newcrop, a subscription service, is well integrated into OpenEMR.

Weno Exchange a subscription service,is well integrated for narcotic/ECPS. (updated 27 May 2024)

Ensora Health

Ensora Health (formerly NewCrop) eRx is a robust e-prescribing solution provided by Ensora Health LLC/ Scriptx and supported in OpenEMR. In addition to basic e-prescribing of all medications to any registered pharmacy in the USA, Ensora Health also supports (list from their website):

  • Scalable, dynamic display responsive to all screen and window sizes, including mobile.
  • Record free-form drug and allergy records without the need of a medication database.
  • Map free-form allergies with codified instances to be included in future checks.
  • Queue saved diagnoses with your most written prescriptions.
  • Build custom SIGs for insulin drugs.
  • Consult pharmacogenomic support tools.
  • Use “strength unknown” when recording medications and still use them in interaction checking. No more guesswork.
  • Access a convenient map of drugs that are no longer available.
  • Write prescriptions for future dates.

A partnership of ZH Healthcare and Medical Information Integration, LLC (mi-squared) called ZMG created the Ensora Health interface for e-prescribing through OpenEMR. As of Dec 2020 were the only vendors ZH Healthcare and MI-Squared are authorized of Ensora Health eRx with OpenEMR. Med Boss Consulting has become an authorized vendor.

Subscribing to Ensora Health eRx is a simple matter of contracting for the desired services and support with the vendor, who then configures some OpenEMR globals settings with their Ensora Health account connectors. Assuming that the patient demographics and the facility and user data are properly formed, the subscriber is ready to use Ensora Health's regular eRx immediately.

Electronic Prescription of Controlled Substances (EPCS) is an optional separate add-on subscription requiring an 'Identity Proofing' (IDP) process of the applicant. The steps for EPCS and regular eRx are the same except for entering a 6-digit One Time Password (OTP) when their batch of orders contains a controlled substance.

Please note that the demo video that used to be on this page has been taken down. As of 2019, Ensora Health demo videos presented by outfits other than Ensora Health themselves are not authorized. Additionally, if they exist, they may be long out of date.

The only video of an example of general usage that I know of is this one, which shows OpenEMR's walkthrough of the G3 Usability testing performed in 2015. As it happens that G3 testing used the Ensora Health eRx service.

NOTE: The video shows Ensora Health v1, which has been superseded by v2, which contains major interface changes and does not visually resemble v1 at all.

If you are interested in seeing a demo of the current Ensora Health contact
helpdesk@mi-squared.com or
support@ehrcommunityhelpdesk.com
OpenEMR/ Ensora Health eRx walkthrough for G3 Usability testing by MI-Squared MI2Bug40.png

Weno Exchange

EZ Integration: The No-Code Solution, available for v7.0.2 and above.


WENO Exchange is a low-cost ePrescribing intermediary that offers a direct-to-network solution, providing a competitive alternative to Surescripts. A portion of revenue from OpenEMR clients is donated back to support the OpenEMR project.


Learn more at www.wenoexchange.com

Register for EZ Integration at www.online.wenoexchange.com


Key Features
    No-Code Setup: Install WENO Online (WOL) module, register for WOL, and map your prescribers and clinics. 

    Compliance & Functionality: OpenEMR iFrames WOL's DEA 1311.120 compliant eRx screens in OpenEMR's dashboard.

    Automatic Sync: Patient records sync automatically from OpenEMR, eliminating duplicate patient entry.

    Scalable: There are no limitations on the number of clinics or prescribers.

    Network Connection: Connected to the WENO intermediary network for routing NewRx and CancelRxs to pharmacies.

    Global Support: WENO supports ePrescribing for the US, International, narcotics (EPCS), and Veterinarian use.

    Start in Test Mode: Begin with free testing in TEST MODE, then switch to live when ready.

    Go Live: The $400 Sign-on Fee is required to move the account off TEST MODE and enable live prescribing.


WENO is the lowest cost ePrescribing solution because your eRxs are going directly to WENO's Intermediary/network (no middleman).


WENO Transaction Routing Rules

WENO ensures all electronic prescriptions (eRx) are legally routed to the designated pharmacies. Prescribers receive full eRx credit for the transaction.

  • RULE 1 (Preferred): Route the eRx directly to the pharmacy's software - if it is connected to the WENO Intermediary network.
  • RULE 2 (Fallback): If the pharmacy is not directly connected, the eRx is routed to WENO Online's free pharmacy stand-alone application. The pharmacy receives a fax alert with instructions on how to process the electronic version. The pharmacy must either process from the fax (if allowed) or register for a free WENO Online account to use as a bridge application.


Cost

Most prescribers on WENO Online pay less than $200 per year (depending on prescription volume). You can view current pricing HERE


'IMPORTANT LIMITATIONS and Next Steps'

Before signing up, it is VITAL to determine if WENO's current pharmacy coverage meets your needs, especially in certain locations or for specific drug classes.

Check Pharmacy Coverage If:

  • Your clinic prescribes many DEA Schedule II drugs (narcotics).
  • Your facility is located in West Virginia, Louisiana, or New York.
Getting Started

1. Review the Forum: For a complete description and the latest release details, see the OpenEMR forum post

2. Watch the demo:

3. Register: Go to online.wenoexchange.com and sign up for the EZ Integration service type.

4. Stand-alone Option: If your prescribers need to ePrescribe before your OpenEMR version is ready, they can register for a separate medical or veterinarian ePrescribing account at online.wenoexchange.com


Other WENO Integration Options (For Developers)

WENO offers two other API-based integration methods for EHRs, including any version of OpenEMR. These require custom coding but offer greater flexibility.

  • WENO SWITCH API
        • Maximum developer independence and lowest long-term cost
        • NARCOTICS Support: Only with the DEA 1311 FAST PATH (requires meeting)
        • Your EHR screens handle all functions; zero dependency on WENO Online middleware
  • WENO ONLINE API
        • A hybrid approach to ensure DEA compliance
        • NARCOTICS Support: Yes (uses WENO Online for signing and transmission)
        • Your EHR composes the Rx, but IFRAMES are used only for signing and transmitting (DEA audit)

Contact WENO

If any of the limitations above apply, or for International ePrescribing (to discuss drug databases, language, and in-country data requirements), please set up a meeting:

• Kevin Pauley, President of WENO: Schedule a meeting


For more information go to www.wenoexchange.com or call WENO at 877-890-3726. Set up steps require you to register for the EZ integration service at www.online.wenoexchange.com

Retrieved from "https://www.open-emr.org/wiki/index.php?title=OpenEMR_ePrescribe&oldid=36657"