Difference between revisions of "OpenEMR ePrescribe"

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==Overview==
=='''Overview'''==
There are currently two known options for ePrescribing in OpenEMR. Newcrop costs money, but is well integrated into OpenEMR. While the Allscripts is free, but isn't as well integrated. Also notable is that the Newcrop solutions is what is used for Meaningful Use Full certification. If attempting to get Meaningful Use, then need to ensure add Allscripts as a modular element (please ask on the forums if have any questions regarding this).
There are currently two known options for e-prescribing in OpenEMR.  


===Allscripts===
'''Newcrop''', a subscription service, is well integrated into OpenEMR.
:It requires running firefox and using the greasemonkey addon: http://www.greasespot.net/


:The script is available here: http://links.visibli.com/share/sdbg74
'''Weno Exchange''' a subscription service,is well integrated for narcotic/ECPS. (updated 27 May 2024)
::At top right, click 'Install' button for installation.
::Also note the 'How do I use this' link below the 'Install' button, which discusses how to install this greasemonkey script


:It has two main features right now.
=='''Ensora Health'''==
:#Find your current patient selected in OpenEMR in Allscripts. This assumes that you have already created the patient's info in Allscripts.
Ensora Health (formerly NewCrop) eRx is a robust e-prescribing solution provided by Ensora Health LLC/ Scriptx and supported in OpenEMR.
:#Load the demographic information of the current OpenEMR patient into the Allscripts addPatient.aspx form.
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.


:Feature 1:
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.  
::*After installing greasemonkey and this script, what you should see is a new button in the upper frame of OpenEMR where the patient's Name and DOB are displayed.  This button is just a link to the Allscripts webpage which opens in a new window.  This button is also only displayed when you have an active patient in OpenEMR.
::*What happens is if you search for a patient in OpenEMR, then click this button, in the new Allscripts window, if you haven't logged in yet, you are prompted to log in.  After you log in, or if you already have an active session, the search boxes will be filled with the current patient's last name and first name, and the search button gets automatically clicked.  Then, it checks to results to see if there is a matching patient (by first name, last name and DOB).  If so, that record is automatically selected.


:Feature 2:
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.
::*Function 2 adds a button "Load from OpenEMR" on the page "https://eprescribe.allscripts.com/AddPatient.aspx";.
::*This assumes that you are logged in to OpenEMR and have already selected a patient.
::*Upon hitting that button, a request for the demographics information is then sent to whatever OpenEMR server you've been using most recently.  This information is then used to populate the form in allscripts.  You can then hit Save, or edit the other fields, or do what ever you want at this point.  It just saves you the trouble of typing in the information available in OpenEMR.


:Author of this cool script is Kevin Yeh.
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.


===NewCrop===
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.
:A partnership of ZH Health Care and Medical Information Integration, LLC (mi-squared) called ZMG created the NewCrop interface for eRx. For more details, see See post number 15 in the following sourceforge forum for details on these features: http://sourceforge.net/projects/openemr/forums/forum/202504/topic/4709788
 
''' 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
 
{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ Ensora Health eRx walkthrough for G3 Usability testing by MI-Squared'''  [[file: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 [https://wenoexchange.com www.wenoexchange.com]
 
Register for EZ Integration at [https://online.wenoexchange.com 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  [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.
 
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 [https://community.open-emr.org/t/new-weno-module-install-and-setup/21995 OpenEMR forum post]
 
2. '''Watch the demo: {{#ev:youtube| yW2ajMl0c0U |275|}}
 
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: [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]
 
 
 
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]

Latest 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

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