Difference between revisions of "OpenEMR ePrescribe"

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=='''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''' a subscription service,is well integrated for narcotic/ECPS.
=='''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'''==
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]]
 
 
===Firefox and Greasemonkey===
:*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===
:*The last step is the installation of the script, found [https://greasyfork.org/en/scripts/9306-allscripts-integrationmm here].
 
:*Click "Install this script".
[[File:Grease.png|center]]


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.
   
   
:*A Greasemonkey Installation dialog will appear.  Click the "Install" button.
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.
[[File:Mm.png|center]]


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.


:*Check the Add-ons Manager of Firefox to ensure that Allscripts IntegrationMM had been installed.
''' 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]]}}


===Using the Script===
=='''Weno Exchange'''==
:*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]]


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


:*If the Untrusted Connection warning appears in a split screen and an exception cannot be added, open Allscripts in another tab.
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.
[[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|275||'''NewCrop eRx Demo'''}}


==JSeRx==
'''WENO Transaction Routing Rules'''
 
=== Breaking News ===
We have gotten very close to the launch of the new code.
 
===JSeRx:===
 
Juggernaut Systems Express is providing an electronic prescribing solution within the OpenEMR native platform.
The integration into the native interface gives the sending of prescriptions a clean workflow.
 
To sign up:
This link will take you to our registration page [https://link.waveapps.com/32587n-umv62s] There you will need to pay the signup fee for each doctor separately. I know it sucks. If you would like to do a batch sign up email Sherwin @ openmedpractice.com. We will need the email address of each physician that is signing up.
 
The cost is '''$195''' registration fee for credentialing. The monthly cost will be '''$25/provider'''.
 
===Step One===
System setup from scratch
 
full screen https://youtu.be/DgTgO2OiHfM
{{#ev:youtube|DgTgO2OiHfM|675||'''Import RxNorms and ICD10s in to OpenEMR'''}}
 
===Step two===
Full Screen https://youtu.be/qZszST5n_CY
{{#ev:youtube|qZszST5n_CY|675||'''Create a prescription'''}}
 
===Step three===
{{#ev:youtube|etw1uZGQWI8|675||'''Resolve validation issue'''}}
===Step four===
{{#ev:youtube|5J_iXrAmjOMI8|675||'''Transmitting prescription'''}}
 
===Step five===
{{#ev:youtube|UtVzoOk-ATk|675||'''Resolving missing data schema validation errors'''}}
===Final Review of Set up===
{{#ev:youtube|LDh4dw3H4Hk|675||'''Resolving missing data schema validation errors'''}}
 
===Activate Service===
To activate the service:
 
* Go Administration -> Globals -> Connectors
 
Go down to Enable JSeRx Service and place check in the box.
 
 
[[File:activate_weno.png|600px|thumb|left|Screenshot of enable service]]


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.




'''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]




'''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)'''==


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


*Set the patient pharmacy in the Choices section of the demographics.
:*'''WENO SWITCH API'''


*Set the prescriptions to simplified because the information will be in the drug description.
:****Maximum developer independence and lowest long-term cost


[[File:Simplifiedprescriptions.png‎|1000px|thumb|left|Screen]]
:****NARCOTICS Support:  Only with the DEA 1311 FAST PATH (requires meeting)


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


[[File:Confirmation trouble.png]]
:*'''WENO ONLINE API'''
: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.
:****A hybrid approach to ensure DEA compliance


:*Make sure the patient demographics is complete with full address
:****NARCOTICS Support: Yes (uses WENO Online for signing and transmission)
:*Make sure that only the prescribing doctor is logged in and sending the prescription.


Support contact: sherwin@openmedpractice.com
:****Your EHR composes the Rx, but IFRAMES are used only for signing and transmitting (DEA audit)


==Developers & VARS==
For those wishing to provide OpenEMR as a service to a group of physicians and want to go directly to Weno.
Please contact "Kevin Pauley" [kevin@wenoexchange.com]. He will get you a developer's guide.


[[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 wenoexchange.com web site or call WENO at 877-890-3726.
Set up steps require you to register for the EZ integration service at online.wenoexchange.com

Latest revision as of 18:25, 24 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.

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.


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


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)


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

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