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'''==
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===
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.
:*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.
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
 
{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ Ensora Health eRx walkthrough for G3 Usability testing by MI-Squared'''  [[file:MI2Bug40.png]]}}
 
=='''Weno Exchange'''==


:*It is not necessary to pay for Deluxe Allscripts to use the Greasemonkey script. Choose Free Allscripts instead.
'''EZ Integration:''' The No-Code Solution, available for v7.0.2 and above.  
[[File:Mm3.png|center]]


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.


===Firefox and Greasemonkey===
=====Key Features=====
:*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===
    '''No-Code Setup:''' Install WENO Online (WOL) module, register for WOL, and map your prescribers and clinics.  
:*The last step is the installation of the script, found [https://greasyfork.org/en/scripts/9306-allscripts-integrationmm here].


:*Click "Install this script".
    '''Compliance & Functionality:''' OpenEMR iFrames WOL's DEA 1311.120 compliant eRx screens in OpenEMR's dashboard.
[[File:Grease.png|center]]


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


    '''Scalable:''' There are no limitations on the number of clinics or prescribers.
:*A Greasemonkey Installation dialog will appear.  Click the "Install" button.
[[File:Mm.png|center]]


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


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


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




:*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]]


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


:*Click "I Understand the Risks" and add an exception.
[[File:Warning1.png|center]]


'''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'''


:*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.
Most prescribers on WENO Online pay less than $200 per year (depending on prescription volume).
[[File:4.png]]
You can view current pricing [https://online.wenoexchange.com/en/Help/WOLPricing HERE]
:*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===
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.
'''IMPORTANT LIMITATIONS and Next Steps'''
:*Browser customizations should be preserved with Sync.
:*Uninstall Firefox and reinstall the latest version.
:*Reinstall Greasemonkey and the Allscripts IntegrationMM script.


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


Modifications were contributed by Marcin Matuszkiewicz.
Check Pharmacy Coverage If:


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


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


NewCrop vendors are authorized to service subscriptions to NewCrop's eRx services delivered through the interface integrated into OpenEMR.  As of Dec 2020 only ZH Healthcare and MI-Squared are authorized vendors of NewCrop eRx with OpenEMR.


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


Electronic Prescription of Controlled Substances (EPCS), as offered by MI-Squared, is an optional separate add-on subscrioption- I'm not familiar with how ZH Healthcare manages their eRx subscriptions.  Adding EPCS reqires a deeper level of 'IDentity Proofing' (IDP) to assure the applicant is not a criminally fabricated identity seeking access to EPCS.
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:


Once the IDP is completed for EPCS the provider may e-prescribe controlled and non- controlled medications with the same workflow except for entering a 6 digit One Time Password (OTP) when their batch of orders contains a controlled substance. Again, this is a description of MI-Squared's eRx package.
• 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]
 
Please note that the demo video that used to be on this page has been taken down. As of 2019, NewCrop demo videos presented by outfits other than NewCrop themselves are not authorized. Additionally, if they exist they may be long out of date.
 
'''Getting Started'''


Here is a link to NewCrop's own Help Videos on particular workflows.
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]
https://www.youtube.com/playlist?list=PLC2E55B597A88C7F9


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 NewCrop eRx service.
2. '''Watch the demo: {{#ev:youtube| yW2ajMl0c0U |275|}}


{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ NewCrop eRx walkthrough for G3 Usability testing by MI-Squared''' [[file:MI2Bug40.png]]}}
3. '''Register:''' Go to online.wenoexchange.com and sign up for the EZ Integration service type.


==Weno Exchange==
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


WENO Exchange is the only ePrescribing intermediary that competes with Surescripts. WENO is a low-cost solution that supports the US, International, narcotic/ECPS, & Veterinarian ePrescribing.  See prices below.


*No coding needed to use WENO within OpenEMR v6 + thanks to code contributed by Sherwin Gaddis @ '''Juggernaut Systems Express'''.  See demo video below. 
=='''Other WENO Integration Options (For Developers)'''==
*All EHRs, including any version of OpenEMR, have 3 WENO integration methods to choose from.  Select "Connect Your Software System" on their website to learn more.  https://wenoexchange.com
*WENO can also be used as a stand-alone ePrescribing platform by signing up at https://online.wenoexchange.com. 
*WENO contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community to keep it healthy.     
*WENO can send legal e-Prescriptions to any pharmacy.  See the video called How WENO Works and the eRx Delivery Decision Tree below to understand more.


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


[https://www.open-emr.org/wiki/images/5/5a/WENO_Exchange_Price_Sheet_for_WEBSITE_05242021.pdf Weno Exchange Price Sheet]
:*'''WENO SWITCH API'''


=== Patch Required to Integrate WENO with OpenEMR v6 ===
:****Maximum developer independence and lowest long-term cost
If you have encountering problems, this patch contains all the updates needed to fix all bugs.


*After your installation of OpenEMR including [https://www.open-emr.org/wiki/index.php/OpenEMR_Patches latest patch].
:****NARCOTICS Support:  Only with the DEA 1311 FAST PATH (requires meeting)
*[https://drive.google.com/file/d/1ns6JfDmkYoo4l8HJnNWHMJ3rmuhC8JHn/view?usp=sharing Download the install this weno module. It has all of the components needed]
*Copy the file into the OpenEMR directory and unzip it. Select all to overwrite existing files.
*Then follow the Weno setup procedure.


===DEMO OpenEMR v6 WENO Integration===
:****Your EHR screens handle all functions; zero dependency on WENO Online middleware


{{#ev:youtube|p-P4BBWIW88|675||'''Create a prescription'''}}
:*'''WENO ONLINE API'''


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


=== How does Weno Work ===
:****NARCOTICS Support:  Yes (uses WENO Online for signing and transmission)


{{#ev:youtube|zLTBbwQDEvE|675||'''Create a prescription'''}}
:****Your EHR composes the Rx, but IFRAMES are used only for signing and transmitting (DEA audit)




===eRx Delivery Decision Tree===
For more information: go to wenoexchange.com web site or call WENO at 877-890-3726.
[[File:ERx_Delivery_Decision_Tree.jpg]]
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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