Difference between revisions of "OpenEMR ePrescribe"

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


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


Formerly '''Allscripts''' was integrated but is now broken. (8-4-2022)
=='''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.


=='''Allscripts'''==
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.  
This section describes the integration of the [https://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2f Allscripts ePrescribe] website with OpenEMR.


===Website===
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.
:*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.
 
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
 
{{#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.  


:*It is not necessary to pay for Deluxe Allscripts to use the Greasemonkey script.  Choose Free Allscripts instead.
[[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===
:*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===
Learn more at [https://wenoexchange.com www.wenoexchange.com]  
:*The last step is the installation of the script, found [https://greasyfork.org/en/scripts/9306-allscripts-integrationmm here].


:*Click "Install this script".
Register for EZ Integration at [https://online.wenoexchange.com www.online.wenoexchange.com]  
[[File:Grease.png|center]]




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


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


===Using the Script===
:*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.
WENO is the lowest cost ePrescribing solution because your eRxs are going directly to WENO's Intermediary/network (no middleman).
[[File:Warning.png|center]]




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


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]


:*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.
[[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===
''''''IMPORTANT LIMITATIONS and Next Steps''''''
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.
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.
:*Browser customizations should be preserved with Sync.
:*Uninstall Firefox and reinstall the latest version.
:*Reinstall Greasemonkey and the Allscripts IntegrationMM script.


===Acknowledgment===
Check Pharmacy Coverage If:
The author of this clever and exceedingly useful script is Kevin Yeh, M.D., of IntegralEMR.


Modifications were contributed by Marcin Matuszkiewicz.
:*Your clinic prescribes many DEA Schedule II drugs (narcotics).


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


=='''NewCrop'''==
=====Getting Started=====
: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.
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]


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


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


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.
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
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.


Here is a link to NewCrop's own Help Videos on particular workflows.
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.
====Other WENO Integration Options (For Developers)====


{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ NewCrop eRx walkthrough for G3 Usability testing by MI-Squared'''  [[file:MI2Bug40.png]]}}
WENO offers two other API-based integration methods for EHRs, including any version of OpenEMR. These require custom coding but offer greater flexibility.


==Weno Exchange==
:*'''WENO SWITCH API'''


WENO Exchange is the only ePrescribing intermediary that competes with Surescripts. Because you are going directly to the network, WENO is the lowest cost ePrescribing solution that supports the US, International, narcotic/ECPS, & Veterinarian ePrescribing.  See prices for our stand-alone and 3 EHR connectivity options below.
:****Maximum developer independence and lowest long-term cost


*WENO contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community to keep it healthy.     
:****NARCOTICS Support:  Only with the DEA 1311 FAST PATH (requires meeting)


STAND ALONE ePrescribing PRICES:
:****Your EHR screens handle all functions; zero dependency on WENO Online middleware
Start ePrescribing in minutes, including narcotics (EPCS), by sign up for a free account at online.wenoexchange.com.  Users without any ePrescribing role assigned are free.  They also have a test prescribing role that is free and a great way to have a look at the screens. (select non veterinarian -no EPCS role to see the free test prescriber option).  Users assigned to ePrescribing roles must have a $99/year or $180/year option where the difference is if the user will see advertisements or not.


EZ Integration prices:
:*'''WENO ONLINE API'''
Free to sign up at online.wenoexchange.com, but pay $300 to go live after you turn in your test plan.  This solution will allow your EHR to offer ePrescribing, including EPCS.  The stand-alone prices for each user will apply after you go live.  Your EHR will control the account with the ability to add as many locations/users as you need.  The developer's page will show you how to send WENO info to iframe their ComposeRx screen (the prescriber does not need to supply patient or pharmacy info) - just complete the script.  WENO will allow you to synch the charts throughout the day.  This is a great solution if you need to ePrescribe yesterday.  Find out more or sign up on the website wenoexchange.com - scroll down to see CONNECT YOUR SOFTWARE.


WENO Online API prices:
:****A hybrid approach to ensure DEA compliance
EHRs that want more control of the ComposeRx screen but still need to offer EPCS to their ePrescribers, will find this API a great fit.  You'll send WENO the prescription and then show the prescriber the page to sign it on a DEA audited application.  Onboarding cost is $1550 ($800 one time sign on fee for support and $750/2 years for the drug database).  The the stand-alone prices above will apply for the users.
You'll have all you need to offer ePrescribing and control the ComposeRx screen.  Find out more or sign up on the website wenoexchange.com - scroll down to see CONNECT YOUR SOFTWARE.


WENO Switch API prices:
:****NARCOTICS Support: Yes (uses WENO Online for signing and transmission)
If your EHR does not need to ePrescribe narcotics or if your EHR has its own DEA audit, or your country does not require this, then this is the API for you. WENO will show you how to send them prescription messages and they will route them to the designated pharmacy.  Your EHR is in full control of the user's interface.  This onboarding costs $800 one time sign on for support and $750/2 years for the drug database.  After that its just 5 cents a transaction.  No users fees.  Find out more or sign up on the website wenoexchange.com - scroll down to see CONNECT YOUR SOFTWARE.


:****Your EHR composes the Rx, but IFRAMES are used only for signing and transmitting (DEA audit)


LIMITATIONS of ePrescribing with WENO (last updated May 18, 2022):
====Contact WENO====
WENO legally routes all ePrescriptions to all designated pharmacies, so all prescribers are in full compliance with all ePrescribing mandates; however, not all pharmacies in the US are compliant with the new mandates. After October of 2022 the federal government can fine pharmacies up to 1 million dollars for information blocking (which includes ePrescribing when ePrescribing is mandated).  Until then, please take note of these limitations:


NY - should ePrescribe to WENO connected pharmacies only.
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:


For now, Sch II narcotics must be either ePrescribed to a WENO connected pharmacy or written using the allowed exception that it will cause delays/problems for the patient.
• 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]


WENO offers a free announcement service to notify pharmacies in any area if a prescriber is using WENO rather than Surescripts. 


WENO has been ePrescribing since 2012 and offers all pharmacies a free web based ePrescribing service to retrieve the ePrescriptions they are sent until their own application can connect.  This allows WENO to send ePrescriptions to all pharmacies in the world.


International ePrescribers should contact WENO before beginning to discuss drug data bases and other outliers.
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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