Difference between revisions of "OpenEMR ePrescribe"

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:A partnership of ZH Healthcare and Medical Information Integration, LLC (mi-squared) called ZMG created the NewCrop interface for e-prescribing.
: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.
:*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'''}}


==Weno Exchange==
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.
 
Weno Exchange is an ePrescribing intermediary that competes with Surescripts. Weno supports US, International, narcotic/ECPS, and Veterinarian ePrescribing. Weno is well integrated into OpenEMR thanks to code contributed by Sherwin Gaddis.  Go to wenoexchange.com to learn more about the OpenEMR API servicesWeno contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community.
 
==JSeRx==
 
===JSE eRx: Activation===
[http://omp.openmedpractice.com/dev/weno/erx_patch.zip eRx patch for OpenEMR 5.0.2(1)]
 
You must have this version installed. before installing the patch. The patch requires that additional components be installed to function properly. This patch may '''NOT''' be backward compatible.
 
Juggernaut Systems Express is providing an electronic prescribing solution within the OpenEMR native platform using the Weno Exchange service.
The integration into the native interface gives the sending of prescriptions a clean workflow. To register your practice, select the ECPS registration for the number of providers that are in your practice. Once payment is received, we will send you an email to get providers' email addresses to start the authentication process. Once that is completed a reoccurring fee of $24/mo per provider for ECPS will be sent after the first month of service.
 
[https://link.waveapps.com/32587n-umv62s Registration payment for 1 ECPS provider.]
 
[https://link.waveapps.com/56qa3v-gqs8xh Registration payment for 2 ECPS providers]
 
[https://link.waveapps.com/p4tb87-qway9m Registration payment for 3 ECPS providers]
 
 
The cost for none ECPS prescribers is $8/mo/provider.
 
[https://link.waveapps.com/9pv6j3-hq264g Payment for 1 none ECPS provider]
 
[https://link.waveapps.com/7ztwkf-wkuncz Payment for 2 none ECPS provider]


[https://link.waveapps.com/wu754a-hadvpf Payment for 3 none ECPS provider]
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.


[https://link.waveapps.com/87p8k3-hrabu2 Payment for 4 none ECPS provider]
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.


=== Step One - Install necessary data ===
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.
System setup from scratch
 
full screen https://youtu.be/DgTgO2OiHfM
{{#ev:youtube|DgTgO2OiHfM|675||'''Import RxNorms and ICD10s in to OpenEMR'''}}
 
===Step two - Configure Globals ===
Watch these two videos together. The second video is an update to the first.
 
Full Screen https://youtu.be/qZszST5n_CY
 
Full Screen https://youtu.be/kjAREPrkdZs
 
The Weno provider ID does not have a "C" in front of it any longer.
   
   
{{#ev:youtube|qZszST5n_CY|675||'''Create a prescription'''}}
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.
{{#ev:youtube|kjAREPrkdZs|675||'''Create a prescription'''}}


===Step three: Importing/Updating Pharmacies ===
Here is a link to NewCrop's own Help Videos on particular workflows.
Full screen https://youtu.be/etw1uZGQWI8
https://www.youtube.com/playlist?list=PLC2E55B597A88C7F9
{{#ev:youtube|etw1uZGQWI8|675||'''Resolve validation issue'''}}


===Step four Review all the information need to complete Rx===
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.
Full-screen https://youtu.be/5J_iXrAmjOM
'''In the video, I say C number and the new provider ID's do not begin with a C.'''
{{#ev:youtube|5J_iXrAmjOM|675||'''Transmitting prescription'''}}


=== Step five - Sending the prescription and dealing with errors ===
{{#ev:youtube|5Lxs1nAvEZU|275||'''OpenEMR/ NewCrop eRx walkthrough for G3 Usability testing by MI-Squared''' [[file:MI2Bug40.png]]}}
Full screen https://youtu.be/UtVzoOk-ATk
{{#ev:youtube|UtVzoOk-ATk|675||'''Resolving missing data schema validation errors'''}}


===Final Review of Set up===
==Weno Exchange==
full screen https://youtu.be/LDh4dw3H4Hk
{{#ev:youtube|LDh4dw3H4Hk|675||'''Resolving missing data schema validation errors'''}}
[[File:Required_field.png‎|600px|thumb|left|Screen]]


Weno Exchange is an ePrescribing intermediary that competes with Surescripts. Weno supports US, International, narcotic/ECPS, and Veterinarian ePrescribing. Weno is well integrated into OpenEMR thanks to code contributed by Sherwin Gaddis.  Go to wenoexchange.com to learn more about the OpenEMR API services.  Weno contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community.


'''Weno Exchange Fee Structure'''
[https://community.open-emr.org/uploads/short-url/h5IEqihi6whmSnaye7RV9UK2w6S.pdf  Why does Weno Exchange charge $950]


'''Weno Patch 1'''
https://www.open-emr.org/wiki/images/8/8c/Weno_patch_1.zip


==JSeRx==


===How does Weno Work ===


{{#ev:youtube|zLTBbwQDEvE|675||'''Create a prescription'''}}


===WENO Online's EPCS ID Proofing Process Explained===
{{#ev:youtube|npkzUIfTin0|675||'''Create a prescription'''}}




===Step One: Signup for an account ===


Full Screen https://youtu.be/xQNOaqcIY0g


{{#ev:youtube|xQNOaqcIY0g|675||'''Create a prescription'''}}


===Step Two: Importing/Updating Pharmacies ===
Full screen https://youtu.be/oALfBDs8LeQ
{{#ev:youtube|oALfBDs8LeQ|675||'''Resolve validation issue'''}}


===Step Three: Review all the information need to complete Rx===
Full-screen https://youtu.be/MbcPOMAAmPw


 
{{#ev:youtube|MbcPOMAAmPw|675||'''Transmitting prescription'''}}
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===How to enable 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]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===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|800px|thumb|left|Screen]]
 
 
.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
=== Troubleshooting ===
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
: If after clicking the Transmit button, you do not receive a message that says,
 
'''the schema does not validate.'''  
 
You are missing some patient data in the prescription. Please review the video about all the data that needs to be in the patient's chart. If you are unable to locate the missing data.
We will assist you in discovering what data is missing. 
 
''':*Make sure the patient demographics is complete with full address'''
 
''':*Make sure that only the prescribing doctor is logged in and sending the prescription.'''
 
Support contact: sherwin@openmedpractice.com
Support Site: https://omp.openmedpractice.com/dev/mantisbt-2.18.0
 
'''If you would like to self troubleshoot, follow these steps.'''
 
Create a folder inside the interface/weno/ and name it payload.
 
Open the transmitrx.php file.
 
find this line //file_put_contents("payload/".rand()."-payload.xml", $payloads);
remove the // from infront of the line keeping everything else.
 
What this will do is drop a file on your server which is the data that is being transmitted.
 
Each one will have a unique ID. Open the file and copy the contents and go to 
 
https://live.wenoexchange.com/Validator/ValidateSchema.aspx
 
Paste the contents of that file into the validator.
 
It will tell you what data is missing.
 
[[Category:User Guide 4.1.2]][[Category:User Guide 4.1.1]][[Category:User Guide 4.1.0]][[Category:User Guide]][[Category:Video Tutorial]]

Revision as of 00:07, 24 March 2021

Overview

There are currently three known options for e-prescribing in 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.

Meaningful Use

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 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.
Mm3.png


Firefox and Greasemonkey

Gm.png

Integration Script

  • The last step is the installation of the script, found here.
  • Click "Install this script".
Grease.png


  • A Greasemonkey Installation dialog will appear. Click the "Install" button.
Mm.png


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


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.
Mm1.png


  • If the Untrusted Connection warning appears in a split screen and an exception cannot be added, open Allscripts in another tab.
Warning.png


  • Click "I Understand the Risks" and add an exception.
Warning1.png



  • 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.

4.png

  • In the Add New Patient screen, click the "Load from OpenEMR" button to import the data and click "Save".
Loading.png

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.
  • 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.


NewCrop

A partnership of ZH Healthcare and Medical Information Integration, LLC (mi-squared) called ZMG created the NewCrop interface for e-prescribing.

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.

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.

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.

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.

OpenEMR/ NewCrop eRx walkthrough for G3 Usability testing by MI-Squared MI2Bug40.png

Weno Exchange

Weno Exchange is an ePrescribing intermediary that competes with Surescripts. Weno supports US, International, narcotic/ECPS, and Veterinarian ePrescribing. Weno is well integrated into OpenEMR thanks to code contributed by Sherwin Gaddis. Go to wenoexchange.com to learn more about the OpenEMR API services. Weno contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community.

Weno Exchange Fee Structure Why does Weno Exchange charge $950

Weno Patch 1 https://www.open-emr.org/wiki/images/8/8c/Weno_patch_1.zip

JSeRx

How does Weno Work

Create a prescription

WENO Online's EPCS ID Proofing Process Explained

Create a prescription


Step One: Signup for an account

Full Screen https://youtu.be/xQNOaqcIY0g

Create a prescription

Step Two: Importing/Updating Pharmacies

Full screen https://youtu.be/oALfBDs8LeQ

Resolve validation issue

Step Three: Review all the information need to complete Rx

Full-screen https://youtu.be/MbcPOMAAmPw

Transmitting prescription