OpenEMR ePrescribe
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)
NewCrop
NewCrop eRx is a robust e-prescribing solution provided by NewCrop LLC/ Scriptx and supported in OpenEMR. In addition to basic e-prescribing of all medications to any registered pharmacy in the USA, NewCrop 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 guess work.
- 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 NewCrop interface for e-prescribing through OpenEMR. As of Dec 2020 only ZH Healthcare and MI-Squared are authorized vendors of NewCrop eRx with OpenEMR.
Subscribing to NewCrop 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 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 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, NewCrop demo videos presented by outfits other than NewCrop 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 Additionally, if they exist they may be long out of date.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 NewCrop eRx service.
NOTE: the video shows NewCrop v1 which has been superseded by v2 which contains major interface changes and does not visually resemble v1 at all.
- if you are interested to see a demo of the current NewCrop contact helpdesk@mi-squared.com
Weno Exchange
>>> NOTE: OpenEMR's Weno integration has been radically revamped since May 2024. See this forum post for a complete description including latest statement of release date: https://community.open-emr.org/t/new-weno-module-install-and-setup/21995
OpenEMR can now ePrescribe via WENO's stand-alone with only set up steps and NO coding. OpenEMR v7.02 requires a patch to made the module available until it is part of the code base. The patch is not backwards compatible on previous versions of OpenEMR.
WHY use WENO? WENO Exchange is the only ePrescribing intermediary that competes with Surescripts. Because your eRxs are going directly to WENO's Intermediary/network (no middleman), it makes WENO the lowest cost ePrescribing solution that supports the US, International, narcotic/ECPS, & Veterinarian ePrescribing. Read the Limitation section below to make sure WENO is a fit.
- WENO contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community to keep it healthy.
WENO HAS 3 KINDS of EHR INTEGRATIONS: This 7.02 + patch leverages the WENO Online EZ Integration type....where it uses WENO Online's DEA 1311.120 compliant stand alone eRx application screens. But no patient entry is needed and the patient charts & pharmacy directory sych automatically. The set up steps will require you to go to online.wenoexchange.com to sign up for the EZ INTEGRATION service type and your FREE account is automatically in TEST MODE until you pay $300 when you are ready to get off TEST mode. TEST Mode allows you to ePrescribe to test pharmacies.
NOTE: If you have prescribers that need to ePrescribe on WENO Online stand-alone until your OpenEMR version is ready they can register for a medical or veterinarian ePrescribing account at online.wenoexchange.com.
HOW WENO Works (last updated May 31, 2024): WENO legally routes all eRXs to all designated pharmacies. Prescribers get full eRx credit. WENO's Intermediary service rules: RULE 1: Route eRx to the pharmacy's software if connected to WENO's Intermediary. RULE 2: If not, then route eRx to WENO Online pharmacy stand-alone and fax the pharmacy alert with instructions to process. In both cases the eRx is routed electronically. If RULE 2 is used, the pharmacy has a choice to process from fax alert version if allowed, if not allowed the pharmacy must be willing to register 1 time for a free WENO ONline account to use as a bridge application until their own system connects.
LIMITATIONS (last updated May 31, 2024): If your clinic ePrescribes many DEA Sch II drugs or if facility is located in West Virginia, LA or NY - set up a meeting with WENO to get their current connected pharmacy coverage in your area(s) which is a VITAL thing to know before you sign up. Book a meeting with Kevin Pauley, President of WENO https://calendly.com/wenoehr/support or Tina Goodman, CEO of WENO https://calendly.com/wenotime
If the Limitations do not apply to you, then WENO should be a great, low cost, ePrescribing option for you!
International ePrescribers should contact WENO before beginning to discuss drug data bases, language barriers, and if the country requires patient data to remain in the country. We can accomodate International use.
Prices: $300 Sign on fee is required to get off TEST Mode Prescribers pay $48/yr (ID proofing is required). Transaction fees: 1-200 eRxs $2/mo. over 200 is 1 cent each. EPCS add on: $4/mo. All other users FREE. If any users wants to stop advertisements: $8/mo.
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
