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. Integration with
'''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''' is well integrated and requires no fees.
Formerly '''Allscripts''' was integrated but is now broken. (8-4-2022)
 
===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'''==
=='''Allscripts'''==
This section describes the integration of the [https://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2f Allscripts ePrescribe] website with OpenEMR.
This section describes the former integration of the [https://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2f Allscripts ePrescribe] website with OpenEMR.


===Website===  
===Website===  
Line 74: Line 70:


Modifications were contributed by Marcin Matuszkiewicz.
Modifications were contributed by Marcin Matuszkiewicz.


=='''NewCrop'''==
=='''NewCrop'''==
: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|875||'''NewCrop eRx Demo'''}}


==Weno==
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.


===Understanding Weno:===
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.


Weno is a message gateway that is going up against SureScripts.
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.
The Weno system is a hybrid system that can send a prescription to a pharmacy via electronic message or fax.
Either way it is counted as electronic prescribing by CMS.  


The benefit to a practice is that no matter how the prescription arrives at the pharmacy from Weno.
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.
At attestation, the practice can be credited with using eRx.
 
:*A partnership with Weno Exchange will be bringing a free Rx service to the OpenEMR platform.
:*The reason that the service will be free is that the pharmaceutical company will be paying us incentives from the prescribing volume
:*This money will be used to continually build and enhance the interface and 5% of the proceeds will be donated the OpenEMR project.
:*A first draft has been submitted for review and we are hard at work on the second draft.
:*We are hoping to make it into the 5.0.0 for prescribing none narcotics and refill Rx.
:*More to come.
   
   
===Download===
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.
 
We have released the code for download.
:*For those that would like to get a copy now, you can download [http://omp.openmedpractice.com/OpenEMR-51_WenoBuild.zip Pre-Release copy]
 
Application for service:
:* Those that would like to use the eRx service please download this [http://omp.openmedpractice.com/ApplicationAndRequirements.pdf application]
 
 
 
 
[[File:ERx-interface.png|1000px|thumb|left|Screenshot of Patient Rx]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
After the meeting with Tina to review the software workflow, she suggested the change below. The system will utilize the pharmacy setting in the patient demographics. And offer and mail order pharmacy. The mail order pharmacy is cheaper and convenient for the patient.
The Weno connected pharmacies will be factored in at a later date. Right now we solved the issue of the current pharmacies in a practice database.
 
The confirmation on the page is a real time response from the Weno system. It takes approximately up to 10 sec.
 
[[File:Confirmation redo 21.png|1000px|thumb|left|Screenshot of Transmit Screen]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===Activate Service===
To activate the service:
 
* Go to site and signup http://www.openmedpractice.com/os/eRx-Sign-Up
      We will send you a packet of information and forms to fill out and send back to us
 
* Go Administration -> Globals -> Connectors
Go down to Enable Weno eRx Service and place check in the box.
We will email you the account ID, password, and Clinic ID.  
For testing purposes, enter the information below. Also, create a provider Mark East and add his credentials to the user profile
 
[[File:ERx-activation.png|1000px|thumb|left|Screenshot of enable service]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
* Go to Users/Groups and select providers and enter Weno Provider ID there also.
This will be sent via email also
[[File:ERx_provider_id.png|1000px|thumb|left|Screenshot of provider information entry]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
===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|1000px|thumb|left|Screen]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Run the Weno Management to update database.
[[File:WenoInstall.png|500px|thumb|left|Screenshot of administration setup]]
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
'''For Testing Add this pharmacy information'''
*Test Direct Pharmacy
*8127 Mesa Drive
*Austin, TX 78759
*580-000-1234 Fax
*281-758-1155 Ph
*NPI 321
*NCPDP 1234567
 
 
 
 
 
===eRx Savings Card===
 
[[File:RxSavingsCard.png‎‎|1000px|thumb|left| Rx Savings Card, print and give to patients today!]]
 
The WENO Rx Savings Card provides discounts of 10%-85% on brand and generic prescriptions. '''Give this to patients, now.'''
 
The card is valid at most pharmacies, with over 60,000 participating locations nationwide. [https://ctrx.benefits.catamaranrx.com/rxpublic/portal/memberMain  Participating pharmacy lookup].
 
*No cost to sign up
*Share with anyone!
*No Restrictions
*Take a picture of the WENO Rx Savings Card and use it anytime you are paying cash for a prescription.
*Present the card with a valid prescription at a participating pharmacy and your discount will be applied
*''Discount Only, Not Insurance''


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.


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


==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.     


===Troubleshooting===
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.


[[File:Confirmation trouble.png]]
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.  
: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.
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.


:*Make sure the patient demographics is complete with full address
LIMITATIONS (last updated May 31, 2024):
:*Make sure that only the prescribing doctor is logged in and sending the prescription.  
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


'''When Testing'''
If the Limitations do not apply to you, then WENO should be a great, low cost, ePrescribing option for you!


:*Be sure to use Mark East, or the system will reject the prescription, or it will silently fail
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.
:*Be sure to use the test pharmacy "Test Direct Pharmacy"  or it will silently fail
:*Be sure to add NPI and NCPDP number to the pharmacy or it will silently fail
:*Make sure the practice/facility fax number is not 0000000000 or 1111111111 or such like or it will silently fail


'''Default Test'''
Prices:
:To verify connection to Weno, go to http://youlocalinstall/openemr/interface/weno/ajax_sample_code.php
$300 Sign on fee is required to get off TEST Mode
:Click the confirm button and then click the transmit button. A hard coded message will be sent to the Weno system that should give you a success return within 10 - 15 seconds.
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.


[[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 17:26, 31 May 2024

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)

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

Allscripts

This section describes the former 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

>>> 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

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