Difference between revisions of "OpenEMR ePrescribe"

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(Remove all scripts since its been broken since 2022.)
 
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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)
 
=='''Allscripts'''==
This section describes the integration of the [https://eprescribe.allscripts.com/Login.aspx?ReturnUrl=%2f 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.
[[File:Mm3.png|center]]
 
 
===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===
:*The last step is the installation of the script, found [https://greasyfork.org/en/scripts/9306-allscripts-integrationmm here].
 
:*Click "Install this script".
[[File:Grease.png|center]]
 
 
:*A Greasemonkey Installation dialog will appear.  Click the "Install" button.
[[File:Mm.png|center]]
 
 
:*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.
[[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]]
 
 
:*Click "I Understand the Risks" and add an exception.
[[File:Warning1.png|center]]
 
 
 
 
 
:*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===
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'''==
=='''NewCrop'''==
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==Weno Exchange==
==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.


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.
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 contributes part of the revenue earned from OpenEMR clients back to the OpenEMR community to keep it healthy.       


STAND ALONE ePrescribing PRICES:
WENO HAS 3 KINDS of EHR INTEGRATIONS:
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.
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.
 
EZ Integration prices:
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:
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:
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.


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.


LIMITATIONS of ePrescribing with WENO (last updated May 18, 2022):
HOW WENO Works (last updated May 31, 2024):
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:
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.   


NY - should ePrescribe to WENO connected pharmacies only.
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


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


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


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.
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.


International ePrescribers should contact WENO before beginning to discuss drug data bases and other outliers.
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 15:49, 2 December 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)

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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