eRx & Electronic Prescribing: Configuration

Sharing patient records securely between clinics is a powerful feature of MediRecords that helps improve continuity of care. By giving other practices access to key patient information, you reduce duplication, save time, and ensure that every provider involved in a patient’s journey has the most up-to-date details on hand. This not only streamlines clinical workflows but also supports safer, more coordinated care for patients.

With MediRecords, sharing records is simple and secure. Whether you are transferring a patient’s file to another clinic within your network or collaborating with external providers, the platform makes it easy to send clinical information quickly while maintaining compliance and privacy. In this article, we’ll walk you through the process of sharing patient records so you can make the most of this feature in your practice.

Contents:

1. Applying for a HPI-O & Nash Certificate
2. Uploading your NASH Certificate
3. Provider Configuration
4. Applying for an eRx ID
5. Adding your eRx ID to MediRecords
6. Enabling Electronic Prescribing for your Practice
7. Patient Configuration

Applying for a HPI-O & NASH Certificate

1. Register your organisation with the Health Identifiers service to obtain your HPI-O number and apply for your NASH certificate. You will need the NASH Certificate in the form of a P12 file, as well as the personal Identification code (PIC).  Click here to see how to apply.
2. Click here to locate the Medicare form for applying for a NASH PKI Certificate.
3. Obtain a copy of all of your provider's HPI-I numbers. 
   *NOTE: If you cannot locate your doctor's HPI-I number, they can contact either HPOS or APHRA to obtain a copy of their 16-digit HPI-I number.  

Uploading your NASH Certificate

Note: There are two locations that you must upload this certificate for full functionality.

Health Identifier

1. Click More to reveal a drop-down list. Select Settings, then click on Configuration.
    
2. Click the Practice Name.
    
3. Click Health Identifier
    
4. Click PIC - Personal Identification Code and enter your certificate PIC.
    
5. To upload your NASH Certificate, click Select File to open a file explorer window.
    
6. Navigate to the location of your NASH Certificate and select it for upload.
7. Once the certificate has been saved, the Certificate Alias Name and the Expiry Date will automatically be populated on the form.

eHealth

You will now need to upload your NASH Certificate to the eHealth section of Practice Configuration.

1. Click eHealth.
    
2. Click PIC - Personal Identification Code and enter your certificate PIC.
    
3. Upload your NASH Certificate > Click Select File to open a file explorer window and navigate to the location of your NASH Certificate and select it for upload.
4. Once the file has been uploaded, the practice's HPI-O Number will automatically be populated to the HPI-O No. field, along with a Certificate Alias Name and Expiry Date, which are all digitally stored on the NASH certificate.
    

Provider Configuration

In order for providers to connect to the Health Identifiers Service through MediRecords, they must have their 16-digit HPI-I Number recorded into their profile. If a doctor does not have the HPI-I Number recorded against their profile, they will not be able to access My Health Record or prescribe with eRx.

The HPI-I Number is added to the Identifiers section of the user profile, within User Settings.

1. Click More to reveal a drop-down list. Click Settings and then click on Subscription Details.
2. Click Users.
3. Click the Name of the provider to open the user settings.
4. Click Identifiers and go to HPI-I No. field and type in the 16-digit HPI-I Number. Click Save to apply the changes.
    
5. You may wish to also enable the Real-Time Prescription Monitoring (RTPM) service for controlled medicines if you are prescribing monitored medicines such as Schedule 8 drugs. Please see this article for instructions: Real-Time Prescription Monitoring (RTPM): Configuration & Quick Guide

Applying for an eRx ID

To set up eRx, you will need to register yourself on the eRx website and add your HPI-O (Healthcare Organisation) certificate, and the certificate associated with the Health Identifier (HI) Service to your practice configuration settings.

Before you can set up eRx in MediRecords, you will need to register yourself for e-prescribing on the eRx website.
To register, go to www.erx.com.au and click Register NOW in the right-hand corner of the page.

Where it says I am a Medical Practitioner click, Register.

Prescriber Registration Step 1 - Minimum Requirements. You will need to meet all of the minimum requirements in order to proceed. Tick all boxes and click Next.

When completing the form, remember to select MediRecords as your clinical software provider, if you do not select MediRecords as your software provider, this will cause a delay in the registration process.
Once you have completed and submitted your registration form, please allow 1 to 3 days for eRx to process the application.

When the application is approved, you will be emailed your eRx ID and other necessary information in the setup.

Adding your eRx ID to MediRecords

The eRx ID must be added to your profile in MediRecords, in the Identifiers section of the User Settings.

To open User Settings, click More at the left panel of the page to reveal a drop-down list, and then click Settings.

Click Subscription Details.

Click Users.

Click the Name of the User.

Click Identifiers

Click ERX ID and type in the eRx number (which eRx will provide to you)

Click Save to apply the changes.

Note: A prescriber number will be required. Add this information if required and click Save.

Enabling Electronic Prescribing

1. Go to More> Settings> Configuration
    
2. Click on System configuration
3. Click on Electronic Prescribing > tick "Enable Tokenised Electronic Prescribing" then hit Save.

Patient Configuration

Receiving prescriptions via eRx is on an opt-in basis, and you must have the patient's permission to send them e-prescriptions.
MediRecords uses the Medicare number to obtain the patient's IHI (Individual Health Identifier) number from Medicare. However, you can manually enter the IHI number without having to have entered the Medicare card number. The patient must have a validated IHI number to enable eRx.

For you to electronically prescribe to a patient, there are certain mandatory fields that must be included on each prescription. These are all configured within the Patient Details tab. 

• The eRx settings are located in Settings within a patient record. To open, click Patients at the top of the page to navigate to the patient list.
  
  
  Click the name of the Patient, then click Settings within the Details tab.
  
  
  Check the patient record and make sure that they have an IHI No. recorded.
  
  The IHI Record Status needs to be Verified. If it is not verified, click Validate to verify the IHI No. online.
  
  Navigate to EHEALTH and click the ePrescribing tick-box.
  Click Save to apply the changes.