E-Prescribing with Parchment – CareStack

CareStack's integration with Parchment lets your practice create and securely send patient prescriptions electronically, saving time and reducing the risk of errors while being eScript compliant.

Note: Practices can reach out to support.aus@carestack.com to enable this feature.

Let's explore how to set up Parchment for your practice and begin sending e-prescriptions to patients.

Configure Parchment in CareStack

Once Parchment has been enabled for your practice, follow these steps to configure and integrate Parchment with your CareStack account:

Navigate to the System Menu > select Practice Settings > Services.

Select Parchment and click Configure.

During first-time setup, you will be prompted to enter the Organisation ID, Organisation Secret and User ID. You can generate these credentials by following the steps below:

Go to the Parchment portal: https://portal.parchment.health/dashboard

Under Setup Your Organisation,

Enter your organisation's HPIO Number (Healthcare Provider Identifier – Organisation Number). This is a mandatory field.
Click Submit.
Click Next Step to move to the next section.

From the practice management system list, locate CareStack.
Click Manage.

On the pop-up that appears,

Click Generate Credentials.

This will generate your Organisation ID, Organisation Secret, and User ID.
Copy these credentials and paste them into the configuration modal in CareStack.

Once saved, your practice will be linked to Parchment.

Activate Parchment for Users

Parchment users can be of four types:

Admin: Manages Parchment settings and user administration.
Prescriber: Creates and manages prescriptions. Activating a new Prescriber will incur extra charges.
Patient Assistant: Assists patients with prescription workflows and administrative tasks but cannot prescribe.
Rx Assistant: Supports prescription preparation workflows under authorised prescribers.

After linking your practice, you will be taken to the Users List in CareStack to activate Parchment access.

Click Activate next to the user you want to enable e-Prescriptions for.

Choose whether the user is a New User or an Existing User of Parchment.

For a New User, complete the following fields. Fields marked with an asterisk (*) are mandatory.

Role*: Choose the user's role, whether Admin, Prescriber, Patient Assistant, or Rx Assistant.
Email Address*: Enter the user's email address. This will be used for Parchment account identification.
First Name*: Enter the user's first name.
Last Name*: Enter the user's last name.
Title: Enter the user's professional title (for example, Dr., Mr., Ms., Prof.).
Date of Birth: Enter the user's date of birth. Mandatory when the user is assigned the Prescriber role.
Gender: Select the user's gender. Mandatory when the user is assigned the Prescriber role.
Clinic Phone Number: Enter the practice phone number associated with the user.

Users with a Prescriber role must provide their Professional Information, which include the following:

Prescriber Type*: Select the prescriber's professional category.
HPI-I Number*: Enter the prescriber's 16-digit Healthcare Provider Identifier – Individual (HPI-I) number. This uniquely identifies healthcare practitioners in Australia.
Qualifications*: Select the prescriber's professional qualifications.
AHPRA Number: Enter the prescriber's Australian Health Practitioner Regulation Agency (AHPRA) registration number.
Prescriber Number*: Enter the official prescriber number issued to the provider.
Provider Number: Enter the provider license number linked to one of the locations used for healthcare billing and claims processing.
Hospital Provider Number: Enter the provider number associated with the provider’s practice affiliation, if applicable.
Finally, click Activate User.

For an Existing User of Parchment under the same organisation,

Enter the Parchment User ID.
Click Activate User.

Once activated, the + E-Prescription button will be available for users with a Prescriber role.

Add Medicare Details for a Patient

When prescribing for a patient for the first time, a banner will appear if the patient's Medicare number is missing. Medicare details are required for IHI (Individual Healthcare Identifier) validation, which is mandatory for e-Prescriptions.

Click Add Details on the banner to enter Medicare information.

In the modal that appears, fill in the following fields:

Insurance Name: Select Medicare from the dropdown.
Membership No.: Enter the patient's membership number.
Patient IRN: Enter the patient's IRN (Individual Reference Number).
Click Save.

Send an e-Prescription

Follow these steps to send an e-prescription to a patient:

Search for the intended patient using the Global Search Bar.
Click the + Presc. (Prescription) quick link at the top of the Patient Overview.

This opens the Prescriptions slide-out.

Click + E-Prescription to begin prescribing.
- This will open a new slide-out with the Parchment landing page.

The prescriber will be prompted to authenticate at regular intervals when accessing the Parchment prescription interface.

Enter the code sent to their registered email address.
- The prescriber can also set up a passkey and use it for quick authentication.

Once authenticated, the prescriber can:

View the Patient's name, Medicare number, DVA number (if applicable) and Script Number.
The Prescription Type will automatically be set to Electronic.
- Parchment also supports Paper prescriptions.
Search for the intended medicine by active ingredient or by brand.

Select a Medicinal Product Pack.

Add Patient Instructions as needed.

Choose to send the prescription to the patient via Email or SMS.

The patient will receive a secure QR code that can be presented at the pharmacy to access the prescription.

Send Prescriptions Directly to Pharmacies

You can send prescriptions to pharmacies directly through Parchment. To do this,

In Parchment, navigate to Settings > Pharmacies.
Click Add Pharmacy.

In the pop-up that appears,

Enter the Pharmacy Name.
Enter the Pharmacy Email.
Click Add.

The pharmacy will now be added to your list of pharmacies.

When you complete filling out a prescription for the patient,

Select the Prescribe Only option.
Select the required pharmacy.
Click Prescribe Only to send the prescription directly to the pharmacy.

Billing Information for Parchment

The billing for Parchment is done as follows:

Practices are charged a monthly rate of $35 per active prescriber.
- An active prescriber is any user currently enabled for Parchment services with a Prescriber role within your CareStack settings.
Billing will be based on the number of active prescribers associated with Parchment for the account.
Monthly charge = Number of active Parchment prescribers in the account × $35.

That's how you can set up Parchment to send e-prescriptions or paper prescriptions to patients in CareStack!

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