Pennsylvania - Philadelphia

Step 1: Registration

If you are a new user, please complete the below forms:

1. User Confidentiality Form

HL7 Integration Steps

2. Clinic Enrollment Form

• To help you complete the form, please review the below Q&As:
  • IV. What method of reporting to PhilaVax is your clinic interested in?

• Select - HL7 Messaging
  • HL7 Version: 2.5.1
  • Method: Real-time Bidirectional messaging through SOAP Web Services
• VIII. ELECTRONIC HEALTH RECORD (EHR) SYSTEM DETAILS
  • EHR Vendor Name: PrescribeWellness SMP
  • EHR Product Name: PrescribeWellness SMP
  • EHR Product Version: 2.0
  • Date of Clinics Last EHR Upgrade = N/A
  • Date of Next Upgrade (if scheduled) = N/A
  • EHR Contact Person Name: Katheryn Hernandez
  • EHR Contact Person Title: Pharmacy Integration Manager
  • EHR Contact Person Phone Number: (949) 313-6479
  • EHR Contact Person Email Address: khernandez@prescribewellness.com

Once your registration is complete, please send an email to iisforms@prescribewellness.com with the completed Clinic Enrollment Form and User Confidentiality Form attached and the following subject line: [Pharmacy Name] | PhilVax | Clinic Enrollment Form Completed.

Step 2: Document Immunizations

• Please continue to document immunizations in your registry portal and the Vaccinations tool while PrescribeWellness works on your pharmacy’s integration.
• If you need training on the PrescribeWellness Vaccinations tool, please visit PrescribeWellness Success Center and register for a live workshop.

Step 3: Final Integration Steps

Once the state registry approves your location to move forward into Production, the PrescribeWellness team will send you a confirmation email with your go-live date. From then on, your pharmacy can start reporting to PhilaVax with your Vaccinations tool.