Script with Signature Form for Digital Faxing – Profile EMR User Help

Background
Prerequisite: Request for RightFax "Fax Printer"
Create Prescription with Signature
Fax Digitally through RightFax
Find a Pharmacy Fax Number within RightFax
Reprint Prescription with Signature
Monitor the RightFax FaxUtil for Fax Status
Resend a Failed Transmission
Print a Failed Transmission for Manual Fax
Failed Transmission Email Notification
Appendix: Edit Cover Sheet (Works at Multiple Clinics)
Troubleshooting
Known Issue: Transmission Error
Fax Information Window Not Launching
Additional Resources

Video Demo

Note: You need to be connected to the VCH Network to watch this video.

Background

We have successfully conducted a pilot on a custom prescription form which prepopulates the current-logged on user's digital signature. The Rx with Signature form is now available to all prescribers and all POSes as of March 2025. To add a digital signature to your user account, see Add Your Electronic Signature to Profile EMR.

Prescribers will continue to be able to print the conventional way without their signature populated on their prescriptions.

Prerequisite: Request for RightFax "Fax Printer"

To have RightFax Fax Printer as an option on your printers list, you need to request for:

RightFax User Account (Outbound Faxing): This is requested through the service catalogue for Digital Fax Request Form
RightFax Desktop App: This is requested through the service catalogue for Desktop Software - Install, Transfer, Remove (see instructions on RightFax - Requesting Desktop App)

Tip! Once you have the RightFax FaxUtil Desktop App, pin it to your taskbar (instructions here).

Create Prescription with Signature

Instead of conventional use of Print button in New Encounter Scripts, click the Rx with Sig. button instead on the New Encounter toolbar (after Special Authority button).

This will launch a form that mimics the in-built prescription printout with the benefit of pulling your digital signature. To add your digital signature to Profile EMR, visit this help file.

There are improvements to this form over the in-built prescription printout in addition to the prescriber's digital signature:

Client's preferred name is included (with option to revert to legal name only via checkbox)
Footer noting: Rx may be dispensed with any tablet size at pharmacist's discretion

There are some limitations to this functionality:

A maximum of 6 medications can fit in one page and each page generated will need to be faxed separately - the total number of medications is on the top right of the prescription
When Working For another prescriber, this functionality is not available
When splitting orders for different pharmacies, this functionality is not available (workaround: create two encounter notes or do not use Rx with Signature form and manually print, sign, fax)

See the RightFax Quick Reference Guide in regards to the in-built RightFax Cover Sheet.

Fax Digitally through RightFax

Hold the Shift on your keyboard then click Print (Shift + Print) to launch Print Setup window and select from Printer list: RightFax Fax Printer.

Note: You will need to hold the Shift key on your keyboard with every pop-up until you get to the Print Setup window. You can also untick the Do not show this dialog unless I hold Shift key checkbox.

Clicking the Print button on the form will automatically copy the pharmacy fax number on the clipboard so you can easily paste (Ctrl+V) on the RightFax fax printer dialogue. Paste (Ctrl+V) in BOTH the To and Name fields, then click Send.

You may add communication to the pharmacy in the Message field and it will print on the cover page.

Note: The external clinician dictionary houses the list of pharmacies and your clinic Super Users manage this list.

Find a Pharmacy Fax Number within RightFax

The College of Pharmacists of BC's list of pharmacies can be found in the phonebook name: PHARMACIESBC. Once this is loaded, you can search for any pharmacies in BC from the list.

Reprint Prescription with Signature

If reprinting is needed, the prescription with signature is saved in the Forms segment of the Medical Record under Prescriptions heading and form name Rx with Signature.

Monitor the RightFax FaxUtil for Fax Status

At the end of your day, ensure you check the status of each of your faxes.

See the RightFax Quick Reference Guide and the different status indicator icons:

The icon means that the system will retry to send - up to 5 times about every 5 minutes. Once the icon is , there will be no more retries. You may either try to resend at a later time or print and manually fax.

Resend a Failed Transmission

1. Right-click the row with Transmission Error

2. Select Forward to new number...

3. Fax Information window opens and prepopulates the previously-used fax number

4. Click Send

A new row will be created for the new fax.

Print a Failed Transmission for Manual Fax

1. Right-click the row with Transmission Error

2. Select Print

3. Print to a printer for manual faxing

The row will have a printer icon to indicate that the fax has been printed.

We are in discussion with the RightFax team for a solution to view the whole clinic's fax list.

Failed Transmission Email Notification

If your team would like all failed faxes to be sent to a generic admin email address, please let the RightFax team know so that this can be added to your prescribers' RightFax accounts.

The prescribers will need to setup Delegate User Permissions so that admin staff can view the prescribers' fax queue.

Important: Only one email address to failed transmission notification can be linked to the prescriber's RightFax account. Consider prescribers who work at multiple clinics and how failed faxes would be managed when the prescriber is at another clinic.

The email notification contains who created the fax, when, and to which fax number it was being sent to so that admin staff can open the correct prescriber's fax queue to find the failed fax. Sample of email notification below:

Appendix: Edit Cover Sheet (Works at Multiple Clinics)

Use System Default cover sheet. Each user can only have one default Cover Sheet (as defined during user access).

If you work at multiple clinics, you can modify the cover sheet information.

1. In RightFax FaxUtil Desktop App, click Options button
2. In Options, navigate to User Information tab
3. Update Cover Sheet Information (From) fields with your current clinic's information

Troubleshooting

Known Issue: Transmission Error

Cause: Receiving fax number is incompatible with Outbound RightFax.

Workaround: Print and manually fax via fax machine

Action: Report transmission error and fax number to virtualhealthtechnicalsupport@phsa.ca.

Fax Information Window Not Launching

Restart your workstation and try printing to RightFax Fax Printer again
If unsuccessful, proceed to Step 2
Check that you have the correct version of RightFax installed
- Search using the magnifying glass icon on the task bar for: appwiz.cpl
- In the Programs and Features window, ensure that this is the version that is installed:
  OpenText_RightFaxX64_20.2.3.4244_VPP_P0
  If not, please contact the Service Desk to have RightFax reinstalled on your workstation
Check that RightFax is configured correctly
- On the very right side of the taskbar, click on the upward arrow for hidden icons
- Right-click on the RightFax icon and select Configuration...
- In the Configure Client window, ensure that the following settings are true:
  If not, please contact the Service Desk to have the settings corrected
If any of the above do not work, please contact the Service Desk to create a ticket with the Virtual Health RightFax team