A standalone CLI tool for importing standardized medical code tables (RXNORM, SNOMED, ICD, CQM_VALUESET) into OpenEMR. Designed for Docker/Kubernetes deployments with efficient file mounting and reuse across multiple installations.
- ✅ Standalone CLI tool - No need to modify OpenEMR core files
- ✅ Composer installable - Easy installation and updates
- ✅ Auto-detection - Automatically detects code type from filename
- ✅ Non-interactive - Runs without user prompts for automation
- ✅ Progress feedback - Real-time progress bars and status updates
- ✅ Docker/Kubernetes optimized - Perfect for containerized deployments
- ✅ Multi-site support - Import codes across multiple OpenEMR sites
- ✅ Dry-run capability - Test imports without database changes
- ✅ Comprehensive logging - Track imports with revision/version info
- ✅ Error handling - Automatic cleanup on failures
| Code Type | Description | Source |
|---|---|---|
| RXNORM | RxNorm drug terminology | NLM |
| SNOMED | SNOMED CT clinical terminology (RF1) | NLM |
| SNOMED_RF2 | SNOMED CT clinical terminology (RF2) | NLM |
| ICD9 | ICD-9-CM diagnosis codes | CMS |
| ICD10 | ICD-10-CM/PCS codes | CMS |
| CQM_VALUESET | Clinical Quality Measures value sets | eCQI |
Download the latest PHAR release:
# Download the PHAR
curl -L -o oce-import-codes.phar https://github.com/opencoreemr/oce-cli-import-codes/releases/latest/download/oce-import-codes.phar
# Make executable
chmod +x oce-import-codes.phar
# Optional: Move to PATH
sudo mv oce-import-codes.phar /usr/local/bin/oce-import-codescomposer require opencoreemr/oce-cli-import-codesgit clone https://github.com/opencoreemr/oce-cli-import-codes.git
cd oce-cli-import-codes
composer install
php -d phar.readonly=0 build.php# Using PHAR (recommended) - auto-detects RXNORM from filename
./oce-import-codes.phar /path/to/RxNorm_full_01012024.zip --openemr-path=/var/www/openemr
# Or if installed to PATH
oce-import-codes /path/to/SnomedCT_USEditionRF2_PRODUCTION_20240301T120000Z.zip --openemr-path=/var/www/openemr
# Override auto-detection if needed
oce-import-codes /path/to/custom-name.zip --code-type=SNOMED --openemr-path=/var/www/openemr
# ICD10 with cleanup - auto-detects from filename
oce-import-codes /path/to/icd10cm_order_2024.txt.zip \
--openemr-path=/var/www/openemr \
--cleanup
# Dry run to test
oce-import-codes /path/to/RxNorm_full_01012024.zip --openemr-path=/var/www/openemr --dry-run
# Force import even if already loaded
oce-import-codes /path/to/RxNorm_full_01012024.zip --openemr-path=/var/www/openemr --forceoce-import-codes [OPTIONS] <file-path>Auto-Detection: The tool automatically detects the code type from the filename. If detection fails, you can manually specify the code type using --code-type.
Skip Behavior: By default, the tool checks if a code package with the same type, version, revision date, and file checksum has already been imported. If found, it will skip the import to avoid duplicates. Use --force to override this behavior and import anyway.
| Argument | Description | Required |
|---|---|---|
file-path | Path to the code archive file | Yes |
| Option | Description | Default |
|---|---|---|
--code-type | Override auto-detected code type (RXNORM|SNOMED|SNOMED_RF2|ICD9|ICD10|CQM_VALUESET) | Auto-detect |
--openemr-path | Path to OpenEMR installation | /var/www/localhost/htdocs/openemr |
--site | OpenEMR site name | default |
--windows | Use Windows processing (RXNORM only) | false |
--us-extension | Import as US extension (SNOMED only) | false |
--revision | Revision date (YYYY-MM-DD format) | Auto-detect |
--code-version | Version string for tracking | Auto-detect |
--dry-run | Test without database changes | false |
--cleanup | Remove temp files after import | false |
--temp-dir | Custom temporary directory | - |
--force | Force import even if same version appears loaded | false |
FROM openemr/openemr:latest
# Install the CLI toolRUN composer global require opencoreemr/oce-cli-import-codes
# Mount point for code filesVOLUME ["/var/lib/openemr/codes"]
# Import scriptCOPY import-codes.sh /usr/local/bin/
RUN chmod +x /usr/local/bin/import-codes.shMount your code files to a consistent location:
/var/lib/openemr/codes/
├── rxnorm/
│ └── RxNorm_full_MMDDYYYY.zip
├── snomed/
│ ├── SnomedCT_InternationalRF2_PRODUCTION_YYYYMMDD.zip
│ └── SnomedCT_RF1Release_INT_YYYYMMDD.zip
├── icd10/
│ ├── icd10cm_order_YYYY.txt.zip
│ └── icd10pcs_order_YYYY.txt.zip
└── cqm/
└── EP_EC_AH_CMS_ValueSets_v*.xml.zip
| Code Type | Compressed Size | Extracted Size | Update Frequency |
|---|---|---|---|
| RXNORM | ~200MB | ~2GB | Monthly |
| SNOMED | ~300MB | ~1.5GB | Biannual |
| ICD-10 | ~15MB | ~50MB | Annual |
| CQM ValueSets | ~50MB | ~200MB | Annual |
OpenEMR not found
Error: OpenEMR globals.php not found- Verify
--openemr-pathpoints to correct installation - Ensure OpenEMR is properly installed
- Verify
Permission errors
Error: Temporary directory is not writable- Check write permissions on temp directory
- Use
--temp-dirto specify writable location
Database connection failed
Error: OpenEMR database configuration not found- Verify OpenEMR database configuration
- Ensure site configuration is correct
Import function not found
Error: OpenEMR rxnorm_import function not available- Verify OpenEMR version compatibility
- Check that
library/standard_tables_capture.inc.phpexists
Run with verbose output to see detailed information:
oce-import-codes RXNORM /path/to/file.zip --openemr-path=/var/www/openemr -vCheck OpenEMR logs for detailed error information:
- OpenEMR logs:
/var/log/openemr/ - PHP error logs: Usually in
/var/log/php/ - Apache/Nginx error logs
We welcome contributions! Please see our Contributing Guide for details.
This project is licensed under the GPL-3.0-or-later License - see the LICENSE file for details.
- Issues: GitHub Issues
- Email: support@opencoreemr.com
- Documentation: OpenEMR Wiki
See CHANGELOG.md for version history.
Made with ❤️ by OpenCoreEMR Inc