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Linux Upgrade 4.2.2 to 5.0.0

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(if you are using the [multi site module] then see those instructions)



  1. Move current (4.2.2) /openemr directory to a backup directory.
    1. sudo mv /var/www/html/openemr ~/Documents/openemr.old
  2. Unpackage 5.0.0 openemr into web directory and rename the directory to openemr.
    1. sudo tar -pxvzC /var/www/html/ -f ~/Downloads/openemr-5.0.0.tar.gz
    2. sudo mv /var/www/html/openemr-5.0.0 /var/www/html/openemr
  3. Move following directories from old 4.2.2 version to /openemr directory:
    1. openemr/sites/default/documents
      1. sudo mv ~/Documents/openemr.old/sites/default/documents /var/www/html/openemr/sites/default/.
    2. openemr/sites/default/edi
      1. sudo mv ~/Documents/openemr.old/sites/default/edi /var/www/html/openemr/sites/default/.
    3. openemr/sites/default/era
      1. sudo mv ~/Documents/openemr.old/sites/default/era /var/www/html/openemr/sites/default/.
    4. openemr/sites/default/letter_templates
      1. sudo mv ~/Documents/openemr.old/sites/default/letter_templates /var/www/html/openemr/sites/default/.
  4. Record the openemr/sites/default/sqlconf.php file variables from your old 4.2.2 version, and type these into the openemr/sites/default/sqlconf.php file in new openemr version.
    1. sudo joe ~/Documents/openemr.old/sites/default/sqlconf.php /var/www/html/openemr/sites/default/sqlconf.php
  5. In the openemr/sites/default/sqlconf.php file, set the $config variable (found near bottom of file within bunch of slashes) to 1 ($config = 1;).
  6. Open openemr/sql_upgrade.php (http://localhost/openemr/sql_upgrade.php) in web browser, choose 4.2.2 (or if not running 4.2.2, choose the appropriate version that you are running) and click 'Upgrade Database'.
  7. Configure optional settings in openemr/sites/default/config.php files.
  8. After installation is finished, then secure files (this should be done as root user)
   chown -R www-data: /var/www/html/openemr
   chmod 644 /var/www/html/openemr/library/sqlconf.php 
   chmod 644 /var/www/html/openemr/interface/globals.php 
   chmod 644 /var/www/html/openemr/gacl/gacl.ini.php 
   chmod 644 /var/www/html/openemr/gacl/gacl.class.php 
   chmod 600 /var/www/html/openemr/acl_setup.php 
   chmod 600 /var/www/html/openemr/acl_upgrade.php 
   chmod 600 /var/www/html/openemr/sl_convert.php 
   chmod 600 /var/www/html/openemr/setup.php 
   chmod 600 /var/www/html/openemr/sql_upgrade.php 
   chmod 600 /var/www/html/openemr/gacl/setup.php

Download and install most recent patch

After finishing above upgrade, recommending getting the most recent patch for version 5.0.0. Instruction to do this can be found on the OpenEMR Patches page.

Meaningful Use 2 Specific Instructions

Using OpenEMR

See the OpenEMR 5.0.0 User Guide

Securing OpenEMR

See the Securing OpenEMR Guide

Calendar Glitch

If your calendar had not been properly set up and this message appears after the upgrade, "This appointment slot is already used. Use it anyway?"; see this forum discussionfor the solution.