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Property and Equipment - Additional Information (Details) (USD $)
3 Months Ended
Mar. 31, 2015
Mar. 31, 2014
Dec. 31, 2014
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross $ 88,932,000us-gaap_PropertyPlantAndEquipmentGross   $ 87,677,000us-gaap_PropertyPlantAndEquipmentGross
Accumulated depreciation and amortization (54,559,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment   (51,499,000)us-gaap_AccumulatedDepreciationDepletionAndAmortizationPropertyPlantAndEquipment
Total property and equipment, net 34,373,000us-gaap_PropertyPlantAndEquipmentNet   36,178,000us-gaap_PropertyPlantAndEquipmentNet
Depreciation and amortization 3,100,000omcl_DepreciationandAmortizationExpense 2,500,000omcl_DepreciationandAmortizationExpense  
Equipment [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 42,124,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_EquipmentMember
  42,829,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_EquipmentMember
Furniture and Fixtures [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 5,712,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
  5,689,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_FurnitureAndFixturesMember
Leasehold Improvements [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 8,672,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
  8,701,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_LeaseholdImprovementsMember
Purchased Software [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross 29,058,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_SoftwareAndSoftwareDevelopmentCostsMember
  28,920,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_SoftwareAndSoftwareDevelopmentCostsMember
Construction in Progress [Member]      
Property, Plant and Equipment [Line Items]      
Property, Plant and Equipment, Gross $ 3,366,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember
  $ 1,538,000us-gaap_PropertyPlantAndEquipmentGross
/ us-gaap_PropertyPlantAndEquipmentByTypeAxis
= us-gaap_ConstructionInProgressMember