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Administration
Set up Clinical, manage configuration, user records, updates, back ups and other maintenance.
Clinical System Requirements
This information applies to MedicalDirector Clinical 4.3.
Microsoft OS and SQL Server Compatibility Matrix
Clinical is distributed with the free Microsoft SQL Server 2014 SP3 Express Edition.

Administration
Set up Clinical, manage configuration, user records, updates, back ups and other maintenance.
- Installing or Modifying Clinical
  Install Clinical and its related components using the MedicalDirector Installation Wizard.
- Installing Clinical, Pracsoft, and MDref Updates Automatically
- Adding your Licence Details
  After installing Clinical, or if you renew your Service-Level Agreement (SLA) with MedicalDirector, you will be required to enter your licence details.
- Maintenance
  Use update, backup and restore and other maintenance utilities to manage MedicalDirector Clinical.
- Managing Practitioner and User Records
  Each user must be defined in MedicalDirector Clinical's user database.
- Custom Options
  Clinical provides numerous user-definable options for tailoring the program to your requirements.
- MyMedicare Import Wizard
  Use the MyMedicare Import Wizard to update the MyMedicare status of all your Clinical and Pracsoft patients simultaneously.
- Telehealth Widget
- Adding New Widgets
  Add new widgets from the widget store.
- eHealth
- Medicare Healthcare Identifier Service
  The Healthcare Identifier Service (HI Service) uniquely identifies healthcare providers and individuals who seek healthcare.
- HESA PKI Certificates
- Technical Reference
- Clinical System Requirements
  This information applies to MedicalDirector Clinical 4.3.
  - Hardware
    If your hardware does not meet these recommendations, contact Customer Service to discuss suitability.
  - Unsupported environments
  - Microsoft Products
    Microsoft Office products are required for email, word processing, reporting and claiming.
  - Microsoft OS and SQL Server Compatibility Matrix
    Clinical is distributed with the free Microsoft SQL Server 2014 SP3 Express Edition.
- Moving Data to a New Server
  Move your MedicalDirector Clinical data to a new server and configure the workstations.
- Auditing User Access with MDTrace Log
- Modifying Current Installations
- Patient Database Clean-up Tips
  If your practice has just migrated to MedicalDirector Clinical or you have merged patient databases you should clean up your patient database.
- Upgrading MedicalDirector Clinical
- Business Transition Guide
  Relocating your Practice or making significant changes to your Business practices can be challenging enough without adding complications from the software your business uses.
- FTP and MedicalDirector
- IP and Host Name Resolution Requirements for MedicalDirector Communication Services
- Setting Folder Permissions

Microsoft OS and SQL Server Compatibility Matrix

Clinical is distributed with the free Microsoft SQL Server 2014 SP3 Express Edition.

SQL Server 2014 SP3 Express Edition has a maximum database limit of 10GB. For larger databases, a full Microsoft SQL Server is required. If you want to use a full Microsoft SQL Server product, consult the compatibility matrix below.
The SQL Server installation cannot be made on read-only, mapped, or compressed drives, and SQL Server setup via Terminal Services Client is not supported.
Ensure you have a minimum .NET 3.5 installed in order to run the SQL Server 2014 installation.
The SQL Server 2014 installation will install .NET4.0 automatically if not already present. This requires an active internet connection for the .NET4.0 installation files to be downloaded.
Always install the latest Service Pack.

Table 1. Minimum Supported Microsoft SQL Server Products
OS-SQL Compatibility	SQL 2014	SQL 2016	SQL 2017	SQL 2019¹	SQL 2022
Server 2016	✓	✓	✓	-
Server 2019	-	-	-	✓	✓
Server 2022	-	-	-	✓	✓
Windows 10²	✓³	✓	✓	-	✓
Windows 11	✓	✓	✓	✓	✓

¹ You will require a minimum 6GB hard drive space to install SQL Server 2019, plus a minimum 5GB space for the MedicalDirector database. SQL requires at least a 1.4 GHz processor, with 2.0GHz recommended.

² When you run Clinical for the first time after upgrading to Windows 10, the Clinical installation may repair itself. In the majority of cases, the repair process completes automatically – no user interaction is required. However, if you are prompted for the installer, contact MedicalDirector Customer Service for assistance.

³ Any version. SP1 is required.