Full 'Cleanout' Process for a Server

Before you begin

Procedure

  1. Ensure that neither Clinical nor Pracsoft is running on any computer.
  2. Perform a full MedicalDirector backup via MedicalDirector Maintenance. If any errors are encountered please contact MedicalDirector Customer Care now. You will require this backup to restore your patient data if required.
    • Double-click on the MedicalDirector Maintenance icon on your desktop. The MedicalDirector Maintenance suite opens.
    • Locate and double-click on the Backup icon within the Common (Maintenance Tasks) section of MedicalDirector Maintenance.
  3. Insert the current Clinical/Pracsoft disc, or re-mount the ISO. The MedicalDirector Installer application should start immediately. If it does not, browse the CD, and locate and run Setup.exe. When the installation wizard commences, run through the initial set of prompts until you are presented with the Computer Role screen.
    • Click Enable Advanced Options and then click Uninstall Role.
    • Click the Next button when you are ready to proceed. You will be presented with a summary of the components/applications to be uninstalled. Click the Begin button to commence. The uninstallation progress will be displayed.
  4. Within windows, select Start > Control Panel > Programs and Features (or Add/Remove Programs)
    • Uninstall any remaining items beginning with HCN, Manage Ezy, Medicare Online, MedicalDirector.
  5. If you are required to remove the SQL Instance, please follow the Process for Removing an Instance before proceeding.
  6. Rename the following folders and windows registry keys, by adding a suffix consisting of the current date. For example, the 'Health Communication Network' folder becomes 'Health Communication Network 25-03-11'.Note: If you have a non- default installation as noted above 'Determining your Installed location' these are the folder locations that will need to be renamed.

    For 32 Bit Operating Systems:

    • Folder: C:\Program Files\Health Communication Network\
    • Registry Key: HKey_Local_Machine > Software\Health Communication Network\
    • Registry Key: HKEY_LOCAL_MACHINE\SOFTWARE\Redmap Networks\ManageEzy
    • Registry Key: HKEY_Current_User > Software\Health Communication Network
    • Registry Key for TS sites: HKEY_Current_User > Software\Health Communication Network\

      For 64 Bit Operating Systems (3.12+):

    • Folder: C:\Program Files(x86)\Health Communication Network\
    • Registry Key: HKey_Local_Machine > Software\WOW6432node\Health Communication Network\
    • Registry Key: HKEY_LOCAL_MACHINE\SOFTWARE\WOW6432Node\Redmap Networks\ManageEzy
    • Registry Key: HKEY_Current_User > Software\Health Communication Network
    • Registry Key for TS sites: HKEY_Current_User > Software\WOW6432node\Health Communication Network\
  7. If you are not using the supplied SQL 2008 Express, you will need to create the HCNSQL07 and ESP instances with the SQL installer as per SQL Server Instances options available from MedicalDirector Customer Care .
    • Adjust the SQL location if a non-default install location is required.
  8. Reinstall Clinical / Pracsoft using the latest MedicalDirector Clinical/Pracsoft disc/ISO, including all MedicalDirector application updates and MDref updates to match the installed version on the workstations.
    • For customised installations as noted in Determine the Installed Location, access Advanced Options during the installation.
    • Be aware that the installation will detect any existing ManageEzy folder on any attached filesystems and use the most recent ManageEzy (determined by the most recent date modified of files and folders within) for the installation. This will override your selections in Advanced Options if the discovered and most recent ManageEzy is in a different location.
    • Install any secondary software required (MedicalDirector GPRN Extractor etc.).
  9. Restore the backup you created in Step 2, via MedicalDirector Maintenance.
  10. Open Clinical/Pracsoft in Live Data to ensure all the most recent patient data, including correspondence is accessible.
  11. MedicalDirector Pracsoft Online Claiming user users will need to configure Pracsoft for Online Claiming
    • Open Pracsoft. If you are presented with errors regarding online claiming, click OK to these.
    • Within Pracsoft select Setup > Workstation Settings, selecting the Online Claiming tab.
    • Click the ellipse button and browse to the location of the hic.psi on the server.
    • Enter the Store password, select Save > Close.
    • Pracsoft will now open without error.

Results