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One of the things I was REALLY looking forward to with the upgrade to v19sp1 was being able to automate my backups like I do in my other server environments. My configuration runs MPIC 2.2 as we use SpringCharts as our EHR (For almost ten years now) and the company that assisted with the upgrade said I would need to shut down MPIC in order to do my backup which would negate my ability to set up automated backups. A new option I see within Medisoft Professional is Hot Backup. I would like to assume that means while Medisoft is running in the background. I was thinking of automating the process using a scheduler task. Another solution would to install ShadowProtect. How do other shops handle backups and is it true that MPIC has to be terminated to run my backups?

Create a batch file that executes this before you run your backup:
net stop "MPICService"
net stop "Mirth Connect Service"

After the backup complete, run this as a batch file:
net start "MPICService"
net start "Mirth Connect Service"

We use JungleDisk for our backups. If you want us to take care of this for you, we can set you up on our backup service.