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Note that DICOM (and transaction) servers can be operated without a PMOD license. Only their configuration requires a license. Therefore, particularly in a multi-user environment the server processes can be moved to a dedicated machine with fast disks.
To establish such a configuration, perform a standard PMOD installation on a server machine including the USB license protection key. Use the Config facility for the database and DICOM server configuration, and generate the server starting scripts. Thereafter, the USB key can be removed and used on client machines. The server processes can be started at any time, only re-configurations will require the USB key again.