Hello Andy,
Thank you for the question.
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First, you would need to set some Configs folder where all future app users have read and write access.
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Provide it in the Configs and Terminology path under the Preferences menu just for one user first.
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Then you can install MedDRA using the in-app setup wizard. MedDRA installation steps are described here:
https://www.pinnacle21.com/projects/validator/configuring-meddra
Verify that new MedDRA dictionary is available for validation.
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Set the same Configs and Terminology path for any other user. The installed MedDRA version should become available for that user.
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When a new dictionary version is available, you can run the installation from step 3 and other users will be able to access it.
Thanks,
Philipp