If you read this article your sql database size is probably getting closer to 10GB limit. Chirotouch comes with Microsoft SQL Express version which support up to 10 gigabyte database size limit. Your chirotouch will stop working when it hits to the limit.
What can be done to avoid SQL Upgrade from express to standart version which cost several thousand dollar?
Option 1: Shrink database
Yes. There is a tool in SQL Express that will help you to shrink database and decreese file size of your SQL data. If you never did shrink operation for your database that could be a good choice for you to avoid sql upgrade.
Option 2: Delete system logs
System logs are taking several gigabyte space. Delete system logs in your database will give you some more time till you need upgrade.
Option 3: Move your server to the cloud server
Yes. Some of our clients were having issues with their database. We have moved their server to data center. Cloud server is $150/mo that comes with 8x5 tech support, 99.9% uptime guarantee.
The Health Insurance Portability and Accountability Act (HIPAA), Security Standards for the Protection of Electronic Protected Health Information (HIPAA Security Rule), and the Notification in the Case of Breach of Unsecured Protected Health Information were enacted as a part of the American Recovery and Reinvestment Act of 2009 (HITECH Breach Notification Requirements) for the security and privacy of Protected Health Information (PHI) in the United States.
The scope of the Type 1 HIPAA attestation is all of the cloud services and US Data Centers