1. Copy meddream folder to C:\Program Files\PacsOne\php (after all you must have C:\Program Files\PacsOne\php\meddream) If you updating older version of meddream: a) Please, backup old version of meddream (so, you can go back any time). b) Please, do not replace files you changed in last version. You must carefully synchronize new version 2. From C:\Program Files\PacsOne\php\meddream Copy and Replace applet.php to C:\Program Files\PacsOne\php 3. From C:\Program Files\PacsOne\php\meddream Copy php5.2_meddream.dll to \php\ext 4. Add extension=php5.2_meddream.dll to php.ini file 5. Restart Apache 6. Navigate to http://127.0.0.1/pacsone/meddream/home.php (use pacsone users to Login) or use "Show" button in PacsOne web system.