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Noah ES setup: migrating from CounselEar

Disconnect CounselEar from Noah and connect Noah ES for use with Suno. Includes data export steps for self-hosted setups.

Written by Blake Bays

Use this guide if your clinic is currently on CounselEar and is migrating to Suno. This process disconnects CounselEar from Noah and reconnects Noah to Noah ES for use with Suno.


Before you start

Review the Noah ES setup: start here article before proceeding. Confirm you have noted your installed manufacturer modules and that your device meets the readiness requirements.

Important: Do not perform these steps until your scheduled cutover — the Friday before Go Live. Completing them early will break CounselEar's connection to Noah.

What you need to know

  • CounselEar can be locally hosted or cloud-hosted — your hosting type determines whether a data export is required (see below)

  • Some setups use a CounselEar Synergy App that must also be uninstalled


Export your Noah data (self-hosted only)

Complete this section only if your CounselEar setup is locally hosted. If you are unsure, confirm with Suno Support before proceeding.

  1. Navigate to Noah Administration.

  2. Open Noah Console.

  3. Navigate to Database Administration.

  4. Select the Backup option under Service.

  5. Click Backup to generate the backup file.

  6. Click Open backup location to locate the file.

  7. Drag and drop the backup file into the Suno shared drive.


Setup steps

Step 1: Open Control Panel

Navigate to Control Panel > Programs > Uninstall a Program.

Step 2: Uninstall CounselEar sync

Locate and uninstall CounselEar Cloud Sync (or the similarly named sync application on your system).

Step 3: Uninstall Noah 4 and modules

Locate and uninstall each of the following:

  • Noah 4

  • Audiogram

  • Noah 4 Journal

  • Questionnaire

Step 4: Remove Noah configuration files

Clean up leftover Noah configuration files so the reinstall starts completely fresh. Noah Support Reference Article

  1. Navigate to C:\Program Files (x86)\Common Files\HIMSA Shared. Rename the file NOAHCfgDatabase.sdf to NOAHCfgDatabase.old, then rename NOAHDatabaseCoreSqlCompact.sdf to NOAHDatabaseCoreSqlCompact.old. Delete everything else in this folder except those two renamed files, the Noahlink folder (if present), and noah4.lf.

  2. Navigate to C:\Program Files (x86)\HIMSA\Noah 4. Delete all contents inside this folder except the Backup folder.

  3. Navigate to C:\ProgramData\HIMSA. Rename the HIMSA folder to HIMSAold.

Step 5: Download Noah 4.117

Step 6: Install Noah

Open the downloaded file and follow the on-screen installation prompts to completion.

Step 7: Set Up Noah Configuration Wizard

The Noah Configuration Wizard window opens after Noah installation completes.

  1. Select option 4 for a Noah ES setup.

  2. Then click Next

  3. Then click Finish

Step 8: Sign into Noah ES

  1. Open Noah after installation.

  2. Enter your Noah ES credentials.

  3. When prompted for a server, select Noah ES US.

Step 9: Verify manufacturer modules

Confirm your manufacturer modules are present. Reinstall any that are missing. Download links are available at HIMSA – Noah modules.


Still need help?

If you're still unable to resolve the issue, contact Suno Support with your clinic name and the step where you got stuck and we'll be happy to help.

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