If you do your own Solismed installation and run into saving issue when adding some records (such as adding a new patient), you can either disable the strict more or upgrade Solismed to Version 2.3 SP2 and up. 

The strict mode issue arises when you install MariaDB or MySQL separately on your server. It's not an issue when you use XAMPP, WAMP, and Uniform Server because the embedded MariaDB or MySQL is not in strict mode.