Solution Change|Type|Description of Issue
1-5091919681|Correction|Only the first 50 characters are displayed in the United States (US) medication order sentence special instructions in the Medication Order Sentence wizard. Area Affected: Medication Order Sentence Wizard (opened from Bedrock.exe)
1-5091942231|Correction|If your domain does not contain Version 8.5.6 or later of Discern Explorer (CCL), the mltm_rdm_ref_load script may fail due to a segmentation fault error. Area Affected: Drug Content 
1-5142852886|Enhancement|This enhancement combines the United States (US) Multum reference and content release with the US MediSource dose range checking (DRC) and medication order sentence release. As a result, all Multum reference, DRC, and medication order sentences content is available on the same monthly release cycle. Areas Affected: Multum Reference and Content Releases MediSource DRC and Medication Order Sentence Releases 
1-5144491184|Correction|If your site uses Enhanced View functionality and you order drug pairs that were added or updated with the August 2011 release, an interaction alert is displayed indicating that drug interaction checking failed. This issue occurs because a table used by Enhanced View functionality contains the July 2011 interaction alert content instead of the August 2011 alert content. In addition, the August 2011 Multum US content package only is current through July 2011 for new formulary NDC values. As a result, you cannot create any new products that should have been available with the August release; however, you can create new formulary products if they were available with the July 2011 Multum US or earlier releases. Area Affected: Drug Content 
1-5145520011|Correction|Due to a corrupted file, if your site uses a VMS operating system, you cannot install Knowledge Infrastructure Content Package 53264 (Multum (US): Reference and Server (Aug 2011)). Area Affected: Package Installation
1-5162316949|Correction|Installing Knowledge Infrastructure Content Package 53264 (Multum (US): Reference and Server (Aug 2011)) may cause Readme File 4368 to fail if your domain contains a Discern Explorer (CCL) Version 8.3 or earlier. Area Affected: Drug Content
1-5191396817|Correction|During Cerner Multum Content Package installation, the Multum reference tables may be truncated if your site does not have SQL loader (SQLLDR) installed in the domain. When this occurs, interaction checking is not available in the Enhanced Decision Support dialog box, and custom Discern rules may fail. Area Affected: Cerner Multum Content Package Installation
1-5192311774|Enhancement|This enhancement removes the kia_import_drc script from Cerner Multum United States (US) content releases in order to synchronize with the Bedrock Dose Range Check wizard. This script now is provided with the October 2011 Bedrock Administration release. Area Affected: Drug Content
1-5214957471|Correction|Installing Knowledge Infrastructure Content Package 53797 (Multum (US): Reference, Server, DRC, and Medication Order Sentences (Sep 2011)) may cause Readme 4368 to fail if your site uses a VMS operating system. Area Affected: Package Installation
1-5243603317|Correction|Multum United States (US) Content Packages contain a version of the Medication CKI Map utility that does not honor the combination of CKI and Concept CKI fields. As a result, the Report 14 Obsolete Synonyms and Utilities 1, 3, 4, 5, and 6 may incorrectly qualify or display incorrect results. Area Affected: Medication CKI Map Itility (meds_cki_utility)
1-5244202801|Correction|The Multum US September 2011 Content Package (53797) generates blank SYNONYM_CONCEPT_CKI values on the MLTM_ORDER_CATALOG_LOAD table, which causes errors in the Multum Content Updates wizard (opened from Bedrock.exe). Area Affected: Drug Content
1-5266806531|Correction|When you install a United States (US) Multum Content Package, the system does not update the numeric Concept CKI value to match the numeric CKI value on the ORDER_CATALOG_SYNONYM table if the values do not already match. Area Affected: Drug Content
1-5369757401|Enhancement|With this enhancement, Cerner Multum United States (US) content includes the MLTM_DRC_ROUTE table for the Dose Range Check wizard (opened from Bedrock.exe). Area Affected: Drug Content 
1-5384569541|Correction|Installing Cerner Multum United States (US) content incorrectly assigns Concept CKI values to new allergies saved on the NOMENCLATURE table for generic and brand-name allergies in the Multum Drug terminology. These incorrect concept CKI values may prevent custom Discern rules from displaying alerts as expected. This issue does not affect generic-formulation allergies in the Multum Drug terminology. Area Affected: Drug Content
1-5423845351|Enhancement|Translation mappings do not exist between Cerner Multum terms and Cerner descriptions that are displayed in Dispense Quantity elements. As a result, duplicate order sentences may be created. Area Affected: Order Sentences
1-5441719505|Enhancement|This enhancement provides Cerner Multum United States (US) SDK Server version 4.0 for the 2012.01 Release Update. Area Affected: Drug Content
1-5492763931|Correction|Cerner Multum United States (US) content includes a version of the Medication CKI Map utility (meds_cki_utility) that does not automatically map primary synonyms in Utility 1. Area Affected: Medication CKI Map Utility (Meds_Cki_Utility)
1-5592213084|Correction|An error occurs in the SDK 4 service when it fails to recognize the Multum Allergy Category 160 (No Known Drug Allergies). Area Affected: SDK 4 
1-5615984981|Correction|Cerner Multum United States (US) Content Packages are not installed in a timely manner when building the normalized string index. Area Affected: Drug Content
1-5615985227|Correction|Cerner Multum United States (US) Content Package installation is not efficient when creating RxNorm terminology. Area Affected: Content Package Installation
1-5638334073|Enhancement|With this enhancement, the Order Sentence Rebuild utility (os_rebuild_utility) is no longer provided in Cerner Multum United States (US) content. As of the March 2012 Bedrock Administration release, the ability to rebuild clinical display lines is now available in the Medication Order Sentence wizard (opened from Bedrock.exe). Area Affected: Order Sentence Rebuild Utility (Os_Rebuild_Utility)
1-5685463089|Enhancement|With this enhancement, installing Cerner Multum United States (US) content updates the EC Tablet alias in Code Set 4002 from ECT to DRT when the contributor source is MULTUM and the alias type meaning is FORM, which ensures that the appropriate Cerner Multum dose form is mapped to the corresponding Cerner Millennium code value. This update is in accordance with the United States Pharmacopeia (USP) change from 'enteric coated' to 'delayed release', which was then adapted for use by the US Food and Drug Administration (FDA) and the National Library of Medicine. Area Affected: Drug Content
1-5686115711|Correction|The United States (US) IV order catalog is missing 19 additional primary drug names. Since the synonyms for these items are available in IV order catalog content only, the synonyms are displayed incorrectly as primaries in the Multum Content Update wizard (opened from Bedrock.exe) Areas Affected: Cerner Multum United States (US) IV order catalog content Multum Content Update wizard (opened from Bedrock.exe)
1-5697415863|Correction|The Cerner Multum United States (US) February 2012 and later releases are not installed successfully if your site has completed the Coordinated Universal Time (UTC) conversion process. Area Affected: Drug Content
1-5715582611|Enhancement|This enhancement provides the following new tallman names for penicillamine in United States content: * 12239 penicillAMINE * 20920 penicillAMINE 125 mg oral capsule * 20921 penicillAMINE 250 mg oral capsule * 20466 penicillAMINE 250 mg oral tablet Area Affected: Drug Content
1-5733819914|Correction|Cerner Multum United States (US) IV order catalog content incorrectly includes the following obsolete synonym: D25W (MUL.ORD-SYN!29760) Area Affected: Drug Content
1-5835112083|Correction|The following errors may occur during the installation of Cerner Multum United States (US) content: RDBMS constraint violation([ORA-00001]ORA-00001: unique constraint (V500.XAK2CONCEPT) violated %CCL-E-288-MLTM_RDM_REF_LOAD(0,0)S0L5.3d6{}RDBMS constraint violation([ORA-00001]ORA-00001: unique constraint (V500.XPKCONCEPT) violated ). Area Affected: Drug Content 
1-5872366291|Enhancement|With this enhancement, installing Cerner Multum United States (US) content populates the MLTM_NDC_INNER_CORE_DESC and MLTM_NDC_OUTER_INNER_MAP tables to support new PharmNet functionality. Area Affected: Drug Content
1-5933679241|Correction|The dose form description of enteric coated tablet was not updated to delayed release tablet in Cerner Multum (US): Reference, Server, DRC, and Medication Order Sentences (May 2012) content. Area Affected: Multum Drug Database
1-5936916451|Enhancement|This enhancement provides outbound cross mappings from Cerner Multum drug identifiers to Vaccine Administered (CVX) identifiers. Area Affected: Cerner Multum
1-5981195611|Enhancement|This enhancement adds premixed potassium chloride bags to the Cerner Multum (US) medication IV order catalog. This update includes MMDC orderable items under the d04129 LVP solution with potassium. Area Affected: Cerner Multum (US) content
1-6031827571|Enhancement|This enhancement updates the NDC_FORMATTED column to match the INNER_NDC_CODE column on the NDC_INNER_CORE_DESCRIPTION table in the Cerner Tables database. Previously, the NDC_FORMATTED column displayed the corresponding outer national drug code (NDC). Area Affected: Cerner Multum Drug Database
1-6090140611|Correction|The following methotrexate order sentences contain incorrect frequency and duration values: * MUL.IP!1023854 * MUL.IP!1031684 * MUL.IP!1034428 * MUL.IP!1039600 * MUL.OP!1027851 * MUL.OP!1033846 * MUL.OP!1036094 * MUL.OP!1039254 * MUL.OP!1049978 * MUL.OP!1059515 * MUL.OP!1206244 * MUL.OP!1206428 * MUL.OP!1208799 * MUL.OP!1209113 * MUL.OP!1210204 * MUL.OP!1217742 Area Affected: Multum Drug Database
1-6100516103|Correction|Knowledge Infrastructure Content Package 59853 incorrectly contains June 2012 content instead of July 2012 content. Area Affected: Drug Content
1-6118495311|Correction|July 2012 Multum (US): Reference, Server, DRC, and Medication Order Sentences content contains incorrect descriptions for the following SilvaSorb synonyms (the correct information is listed below): * SILVASORB 2"X2" * SILVASORB 4"X10" * SILVASORB 4"X8" * SILVASORB 4.25"X4.25" * SILVASORB 2"X2" TOPICAL DRESSING * SILVASORB 4"X10" TOPICAL DRESSING * SILVASORB 4"X8" TOPICAL DRESSING * SILVASORB 4.25"X4.25" TOPICAL DRESSING Area Affected: Drug Content
1-6176569041|Correction|In United States content applications, the Drug Interaction Severity heading for Methenamine Hippurate and Sulfonamides is Moderate – Generally Avoid instead of Major – Contraindicated. This issue affects the following items: Interaction ID : Drug ID 1 : Drug 1 : Drug ID 2 : Drug 2 : Severity ID : Heading ID 1000915 : d00106 : methenamine : d00118 : sulfADIAZINE : 3 : 1 1000915 : d00106 : methenamine : d00119 : sulfamethoxazole : 3 : 1 1000915 : d00106 : methenamine : d00120 : sulfiSOXAZOLE : 3 : 1 1000915 : d00106 : methenamine : d00379 : sulfaSALAzine : 3 : 1 1000915 : d00106 : methenamine : d01090 : sulfamethizole : 3 : 1 1000915 : d00106 : methenamine : d03742 : sulfadoxine : 3 : 1 Application Affected: Cerner Multum Drug Database
1-6239142701|Correction|Extracting the Multum Server .zip files included in August 2012 Multum United States content inappropriately creates duplicate, sublevel .zip files. Area Affected: Cerner Multum Drug Content
1-6275760291|Enhancement|This enhancement updates the Most Common Choice setting for Keppra (levetiracetam) from Two Tablets to One Tablet in RxBuilder. Area Affected: Cerner Multum (US) Content
1-6322486871|Enhancement|The MultumServer v2-US.exe file needs to be removed from the Multum US Content Package as this file is not in use on any sites running on a version of Cerner Millennium between the 2003.01 and 2004.M04.03.0 releases in a production domain with an active subscription to Cerner Multum or MediSource Area Affected: Cerner Multum
1-6440942411|Enhancement|This enhancement provides a one-to-one cross-mapping between a Cerner Multum drug identifier and a RxNorm RXCUI value when the National Library of Medicine sets the Cerner Multum-to-RxNorm outbound cross-mappings as one-to-many. Area Affected: Cerner Multum
1-6473098941|Correction|Multum US to RxNorm obsolete mappings are not removed appropriately from the CMT_CROSS_MAP, CMT_CROSS_MAP, and CMT_CONCEPT tables during package installation. As a result, duplicate outbound mappings can occur and cause the interface to fail to send an outbound transaction. Area Affected: Cerner Multum
1-6580747758|Enhancement|With this enhancement, the CVX content load removes obsolete cross mappings from the CMT_TERM_MAP and CMT_CROSS_MAP tables. Areas Affected: Cerner Multum United (US) CVX Codes
1-6609399411|Enhancement|The Cerner Multum citation text needs to be included with the Cerner Multum (US) content and loaded on the MLTM_REF_DRUG and MLTM_REF_DETAIL tables. Area Affected: Cerner Multum (US)
1-6669783421|Enhancement|With this enhancement, the Cerner Multum (US) content includes inbound cross-mappings from Vaccine Administered (CVX) to Cerner Multum drug identifiers. Area Affected: Cerner Multum (US)
1-6675868147|Correction|Readme 4368 can fail due to sequencing issues. Area Affected: Cerner Multum (US)
1-6714927441|Correction|Inbound and outbound RxNorm to Cerner Multum allergy term cross-mappings do not load properly to the CMT_TERM_MAP table. Area Affected: Cerner Multum (US)
1-6894885601|Correction|If a domain is set up to use manufacturer-ordered drug names, an issue with the Cerner Multum Readme script causes extra MUL.ALGCAT (Multum Allergy Category) rows to be added to the NOMENCLATURE table with incorrect SOURCE_IDENTIFIER values. The update uses the incorrect SOURCE_VOCABULARY_CD of MUL.ALGCAT, rather than MUL.DRUG, when adding allergies. This also means some MUL.DRUG allergy rows for manufacturer names could be missing from the NOMENCLATURE table. Area Affected: Cerner Multum
1-6973219041|Enhancement|With this enhancement, the Cerner Multum (US) content release includes cross-mappings between the Multum drug allergy terminology and RxNorm terminology. The following new term-type maps are needed to satisfy Meaningful Use Stage 2: * Multiple Ingredient (MIN) * Ingredient (IN) Area Affected: Cerner Multum (US) Content
1-6993392031|Correction|The kia_load_xmap script needs to remove rows with MAP_TYPE_CD values of 0 from the CMT_CROSS_MAP table during loading. Area Affected: Cerner Multum
1-7044992202|Enhancement|This enhancement adds the following fields to the XPKMLTM_RXB_ORD_DOSE_AMOUNT2 primary key index for the MLTM_RXB_ORD_DOSE_AMOUNT table to match the fields provided in the Multum drug database: DOSE_QTY_UNIT_DICTIONARY_ID MOST_COMMON_IND Area Affected: Controlled Medical Terminology
1-7050563051|Correction|New CMTI values may incorrectly cause duplicated terms in Australian Medicare Benefits Schedule-Extended (MBS-E) version 9. Area Affected: Controlled Medical Terminology
1-7139434071|Enhancement|This enhancement removes the Comment Text 1 element from prescription medication order sentences in the US. Area Affected: Cerner Multum Drug Database
1-7143192881|Correction|Multum US Content Package installation can fail on the CMT_TERM_MAP table load due to unnecessary matching logic. When loading the RxNorm and CVX term mappings, the Multum Drug Allergy term mappings should match on the source_string only. Currently, the Multum Drug Allergy term mapping logic matches on the source_identifier and then the source_string when attempting to identify the correct CMTI on the NOMENCLATURE table. The source_identifier check should be skipped. Area Affected: Drug Content
1-7152766841|Correction|The DRC Max Dose Unit field is populated, but the Max Dose field is not populated. This prevents users from using the maximum dose for DRC groupers and cannot be resolved in Core Dose Range Builder (CoreDRBuilder.exe). Area Affected: Cerner Multum United States (US)
1-7312239251|Correction|The Multum servers should be packaged against the contents of the .ZIP files received from Multum, not against the .ZIP files themselves. Area Affected: Cerner Multum
1-7312894501|Enhancement|This enhancement obsolesces acetaminophen prescription combination products that contain more than 325 mg of acetaminophen. Area Affected: Cerner Multum
1-7318878361|Enhancement|Certain Multum National Drug Code (NDC) values are being obsolesced with the October 2013 Cerner Multum content release. Area Affected: Cerner Multum
1-7354627871|Enhancement|This enhancement updates the maximum therapeutic duplication number (US) to 99 for the following drugs: Drug ID Drug Name d03998 sterile water d04128 LVP solution Area Affected: Multum Drug Database
1-7358551163|Enhancement|With this enhancement, Medication Guide (MedGuide) links are included in the Cerner Multum United States (US) content to support mCDS window functionality. Area Affected: Medication Clinical Decision Support (mCDS) Window
1-7377387651|Enhancement|This enhancement maps the Cerner Multum (US) RxBuilder DICTIONARY_ID values to the existing code value Cerner Knowledge Index (CKI) in the MLTM_CERN_RXB_DICT_MAP table. Area Affected: Cerner Multum RxBuilder
1-7377967761|Enhancement|This enhancement provides DailyMed MedGuide links for Cerner Multum (US) content. Area Affected: Multum Drug Database
1-7391981678|Enhancement|With this enhancement, drug synonym-to-DRC grouper relationships are updated when the Cerner Multum (US) content has a one synonym-to-one DRC grouper relationship and Cerner Millennium has a one synonym-to-many DRC grouper relationship. With this change, the follow updates occur automatically: * Duplicate rows on the DRC_GROUP_RELTN table are removed when the only difference is the DRC_GROUP_RELTN_ID value. * Rows that exist on the DRC_GROUP_RELTN table that do not have corresponding DRC_GROUP_ID values on the child DRC grouper tables are removed. * Row that exist on the DRC_GROUP_RELTN table that no longer match Cerner Multum and that do not have any DRC premise content on the DRC_PREMISE table are removed. Area Affected: Cerner Multum
1-7415743701|Enhancement|With this enhancement, the system does not filter out content if a match is not made between the Cerner Multum identifier and the Cerner Millennium code value in Cerner Multum US medication order sentence processing. Area Affected: Cerner Multum
1-7467832047|Correction|In Cerner Multum (US), RxBuilder mappings are incorrect between the Cerner Multum DICTIONARY_ID value and the Cerner Knowledge Index (CKI) code value. Area Affected: Cerner Multum (US)
1-7595086141|Correction|Dose range checking (DRC) alerts may not be displayed when you place an order due to missing rows on the DRC_GROUP_RELTN table. In addition to this issue, the DRC grouper may not be displayed in Core Dose Range Builder (CoreDRBuilder.exe). Affected Areas: Cerner Multum Core DR Builder PowerOrders PharmNet
1-7682198113|Correction|When comparing concept_cki to target_concept_cki in terms that have cross maps, the kia_load_xmap script may use the oldest begin effective date instead of the most recent or future begin effective date. The following terminologies are affected: Multum - US, including RxNorm and CVX Multum - AU - NeHTA Intelligent Medical Objects - US Intelligent Medical Objects - CA Provider Friendly Terminology - US LOINC - US Eng Mapping Code Set and Order Catalog Content - US Eng No Chronic Problems Diagnosis Assistant CBO - US Eng SNOMED CT - US SNOMED CT - UK Problem List Mayo - US AP: CAP eCC ICD-10-PCS - US ICD-9-CM - US ICD-10-CM - US CIF - MX MBS-E - NSW Area Affected: Controlled Medical Terminology
1-7773457691|Enhancement|This enhancement provides the Drug Interaction Changes report as supplemental documentation for Cerner Multum US. The report is currently on the Cerner Multum server, which requires installing the package to access the report. With this change, the report exists as supplemental documentation and can be accessed prior to installing the package. The report uses the following naming format: en-US_Sep13_vs_Oct13_DrugInteractionsChanges.Multum_Text.xls For more information on available supplemental documentation, see the Cerner Multum Content Reports page (https://wiki.ucern.com/x/Y4IHRg) in the Reference Pages on uCern Wiki. Area Affected: Cerner Multum
1-7837371441|Correction|When Cerner Multum U.S. packages are installed, relationships between antithyroid drugs and the thyroid therapeutic category may not be updated correctly when updates are made to the Multum drug database. This may result in an antithyroid drug being associated with a thyroid therapeutic category, which may cause an antithyroid drug to be displayed as a possible match to a thyroid drug during Medication Reconciliation. Area Affected: Cerner Multum
1-7950153191|Correction|Citation text may not be available in the Medication Clinical Decision Support (mCDS) window after loading the Cerner Multum US Content Package. This issue occurs in domains where DM2_MIG_SEQ_ID was added during domain migrations, causing the MLTM_REF_DRUG table to not be populated. The kia_sqlldr script needs to omit this column from being selected, as the selection of this column is what causes the load issue. Area Affected: Cerner Multum US
1-8070907385|Correction|When you attempt to load the Cerner Multum US April 2014 content package multiple times or during subsequent loads of Cerner Multum, a unique constraints error message is displayed referencing the CMT_CROSS_MAP_LOAD table. The duplicate rows have a source_mean value of ICD-10-CM and map_type_mean value of ICD10=SCT. ICD-10 mappings are not cleared from the load table before loading the current files. The load table should be cleared properly to avoid a unique constraint error. Area Affected: Cerner Multum
1-8073439351|Correction|On AIX domains, a cosmetic error message indicating that the file copy action failed is displayed even when the copy of the file was successful. Note that this issue does not affect the package contents. Area Affected: Cerner Multum
1-8684979131|Enhancement|This enhancement updates the Controlled Substances Act (CSA) schedule for HYDROcodone combination drugs to Schedule II on October 6, 2014, for Cerner Multum US releases. Area Affected: Cerner Multum
1-8747577001|Correction|A Controlled Substances Act value of 2 was supplied instead of a value of 3 for hydrocodone combination products in the National Drug Code (NCD) weekly file between August 6, 2014, and September 3, 2014. Area Affected: Cerner Multum
1-8747577182|Correction|Leading zeroes on National Drug Codes (NCDs) are missing in the NDC weekly file. Area Affected: Cerner Multum
1-8771571961|Enhancement|This enhancement removes the following National Drug Codes (NDCs) in December 2014: 10-digit NDC Code 11-digit NDC Code 0024700520 00247005200 0024700660 00247006600 0024710743 00247107430 0024713246 00247132406 0024715096 00247150960 0024717423 00247174230 The following 10-digit NDC codes have an obsolete date of 1/1/2000: They exist in the tables: ndc_core_description ndc_cost ndc_denorm Area Affected: Cerner Multum
1-8803704991|Enhancement|With this enhancement, the Cerner Multum Drug Database sets all inactive synonyms under Chlorpheniramine/HYDROcodone/phenylephrine (d03361) and Carbinoxamine/HYDROcodone/pseudoephedrine (d04752) to CSA Schedule II. Area Affected: Cerner Multum
1-8870838721|Correction|The QUEtiapine 100 mg tab value may incorrectly be displayed as 200 mg. Area Affected: Cerner Multum
1-8935526271|Enhancement|With this enhancement, the system writes a DM_INFO row with the following values when you install Cerner Multum US Content Packages: info_domain = 'MULTUM' info_name = 'LOCALE' info_char = 'US' Additionally, Order Management logic can flex Controlled Substances Act (CSA) logic based on locale and the system checks for these values before you install Cerner Multum US content. Area Affected: Cerner Multum
1-8948899891|Enhancement|With this enhancement, the Cerner Multum US package updates the inner National Drug Code (NDC) to outer NDC mappings when the manufacture maps to a different outer NDC. With this change, historical mapping is removed and a new relationship is created on the MLTM_NDC_OUTER_INNER_MAP table. The following NDCs are affected: Original Mapping: outer_ndc_code inner_ndc_code inner_size obsolete_date 51079045256 51079045201 1.000 NULL Updated Mapping: outer_ndc_code inner_ndc_code inner_size obsolete_date 51079045220 51079045201 1.000 NULL Original Mapping: outer_ndc_code inner_ndc_code inner_size obsolete_date 00143993003 00143993091 1.000 2013-01-17 Updated Mapping: outer_ndc_code inner_ndc_code inner_size obsolete_date 00143993010 00143993091 1.000 NULL Area Affected: Cerner Multum
1-9046992071|Correction|Cerner Multum US processing logic incorrectly omits active RxNorm outbound mappings. This may cause an active medication to have no active mapping to an RXCUI value. This issue does not affect inbound mappings. In addition, the end_effective_dt_tm value is not appropriately set on the CMT_CONCEPT table when an RXCUI is made obsolete from the National Library of Medicine (NLM). Area Affected: Cerner Multum
1-9049735743|Enhancement|This enhancement provides the Cerner Multum drug to lactation content tables, XP_CLINICAL_TEXT and XP_CLINICAL_TEXT_XREF, in Cerner Multum US content. Area Affected: Cerner Multum
1-9248977201|Enhancement|This enhancement updates Y and Z synonym types to M and N synonym types in the Cerner Multum US medication order catalog. This change provides additional inpatient synonyms and affects the following content types: * Combination drugs * Inhalation * Optic * Otic * Topical * Volume-based medications represented within a percentage Area Affected: Cerner Multum
1-9378240398|Correction|Multum installation needs to query the dba_tables. Currently it is only querying for the V500 owned tables. Area Affected: Cerner Multum
1-9448820124|Correction|In the Cerner Multum Drug Database, the National Drug Code (NDC) for morphine 10 mg/24 hr oral capsule, extended release, may be incorrectly mapped to morphine 100 mg/24 hours oral capsule, extended release. Area Affected: Cerner Multum
1-9454062851|Enhancement|With this enhancement, the US Food and Drug Administration (FDA) is beginning the transition to eliminate pregnancy categories. As a result Multum uses a pregnancy category of N for new drugs that do not have the FDA pregnancy category provided by the manufacturer. You can include drugs in the Discern Expert Rules with an N category based on the following pregnancy severity: severity_id severity_description 7 Minor Female Pregnancy Warning 8 Major Female Pregnancy Warning 9 Minor Male Pregnancy Warning 10 Major Male Pregnancy Warning 11 Minor Female, Minor Male Pregnancy Warning 12 Minor Female, Major Male Pregnancy Warning 13 Major Female, Major Male Pregnancy Warning 14 Major Female, Minor Male Pregnancy Warning Area Affected: Cerner Multum
1-2259043721|Correction|The allergy category insert in the Multum US Readme file may fail due to an Invalid Number error. As a result, new allergy categories are not inserted. Area Affected: Multum Reference Content
1-9712888911|Enhancement|With this enhancement, the Cerner Multum US Content Package needs to load the MLTM_SEVERITY table. This content supports the identification of pregnancy and lactation content severity levels stored on the MLTM_XP_CLIN_TEXT and MLTM_XP_CLIN_TEXT_XREF tables. Area Affected: Cerner Multum
1-9861538645|Correction|In Cerner Multum, dba_indexes and dba_tab_columns table needs to be added to the CR 1-9378240398. Multum installation needs to query the dba_indexes table for only one entry of V500 owners. Area Affected: Cerner Multum
1-9975619331|Enhancement|With this enhancement, the The Multum US content package adds the CLIN_TEXT column on the MLTM_XP_CLIN_TEXT to support the full text provided by Multum. Area Affected: Drug Content
1-10107767376|Correction|Load scripts do not ignore the TXN_ID_TEXT column during the content load for Multum US. Application Affected: Drug Content
1-10108004652|Correction|The dta_tab_columns script does not retrieve only V500 owner columns, and potentially incorrect column information is retrieved for Multum US. Application Affected: Drug Content
1-10115799511|Enhancement|With this enhancement, the MLTM_ALR_INTERACT_TYPE table is populated to support future Medication Clinical Decision Support (mCDS) for Multum US.. Application Affected: Drug Content
1-2334793361|Enhancement|With this enhancement, the client would have the ability to dynamically create an uploadable .CSV file for available medication order catalog content. This process would compare the available Multum content to the content currently loaded in the client's domain and create a file containing the delta of the comparision. Area Affected: Medication Order Catalog Upload
1-2335078285|Enhancement|The client requests that the following tables be loaded with the Multum upload process to support new PharmNet functionality as of 2007.18: * MLTM_NDC_IMAGE * MLTM_FLAVOR * MLTM_COLOR * MLTM_SHAPE * MLTM_ADDITIONAL_DOSEFORM
1-2385039091|Correction|CPS_MAK_DRUG_CATEGORIES may replace user-defined folders with drug category IDs. Area Affected: Multum Reference Content
1-2455880001|Correction|If you install the September 2008 Multum Data Service Pack (DSPv131_Sep.exe) on a device hosting a Cerner License Multum SDK Server and IIS utilizing port 80. a port conflict may occur, and http communication to the IIS web site may be lost.
1-2534343641|Enhancement|For the November United States (US) Multum release, the client requests that weekly uploads for drug names be updated to be active (If a drug name's IS_OBSOLETE value is T, it should be changed to F). Area Affected: Multum Reference Content
1-2579016211|Enhancement|The client requests that the size of the CATEGORY_NAME field on the MLTM_DRUG_CATEGORIES table for Spain be increased from 60 to 120.
1-2667961131|Enhancement|With this enhancement, create a report or utility that can be ran before running the medication bedrock wizard or executing a back-end .CSV file upload. In order to review and update existing orderable items as obsolete when the new monthly orderable item has the same medication description but has a different CNUM. Area Affected: Knowledge Index Applications
1-2667961348|Enhancement|With this enhancement, create a report that can be ran to identify and review orderable items with primary descriptions longer than 40 characters or synonym descriptions longer than 100 characters. Area Affected: Knowledge Index Applications
1-431986514|Enhancement|This enhancement provides the following new Multum reference tables for Providing Care functionality: * MLTM_COMBINATION_DRUG * MLTM_NDC_ACTIVE_INGRED * MLTM_NDC_ACTIVE_INGRED_LIST * MLTM_NDC_INGRED_STRENGTH Area Affected: Multum content
1-786955062|Enhancement|Clients need a Pharmacy Order Entry Format (OEF) .XML file, so they can load OEFs for the pharmacy catalog type on a spreadsheet with Content Manager (ContentManager.exe). Previously, they needed to build and format each field manually or download the file from Cernworks.
1-826013473|Enhancement|With this enhancement, the system provides the ability to display, on demand, potential interactions on a patient’s medication list, even if a medication is not being prescribed at that time. You can review all potential alerts from the profile itself. Application Affected: PowerOrders (PVOrderPOE.dll opened from PowerChart.exe)
1-947555002|Enhancement|In order to prevent interpretation errors, Cerner Multum has split some DNUMs. For example d00525: antihemophilic factor (obsolete)-old Split into- d05974: antihemophilic factor d05874: antihemophilic factor-von Willebrand factor d00527: Factor IX Complex (obsolete)-old Split into- d05963: coagulation factor IX d05965: factor IX complex
1-10364866871|Correction|The KIA_LOAD_XMAP script fails in certain domains due to n invalid number error that occurs when you attempt to update the DM_INFO row for the XMAP runs. Area Affected: Controlled Medical Terminology
1-10370580881|Enhancement|With this enhancement, the MediSource US Patient Specific Dose Range Checking content is added to Multum US. Area Affected: Multum
1-1053143811|Correction|The Medication CKI Map utility does not allow reports 6 and 7 to process seven digits. Area Affected: Knowledge Index Applications
1-10610172681|Correction|RXNorm and CVX Norm rows need to be corrected to have their valid begin_effective dates on them. Area Affected: Drug Content
1-10708323901|Correction|The Multum order catalog needs to include M, N, Y, Z items as long as the synonym and drug are not obsolete, even if the is no modifier available. Area Affected: Multum (US)
1-10736327761|Enhancement|With this enhancement, patient education leaflet information is added to Multum US reference tables. Area Affected: Multum US
1-10802326133|Enhancement|With this enhancement, cross-mappings from Multum drug allergy categories to National Drug File - Reference Terminology (NDF-RT) codes are available. These mappings are required to promote codified data exchange between systems.
1-10828528731|Enhancement|With this enhancement, the Multum US content package includes an additional mapping added to the mltm_cern_rxb_dict_map.csv file. This allows Multum drugs with the following frequencies to display as an additional pick option in the RxBuilder short list: * Multum Values: - DICTIONARY_ID: 705 - DESCRIPTION: once a week - Millennium Code Value: -- Code Set: 4003 -- Display: Every week -- CKI: CKI.CODEVALUE!7275 * Multum Values: - DICTIONARY_ID: 717 - DESCRIPTION: every 2 weeks - Millennium Code Value: -- Code Set: 4003 -- Display: Every 2 weeks -- CKI: CKI.CODEVALUE!152078 * Multum Values: - DICTIONARY_ID: 1223 - DESCRIPTION: Every 2 to 5 minutes * Millennium Code Value: -- Code Set: 4003 -- Display: Q 2-5 min -- CKI: CKI.CODEVALUE!12026338
1-10845735111|Correction|The CMT_BUILD_NSI script relies on the deletion of a row from the DM_INFO table to specify that processing is complete. In some domains, you do not have the authority to delete a row.
1-10855257751|Correction|The Multum US CONCEPT table is missing some drug identifiers (DNUMs) in the MUL.DRUG! [drug_identifier] format, which can cause Discern Rules to fail.
1-10897406291|Enhancement|With this enhancement, the Multum US content release includes CVX to NDC cross-mapping logic to support ePrescribing Meaningful Use Stage 3 requirements.
1-11001940566|Correction|The kia_load_xmap script causes multiple instances to run at the same time, and incorrect map_type_cds are displayed on the cmt_cross_map table. Area Affected: Controlled Medical Terminology
1-1283975314|Correction|Readmes 4368 for US and 3100 for CA fail if default zero rows are encountered.
1-11246205921|Enhancement|With this enhancement, the Multum US medication order catalog includes multivitamins and ocular lubricants as M or N synonym types, rather than Y or Z synonym types, for inpatient ordering. Application Affected: Drug Content
1-11272430568|Correction|The Multum US Concept table does not include all Multum Allergy categories with the MUL.ALGCAT format. Affected Terminology: Multum US
1-11277303255|Enhancement|With this enhancement, the RXBuilder CKI fields are loaded in batches and included on Multum tables. Area Affected: Multum (US) Drug Content
1-11363128120|Correction|Updated order catalog CSV files are not available. Terminology Affected: Multum US
1-11516773801|Correction|The Australian back-end administration medication order catalog .CSV file, rather than the US file, was included in Multum (US) packaging. Application Affected: Drug Content
1-2966623456|Correction|During the Multum reference content uploads, if the MLLD_NDC_CORE_DESCRIPTION field has a blank OBSOLETE_DATE value but the MLTM_NDC_CORE_DESCRIPTION field contains a value, the OBSOLETE_DATE value is not set to blank as it should be. Area Affected: Multum Reference Content Uploads
1-11724143593|Correction|The processing of the Multum-provided NDC tables was turned off, and the NDC changes are not retrieved by the correct appropriate reference tables for Multum (US). Application Affected: Controlled Medical Terminology
1-11728541841|Enhancement|With this enhancement, the following updates are made to the Documentation folder for Cerner Multum products: * Folder: [Product name]_en-US_[MonthYear]: - The Drug Names .PDF document title is changed to Cerner Multum’s Drug Names and Identifiers. - The VantageRx .PDF document title is changed to VantageRx Database Drug Product and Disease Listings. * Folder: Vxxx [Month Year]: - Three [Month Year] Update Report Summary 1 documents are not available. - An en-US_[MonthYear]_Multum_Clinical_Notes document is not available in this subfolder but remains in the [Product name]_en_US_[MonthYear] folder. - An en-US_[MonthYear]_to_[MonthYear]_DrugNameChanges_Multum_Text Microsoft Excel spreadsheet is added. - en-U.S. is replaced for non-U.S. products. Application Affected: Multum Drug Database
1-11908644694|Correction|The cvx_cross_map file contains comma delimiters, rather than pipe delimiters for the Multum US terminology. Application Affected: Drug Content
1-11918089591|Correction|The drug_synonym_id (27188) is not obsolete. Application Affected: Multum Drug Database
1-11933310581|Enhancement|With this enhancement, a new rxn_multum_map table is available for the Cerner Tables database. Application Affected: Multum Drug Database
1-11933728351|Correction|Overlapping dates occur on the CMT_TERM_MAP table. Application Affected: Controlled Medical Terminology
1-11933933161|Enhancement|With this enhancement, the Multum US content processing filters are mapped between the RxNorm term Sodium Chloride to the Multum drug allergy Potassium Chloride. Application Affected: Drug Content
1-11973135660|Correction|The cvx_cross_map file does not contain data that exists in the cvx_ndc_map table for Multum (US). Application Affected: Drug Content
1-11973709361|Enhancement|Incorrect mappings between RxNorm RxCUI values and multiple Multum drug identifiers cause an inbound message that matches a similar, but not equivalent, drug name. Application Affected: Drug Content
1-11989332561|Correction|The DRC Standard Content report is not generated correctly. Application Affected: Drug Content
1-12019588831|Enhancement|With this enhancement, the MLTM_FREQUENCY and MLTM_FREQUENCE_MULTIPLIER tables are loaded for Multum US, for calculations and consistency between domains. Application Affected: Drug Content
1-12154158866|Enhancement|With this enhancement, a single primary vterm for generic formulations (MUL.MMDC) rows on the nomenclature table is available for Multum United States (US). Application Affected: Drug Content
1-12181107604|Enhancement|With this enhancement, the DRC Standard Content and DRC Patient Specific Content reports are merged into a single report for Multum US in a .xls format. Application Affected: Drug Content
1-12230117721|Enhancement|With this enhancement, the ndc_outer_inner_map table is included in Cerner Tables. Application Affected: Multum Drug Database
1-12271323901|Enhancement|With this enhancement,certain drugs contain a revised Drug Interaction Severity based on a new black box warning required by the Food and Drug Administration (FDA), Application Affected: Multum Drug Database
1-2979458372|Correction|The January 2009 Multum load contains duplicates on the MLTM_ORDER_CATALOG_LOAD table, which creates duplicate displays in the Bedrock wizard. Additionally, an upload issue occurs if either CKI exists in the database.
1-12362362161|Enhancement|With this enhancement, Multum US contains a single primary vterm for Allergy (MUL.DRUG) rows on the NOMENCLATURE table. Application Affected: Drug Content
1-12367586557|Enhancement|With this enhancement, member drugs are excluded from the medication order catalog for Multum US. Application Affected: Drug Content
1-12453025071|Enhancement|With this enhancement, the Actemra 162 mg/0.9 ml subcutaneous injection is marked as available. Application Affected: Multum Drug Database
1-12486383031|Enhancement|With this enhancement, Drug Condition Interaction (DCI) content is available for Multum US to support Leapfrog certification. Application Affected: Drug Content
1-12519072771|Correction|The US Order Catalog load table does not include all primary drug entries where available drugs exist in the hierarchy. Application Affected: Drug Content
1-12564676151|Correction|Drug formulations are missing or blank in the PharmNet formulary for Multum US when you access records for IV fluids. Application Affected: Drug Content
1-12671039444|Correction|When you attempt to stack new national drug codes (NDCs), a drug formulation mismatch warning occurs and a new entry is created with the same code, rather than updating the existing nomenclature with the Tall Man lettering. Application Affected: Drug Content
1-12804605771|Correction|The correction script to fix the Tall Man issue that occurs when national drug codes (NDCs) are stacked is missing. Application Affected: Drug Content
1-12837791691|Correction|A free-text allergy that was entered in a patient's chart is displayed as 0, rather than by the allergy name. Application Affected: Drug Content
1-12845303171|Correction|Primary drugs are removed from the medication order catalog for Multum US. Application Affected: Drug Content
1-12859137121|Correction|The back-end order catalog loads drugs that do not contain primary ingredients for Multum US. Application Affected: Drug Content
1-2988285941|Correction|The Multum weekly medication order catalog content uploads do not populate the CONTRIBUTOR_SYSTEM_CD value. Application Affected: Multum
1-3002397578|Correction|The KIA_RPT_PHARM_MED_IVSOL script is not available on the Multum Content Package. As a result, Report 6 in the MEDS_CKI_UTILITY utility does not execute properly. Area Affected: MEDS_CKI_UTILITY utility
1-12984947711|Enhancement|With this enhancement, the Multum Server reports are available in the MultumServer-US.exe or MultumServer v4-US.exe files and as Supplemental Documentation on the Distributions page of Cerner.com. In addition, improved compression technology makes the reports smaller in size, but the content remains the same. Application Affected: Drug Content
1-13128359401|Correction|Current formulations do not contain an effective primary term during the Multum US load process. Application Affected: Drug Content
1-13161631771|Correction|Short list errors occur when CKI values are not available for Rx Builder content for Multum US. Application Affected: Drug Content
1-2048725481|Correction|Using CMT Maintenance Tool (CMT_Tool.exe) to create a synonym to a Multum-supplied allergy category or drug may result in the allergy being added as a free-text allergy, which prevents it from qualifying for interaction checking. This issue occurs only if the Multum allergy no longer is active in the Multum reference content but is active in the client domain; it does not occur when both the Multum and client terms are active. This issue also results in a blank Concept CKI field in CMT Maintenance Tool. Application and Area Affected: CMT Maintenance Tool (CMT_Tool.exe) Allergy Interaction Checking
1-000000095638|Correction|The latest version of the Multum Reports US file (Multum Reports US.exe) is missing. Area Affected: Multum US - Drug Content
1-10218308990|Correction|The Cerner Multum United States content load does not update the SYNONYM_CONCEPT_CKI field on the MLTM_ORDER_CATALOG_LOAD table for Multum US. Application Affected: Drug Content
1-3095354723|Correction|Multum Allergy Category 169 (beta lactamase inhibitorsone) is duplicated in the content. Additionally, one instance contains a space prefix, and the other does not. Area Affected: Multum Allergy Category 169
1-3199798970|Correction|The installation of Knowledge Index Applications Content Package 37351 (Multum Reference and Server (US) (Apr 2009)) writes out a version row of 'United States' instead of 'April 2009'. As a result, 'United States' is displayed as the latest version of Multum installed in the domain. Application Affected: Bedrock Multum Content Updates Wizard
1-3496861946|Correction|Report 98 (the Where Used report) in the MLTM_SPLIT_DNUM_UTIL utility does not filter Cerner-Multum-shipped content appropriately in the Orders Folders report. As a result, a list of folders that cannot be resolved is displayed in Order Folder Maintenance Tool. Application and Area Affected: MLTM_SPLIT_DNUM_UTIL utility Order Folder Maintenance Tool (OrdFolderMaintTool.dll opened from DCPTools.exe)
1-3506524031|Correction|MUL.ALGCAT and MUL.DRUG need historical concept_identifiers trimmed. There are padded spaces on some historical rows that need removed.
1-3617367141|Correction|Multum United States (US) Content Packages incorrectly provide allergy categories 113 (egg containing compound), 114, and 115 (sulfite) instead of allergy classes. As a result, invalid allergy category alerts similar to the following are displayed: Invalid Argument: "113" is not a valid "AlrCategoryId". Area Affected: Multum Allergy Content
1-3629327781|Enhancement|This enhancement updates the Cerner Multum United States (US) IV order catalog content and allows it to be loaded using the Bedrock Multum Content Update wizard (opened from Bedrock.exe). With this release, the ivsolutions_order_catalog.csv back-end file no longer is provided. Area Affected: Drug Content
1-3637128181|Correction|The flat text dosing for chlorpheniramine-phenylephrine incorrectly shows a pediatric dose range of 1.25 to 25 mL for patients two to five years old when it should be 1.25 to 2.5 mL. Area Affected: Multum Content
1-3640127939|Correction|Installing Multum United States (US) Content Packages may incorrectly flag client-created drug allergies and allergy categories, qualifying them for clinical checking and causing errors to display. This issue occurs if you have installed the correction for CR 1-2966623456.
1-3747157991|Correction|The cps_mak_drug_categories script inappropriately allows you to add Multum folders below Owner folders. Area Affected: cps_mak_drug_categories
1-3772831986|Enhancement|This enhancement provides a list of United States (US) dose range checking (DRC) grouper content as supplemental documenation in a modifiable format (for example, a Microsoft Excel spreadsheet). Area Affected: MediSource Dose Range Checking
1-3889507431|Enhancement|This enhancement updates the system so that uploading United States (US) Multum medication order catalog content using the back-end .CSV file upload on the 2010.01 Release Update and later requires the addition of the INTERMITTENT_IND field to the orm_import_orc_provide script. Area Affected: Back-end order catalog .CSV file upload
1-3917344438|Correction|Multum Allergy Category 160 (NKDA) was provided incorrectly as part of a historical US Multum content package upload. If you select this category, the system does not display a message indicating that no interaction checking could be performed. Area Affected: Allergy Checking
1-3942877281|Correction|Installing the March or April 2010 Multum Content Package may cause the following error for allergy categories 113 (egg containing compound) and 114 (aminoglycoside containing vaccine): Invalid argument xxx is not a valid AlrCategoryID.
1-4019803231|Enhancement|This enhancement updates the United States (US) Multum upload to account for combination drug changes. Area Affected: Multum Drug Content
1-4096036661|Enhancement|This enhancement replaces Report 11 in the Medication Drug CKI Map Utility (meds_cki_utility) with the PharmNet Incorrect IV Order Catalog CKI Check report. Report 11 no longer is necessary, as Report 14 contains the same functionality and uses the MLTM_ORDER_CATALOG_LOAD table. Area Affected: meds_cki_utility
1-4155705161|Enhancement|In order to prevent interpretation errors, this enhancement splits the DNUMs below as part of the August 2010 Multum United States (US) release: * hepatitis B vaccine (obsolete) (MUL.ORD!d01166) has been replaced by the following items: - hepatitis B pediatric vaccine (MUL.ORD!d07643) - hepatitis B adult vaccine (MUL.ORD!d07644) * lymphocyte immune globulin, anti-thy (obs) (MUL.ORD!d01141) has been replaced by the following items: - lymphocyte immune globulin, anti-thy (equine) (MUL.ORD!d07641) - anti-thymocyte globulin (rabbit) (MUL.ORD!d07642) * epinephrine (MUL.ORD!d00699) is still active and is joined by the following item: - Racepinephrine (racepinephrine products only) (MUL.ORD!d07647) Area Affected: Cerner Multum content
1-4180105321|Correction|Multum Allergy Category concept names are not synchronized with the drug name for Multum US Aug 2013. Area Affected: Multum Drug Content
1-4200172701|Enhancement|This enhancement provides the ability to populate mappings from Cerner Multum to RxNorm in Cerner Millennium. Area Affected: Cerner Multum Drug Content
1-4403323314|Correction|The Multum Split DNUM script incorrectly adds (obsolete) to Rx mnemonics. Areas Affected: Medication order catalog content Multum split DNUM content
1-4471529082|Correction|United States (US) medication order catalog synonyms may not be associated with a drug category during Multum Content Package installation. Area Affected: Multum Drug Content
1-4478090496|Correction|Running the optional mltm_manu_drug_names script updates the Bedrock Multum Content Update wizard with primary synonyms only, even when Multum provides M and Y synonyms with the manufacturer-ordered drug names. Area Affected: United States (US) Multum Drug Content
1-4600878793|Enhancement|This enhancement provides drug names for the United States in accordance with Tall Man lettering recommendations from the Institute for Safe Medication Practices (ISMP). Area Affected: Lexicon
1-4659781701|Correction|Installation of a Cerner Multum Content Package or its replacement may fail if the DM_TABLES_DOC table is not synchronized with the physical schema. When this occurs, the following error message is displayed: %CCL-E-26-MLTM_LOAD_SQLLDR_FILES_TBL(2,4)S0L4.2q2{GLOBAL_SECONDARY_IDENT}The attribute (GLOBAL_SECONDARY_IDENT) does not exist in t. GLOBAL_SECONDARY_IDENT Area Affected Cerner Multum Content Package Installation
1-4667655523|Enhancement|This enhancement updates the mltm_load_wkly_data script to check for the ability to load Multum weekly content in the Bedrock Multum Content Updates wizard. Additionally, if this functionality is included in the wizard, this enhancement provides the ability to inactivate the same functionality in Content Manager and display a message instructing you to use the Bedrock wizard instead. Applications Affected: Bedrock Multum Content Updates Wizard Content Manager (ContentManager.exe)
1-4809719213|Enhancement|With this enhancement, the Penicillin (MULORD!d00116) DNUM is replaced by the following items in United States (US) content, in order to prevent interpretation errors: - penicillin G benzathine (MUL.ORD!d07727) - penicillin G sodium (MUL.ORD!d07728) - penicillin G potassium (MUL.ORD!d07729) - penicillin V potassium (MUL.ORD!d07730) Area Affected: Cerner Multum Drug Content
1-4903217776|Correction|After installing the April or May 2011 Cerner Multum Content Package, some major-contraindicated drug alerts may not be displayed. Areas Affected: Cerner Multum United States (US) March and April 2011 Content Cerner Multum Australia (AU) April 2011 Content Cerner Multum Malaysia (MY) March 2011 Content
1-4909134831|Correction|The orm_import_order_sent script included in United States (US) MediSource order sentence content truncates the OE_FIELD_DISPLAY_VALUE field on the ORDER_SENTENCE_DETAIL table to 100 characters instead of allowing 255 characters. Area Affected: Drug Content
1-5003961250|Correction|Knowledge Infrastructure Content Package 52177 does not populate CONCEPT_CKI values on the MLTM_ORDER_CATALOG_LOAD table, which is used by the Bedrock Multum Content Update wizard. Since the CKI and CONCEPT_CKI values are used to identify which synonyms to update and which to add, the wizard cannot differentiate existing content from new content. As a result, the Update Synonyms page in the wizard is not displayed and the Add New Synonyms page incorrectly displays existing synonyms as new synonyms (highlighted in red), preventing the wizard from loading new content. Area Affected: Cerner Multum Content
1-5076402131|Correction|Cerner Multum United States (US) content does not include Code Set 29223 to support RxNorm mappings. Area Affected: Drug Content
1-5082088931|Correction|When you install a Cerner Multum United States (US) content package, a mltm_rdm_ref_load Oracle error 01722 may occur. If this error occurs, Readme 4368 fail when attempting to update primary Vterms on the NOMENCLATURE table. Area Affected: Content Package Installation