When completing the prerequisites for an upgrade, back up your system after each step to ensure that you can revert to the last good version of the system if you encounter an issue. For instructions, see Backing up your system.

3. Determine which language packs are applicable to your product and check for availability. For additional information, see Pega Marketplace.
4. Upgrade to Pega Foundation for Healthcare.
   Ensure that you upgrade to the Pega Foundation for Healthcare full application file and the sample data. For more information, see the Pega Foundation for Healthcare Installation Guide on the Pega Foundation for Healthcare product page.
5. Apply the required hotfixes by using Hotfix Manager. For more information about applying hotfixes, see Applying the latest on-premises patch.