diff --git a/erpnext/patches.txt b/erpnext/patches.txt
index 8d7ca10..ca8b0ec 100644
--- a/erpnext/patches.txt
+++ b/erpnext/patches.txt
@@ -458,3 +458,4 @@
 erpnext.patches.v9_0.set_pos_profile_name
 erpnext.patches.v9_0.remove_non_existing_warehouse_from_stock_settings
 execute:frappe.delete_doc_if_exists("DocType", "Program Fee")
+erpnext.patches.v9_2.delete_healthcare_domain_default_items
\ No newline at end of file
diff --git a/erpnext/patches/v9_2/__init__.py b/erpnext/patches/v9_2/__init__.py
new file mode 100644
index 0000000..e69de29
--- /dev/null
+++ b/erpnext/patches/v9_2/__init__.py
diff --git a/erpnext/patches/v9_2/delete_healthcare_domain_default_items.py b/erpnext/patches/v9_2/delete_healthcare_domain_default_items.py
new file mode 100644
index 0000000..187cbd3
--- /dev/null
+++ b/erpnext/patches/v9_2/delete_healthcare_domain_default_items.py
@@ -0,0 +1,16 @@
+import frappe
+from frappe.utils import getdate
+
+def execute():
+	domain_settings = frappe.get_doc('Domain Settings')
+	active_domains = [d.domain for d in domain_settings.active_domains]
+
+	if "Healthcare" not in active_domains:
+		items = ["TTT", "MCH", "LDL", "GTT", "HDL", "BILT", "BILD", "BP", "BS"]
+		for item_code in items:
+			try:
+				item = frappe.db.get_value("Item", {"item_code": item_code}, ["name", "creation"], as_dict=1)
+				if item and getdate(item.creation) >= getdate("2017-11-10"):
+					frappe.delete_doc("Item", item.name)
+			except:
+				pass
\ No newline at end of file