diff --git a/Clinical/Vitals %2F Measurements/5.0/Technical Manual change pages for Patch 23 (GMRV%2A5.0%2A23)/vitl_5_p23_tm_change_pages.pdf b/Clinical/Vitals %2F Measurements/5.0/Technical Manual change pages for Patch 23 (GMRV%2A5.0%2A23)/vitl_5_p23_tm_change_pages.pdf
new file mode 100644
index 00000000..2736d9d6
Binary files /dev/null and b/Clinical/Vitals %2F Measurements/5.0/Technical Manual change pages for Patch 23 (GMRV%2A5.0%2A23)/vitl_5_p23_tm_change_pages.pdf differ