diff --git a/Clinical/Admission Discharge Transfer (ADT)/5.3/Release Notes ES 5.4/es_5_4_rn.pdf b/Clinical/Admission Discharge Transfer (ADT)/5.3/Release Notes ES 5.4/es_5_4_rn.pdf new file mode 100644 index 00000000..a35400ed Binary files /dev/null and b/Clinical/Admission Discharge Transfer (ADT)/5.3/Release Notes ES 5.4/es_5_4_rn.pdf differ