Patch GMRA*4.0*59 enables the VistA Adverse Reaction Tracking (ART) package to generate a real-time VistA MailMan bulletin when allergy or adverse reaction information is entered into the Computerized Patient Record System (CPRS). The patch modifies routines GMRAMCB and GMRAGUI1 to send the bulletin to the existing GMRA MARK CHART mail group when providers enter allergy/adverse reaction information in the CPRS "Enter Allergy or Adverse Reaction" window, accessed from either the CPRS Orders tab or Cover Sheet. The bulletin provides a reminder that the patient chart must be updated with the allergy/adverse reaction information displayed in the bulletin message.