OpenEMR Patches

6.0.0 Patch (2/20/22)

Download link

6-0-0-Patch-4.zip (MD5 sum: f98646209434b8c84a950256671649af)

Description

This is the 4th patch and also includes changes from prior patches. Please read through the list of modified files to ensure you haven't customized any of these, since this will copy over this.

Installation instructions

Windows

1. Extract the zipped file into the openemr web directory, and say yes to copying over files

2. Open web browser and go to http://your_server_name_or_ip/openemr/sql_patch.php

(this script will run automatically and patch the database)

(if you are using the Multisite Module, then skip step 2 and follow these instructions)

3. Delete the sql_patch.php file from the openemr web directory

4. Then follow these special instructions: 6-0-0-4 Patch Special Instructions

Linux

1. Move the patch file to the openemr web directory, then type 'unzip 6-0-0-Patch-3.zip', and confirm ok to copy over files.

2. Open web browser and go to http://your_server_name_or_ip/openemr/sql_patch.php

(this script will run automatically and patch the database)

(if you are using the Multisite Module, then skip step 2 and follow these instructions)

3. Delete the sql_patch.php file from the openemr web directory

4. Then follow these special instructions: 6-0-0-4 Patch Special Instructions

Fixes and New Features

(note the ones with ** are new with this patch):

• Patient Portal improvements (by Jerry Padgett)**

• User interface improvements
• Patient form improvements with support for template profiles and patient groups
• Forum post covering new Patient Portal features at: https://community.open-emr.org/t/newly-revamped-patient-portal-v6-0-4-and-future-v6-1-0/17776
• Video covering new Patient Portal features at: https://youtu.be/UnYBr0wlAZk
• Documentation covering new Patient Portal features: https://www.open-emr.org/wiki/index.php/6-0-0-4_Patch_Special_Instructions

• Critical security fixes (by Brady Miller)**
• Clinical decision rules editor fix (reported by Sherwin Gaddis, fixed by Jerry Padgett)**
• Calendar find available appointment fix (by Stephen Waite)**
• Newcrop eRX fix (by Stephen Waite)**
• Percentage discount fix (by surfacehazard)**
• Added Support for Fully Integrated Telehealth Modules; see Lifemesh Telehealth Module for the first integrated third party Telehealth Module (by Sherwin Gaddis)
• Patient Portal improvements (by Jerry Padgett)
• Security fixes (fixes by Brady Miller)
• PHP8 bug fixes (fixes by Jerry Padgett and Stephen Waite)
• Patient finder fix (fix by Stephen Waite)
• Billing fixes (fixes by Stephen Waite)
• EDI history fixes (fixes by Stephen Waite)
• Fee sheet fix (fix by Stephen Waite)
• Billing daysheet fix (fix by Stephen Waite)
• Collection report fix (fix by Stephen Waite)
• Demographics fixes (fixes by Stephen Waite)
• Vitals form fix (fix by Jerry Padgett)
• Unique installation ID fix (fix by Brady Miller)
• Code types fix (fix by Stephen Waite)
• Pnote fix (fix by Jerry Padgett)
• Added setting to turn on/off input of onset/hospitalization date for each visit (by Rod Roark)
• Security fix (reported by Hagai Wechsler at https://www.whitesourcesoftware.com, fix by Brady Miller)
• WENO Exchange ePrescribing fixes (fixes by Sherwin Gaddis)
• Session and timeout fixes (fixes by Rod Roark, Stephen Waite, Jerry Padgett and Brady Miller)
• Patient portal improvements (by Jerry Padgett)
• Eye form fixes (fixes by Ray Magauran)
• Billing fixes (fixes by Stephen Waite)
• New GAD-7 form (by Ruth Moulton)
• Layout Based Form fix (fix by Rod Roark)
• Backup fixes (fixes by Rod Roark)
• Demographics fix (fix by Ken Chapple)
• Messaging improvement (by Stephen Waite)
• PHP 8 fixes (fixes by Stephen Waite)
• MySQL 8 fix (fix by Rod Roark)
• Security fixes (reported by Hagai Wechsler at https://www.whitesourcesoftware.com, fixes by Brady Miller)
• Eye form fixes (fixes by Ray Magauran)
• Patient portal registration fix (fix by Jerry Padgett)
• WENO Exchange ePrescribing (by Sherwin Gaddis)
• UUID creation optimizations (by Brady Miller)
• Billing fixes (fixes by Stephen Waite)
• sql upgrade optimizations (by Stephen Waite)
• Addition of Johnson & Johnson COVID-19 vaccine (by Stephen Waite)

List of files (6.0.0) Patch 4

.github/workflows/styling.yml
.gitignore
Documentation/help_files/template_maintenance_help.php
acknowledge_license_cert.html
ccdaservice/serveccda.js
ccr/stylesheet/ccr.xsl
ci/apache_73_103/docker-compose.yml
ci/apache_73_104/docker-compose.yml
ci/apache_73_105/docker-compose.yml
ci/apache_73_57/docker-compose.yml
ci/apache_73_8/docker-compose.yml
config/config.yaml
contrib/weno/WenoPharmacyDirectory2020-12-13.csv
controllers/C_Document.class.php
controllers/C_Pharmacy.class.php
custom/code_types.inc.php
gacl/Cache_Lite/Lite.php
interface/billing/billing_report.php
interface/billing/edih_view.php
interface/billing/edit_payment.php
interface/billing/new_payment.php
interface/billing/payment_pat_sel.inc.php
interface/billing/search_payments.php
interface/billing/sl_eob_invoice.php
interface/billing/sl_eob_process.php
interface/billing/sl_eob_search.php
interface/eRxStore.php
interface/eRxXMLBuilder.php
interface/forms/CAMOS/help.html
interface/forms/CAMOS/new.php
interface/forms/CAMOS/notegen.php
interface/forms/LBF/new.php
interface/forms/LBF/printable.php
interface/forms/eye_mag/SpectacleRx.php
interface/forms/eye_mag/a_issue.php
interface/forms/eye_mag/css/style.css
interface/forms/eye_mag/js/eye_base.php
interface/forms/eye_mag/js/jquery-1-10-2/jquery.min.js
interface/forms/eye_mag/js/jquery-panelslider/jquery.panelslider.min.js
interface/forms/eye_mag/js/jquery-ui-1-11-4/jquery-ui.min.js
interface/forms/eye_mag/js/shortcut.js-2-01-B/shortcut.js
interface/forms/eye_mag/php/eye_mag_functions.php
interface/forms/eye_mag/php/taskman_functions.php
interface/forms/eye_mag/report.php
interface/forms/eye_mag/save.php
interface/forms/eye_mag/view.php
interface/forms/fee_sheet/code_choice/css/code_choices.css
interface/forms/fee_sheet/code_choice/templates/code_choices.php
interface/forms/fee_sheet/new.php
interface/forms/gad7/gad7.inc.php
interface/forms/gad7/gad7_javasrc.js
interface/forms/gad7/info.txt
interface/forms/gad7/new.php
interface/forms/gad7/report.php
interface/forms/gad7/save.php
interface/forms/gad7/table.sql
interface/forms/gad7/view.php
interface/forms/misc_billing_options/new.php
interface/forms/newpatient/common.php
interface/forms/newpatient/new.php
interface/forms/vitals/templates/vitals/general_new.html
interface/globals.php
interface/login/login.php
interface/main/about_page.php
interface/main/authorizations/authorizations.php
interface/main/backup.php
interface/main/calendar/add_edit_event.php
interface/main/calendar/find_appt_popup.php
interface/main/calendar/find_patient_popup.php
interface/main/calendar/modules/PostCalendar/pnadmin.php
interface/main/calendar/modules/PostCalendar/pnincludes/Date/Calc.php
interface/main/calendar/modules/PostCalendar/pnuserapi.php
interface/main/dated_reminders/dated_reminders.php
interface/main/finder/dynamic_finder.php
interface/main/finder/dynamic_finder_ajax.php
interface/main/finder/patient_select.php
interface/main/messages/css/reminder_style.css
interface/main/messages/js/reminder_appts.js
interface/main/messages/messages.php
interface/main/messages/save.php
interface/main/onotes/office_comments.php
interface/main/onotes/office_comments_full.php
interface/main/tabs/js/tabs_view_model.js
interface/main/tabs/js/user_data_view_model.js
interface/main/tabs/main.php
interface/main/tabs/menu/menus/standard.json
interface/main/tabs/templates/tabs_template.php
interface/modules/zend_modules/module/Installer/view/installer/installer/index.phtml
interface/new/new_comprehensive.php
interface/new/new_comprehensive_save.php
interface/orders/orders_results.php
interface/orders/patient_match_dialog.php
interface/patient_file/download_template.php
interface/patient_file/encounter/diagnosis.php
interface/patient_file/encounter/forms.php
interface/patient_file/front_payment.php
interface/patient_file/front_payment_cc.php
interface/patient_file/history/edit_billnote.php
interface/patient_file/history/encounters.php
interface/patient_file/merge_patients.php
interface/patient_file/pos_checkout.php
interface/patient_file/report/custom_report.php
interface/patient_file/report/patient_report.php
interface/patient_file/summary/dashboard_header.php
interface/patient_file/summary/demographics.php
interface/patient_file/summary/demographics_full.php
interface/patient_file/summary/demographics_save.php
interface/patient_file/summary/pnotes_fragment.php
interface/patient_file/summary/stats.php
interface/patient_tracker/patient_tracker.php
interface/practice/ins_list.php
interface/reports/audit_log_tamper_report.php
interface/reports/clinical_reports.php
interface/reports/collections_report.php
interface/reports/criteria.tab.php
interface/reports/pat_ledger.php
interface/reports/patient_list_creation.php
interface/reports/payment_processing_report.php
interface/super/edit_globals.php
interface/super/edit_layout.php
interface/super/edit_list.php
interface/super/rules/controllers/browse/view/plans_config.php
interface/super/rules/library/RuleManager.php
interface/super/rules/www/js/cdr-multiselect/ui.multiselect.js
interface/themes/colors/utilities/tabs-full.scss
interface/themes/core/patient/demographics.scss
interface/themes/core/tabs.scss
interface/themes/oe-styles/style_manila.scss
interface/themes/patientportal-style.scss
interface/themes/rtl_style_pdf.css
interface/themes/style.scss
interface/themes/tabs_style_compact.scss
interface/themes/tabs_style_full.scss
interface/usergroup/addrbook_list.php
interface/usergroup/facilities.php
interface/usergroup/mfa_registrations.php
interface/usergroup/mfa_totp.php
interface/usergroup/mfa_u2f.php
interface/usergroup/usergroup_admin.php
interface/weno/facilities.php
interface/weno/indexrx.php
interface/weno/rxlogmanager.php
interface/weno/weno.js
interface/weno/wenoconnected.php
library/ESign/ESign.php
library/ESign/Form/Signable.php
library/FeeSheet.class.php
library/MedEx/API.php
library/MedEx/MedEx.php
library/MedEx/MedEx_background.php
library/ajax/dated_reminders_counter.php
library/ajax/payment_ajax.php
library/ajax/sql_server_status.php
library/ajax/template_context_search.php
library/api.inc
library/auth.inc
library/classes/Address.class.php
library/classes/Installer.class.php
library/classes/InsuranceCompany.class.php
library/classes/Note.class.php
library/classes/Pharmacy.class.php
library/classes/Prescription.class.php
library/classes/TreeMenu.php
library/custom_template/ajax_code.php
library/custom_template/custom_template.php
library/custom_template/personalize.php
library/dialog.js
library/edihistory/edih_271_html.php
library/edihistory/edih_277_html.php
library/edihistory/edih_835_html.php
library/edihistory/edih_csv_inc.php
library/edihistory/edih_io.php
library/edihistory/edih_segments.php
library/globals.inc.php
library/js/CustomTemplateApi.js
library/js/CustomTemplateLoader.js
library/js/ajax_functions_writer.js
library/js/common.js
library/js/report_helper.js
library/js/utility.js
library/js/xl/jquery-datetimepicker-2-5-4-alternate.js.php
library/js/xl/jquery-datetimepicker-2-5-4.js.php
library/options.inc.php
library/options.js.php
library/patient.inc
library/payment.inc.php
library/payment_jav.inc.php
library/report.inc
library/restoreSession.php
library/sql_upgrade_fx.php
library/uuid.php
library/weno_log_sync.php
portal/account/account.lib.php
portal/account/account.php
portal/account/index_reset.php
portal/account/register.php
portal/account/verify.php
portal/add_edit_event_user.php
portal/find_appt_popup_user.php
portal/get_patient_documents.php
portal/get_profile.php
portal/home.php
portal/import_template.php
portal/import_template_ui.php
portal/index.php
portal/lib/appsql.class.php
portal/lib/doc_lib.php
portal/lib/download_template.php
portal/lib/patient_groups.php
portal/lib/paylib.php
portal/lib/persist.php
portal/lib/template_menu.php
portal/messaging/handle_note.php
portal/messaging/messages.php
portal/messaging/secure_chat.php
portal/patient/_app_config.php
portal/patient/_global_config.php
portal/patient/_machine_config.php
portal/patient/fwk/libs/verysimple/IO/Includer.php
portal/patient/fwk/libs/verysimple/Phreeze/Dispatcher.php
portal/patient/fwk/libs/verysimple/Phreeze/GenericRouter.php
portal/patient/fwk/libs/verysimple/Phreeze/PortalController.php
portal/patient/fwk/libs/verysimple/Util/ExceptionThrower.php
portal/patient/index.php
portal/patient/libs/Controller/AppBasePortalController.php
portal/patient/libs/Controller/DefaultController.php
portal/patient/libs/Controller/OnsiteActivityViewController.php
portal/patient/libs/Controller/OnsiteDocumentController.php
portal/patient/libs/Controller/OnsitePortalActivityController.php
portal/patient/libs/Controller/PatientController.php
portal/patient/libs/Controller/PortalPatientController.php
portal/patient/libs/Controller/ProviderController.php
portal/patient/libs/Model/DAO/OnsiteActivityViewCriteriaDAO.php
portal/patient/libs/Model/DAO/OnsiteDocumentCriteriaDAO.php
portal/patient/libs/Model/DAO/OnsiteDocumentMap.php
portal/patient/libs/Model/DAO/OnsitePortalActivityCriteriaDAO.php
portal/patient/libs/Model/DAO/OnsitePortalActivityMap.php
portal/patient/libs/Model/DAO/PatientCriteriaDAO.php
portal/patient/libs/Model/DAO/PatientDAO.php
portal/patient/libs/Model/DAO/PatientMap.php
portal/patient/libs/Model/DAO/UserCriteriaDAO.php
portal/patient/libs/Model/DAO/UserMap.php
portal/patient/libs/Model/OnsiteActivityView.php
portal/patient/libs/Model/OnsiteActivityViewCriteria.php
portal/patient/libs/Model/OnsiteDocument.php
portal/patient/libs/Model/OnsiteDocumentCriteria.php
portal/patient/libs/Model/OnsitePortalActivity.php
portal/patient/libs/Model/OnsitePortalActivityCriteria.php
portal/patient/libs/Model/PatientCriteria.php
portal/patient/libs/Model/User.php
portal/patient/libs/Model/UserCriteria.php
portal/patient/libs/Reporter/OnsiteActivityViewReporter-query.php
portal/patient/libs/Reporter/OnsiteActivityViewReporter.php
portal/patient/libs/Reporter/OnsiteDocumentReporter.php
portal/patient/libs/Reporter/OnsitePortalActivityReporter.php
portal/patient/libs/Reporter/PatientReporter.php
portal/patient/scripts/app.js
portal/patient/scripts/app/onsitedocuments.js
portal/patient/scripts/app/onsiteportalactivities.js
portal/patient/scripts/app/patientdata.js
portal/patient/scripts/model.js
portal/patient/templates/OnsiteDocumentListView.tpl.php
portal/patient/templates/PatientListView.tpl.php
portal/patient/templates/ProviderHome.tpl.php
portal/patient/templates/_Footer.tpl.php
portal/patient/templates/_modalFormHeader.tpl.php
portal/portal_payment.php
portal/public/assets/sortablejs/LICENSE
portal/public/assets/sortablejs/README.md
portal/public/assets/sortablejs/Sortable.js
portal/public/assets/sortablejs/Sortable.min.js
portal/public/assets/sortablejs/modular/sortable.complete.esm.js
portal/public/assets/sortablejs/modular/sortable.core.esm.js
portal/public/assets/sortablejs/modular/sortable.esm.js
portal/public/assets/sortablejs/package.json
portal/sign/assets/signer_api.js
portal/sign/assets/signer_modal.php
portal/sign/css/signer_modal.css
portal/sign/lib/save-signature.php
portal/sign/lib/show-signature.php
portal/verify_session.php
public/themes/ajax_calendar_ie.css
public/themes/compact_style_ash_blue.css
public/themes/compact_style_burgundy.css
public/themes/compact_style_cadmium_yellow.css
public/themes/compact_style_chocolate.css
public/themes/compact_style_cobalt_blue.css
public/themes/compact_style_coral.css
public/themes/compact_style_dark.css
public/themes/compact_style_deep_purple.css
public/themes/compact_style_dune.css
public/themes/compact_style_emerald.css
public/themes/compact_style_forest_green.css
public/themes/compact_style_light.css
public/themes/compact_style_manila.css
public/themes/compact_style_mauve.css
public/themes/compact_style_mustard_green.css
public/themes/compact_style_olive.css
public/themes/compact_style_pink.css
public/themes/compact_style_powder_blue.css
public/themes/compact_style_red.css
public/themes/compact_style_sienna.css
public/themes/compact_style_solar.css
public/themes/compact_style_tangerine.css
public/themes/jquery.autocomplete.css
public/themes/misc/bootstrap_navbar.css
public/themes/misc/edi_history_v2.css
public/themes/misc/encounters.css
public/themes/misc/labdata.css
public/themes/misc/rtl_bootstrap_navbar.css
public/themes/misc/rtl_edi_history_v2.css
public/themes/misc/rtl_encounters.css
public/themes/misc/rtl_labdata.css
public/themes/misc/rtl_rules.css
public/themes/misc/rules.css
public/themes/patientportal-base.css
public/themes/patientportal-register.css
public/themes/patientportal-style.css
public/themes/rtl_compact_style_ash_blue.css
public/themes/rtl_compact_style_burgundy.css
public/themes/rtl_compact_style_cadmium_yellow.css
public/themes/rtl_compact_style_chocolate.css
public/themes/rtl_compact_style_cobalt_blue.css
public/themes/rtl_compact_style_coral.css
public/themes/rtl_compact_style_dark.css
public/themes/rtl_compact_style_deep_purple.css
public/themes/rtl_compact_style_dune.css
public/themes/rtl_compact_style_emerald.css
public/themes/rtl_compact_style_forest_green.css
public/themes/rtl_compact_style_light.css
public/themes/rtl_compact_style_manila.css
public/themes/rtl_compact_style_mauve.css
public/themes/rtl_compact_style_mustard_green.css
public/themes/rtl_compact_style_olive.css
public/themes/rtl_compact_style_pink.css
public/themes/rtl_compact_style_powder_blue.css
public/themes/rtl_compact_style_red.css
public/themes/rtl_compact_style_sienna.css
public/themes/rtl_compact_style_solar.css
public/themes/rtl_compact_style_tangerine.css
public/themes/rtl_patientportal-base.css
public/themes/rtl_patientportal-register.css
public/themes/rtl_patientportal-style.css
public/themes/rtl_style_ash_blue.css
public/themes/rtl_style_burgundy.css
public/themes/rtl_style_cadmium_yellow.css
public/themes/rtl_style_chocolate.css
public/themes/rtl_style_cobalt_blue.css
public/themes/rtl_style_coral.css
public/themes/rtl_style_dark.css
public/themes/rtl_style_deep_purple.css
public/themes/rtl_style_dune.css
public/themes/rtl_style_emerald.css
public/themes/rtl_style_forest_green.css
public/themes/rtl_style_light.css
public/themes/rtl_style_manila.css
public/themes/rtl_style_mauve.css
public/themes/rtl_style_mustard_green.css
public/themes/rtl_style_olive.css
public/themes/rtl_style_pdf.css
public/themes/rtl_style_pink.css
public/themes/rtl_style_powder_blue.css
public/themes/rtl_style_red.css
public/themes/rtl_style_sienna.css
public/themes/rtl_style_solar.css
public/themes/rtl_style_tangerine.css
public/themes/rtl_tabs_style_compact.css
public/themes/rtl_tabs_style_full.css
public/themes/style_ash_blue.css
public/themes/style_burgundy.css
public/themes/style_cadmium_yellow.css
public/themes/style_chocolate.css
public/themes/style_cobalt_blue.css
public/themes/style_coral.css
public/themes/style_dark.css
public/themes/style_deep_purple.css
public/themes/style_dune.css
public/themes/style_emerald.css
public/themes/style_forest_green.css
public/themes/style_light.css
public/themes/style_manila.css
public/themes/style_mauve.css
public/themes/style_mustard_green.css
public/themes/style_olive.css
public/themes/style_pink.css
public/themes/style_powder_blue.css
public/themes/style_red.css
public/themes/style_sienna.css
public/themes/style_solar.css
public/themes/style_tangerine.css
public/themes/tabs_style_compact.css
public/themes/tabs_style_full.css
setup.php
sites/default/documents/custom_menus/Custom.json
sites/default/documents/onsite_portal_documents/templates/Help.tpl
sphere/initial_response.php
sphere/process_response.php
sphere/process_revert_response.php
sphere/token.php
sql/5_0_2-to-6_0_0_upgrade.sql
sql/cvx_codes.sql
sql/database.sql
sql/patch.sql
sql_patch.php
sql_upgrade.php
src/Billing/BillingReport.php
src/Billing/BillingUtilities.php
src/Billing/Claim.php
src/Billing/InvoiceSummary.php
src/Billing/X125010837P.php
src/Common/Auth/AuthGlobal.php
src/Common/Auth/AuthUtils.php
src/Common/Logging/EventAuditLogger.php
src/Common/Session/SessionTracker.php
src/Common/Session/SessionUtil.php
src/Common/Twig/TwigContainer.php
src/Common/Twig/TwigExtension.php
src/Common/Uuid/UniqueInstallationUuid.php
src/Common/Uuid/UuidRegistry.php
src/Core/Header.php
src/Core/Kernel.php
src/Core/ModulesApplication.php
src/Core/TwigExtension.php
src/Events/Appointments/AppointmentRenderEvent.php
src/Events/Appointments/AppointmentSetEvent.php
src/Events/Appointments/CalendarUserGetEventsFilter.php
src/Events/Core/ScriptFilterEvent.php
src/Events/Core/StyleFilterEvent.php
src/Events/Core/TemplatePageEvent.php
src/Events/Core/TwigEnvironmentEvent.php
src/Events/Main/Tabs/RenderEvent.php
src/Events/Messaging/SendSmsEvent.php
src/Events/PatientPortal/AppointmentFilterEvent.php
src/Events/PatientPortal/RenderEvent.php
src/Events/User/UserCreatedEvent.php
src/Events/User/UserUpdatedEvent.php
src/Menu/PatientMenuEvent.php
src/Menu/PatientMenuRole.php
src/OeUI/OemrUI.php
src/PatientPortal/Chat/ChatController.php
src/PatientPortal/Chat/ChatDispatcher.php
src/PatientPortal/Chat/ChatModel.php
src/PaymentProcessing/PaymentProcessing.php
src/PaymentProcessing/Sphere/Sphere.php
src/PaymentProcessing/Sphere/SpherePayment.php
src/PaymentProcessing/Sphere/SphereRevert.php
src/Rx/Weno/Container.php
src/Rx/Weno/FacilityProperties.php
src/Rx/Weno/LogDataInsert.php
src/Rx/Weno/LogImportBuild.php
src/Rx/Weno/LogProperties.php
src/Rx/Weno/TransmitProperties.php
src/Rx/Weno/wenoPharmaciesImport.php
src/Services/AppointmentService.php
src/Services/DocumentTemplates/DocumentTemplateService.php
src/Services/PrescriptionService.php
src/Services/VersionService.php
templates/documents/general_list.html
templates/documents/general_view.html
templates/insurance_companies/general_list.html
templates/pharmacies/general_list.html
templates/portal/appointment-item.html.twig
templates/portal/base.html.twig
templates/portal/header.html.twig
templates/portal/home.html.twig
templates/practice_settings/general_list.html
templates/prescription/general_fragment.html
templates/prescription/general_list.html
tests/Tests/E2e/Pages/MainPage.php
tests/eventdispatcher/oe-modify-patient-menu-example/README.md
tests/eventdispatcher/oe-modify-patient-menu-example/composer.json
tests/eventdispatcher/oe-modify-patient-menu-example/custom_patient_menu.json
tests/eventdispatcher/oe-modify-patient-menu-example/openemr.bootstrap.php
tests/old_unit_dir/BaseHarness.class.php
version.php

Previous Patches

Previous OpenEMR version patches