Content Comparison

Demographic update

❌

❌

❌

❌

❌

New appointment

✔️

✔️ Unless NHS App message read first

✔️ If organisation has enabled

✔️ If organisation has enabled

❌

• No email notifications sent if the appointment date is in the past

• Sent to registered and not registered patients

Updated appointment

✔️

✔️ Unless NHS App message read first

✔️ If organisation has enabled

✔️ If organisation has enabled

❌

New allergy added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

• no email notifications sent in the following scenarios:

• If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before)

• If data comes via FHIR API

• If data comes via HL7 API

Allergies updated

❌

❌

❌

❌

❌

Diagnoses added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

• no email notifications sent in the following scenarios:

• If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before)

• If data comes via FHIR API

• If data comes via HL7 API

Diagnoses updated

❌

❌

❌

❌

❌

Library links added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

• No email sent if item added to team library, only if added to patient library

Measurements added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

Medications added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

• no email notifications sent in the following scenarios:

• If GP data from the EMIS Extract Service is added to the record that is older than one week (unless a patient has not received a notification about their record containing EMIS data before)

• If data comes via FHIR API

• If data comes via HL7 API

Medication updated

❌

❌

❌

❌

❌

Symptoms added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

Plans added

❌

✔️

❌

❌

❌

• Sent to registered and not registered patients

Plans updated

❌

✔️

❌

❌

❌

• Sent to registered and not registered patients

Test results added

✔️

✔️ Throttled so max 1 per day

❌

❌

❌

Test results updated (corrections)

✔️

✔️ Throttled so max 1 per day

❌

❌

❌

• PKB notification panel will use the message timestamp, so if the HL7 message is very old, the updated notification won't appear at the top

Files added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

Journal added

❌

✔️ Throttled so max 1 per day

❌

❌

❌

Advanced questionnaire sent

✔️

✔️

Image Removed Coming January 2026

✔️ If organisation has enabled

✔️ If organisation has enabled

✔️ If organisation has enabled

• SMS only sent to unregistered patients

• Email sent to registered and unregistered patients.

• NHS App N&M sent for activity from organisations only

Legacy questionnaire sent

✔️

✔️

❌

❌

❌

• Email sent to registered and unregistered patients.

Encounter sent

✔️

✔️

❌

❌

❌

• NHS App will push notifications will be switched OFF November 2025

Document sent

✔️

✔️

✔️ If

organisation has enabled

✔️ If organisation has enabled

✔️ If organisation has enabled

• Email sent to registered and unregistered patients.

• SMS only sent for Referral letters to unregistered patients

• No email notifications sent if the document date is older than one week

• NHS App N&M sent for activity from organisations only

Message sent

✔️

✔️

✔️ If

organisation has enabled

✔️ If organisation has enabled

❌

• Email sent to registered and unregistered patients.

• NHS App N&M sent for activity from organisations only

Carers added

❌

✔️

❌

❌

❌

• Email sent to registered and unregistered patients.

Teams added

❌

✔️

❌

❌

❌

• Email sent to registered and unregistered patients.

Individual professionals added

❌

✔️

❌

❌

❌

• Email sent to registered and unregistered patients.