As of November 2022, we're rolling out an update to our Appointment Reminders functionality, which scans the EMIS/SystmOne record to look for any SNOMED codes related to SMS consent (for instance, if the patient has explicitly expressed dissent for SMS communication). It will then choose whether to send the appointment reminder based on this, and hence will not send appointment reminders to patients that have a code for declined consent in the record.

We have always reflected the consent status in our individual text messages sent from the general Accurx Desktop toolbar, which you can read about here.

In this article we detail the behaviour for Appointment Reminders.

When does an Appointment Reminder get sent?

Appointment reminders are scheduled to send 1 working day before the patient's appointment. You can read more about appointment reminder behaviour here.

However, before we send the reminder, we check the record for whether the patient has consented or dissented to receive SMS communication. The logic works as follows:

✅ We do send the appointment reminder if:

  • There is consent coded in the record (and there are no 'declined consent' codes that have been added since that consent*)

  • There is neither consent or declined consent coded in the record. We expect this to be the default behaviour for most patients, and we assume implied consent under a duty of care.

❌ We do not send the appointment reminder if:

  • There is declined consent coded in the record (and there are no 'consent' codes that have been added since then).

In other words, we respect the latest consent/declined consent as available in the record, and in the absence of consent will send the reminders.

What codes does Accurx look for in the record?

Consent given ✔️

Consent given for communication by short message service text messaging
SNOMED: 699237001
READ: 9ndP

Consent given to receive test results by short message service text messaging
SNOMED: 911361000000104
READ: 9ndP0

Consent declined ❌

Declined consent for short message service text messaging
SNOMED: 513631000000106
READ: 9ndQ

Declined consent to receive test results by short message service text messaging
SNOMED: 911401000000108
READ: 9ndQ0

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