--- title: "NABIDH Guide Part 4: Choose Which Events Are Sent to NABIDH" description: See which NABIDH triggers are required, which ones you can switch (prescriptions, letters, form answers) and the validation rules every message must pass. --- [Skip to content](https://support.pabau.com/en/pabau2/nabidh-guide-part-4-choose-which-events-are-sent-to-nabidh#main-content) [![pabau logo white](https://support.pabau.com/hubfs/pabau%20logo%20white.svg)](https://support.pabau.com/en/pabau2?hsLang=en) Open main navigation Close main navigation - [Get Support](https://pabau.com/support-center/) [Get Support](https://pabau.com/support-center/) Pabau Knowledge Base - There are no suggestions because the search field is empty. 1. [Pabau Knowledge Base](https://support.pabau.com/en/pabau2?hsLang=en) 2. [App Marketplace (Integrations)](https://support.pabau.com/en/pabau2/app-marketplace-integrations?hsLang=en) 3. [UAE (Emirates ID and NABIDH)](https://support.pabau.com/en/pabau2/app-marketplace-integrations?hsLang=en#uae-emirates-id-and-nabidh) # NABIDH Guide Part 4: Choose Which Events Are Sent to NABIDH NABIDH is a regulatory feed, so almost every message type Pabau sends to it is required and stays switched on. This guide explains each trigger on the connection’s Triggers tab, which HL7 message it turns into, which few you can switch on or off, and the validation rules that decide whether a message can be sent at all. **This article is part of the NABIDH guide series:** - [Part 1: What is NABIDH and how Pabau connects to it](https://support.pabau.com/en/pabau2/nabidh-guide-part-1-what-is-nabidh-and-how-pabau-connects-to-it?hsLang=en) - [Part 2: Connect Pabau to NABIDH](https://support.pabau.com/en/pabau2/nabidh-guide-part-2-connect-pabau-to-nabidh?hsLang=en) - [Part 3: Map your data for NABIDH](https://support.pabau.com/en/pabau2/nabidh-guide-part-3-map-your-data-for-nabidh?hsLang=en) - Part 4: Choose which events are sent to NABIDH (you are here) - [Part 5: Test, monitor and troubleshoot NABIDH deliveries](https://support.pabau.com/en/pabau2/nabidh-guide-part-5-test-monitor-and-troubleshoot-nabidh-deliveries?hsLang=en) - [Part 6: NABIDH error codes and delivery statuses](https://support.pabau.com/en/pabau2/nabidh-guide-part-6-nabidh-error-codes-and-delivery-statuses?hsLang=en) - [Part 7: NABIDH code tables reference](https://support.pabau.com/en/pabau2/nabidh-guide-part-7-nabidh-code-tables-reference?hsLang=en) ### The Triggers tab Open your NABIDH connection and go to **2. Triggers**. Triggers are grouped into **Clients**, **EMR** and **Appointments**; click a group to open it. Each row maps one Pabau event to one NABIDH message, with a switch. A disabled row is ignored entirely: events that happen while it’s off are *not* queued for later. Most rows are **required**. Their switch is on and greyed out, because DHA expects every facility to report them. When every row in a group is required, the group shows **Required** instead of a count. Only three rows can be switched: **Prescriptions**, **Letters** and **Form answers**. **Step 1: Client Triggers** 1. The **Clients** group shows **Required**: every row in it is on and can’t be switched off. 2. A greyed-out switch marks a required row. ![The Clients group on the Triggers tab showing Required and a greyed-out switch](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/gap-2026-10/450820090105-01-clients-required.png) *Every client trigger is required* - **Add patient (ADT^A28)** is sent when a client is created. - **Update patient (ADT^A31)** is sent when a client’s details change. - **Delete patient (ADT^A29)** is sent only when a client is deleted outright. It removes the patient’s demographic record at NABIDH, which is what DHA defines it for: a record created in error. Deactivating a client doesn’t remove them from NABIDH, so their history stays there. - **Client merge (ADT^A40)** tells NABIDH that two client records were merged, so it can combine them too. **WARNING:** Deleting a client and merging two clients both change records on the health information exchange, not just in Pabau. If a client has simply left your clinic, deactivate them instead of deleting them. **Step 2: Appointment (Visit) Triggers** All three appointment triggers are required. ![The Appointments group on the Triggers tab with its three required triggers](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/gap-2026-10/450820090105-04-appointments.png) *The Appointments group* - **Visit pre-admit (booking created → ADT^A05)** announces a booking to NABIDH when it’s created, before the patient arrives. - **Visit updates (check-in A04 / details A08 / discharge A03)** is the core visit flow. Pabau picks the right message from the appointment’s journey: **check-in** sends the visit registration (ADT^A04), later changes send updates (ADT^A08), and marking the appointment **Complete** sends the discharge (ADT^A03). - **Visit cancelled after check-in (ADT^A11)** tells NABIDH to void a visit it has already been told about. **NOTE:** Pabau keeps the visit sequence valid on your behalf. For example, completing an appointment that was never checked in sends the registration and the discharge in order, repeating a status doesn’t send a second registration or discharge, and cancelling a visit NABIDH never heard about sends nothing. **Step 3: EMR Triggers** The EMR group holds the clinical record. Most of its rows are required; three can be switched: 1. **Prescriptions (RDE^O11)** is on by default. Switch it off only if your clinic never prescribes. 2. **Letters (MDM^T02)** is on by default. Switch it off only if your clinic never sends letters. 3. **Form answers — vitals, social & family history (ADT^A31)** is off by default. Switch it on once you’ve bound your vitals, social history and family history questions on the Mapping tab (see [Part 3](https://support.pabau.com/en/pabau2/nabidh-guide-part-3-map-your-data-for-nabidh?hsLang=en)). ![The EMR group on the Triggers tab with the Prescriptions, Letters and Form answers rows marked](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/gap-2026-10/450820090105-03-emr.png) *Prescriptions, Letters and Form answers are the only rows you can switch* The required EMR rows: - **Client problems (PPR^PC1)**: when a problem or diagnosis is added or changed, the patient’s *whole problem list* is re-sent, so NABIDH always holds the complete current list. - **Client allergies (ADT^A31 + AL1)**: sends the patient’s full active allergy list on every change. - **Documents (MDM^T02)**: PDFs added to the client’s record, up to 3 MB each. A PDF that isn’t linked to an appointment is only sent when the patient has exactly one appointment on the document’s date; otherwise the log shows it as not sent. - **Document edits (MDM^T08)**: tells NABIDH when a document it already has is revised. And the switchable ones, when they’re on: - **Prescriptions** are sent when a prescription is issued, one order per medication, matched against the Dubai Drug Code (DDC) registry. A prescription still awaiting medical approval isn’t sent: its delivery fails with a message asking you to approve it, then retry the delivery from the log. - **Letters** are sent as a PDF when you send a letter to the client. - **Form answers** send the patient’s bound vitals, social history and family history answers when a form is completed or updated. Once those questions are bound, the latest answers also go with every Add patient and Update patient message, whether or not this trigger is on. **NOTE:** When the patient has exactly one appointment that day, allergy and form-answer updates go with that visit (ADT^A08). Otherwise they’re sent as a patient update (ADT^A31). Lab results and vaccinations aren’t on the Triggers tab and aren’t sent as live events. **TIP:** Every trigger that’s on has to pass the readiness check before you can go live, so leave a switchable row on only if your clinic uses it. See [How to Pass the NABIDH Readiness Check and Go Live](https://support.pabau.com/en/pabau2/how-to-pass-the-nabidh-readiness-check-and-go-live?hsLang=en). **Step 4: Save Your Changes** Trigger switches are staged like mapping edits. Go to **4. Review**: under **TRIGGERS** it lists every trigger that will be on. Press **Save** to publish. The Review tab also confirms that data flows one way, from Pabau to NABIDH. ![The Review tab listing the enabled NABIDH triggers](https://support.pabau.com/hubfs/Pabau%202%20Knowledge%20Base/kb/gap-2026-10/450820090105-05-review-triggers.png) *The Review tab summarises the triggers that will be on* ### What blocks a message: validation Before anything is sent, Pabau validates the record against NABIDH’s requirements. A record that fails validation is **not sent at all**: the delivery is marked failed in the log with a message telling you exactly what to fix (see Part 5). The rules that matter day to day: - **Every patient message** needs a first name, last name, date of birth, and at least one contact detail (mobile, phone or email). - **Dubai residents** need a valid Emirates ID (784-prefixed, 15 digits) in the bound custom field. Tourists are exempt. - **Every visit message** needs a NABIDH specialty on the booked service and the practitioner’s own 8-digit Sheryan licence, both set up in Part 3. - **Documents** need PDF content; **prescriptions** need at least one named medication and must not be pending approval. **TIP:** Before going live, run one test event per enabled trigger and watch it succeed in the log. [Part 5: Test, monitor and troubleshoot NABIDH deliveries](https://support.pabau.com/en/pabau2/nabidh-guide-part-5-test-monitor-and-troubleshoot-nabidh-deliveries?hsLang=en) shows how. **What's next?** - [NABIDH Guide Part 5: Test, Monitor and Troubleshoot NABIDH Deliveries](https://support.pabau.com/en/pabau2/nabidh-guide-part-5-test-monitor-and-troubleshoot-nabidh-deliveries?hsLang=en) - [How to Pass the NABIDH Readiness Check and Go Live](https://support.pabau.com/en/pabau2/how-to-pass-the-nabidh-readiness-check-and-go-live?hsLang=en) --- Was this guide helpful? 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