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Hi Jeffrey, 

I did try both option below but both had no impact on the behavior. 

set ^%SYS("Portal","EnableAutoRefresh")=0

and

set ^%SYS("Portal","EnableAutoRefresh")=1

Intersystem Documentation for this is a bit confusing for this one but what I understand is : setting EnableAutoRefresh =1 actually make automatic refreshes off by default.

set ^%SYS("Portal","EnableAutoRefresh") = 1

If you do so, a set of radio buttons appears on Management Portal pages that can be refreshed, enabling users to turn automatic refreshes on and off. On some pages, users can specify the refresh interval. Importantly, when you set the EnableAutoRefresh node to 1, automatic refreshes are off by default.  

https://docs.intersystems.com/healthconnectlatest/csp/docbook/Doc.View.c... 

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