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EmailAction fires on 2nd save

I have an EmailAction that fires correctly if you enter data for first time.
If you update the item (e.g. change date) the rule does not fire until you save the page a second time.

Seems similar to this old one https://jira.openclinica.com/browse/OC-2047

Tried all different combinations of providing full paths.

The items is in a repeating group, not sure if this makes any difference.

Any ideas?
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