Practice management

Audit log and access reviews

What is logged, where to read it, and how to review who has access.

Updated
Updated
Reading time
5 min read
Tags
auditcompliancehipaa

Every read and write to a chart is logged. The audit log is your single source of truth for HIPAA access reviews.

What is logged

Audit log · last 24 hours
Exportable
View

Dr. Lin Yu · Provider

Opened chart · Patient · Maria Lopez

Today, 9:42am

73.21.4.118

Edit

Dr. Lin Yu · Provider

Signed and locked · Note · Visit 2026-04-21 · changed: Signed at, Status

Today, 9:51am

73.21.4.118

Export

Sam Cole · Practice manager

Exported CSV for compliance review · Audit log · 1,247 rows

Today, 10:14am

108.4.99.12

Permission

Sam Cole · Practice manager

Granted manage_billing · User · Dana Park

Today, 10:18am

108.4.99.12

Audit log rows - actor, role, IP, timestamp, resource, action, and changed fields

Sign-ins, chart opens, note edits, prescription sends, role changes, exports. Each entry has user, timestamp, IP, and the affected record — color-coded by category so the eye scans for the kind of event before reading the row.

Reviewing who has access

EnWella has no access-review screen and no sign-off step, so the review is done from two pages. Team lists every member with their roles and marks a deactivated member as inactive. In the Audit log, the Permissions filter shows every change to a member's access and Sign-ins shows who signed in and when; Export CSV saves the entries on screen for your compliance file. Recording that the review was done, and when, stays with you.

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