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What is the User Activity Log?

The User Activity Log allows Admin Level Users to see and monitor actions performed by all users in the EHR from January 1, 2023 to present. Non-Admin Level Users will be able to see and monitor their own activity. The activity in the User Activity Log includes, but is not limited to:
  • Accessing, deleting or merging patient charts
  • Creating certain content in the patient’s demographics including:
    • Address
    • Phone
    • Email
    • Contact preference
    • Insurance (including deleting)
  • Creating certain content in the Clinical Profile including:
    • Patient’s profile picture
    • Patient allergies
    • Patient drug intolerances
    • Problems
    • Medical History
    • Family history
    • Patient’s provider list
    • Immunization history
  • Creating, deleting or printing visit notes (including vitals and certain bullets)
  • Creating and updating bills (including CPT Codes and Diagnosis Codes)
  • Creating, signing and deleting orders
  • Deleting discontinued medications
  • Deleting medication history reports
  • Approving and denying prescription refill requests
  • Creating and deleting letters
  • Creating, signing, acknowledging, and deleting Office Message threads
  • Creating and deleting non-visit notes
  • Reassigning and deleting reports
  • Creating and deleting appointments

What are the benefits of using the User Activity Log?

The User Activity Log provides a convenient way to review activity performed by various users within the EHR. Through the use of powerful filters, you can quickly review all actions performed for a given patient and/or by a specific user. This new functionality will simplify and expedite the process of understanding when actions were performed and by whom and allow you to access the relevant patient chart to take next steps if needed. You will also be able to undo certain actions such as deleting certain records or merging charts. Use cases for the User Activity Log include:
  • Which chart did I update?
    • In the busyness of a typical day, sometimes someone in the practice makes a change to a chart only to forget which chart they modified. This can make it difficult to continue making necessary changes, or to revert changes that have been made by mistake. With the User Activity Log, you can easily see all the charts recently viewed.
  • Who has viewed or taken action on a particular chart?
    • Sometimes certain charts are sensitive and your practice may want to ensure only authorized practice users are accessing the chart. With the User Activity Log, you can search for a specific patient and view all the users who have viewed or taken action on that patient’s chart.
  • What actions has this user performed?
    • In some scenarios, a practice may have concerns that a particular user might be attempting to view or do more than they should. With the User Activity Log, you can search for a particular practice user and review all the actions performed by that user across charts to ensure it is aligned with what they are authorized to do.
  • How do I restore a deleted patient chart?
    • You can use the User Activity Log to restore a patient chart; whether it was deleted or merged away.

Using the User Activity Log

Accessing the User Activity Log

To access the User Activity Log, go to Reports -> User Activity Log.
Reports menu expanded showing all options, with "User Activity Log" highlighted by a red outline at the bottom of the list.

Viewing data in the User Activity Log

By default, we will list user activity from January 1, 2023 to present. The activity log will list up to 20 activities per page. Use the page navigation buttons to move between different pages of the activity log.
  • Admin Level Users can see and monitor actions performed by all users in the Practice.
  • Non-Admin Level Users can only see and monitor their own activity.
You can use the following filters to narrow down the activity log data. Click the Search button after applying filters to see the results that match your filter(s).
Activity Logs page with the filter bar highlighted, showing User, Patient, Record Type, Action, Start Date, and End Date fields, all empty, with a Search button.

User Activity Log Filters

To prevent a disabled user from accessing their account while it is temporarily enabled for this purpose, you can adjust their email. (Ex. If their email is john.smith@email.com you can update it to john.smith+disabled@email.com.

User Activity Log Data Columns


 

Frequently Asked Questions (FAQ)

How is the User Activity Log different from the Audit Log?

The activity data in the Audit Log is specific to each patient’s chart whereas the User Activity Log lists activity within all patient charts (unless you choose to filter the data by a specific Patient ID). You will not be able to undo any actions within the Audit Log but you can undo certain actions, such as deleting certain records or merging charts, within the User Activity Log. 
 

How often does the User Activity Log update with new (recent) data?

Recent actions may take up to 30 minutes to appear. 

 

When will I be able to see activity prior to January 1, 2023?

The User Activity Log will only list actions performed on or after January 1, 2023. If you need information about actions performed prior to this date, please click the I need help -> Contact Elation Support button at the top of your Elation account and the Elation Support Team will be able to assist you with this request.

 

Is there a way to download a report of the data in the User Activity Log?

A download option is currently unavailable at this time but it is something under consideration for future development. If you need help obtaining a download of activity, please click the I need help -> Contact Elation Support button at the top of your Elation account and the Elation Support Team will be able to assist you with this request.
If you only need a user’s login history, Admin Level Users can self-serve a CSV of the last 90 days of logins directly from the Edit Profile dialog in Manage Accounts — no support ticket required. See Downloading a user’s login history for instructions.
 

Does the User Activity Log track who downloaded a Patient List Report (CSV export)?

No. Downloading a Patient List Report as a CSV is not one of the tracked action types in the User Activity Log or the patient chart Audit Log, so there isn’t a self-service way to see who has downloaded a Patient List Report.

Can I filter Referral activity by the receiving provider or facility?

Not directly. You can filter the User Activity Log by the referring provider (User), set Record Type to Referral, and choose a date range to see which patients that provider has created referral records for. There isn’t a filter for the provider or facility a referral was sent to. If you need this level of detail, click I need help > Contact Elation Support to request a custom data export.

Why does a record show the action of ‘Update’ if I viewed it but did not make changes to it?

When performing certain actions, such as viewing a medical order, a draft of the content being viewed will be saved, regardless of whether a change was made. As a result of this draft being saved, the record is considered to be modified and will thus be categorized as an ‘Update’ action.

How do I find a fax that I filed into the wrong chart?

The Action filter does not have a dedicated “File” option for tracking fax filings from the Fax Inbox. To narrow down where a mis-filed fax might have gone:
  1. Filter the User Activity Log by your user and the date the fax was filed to see every chart you touched that day.
  2. If you remember the record type the fax was filed under, add that as an additional filter to shorten the list.
  3. Open the remaining candidate charts and check the Chronological Record for a fax or scanned document matching the one you’re looking for.

How do I find outgoing faxes?

The User Activity Log doesn’t track fax delivery status. Use the Fax Outbox instead — it lists every fax your practice has sent (Letters, Referrals, and orders faxed to vendors) along with its destination, sender, and delivery status, including faxes that are retrying or need attention.

How do I find out who deleted a fax from the Fax Inbox?

Deleting a fax or document page from the Fax Inbox is not visible in the User Activity Log or patient-chart Audit Logs.
  • If you need to identify who deleted a page, click HelpContact Elation Support. Support can investigate the available backend audit records.
  • If the deletion occurred more than 7 days ago and you also need the document restored, include the approximate deletion date and time, number of pages, and any information about who may have deleted them.
See Restoring documents deleted from the Fax Inbox.