Clinical Documentation & CompliancePurpose
1.2. Capture every edit, access, and action performed on medical records, automating detailed logs for internal reviews and external audits.
1.3. Automate tracking of user identities, descriptions of changes, reasons for edits, and timestamps for full visibility and accountability.
Trigger Conditions
2.2. Automate on login/logout activities within the clinical documentation system.
2.3. Automate on workflow transitions, such as record sign-off, sharing, or export.
2.4. Automate on detection of policy violations or unauthorized access attempts.
Platform Variants
3.1. Microsoft Power Automate
• Feature/Setting: Configure “When a file is modified” trigger in SharePoint, automate writing audit logs to a secure database.
3.2. Google Workspace (Apps Script)
• Feature/Setting: Use Drive Activity API, automate logging file events to Google Sheets or BigQuery.
3.3. AWS CloudTrail
• Feature/Setting: Enable S3 data event logging, automate sending logs to Amazon Athena for querying.
3.4. Salesforce Health Cloud
• Feature/Setting: Use Field History Tracking and the “Audit Trail” API endpoint to automate download and storage of change logs.
3.5. ServiceNow
• Feature/Setting: Automate historical logging using “Audit Logs” Table API, send automated notifications on changes.
3.6. SAP Business Technology Platform
• Feature/Setting: Enable Audit Log API, automate export of entries to external analysis systems.
3.7. Epic Systems (Electronic Health Records)
• Feature/Setting: Use automated HL7 FHIR AuditEvent resources, push entries to centralized compliance logs via API.
3.8. Cerner Millennium
• Feature/Setting: Automate data extraction from Cerner audit logs, use Millennium API to feed an archive system.
3.9. Box
• Feature/Setting: Automate event triggers using Box Events API, write entries directly to auditing storage.
3.10. Dropbox Business
• Feature/Setting: Enable “Dropbox Business API - Activity” for automated capture of document activity logs.
3.11. Meditech Expanse
• Feature/Setting: Automated monitoring using Meditech Expanse API for record modifications audit trail.
3.12. MongoDB Atlas
• Feature/Setting: Use Atlas Auditing, automate cloud function to fetch and archive operation logs.
3.13. PostgreSQL
• Feature/Setting: Automate logging with “pgaudit” extension, stream audits using custom triggers to external systems.
3.14. Oracle Cloud Infrastructure
• Feature/Setting: Enable and automate export via Oracle Audit Service for all DB transactions affecting patient data.
3.15. Okta
• Feature/Setting: Use System Log API, automate pushing identity activities to the central compliance archive.
3.16. Splunk
• Feature/Setting: Automate data ingestion from application APIs, configure alerts for specific audit trail events.
3.17. Jira Service Management
• Feature/Setting: Automate audit logs generation for all issue edits using Webhook automation rules.
3.18. Zoho Creator
• Feature/Setting: Use Audit Trail feature to automate change tracking; configure webhooks for real-time logging.
3.19. Slack
• Feature/Setting: Automate channel activity logging using Audit Logs API, stream events for compliance analysis.
3.20. Quickbase
• Feature/Setting: Automate change logs by using “Audit Logs API”, configure scheduled extraction.
Benefits
4.2. Automates accountability and transparency in patient care documentation, reducing manual errors.
4.3. Automates detection of unauthorized access, automating security incident response.
4.4. Automator reduces labor and cost in maintaining audit records, increasing efficiency.
4.5. Automatable integration with other systems for comprehensive compliance monitoring and automated reporting.