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Patient history and access audit

How to view a patient's full timeline, and how to see who accessed their chart.

Patient history and access audit

Every patient record has a timeline of everything that's happened: appointments, chart notes, messages, forms, documents, and payments. You'll find this on the Timeline tab of any patient record.

The timeline view

Open a patient, click Timeline, and you'll see events sorted newest first:

  • 📅 Appointments (scheduled, completed, cancelled, no-shows)
  • 📝 Chart notes (with author and timestamp)
  • 💬 Messages (sent and received)
  • 📄 Documents (uploaded by you or by the patient)
  • 📋 Forms (assigned, submitted, reviewed)
  • 💳 Payments (invoiced, paid, refunded)

Click any item to jump to its detail view.

Filtering the timeline

Use the chip filters at the top to narrow by type — e.g. only show chart notes, or only payments. Useful when prepping for a follow-up visit.

Who accessed this chart?

For HIPAA compliance and your own peace of mind, every chart access is logged. To review:

  1. As clinic admin, open 📋 Audit Log from the sidebar.
  2. Filter by patient name or date range.
  3. You'll see who viewed the chart, when, and what they did (view, edit, export).

The audit log is append-only — once an entry exists, it can't be edited or deleted.

Exporting a patient's record

For patient requests under HIPAA's right of access, you can export everything we have on a patient:

  1. Open the patient's record.
  2. Click the menu in the top-right.
  3. Choose Export everything (ZIP).

You get a ZIP containing demographics (JSON), all chart notes (PDF), all documents (original format), and a manifest. The export typically completes in under a minute.

Inactive vs. archived patients

There are two ways to remove a patient from your day-to-day view without deleting them:

  • Set status to inactive. They stay in the database, history is preserved, but they're hidden from the default "All Patients" list. You can re-activate any time.
  • Archive. Heavier action — appointments, forms, and active messaging are wound down. Use this for patients who've truly left your care.

For full deletion (right-to-be-forgotten requests), email support@apexmentum.com. We treat these case-by-case to ensure regulatory requirements are met.

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