Date | Time to the second | User | Operation (Insert, Sign, etc.)
Description (Created patient message, Created SOAP note, etc.)
Row ID | Originating Computer
@Jim, again this isn't perfect but, yes, this does solve your problem. Your covering doc does not need to use your computer, and I would hope he wouldn't just as you wouldn't be able to log into his/her. Of course, you would lock your computer and only you could use it from remoting.
I also think that if you go on vacation and you have covering docs, you have to decide and agree to let them cover your patients and lab results. Whether you are in France or behind your desk, only one doctor can take care of the patient. If you do log in to your computer and see a potassium of seven, then would it not be better in that scenario to call the covering doctor and alert them to this. Being in a foreign country should absolve you from any medicolegal action as long as everyone agrees that the vacationing doctor just isn't involved.
As far as the ePrescribe (and I am a little gun shy to make these comments), but it would seem like decisions to refill or not refill should just be trusted to the covering doc.