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Who changed this setting?

Setup → Audit log lists changes, newest first, with what the value was before and after.

Pick All, Settings, Users, Roles, Doctors, Plans or Approval rules.

ColumnWhat it shows
WhenDate and time
WhoThe person, or "PharmaFieldflo" when the app did it on its own
WhatThe record and what was done to it
BeforeThe old value
AfterThe new value
ReasonThe reason given, when there was one

Long values are cut short. It needs the "See the audit log" permission.