BPB Reports

Paper Details

BPB Reports
Vol. 9 No. 6 p.214-217 2026
Report (Case Report)
Treatment Strategy Discussion with a Physician Using a Tracing Report Based on Personal Health Record Monitoring: A Case Report
  • Shingo Kondo (Division of Social Pharmacy, Center for Social Pharmacy and Pharmaceutical Care Sciences, Faculty of Pharmacy, Keio University / Keio University Community Pharmacy / kondo-sn@keio.jp)
Haruka Shiokawa 1) 2) , Shingo Kondo 1) 2) , Mari Maese 1) 2) , Yuko Okamoto 1) 2) , Hiroki Iwata 1) 2) , Katsunori Yamaura 1) 2)
1) Division of Social Pharmacy, Center for Social Pharmacy and Pharmaceutical Care Sciences, Faculty of Pharmacy, Keio University , 2) Keio University Community Pharmacy
Received: October 21, 2026;   Accepted: November 03, 2026;   Released: November 12, 2026
Keywords: hypertension, community pharmacy practice, out-of-clinic data, prescription suggestion, shared decision making
Abstracts

Managing chronic hypertension requires continuous out-of-clinic blood pressure monitoring. While personal health record (PHR) applications enable longitudinal vital data tracking, their practical application in sharing clinical data with prescribing physicians remains limited. This case report describes a novel pharmacist-led remote monitoring intervention using a PHR application (SaluDi) in an asymptomatic older female in her 60s with hypertension, diabetes mellitus, and dyslipidemia. Despite excellent medication adherence, longitudinal home blood pressure data revealed persistent elevation (systolic blood pressure 130s–140s mmHg), exceeding the updated 2025 guideline target (<125/75 mmHg). The pharmacist submitted a tracing report to the prescribing physician suggesting an amlodipine dose increase (2.5 mg to 5 mg/day). Although the physician considered the adjustment, shared decision making with the patient led to maintaining the current regimen according to her preference and perceived blood pressure stabilization. Pharmacist-led PHR evaluation and data sharing via tracing reports provide an effective framework for interprofessional communication and individualized chronic disease management in primary care settings.