Treatment Strategy Discussion with a Physician Using a Tracing Report Based on Personal Health Record Monitoring: A Case Report

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.