For example, a physician may prescribe a medication to manage my hypertension. I didn't take my medication. Whether for another medication or a new prescription for a higher dose of last year's product, this decision is based on the physician's assessment that the drug prescribed last year did not work. In reality, my blood pressure readings do not indicate a need for a higher dose or a new medication but rather a need for some medication or other active intervention. Pharmacists can provide information from the about whether medication is actually secured and may also find out from the patient that therapy was discontinued without the physicians knowledge.
Pharmacists uncover similar potential drug related problems daily.
When they are communicated they help improve the outcomes of therapy. Today, physicians and pharmacists attempt to share this information through informal mechanisms, including pharmacy-specific information as a component of PMRI would help formalize and support this interchange. PMRI information must be comparable longitudinally within a patient's record and across multiple patient records. Progression of disease or deterioration of health is tracked through the former, public health research and the latter serves continuous quality improvement systems. The PMRI should be as accurate as is technologically and humanly possible.