New Jersey News: Patient Profile
Reprinted from the July 2006 New Jersey Board of Pharmacy Newsletter.
NJSA 45:14-68 and NJAC 13:39-7.19 require that all pharmacies maintain a Patient Profile Record System (PPRS) to enable the dispensing pharmacist to identify previously dispensed medication at the time a prescription is presented for dispensing. One profile may be maintained for all members of a family with the same family name living at the same address. Each profile must include the following information: 1) family name and patient first name; 2) patient address and telephone number; 3) patient age, date of birth, or age group (infant, child, or adult) and gender; 4) date of each dispensing and initials of dispensing pharmacist (unless initials are recorded on the back of the original prescription or other New Jersey Board of Pharmacy-approved record); 5) prescription number; 6) name of prescriber; 7) drug name, strength, and quantity dispensed; 8) the individual history, if significant, including known allergies and drug reactions, known diagnosed disease states and a comprehensive list of medications and relevant devices (if no relevant allergies or medical conditions exist this must be noted in the profile); and 9) pharmacist comments relevant to drug therapy.
Each time a new or refill prescription is presented for dispensing, the PPRS must permit the dispensing pharmacist to immediately retrieve any information necessary to identify previously dispensed medications for that patient. The dispensing pharmacist must review the profile, determine if any adjustment to the profile is indicated, and attempt to identify any potential drug interactions, adverse effects, or drug misutilization. Should any potential drug interactions, adverse effects, or drug misutilization be identified the dispensing pharmacist must take the appropriate action prior to dispensing, which may include consultation with the patient and/or prescriber.
Each patient profile must be maintained for at least five years from the date of last entry. If the PPRS is maintained as an electronic database, the system must be capable of producing retrievable and readable documents of all original and refilled prescription data. For the oldest four years of information these documents must be retrievable and readable within two weeks. For the most recent year these documents must be retrievable and readable immediately.