JP2024085321A - Remote Prescription Drug Vending System - Google Patents

Abstract

A remote prescription drug vending system is provided that realizes a remote prescription drug vending system.
[Solution] A pharmacist customer service terminal at which a pharmacist provides online customer service to a person wishing to purchase a prescription drug, and a remote prescription drug vending system for selling prescription drugs to the person wishing to purchase, the vending machine has an image transmission means, a prescription reading means, a prescription validity determination means, a prescription type discrimination means, and a prescription data transmission means for transmitting the prescription read data and the prescription type data to a management server. The pharmacist customer service terminal has a display means, and an online customer service means for providing online customer service via the vending machine to a person wishing to purchase displayed on the display means. The management server has a prescription acceptance means for accepting a prescription from a person wishing to purchase by receiving the prescription read data and the prescription type data transmitted from the vending machine.
[Selected Figure] Figure 1

Description

The present invention relates to a remote vending system for prescription medicines, and in particular to a remote vending system for prescription medicines that uses vending machines that are suitable for both pharmacists who have spare time and purchasers who want to purchase prescription medicines at their own convenience.

Traditionally, when a patient develops a cold, skin disease, or other illness, they visit a medical institution such as a hospital or clinic, and after the medical examination is completed, they often receive medication to alleviate the illness. At that time, the doctor writes out a paper prescription and hands it to the patient. The patient then takes the paper prescription to a dispensing pharmacy, receives medication instructions from a pharmacist at the dispensing pharmacy, is prescribed the medicine listed on the prescription, and receives (purchases) the prescription medicine.

However, dispensing pharmacies are often busy, and in those cases, patients who go to fill a prescription must wait a long time before receiving their prescription. Patients who cannot wait that long may wish to purchase their prescription drugs at a later date, or even at a later date.

For patients who do not want to wait at the pharmacy, some drugstores and other dispensing pharmacies offer a medication pickup reservation service. With this medication pickup reservation service, patients can register (authenticate and authorize) a QR code (registered trademark) on LINE (registered trademark) on their smartphone, send a prescription in advance, and then pick up the prescription later to purchase the prescription medicine. Specifically, the patient takes a photo of the prescription with their smartphone and sends the photo of the prescription. The patient checks the message on LINE (registered trademark) and takes the original prescription to the pharmacy to pick up the prescription medicine. There is also a service where the prescription is sent by fax to the dispensing pharmacy, and the patient takes the original prescription to the pharmacy to pick up the prescription medicine.

In recent years, due to the spread of COVID-19 infections, there has been an increase in online medication instruction services that allow patients to receive medication instructions online while avoiding the risk of infection.

Pharmacies often have short business hours, such as from 10am to 6pm on weekdays, and are closed on holidays. Their opening hours are often linked to the opening hours of nearby hospitals and clinics, meaning that customers cannot go to pick up their prescription medicines at their own convenience. Furthermore, in the case of dispensing pharmacies attached to drugstores, even when the drugstore is open, prescription acceptance is often closed, creating the problem of a lack of convenience.

Some pharmacies offer online medication instructions, but patients must make a reservation and receive the online medication instructions at the scheduled time, which creates the problem that patients cannot freely receive online medication instructions from their perspective.

Since medicines that have passed their expiration date must be discarded, the average annual waste amount per pharmacy is estimated to be around 200,000 yen. As there are approximately 59,000 pharmacies nationwide, the loss from medicine disposal is estimated to be 10 billion yen per year. Furthermore, if medicines prescribed in-hospital are also included, the medicine disposal problem is expected to far exceed 10 billion yen. To address this medicine disposal issue, some dispensing pharmacies have started an automatic medicine ordering service that utilizes demand predictions using artificial intelligence (AI). Demand is predicted based on the store's past prescription pace and inventory levels, as well as information from surrounding medical institutions, and the main focus is on improving prediction accuracy, making it difficult to handle rare medicines that happen to be sold at the store.

The reason for the increase in dead stock at pharmacies resulting from the disposal of medicines is that Article 21 of the Pharmacists Act stipulates that pharmacists are obligated to comply with requests to dispense medicines and cannot refuse unless there is a legitimate reason. Therefore, even if a medicine is prescribed that is not in stock at the pharmacy, the pharmacy is obligated to provide that medicine.

As a rule, pharmaceuticals are purchased in sales packaging units, so any pharmaceuticals remaining after the required amount has been prescribed must be disposed of once their expiration date has passed. Furthermore, because pharmaceuticals cannot be disposed of as general waste, disposal costs must also be paid to contracted companies, which is an issue.

One issue with hiring pharmacists is the huge regional disparity. There are no applicants for job postings in rural areas. Few people want to go to remote areas. It is overwhelmingly harder to find pharmacists there than in Tokyo. As a result, if pharmacies are unable to hire pharmacists, they will not be able to fill prescriptions and will have no choice but to close their doors, so they are desperate to hire them, creating a distorted situation in which high-paying jobs are advertised.

In large metropolitan areas such as Tokyo, Kanagawa, and Osaka, there are many qualified pharmacists, but it may be difficult to find full-time employment, or some people may not be able to commute to work. As a result, there is a problem in that these pharmacists who have spare time are not being utilized.

There has been an example where a drug vending machine was installed inside Shinjuku Station, and a demonstration experiment was conducted on the remote sale of over-the-counter drugs. In this example, the drug vending machine only sold over-the-counter drugs, and it did not go as far as to remotely sell prescription drugs. In addition, if a pharmacist were to show their face during online medication instructions, the pharmacist's home room would be made public, resulting in a lack of privacy protection, and there is also the risk that the pharmacist's face would be recorded, resulting in insufficient security protection. Current online medication instructions do not give sufficient consideration to security on the part of the pharmacist.

An example related to a remote vending system for prescription medicines is JP2018-525762A (Patent Document 1). Patent Document 1 discloses a vending machine system that remotely sells prescription medicines. This vending machine system includes a module for returning and refunding products, a communication unit that provides a communication link between the vending machine and a specialist operator station, and a means in the form of Braille-type graphic marks that make the vending machine easy to use even for people with poor eyesight. Communication and remote control of the vending machine and the sales process are then performed by a specialist operator working at a computer-controlled workstation in the specialist operator station.

JP 2018-525762 A

"Demonstration of sales of over-the-counter drugs using OTC vending machines inside station ticket gates" begins https://www.taisho.co.jp/company/news/2022/20220329000975.html

However, the technology disclosed in Non-Patent Document 1 does not take into consideration automatic vending of prescription medicines.
Furthermore, the above-mentioned Patent Document 1 discloses a remote vending machine system that handles regulated products other than pharmaceuticals, and is a specially configured system that is provided with means in the form of Braille-type graphic marks to make the vending machine easy to use even for people with poor eyesight, and does not take into consideration remote sales based on specific types of prescriptions.

In order to solve the above-mentioned problems, the object of the present invention is to provide a remote prescription drug vending system that makes it possible to realize a remote prescription drug vending system, combines pharmacist avatar customer service that ensures the security of pharmacists with an inventory liquidation system, reduces drug waste, and provides a new working environment for pharmacists.

The remote prescription drug vending system according to the first invention has a pharmacist customer service terminal at which a pharmacist serves a person who wishes to purchase a prescription drug online in a non-face-to-face format, a vending machine connected to the pharmacist customer service terminal via a network and remotely sells prescription drugs to the person who has received the online customer service, and a management server connected to the pharmacist customer service terminal and the vending machine via a network, and includes a storage means for storing prescription drugs, an imaging means for imaging the person who wishes to purchase a prescription drug including at least the prescription drugs stored in the storage means, an image transmission means for transmitting an image of the person who wishes to purchase captured by the imaging means to the pharmacist customer service terminal via a network or to the pharmacist customer service terminal via the management server, a prescription reading means for reading a prescription, a validity determination means for determining the validity of the prescription read by the prescription reading means, and a prescription reading means for determining the validity of the prescription read by the prescription reading means. The vending machine includes a prescription type discrimination means for discriminating the type read, a prescription data transmission means for transmitting the result of discrimination by the prescription type discrimination means to the management server together with the prescription read data and prescription type data when the validity is determined to be valid by the validity determination means, and a discharge means for discharging the prescription medicine stored in the storage means, the pharmacist customer service terminal including a display means for displaying the captured image of the intended purchaser transmitted by the captured image transmission means, and an online customer service means for providing the online customer service via the vending machine to the intended purchaser displayed by the display means, and the management server including a prescription reception means for receiving the prescription read data and prescription type data transmitted from the vending machine and accepting the prescription of the intended purchaser, and the online customer service means provides online customer service to the intended purchaser accepted by the prescription reception means.

The second invention relates to a remote prescription drug vending system according to the first invention, characterized in that the vending machine performs identity authentication using a personal authentication IC card or a driver's license IC card.

The third invention relates to a remote prescription drug vending system according to the first or second invention, characterized in that a pharmacist avatar is used in the online customer service.

The remote prescription drug vending system according to the fourth invention is the third invention, characterized in that it has a referral means for searching multiple pharmacy terminals and introducing pharmacies that have the prescription drug in stock when the prescription drug is not in stock in the vending machine.

The fifth aspect of the present invention is a remote prescription drug vending system according to the fourth aspect, characterized in that the introduction means has a function of displaying on a screen pharmacies that have stock for the purchaser, and a function of sending a purchase request for the prescription drug to the introduced pharmacy terminal.

The sixth aspect of the present invention is a remote prescription drug vending system according to the fifth aspect of the present invention, characterized in that the pharmacy terminal has a function of displaying prescription drugs on a purchase request screen when a purchase request is received.

The seventh invention relates to a remote prescription drug vending system, which is the first or second invention, and is characterized in that it has a registration management means for managing the registration of a plurality of pharmacists by the pharmacist customer service terminal, a simultaneous broadcast transmission means for introducing the online customer service to the plurality of pharmacist customer service terminals registered by the registration management means, and an online customer service allocation means for allocating the online customer service of the purchaser accepted by the prescription acceptance means to only one of the plurality of pharmacist customer service terminals.

The eighth aspect of the present invention is a remote prescription drug vending system according to the first or second aspect of the present invention, characterized in that the prescription drugs include immovable drugs.

The present invention, which has the above-mentioned configuration, can realize a remote prescription drug vending system. In addition, by combining secure pharmacist avatar customer service with an inventory liquidation system, it is possible to realize a remote drug vending system that can reduce drug waste and realize a new work environment (create new jobs).

The drawings show specific embodiments of the invention according to the present disclosure, including essential features of the invention as well as alternative and preferred embodiments.
FIG. 1 is a functional block diagram of a remote prescription drug vending system according to a first embodiment of the present invention. FIG. 2 is a functional block diagram of a vending machine in the remote prescription drug vending system of the first embodiment. FIG. 3 is a diagram showing an example of the monitor display screen of FIG. FIG. 4 is a diagram showing an example of a selection screen for whether or not to provide a prescription explanation. FIG. 5 is a diagram for explaining types of prescriptions. FIG. 6 is a diagram of a vending machine box in the remote prescription drug vending system of the first embodiment. FIG. 7 is a diagram of a vending machine box in the remote vending system for prescription medicines of the first embodiment. FIG. 8 is a schematic functional block diagram of the pharmacist service terminal in the remote prescription drug vending system of the first embodiment. FIG. 9 is a diagram showing an example of a pharmacist avatar in the remote prescription drug vending system of the first embodiment. FIG. 10 is a diagram showing an example of an initial screen on which a pharmacist avatar explains a prescription. FIG. 11 is a diagram showing an example of an initial screen on which a prescription is explained by a real pharmacist. FIG. 12 is a diagram showing an example of a selection screen for prescription explanation by a pharmacist (real/avatar). FIG. 13 is a diagram showing an example of the hardware configuration of a pharmacist customer service terminal in the prescription medicine remote vending system of the first embodiment. FIG. 14 is a diagram showing an example of a screen displayed on the pharmacist customer service terminal during online customer service. FIG. 15 is a diagram showing an example of a screen displayed on the pharmacist customer service terminal during online customer service. FIG. 16 is a functional block diagram of the management server in the prescription drug remote vending system of the first embodiment. FIG. 17 is a flowchart showing the operation of the remote prescription drug vending system of the first embodiment. FIG. 18 is a flowchart showing the operation of the remote prescription drug vending system according to the second embodiment. FIG. 19 is a diagram showing an example of a medical expense statement. FIG. 20 is a diagram showing an example of an insurance dispensing statement. FIG. 21 is a diagram showing an example of prescription drug instructions. FIG. 22 is a diagram showing an example of a prescription receipt when an insurance dispensing pharmacy is used. FIG. 23 is a diagram for explaining an example of a remote prescription drug vending system showing another example of the first embodiment. FIG. 24 is a process flowchart of a remote prescription drug vending system showing another example of the third embodiment. FIG. 25 is a process flowchart of a remote automatic vending system for prescription medicines showing another example of the fourth embodiment. FIG. 26 is a process flowchart of a remote prescription drug vending system showing another example of the fifth embodiment. FIG. 27 is a process flowchart of a remote automatic vending system for prescription medicines showing another example of the sixth embodiment. FIG. 28 is a functional block diagram of the management server in the prescription drug remote vending system of the seventh embodiment. FIG. 29 is a diagram for explaining an inventory liquidation system utilizing the remote prescription drug vending system of the eighth embodiment. FIG. 30 is a conceptual diagram of a system configuration for realizing the inventory liquidation system of FIG. FIG. 31 is a process flow chart of a remote prescription drug vending system combined with the inventory liquidation system of FIG. FIG. 32 is a conceptual diagram of online customer service according to the present invention. FIG. 33 is a flowchart showing online customer service according to the present invention.

Hereinafter, preferred embodiments of the present invention will be described with reference to the drawings.
<Embodiment>
<Overview of the embodiment>
The remote vending system for prescription medicines of this embodiment has a pharmacist customer service terminal at which a pharmacist provides online customer service in a non-face-to-face format to persons wishing to purchase prescription medicines, a vending machine connected to the pharmacist customer service terminal via a network and which remotely sells prescription medicines to persons wishing to purchase who have received the online customer service, and a management server connected to the pharmacist customer service terminal and the vending machine via a network.When a person wishing to purchase a prescription medicine performs a prescription reading operation on the vending machine and requests an explanation of the prescription, the vending machine determines the validity of the prescription from the read prescription read data, and if the prescription is determined to be valid, it sends the read prescription data and prescription type data to the management server, and the person wishes to receive online customer service from a pharmacist, thereby realizing the remote sale of prescription medicines by the vending machine.

This will help reduce waiting times at pharmacies.

<First embodiment: Configuration of remote prescription drug vending system>
1, the remote prescription drug vending system of the first embodiment includes vending machines 1a, 1b, 1c... (only three vending machines are shown for simplicity, but the number is not limited to this), a management server 2, pharmacist customer service terminals 3a, 3b, 3c... (only three pharmacist customer service terminals are shown for simplicity, but the number is not limited to this), a network 4, an administrator terminal 5, and pharmacy terminals 6a, 6b. When a prescription is read by a prospective purchaser 7 of a prescription drug, online customer service software is started and a prescription service including online medication instruction by a pharmacist is received, thereby realizing a remote prescription drug sales system using a vending machine.

<First embodiment: Description of configuration: Remote vending system for prescription medicines>
The vending machines 1a, 1b, and 1c are connected to the pharmacist customer service terminals 3a, 3b, and 3c via a network 4, and remotely sell prescription medicines to potential purchasers who have been served online. The vending machines 1a, 1b, and 1c may be modified general IoT vending machines that sell prescription medicines, or new IoT vending machines for prescriptions only. However, the storage and management of prescription medicines (prescription medicines) is regulated by the Pharmaceutical and Medical Device Act, and therefore the storage method is assumed to comply with the regulations. For example, in the case of Calonal tablets 200, which are prescription antipyretics, the instructions state, "Store out of reach of infants and children, away from direct sunlight, high temperatures, and humidity. If any medicine remains, discard it without storing it," and the storage method is observed. For example, if the location where the vending machine is installed is subject to high temperatures, cooling equipment and temperature control equipment are installed in the vending machine to control temperature and humidity.

The management server 2 connects the pharmacist terminal 3a and the vending machine 1a via the network 4. It may have the overall control of the remote prescription drug vending system, functions required for the system, a prescription drug database, and a PDMA database search function. The management server 2 may be a standalone server, or may be realized on the cloud.

Pharmacists use the pharmacist customer service terminals 3a, 3b, and 3c to provide online, non-face-to-face customer service to customers 7 who wish to purchase prescription drugs. Here, online customer service refers to prescription services in general, including online medication instructions that are also permitted for insurance dispensing. The pharmacist customer service terminals 3a, 3b, and 3c and the vending machines 1a, 1b, and 1c are connected to a network 4, and online customer service is provided to customers 7 who wish to purchase prescription drugs from the vending machines 1a, 1b, and 1c via the pharmacist customer service terminals 3a, 3b, and 3c, and prescription drugs are sold remotely.

Network 4 can use the Internet, broadband, short-range wireless communication (Wi-Fi (registered trademark), Bluetooth (registered trademark), Wi-SUN), mobile mobile phone lines, etc. Network 4 can use either a wired LAN or a wireless LAN, etc.

The administrator terminal 5 is connected to the network 4 and controls the entire system. Specifically, it registers the vending machines 1a, 1b, and 1c, the management server 2, the pharmacist customer service terminals 3a, 3b, and 3c, and the pharmacy terminals 6a and 6b to the management server 2, and registers and manages pharmacist users.

Furthermore, the pharmacy terminals 6a and 6b are terminals installed in the dispensing pharmacy and are used for various dispensing operations within the dispensing pharmacy. The pharmacy terminals 6a and 6b are network-connected to the management server 2 and have the function of checking the prescription drug inventory within the pharmacy, accepting prescription drug purchase requests from the management server 2, and accepting prescriptions from those who wish to purchase. If the operator (pharmacy owner) of this remote prescription drug vending system and the dispensing pharmacy are in a partnership, the pharmacy terminals 6a and 6b may be configured to play a complementary role when the vending machines 1a, 1b, and 1c do not have prescription drugs in stock.

<First embodiment configuration vending machine>
FIG. 2 is a functional block diagram of a vending machine in the remote prescription drug vending system of the first embodiment.

As shown in FIG. 2, the vending machines 1a, 1b, and 1c of the first embodiment have a storage means 10, an image capture means 12, an image capture transmission means 13, a prescription reading means 14, a validity determination means 15, a prescription type discrimination means 15, a prescription data transmission means 16, and a discharge means 17.

<First embodiment: description of configuration: vending machine>
The storage means 10 stores prescription medicines. Since prescription medicines are highly effective and have side effects and should not be used in combination with other drugs, the patient is required to receive medical treatment (consultation) from a doctor, dentist, veterinarian, etc., have a prescription issued, bring the original prescription to a pharmacy, etc., receive face-to-face medication instructions from a pharmacist, and then receive (purchase) the prescription medicine.

However, due to the spread of COVID-19 and other factors, there are an increasing number of cases where patients receive online medical consultations from doctors, receive prescriptions, and receive medication instructions from pharmacists online. Here, online medication instructions refers to medication instructions that are provided using information and communication devices such as computers and smartphones while checking the patient's condition. Online medication instructions were previously limited to pharmacies and the patient's home, but restrictions on the location for online instructions have been relaxed, making it possible for pharmacists to provide online medication instructions from home.

Patients who are adept at using information and communication devices can receive online medication instructions using IT devices such as computers and smartphones, but patients who are not familiar with IT devices have a high hurdle in using the service. In addition, prescribed medication is delivered by courier, which creates a time lag and makes it inconvenient to obtain medication (prescription drugs) immediately. Therefore, in order to provide a more user-friendly service, this invention invented a remote prescription drug vending system that stores some prescription drugs (prescription medicines) in the vending machine in advance so that medication can be prescribed immediately after receiving online medication instructions from a pharmacist at the prescription drug vending machine, and prescriptions can be made after the online medication instructions are completed.

Prescription medicines that are packaged can be prescribed simply by setting them in the storage means 10, as in a normal vending machine. However, prescription medicines come in various forms, such as granules, tablets, creams, and oral medications (liquids). The prescription medicines may be stored in storage packages of different sizes depending on the volume of the prescription medicine. Also, a picking means (mechanism) may be built into the vending machine, and the prescription medicines may be discharged using the picking means. Prescription medicines may be stored in large, medium, small, and other packages depending on the prescription volume. When using an automatic robot for picking, one-dimensional or two-dimensional barcodes (including QR Codes (registered trademark)) may be attached to the side of the package to manage inventory and contents, and automatic picking may be performed using the robot's eyes (camera).

This storage means 10 is basically intended to store prescription drugs, but from the perspective of self-medication, it may also store OTC drugs (Class 1 drugs, Class 2 drugs, designated Class 2 drugs, Class 3 drugs) and quasi-drugs. OTC drugs and quasi-drugs can be purchased without a prescription. Class 1 drugs can be sold by a pharmacist, Class 2 drugs by a pharmacist or registered seller, designated Class 2 drugs by a pharmacist or registered seller, and Class 3 drugs by a pharmacist or registered seller.

The imaging means 12 images the person who wishes to purchase the prescription drug, including at least the prescription drug stored in the storage means. The imaging means 12 has a wide-angle camera and a zoom function, and may also be equipped with a function that allows the person who wishes to purchase to zoom in and check their complexion, etc.

The captured image transmission means 13 transmits the captured image of the intended purchaser captured by the imaging means 13 to the pharmacist customer service terminals 3a, 3b, and 3c via the network 4, or to the pharmacist customer service terminals 3a, 3b, and 3c via the management server 2. Here, if one of the multiple registered pharmacists is given the right to provide online medication instructions, it is preferable to transmit the image via the management server 2. This is because the management server 2 can control traffic.

The prescription reading means 14 reads the prescription. When the prescription is read, a message such as "Please touch the screen" is displayed on the monitor screen as shown in FIG. 3, and when the purchaser touches the screen, a selection display screen of "With prescription explanation" or "Without prescription explanation" is displayed on the monitor screen (see FIG. 4). When the purchaser touches "With prescription explanation" on the selection screen, the online customer service flow may be started. When the vending machine remotely sells only prescription medicines, the selection screen of "With prescription explanation" or "Without prescription explanation" is not displayed, and a message such as "Please read the prescription" may be displayed on the monitor screen to prompt the purchaser to read the prescription. Here, the prescription that the purchaser reads will be described. As shown in FIG. 5(a), (b), and (c), there are normal prescriptions (FIG. 5(a)), refill prescriptions (FIG. 5(b)), and divided prescriptions (FIG. 5(c)).

A typical prescription includes:
1. Insurer number 2. Name, date of birth, and gender 3. Name of medical institution, contact information, and name of prescribing doctor 4. Name of medication and form of medication (tablets, capsules, etc.)
5. About changing to generic drugs 6. About refill prescriptions Information such as whether or not refill prescriptions can be used and the number of times they can be used, the dispensing date, and the next scheduled visit date are listed. And, it is stipulated that prescriptions should be dispensed by a pharmacist at a pharmacy within four days of the prescription being issued.

As shown in Figure 5(b), refill prescriptions have a check box for refillable in addition to the items on a regular prescription. If the doctor checks the box, the same prescription can be used up to three times. If the pharmacist specifies two times, the prescription can only be used two times. The number of refills is decided by the doctor who examines the patient.

As shown in Figure 5(c), a split prescription lists the number of installments and the prescription.

These prescriptions may be paper, paper with a QR code (registered trademark), electronic prescriptions, etc. Depending on the form of the prescription media provided, the prescription reading means 13 may be a camera, a QR code (registered trademark), or in the case of an electronic prescription, a smartphone, etc., and the vending machine may use a wireless communication technology interface such as Wi-Fi (registered trademark), Bluetooth (registered trademark), or Wi-SUN. Paper prescriptions may be read by reading the image with a camera and recognizing it with OCR, or in the case of a QR code (registered trademark), it may be configured to be read with a QR code (registered trademark) reader. If the prescription is stored in electronic form on a smartphone, it may be configured to transfer the prescription data to the vending machine using a touch-type reader such as Suica (registered trademark), or wireless communication.

In the online customer service flow, when the purchaser receives online medication instruction, the purchaser enters the vending machine box as shown in FIG. 6(a)(b) or FIG. 7, sits on a chair installed there, and receives instruction from the pharmacist. FIG. 8 shows the minimum configuration of the system of the pharmacist customer service terminal. The pharmacist customer service terminal 3a, 3b, 3c has a display means 30 that displays the captured image of the purchaser transmitted by the captured image transmission means 12, and an online customer service means 31 that provides the above online customer service to the purchaser displayed by the display means 30 via the vending machines 1a, 1b, 1c. In the present invention, taking into consideration the security of the pharmacist, the above online customer service may be configured to use a pharmacist avatar. For example, a pharmacist avatar as shown in FIG. 9 may be used. Various modified examples of the pharmacist avatar are described below. From the viewpoint of protecting the personal information of the pharmacist and improving the service for the purchaser, the display of the pharmacist avatar and the pharmacist (real) may be appropriately changed and displayed. For example, the screen shown in FIG. 10 shows an example of a monitor screen for prescription explanation by a pharmacist avatar. FIG. 11 shows an online customer service flow introduction screen including online medication instruction with a video image of the pharmacist himself displayed. FIG. 12 shows a selection screen for a pharmacist (real: face shown) and a pharmacist (avatar). Here, the pharmacist avatar is a two-dimensional or three-dimensional character image that provides online customer service to prescription purchasers in place of the pharmacist himself, and may be configured as either a video or a still image. For example, the pharmacist avatar may display a common character image of the system operator, and behind it, a real pharmacist may provide online customer service including online medication instruction to the purchaser by voice. In this case, the system operator company has the advantage of being able to standardize online customer service services and provide uniformity of services to customers. The voice generated by the pharmacist character may be the pharmacist's own voice, or the voice of the pharmacist may be converted into the image of the character and output. For example, if the pharmacist avatar character is a male image, a male voice may be output, and if the pharmacist avatar character is a female image, a female voice may be output. The background image or background video of the monitor screen displaying the pharmacist avatar may also be configured to output images or videos stored in the pharmacist customer service terminal or management server, rather than being live-action images. Furthermore, in addition to stored images or videos, a live-action image of the pharmacist may be displayed with a blur.

The validity determination means 15 determines the validity of the prescription read by the prescription reading means 13. A potential purchaser using the vending machine enters the vending machine box, closes the curtain (not shown) or door (not shown), and sits in a chair, and the prescription that the potential purchaser brought is read by the prescription reading unit (see Figures 6(a)(b) and 7). Figures 6(a)(b) and 7 show curtains for a photo booth for passport photos and doors like those in a public telephone booth, but these are not shown.

When the prescription read data is imported into the vending machine by the purchaser's prescription reading operation as described above, the validity of the prescription is judged based on the read prescription data. First, it is checked that it is within four days from the date of prescription issue, and in the case of a refill prescription, the number of refills, and in the case of an installment prescription, the number of installments, etc., and then judged. Here, the read prescription data includes information that is usually written on a prescription, such as the prescription issue date, 1. insurer number, 2. name, date of birth, sex, 3. name of medical institution, contact information, name of prescribing doctor, 4. name of medicine (form of medicine (tablet, capsule, etc.), amount of medicine, amount to be taken per dose, number of times to be taken per day, timing of taking), 5. information on whether generic medicines are available, 6. refill prescription information (whether refill prescriptions can be used and the number of times they can be used, dispensing date and next scheduled visit date), and 7. installment prescription information (number of installments and prescription) (see Figures 5(a)(b)(c)). If the prescription is in paper form, it contains both image data of the prescription and electronic information that has converted the image data into text. If the prescription is in QR code (registered trademark), the electronic information can be obtained by reading the QR code (registered trademark) information. Since the original prescription must be stored for insurance dispensing, it is preferable to also import image data of the prescription.

The prescription type discrimination means 15 discriminates the type read by the prescription reading means 13. It discriminates between a regular prescription, a refill prescription, a split prescription, etc. (see Figures 5(a)(b)(c)).

When the prescription is judged to be valid by the validity judgment means 14, the prescription data transmission means 16 transmits the prescription read data and prescription type data to the management server 2 together with the result of judgment by the prescription type judgment means 15. The prescription read data is the contents of the above-mentioned prescription. The prescription type data is identification information data for a normal prescription, a refill prescription, or a divided prescription.

The discharge means 17 discharges prescription drugs stored in the storage means 10. Prescription drugs can be discharged only when the purchaser wishes to have the prescription filled at the vending machine and the vending machine has the prescription drug in stock. If the vending machine does not have the prescription drug in stock, the vending machine may have a function to search for and introduce inventory information from affiliated pharmacies.

<First embodiment configuration pharmacist customer service terminal>
FIG. 8 is a schematic functional block diagram of the pharmacist service terminal in the remote prescription drug vending system of the first embodiment.
As shown in FIG. 8, the pharmacist customer service terminals 3a, 3b, and 3c of the first embodiment each include a display unit 30 and an online customer service unit 31.

<First embodiment: configuration description: pharmacist customer service terminal>
The display means 30 displays the captured image of the intended purchaser transmitted by the captured image transmitting means 12 .
The online customer service means 31 has a voice input/output function such as a microphone and a speaker, a camera, and a monitor. In general, it can be used in combination with an online customer service tool (online customer service software). Alternatively, if the pharmacist customer service terminal is equipped with a video conference system as standard, the online customer service means 31 can provide online customer service by simply preparing the above hardware. It may also be configured to use online customer service based on a web browser. Here, online customer service refers to prescription services in general, including online medication guidance. The pharmacist customer service terminal shown in FIG. 8 shows the minimum system configuration, and specifically, online customer service is provided using a desktop computer, a notebook computer, a tablet PC, or the like as shown in FIG. 13.

As shown in FIG. 13, the computer configuration of the pharmacist customer service terminal 8 includes a CPU 81, non-volatile memory 82 such as HDD or ROM, main memory 83 such as D-RAM, a disk 84 (hard disk, silicon disk, etc.) that stores data necessary for prescription services including a pharmaceutical database and online medication instructions, a display 90, a keyboard 91, a mouse 92, a network interface 89, a printer 93, a USB interface 85, a camera 86, a speaker 87, and a microphone 88, all of which are connected to a system bus.

<Embodiment: Specific example of online customer service: pharmacist customer service terminal 3a connected to vending machine 1a>
First, a specific example will be described in which, among the multiple pharmacist customer service terminals, the pharmacist customer service terminal 3a is connected to a prescription drug purchaser of the vending machine 1a to provide online customer service for prescription drugs. When a prescription is read by the prescription reader of the vending machine 1a as shown in Fig. 1 through the operation of the purchaser, the validity of the prescription is determined, the prescription read data is transmitted to a management server, and online customer service will be described as an example in which the pharmacist terminal 3a is connected to the vending machine 1a via a network.

As shown in Figures 14 and 15, the pharmacist starts an online customer service app and starts online customer service via a pharmacist avatar. Below, an example will be described in which a purchaser of prescription medicines using a vending machine sits in a chair in a vending machine box as shown in Figures 6 and 7, receives online medication instructions from a pharmacist, and uses remote sales of prescription medicines. The potential purchaser who enters the vending machine box starts the remote sales flow of the vending machine, for example, by touching the monitor screen of the vending machine. In addition, the system may be configured so that when the potential purchaser enters the vending machine box, operating instructions are given to the potential purchaser by voice guidance.

The examples of Figures 14 and 15 show a state in which a pharmacist customer service terminal on the pharmacist's side and a vending machine are connected online, and a person wishing to purchase a prescription drug receives online medication instructions from a pharmacist.
A pharmacist can log in to management server 2 by starting computer 153 and inputting a login ID and password using keyboard 154 of the pharmacist customer service terminal, and is connected online to management server 2. The connection between computer 153, which is the pharmacist customer service terminal, and vending machine 1a (hereinafter, the connection with 1a will be described as representing the vending machine) may be an online connection under the control of management server 2, or may be a direct connection without the intervention of management server 2.

As shown in Figures 14 and 15, the screen of the display 151 displays a screen 155 showing an image of the intended purchaser and a screen 156 showing an image of the pharmacist himself, which is not displayed as is but is instead converted into a pharmacist avatar. The image on screen 156 may be configured to display an image of the pharmacist himself captured by the camera 152.

The advantage of using a pharmacist avatar is that it allows operators to provide a common prescription service. When providing online customer service using a pharmacist avatar, the risk of information spreading by revealing one's face is reduced, and the security of the pharmacist is also guaranteed, so online customer service can be provided in the pharmacist's spare time without psychological hesitation.

On the other hand, if a purchaser of a prescription drug is unsure about a prescription being filled by an online pharmacist avatar, the vending machine may be configured to display an image of the pharmacist himself on the monitor screen instead of the pharmacist avatar. Furthermore, depending on the type of prescription drug, there are some prescription drugs for which the purchaser is hesitant to directly talk to the pharmacist through a video image, so the system may be configured to display a real image of the pharmacist only at first, and then switch to displaying the pharmacist avatar.

In order for a pharmacist to start online medication instruction, he/she must obtain the prescription data as described in paragraphs 0050 to 0053 (see Figures 5(a), 5(b), and 5(c)). Figure 15 shows an example in which a pharmacist 157 has prepared prescription data for a prospective purchaser by printing it out on paper. The pharmacist 157 provides one-on-one online medication instruction while looking at the prescription data. The example in Figure 15 shows an example in which prescription data has been printed out on paper, but this is not limiting. For example, the prescription data may be displayed on screen 151 and the same prescription data may also be displayed on the screen of the vending machine, so that the pharmacist and the prospective purchaser at the vending machine can receive online medication instruction while looking at the same image.

In the above explanation, we have described online customer service by pharmacists using a vending machine box, but a vending machine box is not necessarily required. For example, if a vending machine is installed in a closed room in a company or hospital, the security of those wishing to purchase prescription drugs can be ensured, so a box surrounding the vending machine is not necessary. In addition, if online medication instructions can be provided during free time (spare time) outside the business hours of a prescription-accepting pharmacy or on holidays, this will improve service, so the above-mentioned vending machine for prescription drugs may be installed in a prescription-accepting pharmacy.

<First embodiment configuration management server>
FIG. 16 is a functional block diagram of the management server in the prescription drug remote vending system of the first embodiment.
As shown in FIG. 16, the management server 2 of this first embodiment has a prescription acceptance means 20, a prescription information recording means 21, a pharmacist registration management means 22, a purchaser registration means 23, an online customer service allocation means 24, a mass broadcast transmission means 25, an inventory information management means 26, an affiliated pharmacy collaboration means 27, and an introduction means 28.

<First embodiment: configuration of management server>
The management server 2 receives the prescription read data and the prescription type data sent from the vending machine, and accepts the prescription of the person who wishes to purchase. If a fee is to be received for dispensing the medicine under insurance, a necessary process must be carried out.

The prescription acceptance means 20 accepts prescriptions from prospective purchasers by receiving prescription reading data and prescription type data transmitted from the vending machines 1a, 1b, and 1c.

The prescription information recording means 21 records prescription information in order to file insurance claims for prescriptions or to manage the purchaser's (patient's) medical history.

The pharmacist registration management means 22 registers and manages multiple pharmacists using the pharmacist customer service terminals 3a, 3b, and 3c. Since this system provides online medication instructions through online customer service, pharmacists may live anywhere in the country. Pharmacists are registered using the pharmacist customer service terminal. However, pharmacist qualification information, etc., are also registered at the same time. The information in the pharmacist registration management means 22 may include a work style that does not impose binding hours, so that online medication instructions can be provided in spare time.

The purchaser registration means 23 registers information about purchasers who have purchased prescription drugs. When dispensing medicines under insurance, the information must be stored for medical history management, so the information on the purchase slip is recorded.

The online customer service allocation means 24 allocates the above-mentioned online customer service of the purchaser accepted by the prescription acceptance means 20 to only one of the multiple pharmacist customer service terminals 3a, 3b, 3c. If multiple pharmacist terminals request online customer service, the online customer service may be allocated to one of the pharmacist customer service terminals.

The simultaneous broadcasting means 25 introduces the above-mentioned online customer service to the multiple pharmacist customer service terminals 3a, 3b, and 3c registered by the pharmacist registration management means 22. Since potential purchasers who wish to remotely purchase prescription medicines from vending machines irregularly request online customer service, simultaneous broadcasting is performed to connect them to the pharmacist customer service terminal of the pharmacist who is available at the time of the request.

The inventory information management means 26 manages the inventory of prescription medicines in vending machines, the inventory of the system operator's medicine warehouse, and the inventory of prescription medicines at affiliated pharmacies.

The affiliated pharmacy linking means 27 links with pharmacies affiliated with the system operator. If a prescription drug is not in stock in the vending machine, the pharmacist avatar (pharmacy search function) has the function of searching multiple pharmacy terminals and introducing a pharmacy that has the drug in stock.

The introduction means 28 has a function of displaying on a screen pharmacies (terminals) that have stock for the person who wishes to purchase, and a function of sending a purchase request for prescription drugs to the pharmacy terminal of the introduced pharmacy. The pharmacy terminal that receives the purchase request has a function of displaying the prescription drug on the purchase request screen.

Figure 17 is an operation flowchart of the remote prescription drug vending system of this first embodiment. Below, the operation of the remote prescription drug vending system will be explained using the flowchart in Figure 17.

<Vending machine processing flow>
First, when a purchaser touches the monitor screen of the vending machine (see FIG. 3), the imaging means 11 executes an imaging start processing step (step 1701). Next, the captured image transmission means 12 executes a captured image transmission processing step (step 1702). In step 1702, the captured image is transmitted to the management server 2.

When the prospective purchaser touches "With prescription explanation" or "Without prescription explanation" on the monitor screen as shown in FIG. 4 and holds the prescription over the prescription reading unit (see FIG. 1), the prescription reading means 13 executes a prescription reading process step (step 1703). Here, if the prescription is a paper medium, the prescription is read by a scanner or camera. Also, if the prescription has a QR code (registered trademark), the prescription reading unit is equipped with a QR code (registered trademark) reader and reads it. If the prospective purchaser has saved the electronic prescription on his or her smartphone, the prescription may be transferred via the vending machine's short-range wireless communication interface using a short-range wireless communication interface (e.g., Wi-Fi (registered trademark), Bluetooth (registered trademark), LPWA, etc.) from the smartphone.

Next, the prescription validity determination means 14 executes a prescription validity determination process step (step 1704). Prescription validity determination has been described above, so it will be explained briefly here. First, prescriptions are valid for up to four days from the date of issue, so their validity is determined. In addition, since there are normal prescriptions (Figure 5(a)), refill prescriptions (Figure 5(b)), and split prescriptions (Figure 5(c)), a determination is also made according to the type of prescription.

Next, the prescription type determination means 15 executes a prescription type determination process step (step 1705). In step 1705, the type of prescription is determined from the read prescription data. For example, the type is determined to be a regular prescription, a refill prescription, a split prescription (split prescription), etc.

Here, the prescription validity determination process step in step 1704 and the prescription type determination process step in step 1705 are processed within the vending machine, but these functions may be provided to the management server 2, which may process the read prescription data collectively. If the prescription data is image data, it may be converted to text using an optical character reader (OCR) function.

These read prescription data are processed by the prescription data transmission means 16 to execute the prescription data transmission process step (step 1706). Here, if the prescription is determined to be valid in the validity determination process step 1704, the prescription read data and prescription type data are transmitted to the management server 2 together with the result of the determination in the prescription type determination process step 1705. Here, the prescription data includes: 1. Insurer number; 2. Name, date of birth, and sex; 3. Name of medical institution, contact information, and name of the prescribing doctor; 4. Name of medicine, form of medicine (tablet, capsule, etc.); amount of medicine (amount to be taken per dose, number of times to be taken per day, timing of taking the medicine); 5. Regarding changing to generic medicine; 6. Regarding refill prescription, information such as whether refill prescription can be used and the number of times it can be used, dispensing date, and next scheduled visit date. In addition, there is a description of the prescription issue date and that the prescription will be received within four days from the issue date. The prescription type data includes data such as a regular prescription, a refill prescription, and a split prescription.

<Online customer service flow using vending machines and pharmacist customer service terminals>
In response to the above processing, a series of prescription reception processes are carried out in the management server 2 (steps 1711 to 1714), one of the pharmacist customer service terminals is connected to the management server 2 (step 1721), the management server 2 transmits the captured image data and prescription data it has received to the pharmacist customer service terminal (step 1716), and when the pharmacist customer service terminal receives the captured image and prescription data (steps 1722 to 1724), the online customer service start processing step is executed (step 1716).

When the online customer service start processing step of step 1716 is executed, the online customer service tool (online customer service software) connects the vending machine and the pharmacist customer service terminal via the management server 2, and the online customer service processing step is executed (steps 1707, 1717, 1725). This online customer service step connects the person wishing to purchase prescription drugs and the pharmacist online through the vending machine and the pharmacist customer service terminal, and the person wishing to purchase prescription drugs can receive prescription services including online medication instructions. When the online customer service ends, the online customer service end step is executed (steps 1707, 1718, 1726), the online customer service processing ends, and the connection between the vending machine and the pharmacist customer service terminal is disconnected.

Online customer service using a pharmacist's customer service terminal can be performed by a pharmacist avatar as shown in FIG. 9. In this way, if a pharmacist can provide online customer service without revealing their face using a pharmacist avatar, online customer service can be performed while ensuring the security of the pharmacist. A real pharmacist can show their face using a selection screen for pharmacists as shown in FIG. 11. It is also possible to display a selection screen for pharmacists (real) and pharmacists (virtual) as shown in FIG. 12 and allow the person wishing to purchase a prescription to select. Furthermore, if a pharmacist is not comfortable with online conversations, it is also possible to configure the screen display to switch to a pharmacist avatar after first revealing their face and obtaining the consent of the person wishing to purchase.

When online customer service is completed, if the purchaser at the vending machine box (see, for example, Figures 6 and 7) requests a prescription at the vending machine in the prescription drug prescription instruction step (step 1709), the prescribed drug is discharged from the discharge means 17 when the processing of prescription drug receipt step 1710 is executed. Also, if the prescription drug is not in stock, a partner pharmacy may be introduced, or the prescription may be fulfilled by providing the system operator's stock.

In the above-described vending machine processing flow, after the online customer service end step 1708, the prescription drug prescription instruction step 1709 and the prescription drug receipt step 1710 are executed, but this is not limited to the above. For example, after the prescription drug prescription instruction step 1709 and the prescription drug receipt step 1710 are executed, the online connection end step 1708 may be executed.

In this way, according to the first embodiment, a remote sales system for prescription medicines can be realized, so if there is a vending machine for prescription medicines, prescription medicines can be easily filled without using IT devices such as a smartphone, and prescription medicines (drugs) can be obtained more quickly than if they were delivered by home delivery. For example, if prescription medicine vending machines are installed in depopulated areas, they can become an alternative when there are no pharmacies nearby.

In the first embodiment, the remote vending of prescription medicines was described, but convenience would be improved if the vending machine also contained prescription-free OTC medicines (class 2 and 3 medicines) and quasi-drugs. In cases of mild illness, self-medication would be achieved by purchasing non-prescription OTC medicines, which would help reduce medical costs.

Second embodiment: Remote prescription drug vending system
Fig. 18 is an operational flowchart of the prescription drug remote vending system of the second embodiment. In the operational flowchart of Fig. 18, except for personal authentication processing step 1804, processing steps 1801 to 1803, 1805 to 1811 (processing on the vending machine side), 1812 to 1819 (processing on the management server side), and 1820 to 1825 (processing on the pharmacist customer service terminal) are the same as those in the operational flowchart of Fig. 17, so their explanation will be omitted. Below, the personal authentication processing step 1804 will be explained.

In the personal authentication process step 1804, personal authentication is performed using a personal authentication IC card or a driver's license IC card. This authentication process is necessary to receive health insurance medical treatment or insurance dispensing. Usually, a typical insured person presents a valid social insurance card or national health insurance card at a medical institution or dispensing pharmacy to receive health insurance medical treatment or insurance dispensing. Therefore, the remote automatic vending system for prescription drugs also adds a personal authentication process step for receiving insurance dispensing. If the personal authentication IC card is a My Number card with a health insurance card attached, it can be used as a health insurance card, so insurance dispensing is applicable. If the My Number card does not have a health insurance card attached, an image of the health insurance card within its valid period is read, and personal authentication processing is performed at the same time as reading the prescription. If private medical treatment is acceptable, personal authentication processing may be omitted. However, if a prescription that is covered by insurance dispensing is desired, confirmation of the health insurance card is required. If the prescription is within one month, the personal authentication process step may be omitted in some cases. However, it is preferable for repeat buyers to register as buyers.

This authentication process step 1804 is configured to include an identity authentication processing means within the vending machine in FIG. 2. A specific hardware configuration may be an IC card reader or the like. Since receipt (collection) of the original prescription is also required to dispense insurance-covered medicine, a locked prescription collection box or the like may be installed near the vending machine.

In the above-described vending machine processing flow, after the online customer service end step 1809, the prescription drug prescription instruction step 1810 and the prescription drug receipt step 1811 are executed, but this is not limited to the above. For example, after the prescription drug prescription instruction step 1810 and the prescription drug receipt step 1811 are executed, the online connection end step 1809 may be executed.

Figures 19 to 22 show the medical expense statement, insurance dispensing statement, prescription drug instructions, and dispensing receipt when a diabetic patient receives insured medical care and is issued a doctor's prescription. Figure 19 shows a medical expense statement where a prescription for medication has been issued. Figure 20 shows an insurance dispensing statement that includes the prescription details for Metoana Combination Tablets HD, as well as the dispensing technical fee, pharmaceutical management fee, and drug fee. Figure 21 shows the instructions for the prescription drug Metoana Combination Tablets HD. Figure 22 shows the receipt received by the patient.

In the case of in-person medical treatment or prescription of insurance at a medical institution or pharmacy, receipts and the like are issued on paper. When prescriptions are dispensed from a vending machine, printing out the above-mentioned paper would result in the use of a huge amount of paper. Therefore, in the second embodiment, documents related to the prescription of insurance and links to receipts are printed on paper as QR codes (registered trademark) and given to the purchaser, or the user can be asked to register an email address or the like in advance or at the time of purchase, and receipts can be sent to the registered email address. Alternatively, a receipt app on a smartphone can be used.

In this way, according to the second embodiment, in the first embodiment, insurance dispensing can also be applied.

<Using patient mobile devices>
In the above first and second embodiments of the remote vending system for prescription medicines, examples have been described in which remote sales of prescription medicines are carried out using a vending machine and a pharmacist customer service terminal, but patients who wish to purchase medicines may also use their own portable terminals as appropriate.
The patient's portable terminal can be realized on a network that includes a smartphone, a tablet PC, a touch input computer, various computers connected to a touch panel display, a client-server type computer system, a cloud computer, and various computer terminals connected via a network.

As shown in FIG. 23, the computer configuration of the mobile terminal 9 includes a CPU 91, a non-volatile memory 92 such as an HDD or ROM, a main memory 93 such as a D-RAM, a camera 94, a speaker 95, a communication interface 96, a display 97, a software keyboard 98, and a microphone 99, all of which are connected to a system bus. Access by the mobile terminal is selectively made via a network connection appropriate to the communication environment, such as 3G, 4G, or 5G mobile wireless network services, a WIFI wireless connection, or a short-range wireless communication interface (Bluetooth (registered trademark), WI-SUN).

The above configuration is a typical hardware configuration for a mobile device, so we will not explain it here.

The patient's mobile terminal 9 can log in to the management server 2 via the communication interface 96 and the communication network 4 such as the Internet. Login authentication is performed using the email address and password used at the time of registration. When the patient registers with an SNS email address, login authentication is performed using the email address and password for each SNS. The above-mentioned identity authentication process may be omitted if a person who wishes to purchase prescription drugs registers as a user using such a patient's mobile terminal 9. In addition, an electronic medicine notebook, insured person's certificate, etc. may be registered in advance by logging in to the management server 2 from the patient's mobile terminal 9. In addition, the patient's mobile terminal 9 also has a near-field wireless communication interface, and can directly exchange information with a vending machine and transfer the electronic prescription to the vending machine, simplifying the operation of reading the prescription.

<Third embodiment: Prescription drug remote vending system: Pharmacy search and referral processing>
FIG. 24 is a flowchart of a pharmacy search and introduction process in the remote prescription drug vending system of the third embodiment. In the example of FIG. 24, in the remote prescription drug vending system of the first or second embodiment described above, if the vending machine does not have a prescription drug in stock (step 2401), a pharmacist avatar as shown in FIG. 9 executes a search process step of a pharmacy terminal of an affiliated pharmacy (step 2402). In this search process step 2402, a prescription drug inventory search is performed in the affiliated pharmacy. Next, the search result is displayed on the monitor screen of the vending machine, and a pharmacy introduction process step is executed (step 2403). Here, the pharmacy search does not necessarily have to be performed by a pharmacist avatar, and the search may be performed by an automatic search tool (software).

The pharmacy inquiry process may introduce pharmacies close to the vending machine's location, or may search using the location input information specified by the purchaser.

Thus, according to the third embodiment, in the first or second embodiment, if the vending machine does not have a prescription drug in stock, the needs of the potential purchaser can be met by using an affiliated pharmacy.

<Fourth embodiment: Prescription drug remote vending system: Pharmacy referral processing>
Fig. 25 is a flowchart of the pharmacy introduction process in the prescription drug remote vending system of the fourth embodiment. In the example of Fig. 25, a flowchart showing the function of the introduction means 28 of the management server 2 in the above-mentioned third prescription drug remote vending system is shown.
The introduction means 28 has a function of displaying pharmacies that have stock for the purchaser on the screen, and a function of sending a purchase request for prescription drugs to the introduced pharmacy terminal. First, the inventory pharmacy display processing step is executed (step 2501). Next, the prescription drug purchase request sending processing step is executed (step 2502). That is, in step 2502, a prescription purchase request is issued from the management server 2 to the pharmacy terminal.

Fifth embodiment: Prescription drug remote vending system Pharmacy terminal processing
Fig. 26 is a flowchart of the pharmacy terminal processing in the prescription drug remote vending system of the fifth embodiment. In the example of Fig. 26, a flowchart showing the function of the pharmacy terminal in the above-mentioned fourth prescription drug remote vending system is shown.

When the pharmacy terminals 6a and 6b receive a purchase request, they have the function of displaying prescription drugs on the purchase request screen. First, when a purchase request is received (step 2601), a prescription drug display processing step is executed (step 2602). Next, a prescription drug delivery preparation processing step is executed (step 2603).

Sixth embodiment: Management server processing of a remote prescription drug vending system
Fig. 27 is a flowchart of the management server process in the prescription drug remote vending system of the sixth embodiment. The example of Fig. 27 shows a flowchart showing the function of the management server in the above-mentioned first or second prescription drug remote vending system.

First, a pharmacist registration processing step is executed (step 2701). In step 2701, multiple pharmacists are registered and managed by the pharmacist customer service terminal. Next, a simultaneous broadcast transmission processing step is executed (step 2702). Next, the above online customer service is introduced to the multiple pharmacist customer service terminals registered in the pharmacist registration management processing step 2701 (step 2702). Next, an online customer service allocation processing step is executed (step 2703). That is, in the online customer service allocation processing step 2703, the above online customer service of the purchaser accepted by the prescription acceptance means 20 is assigned to only one of the multiple pharmacist customer service terminals.

<Seventh embodiment configuration management server>
FIG. 28 is a functional block diagram of the management server in the prescription drug remote vending system of the seventh embodiment.

As shown in FIG. 28, the management server 2 of the seventh embodiment has a prescription receiving means 20, a prescription information recording means 21, a pharmacist registration management means 22, a purchaser registration means 23, an online customer service allocation means 24, a simultaneous broadcast transmission means 25, an inventory information management means 26, an affiliated pharmacy cooperation means 27, an introduction means 28, and an immovable medicine sales means 29. Here, immovable medicines refer to immovable stock medicines that are not in stock (shipped or received) for a certain period of time, which occur in pharmacies, drug stores, etc. The management server of FIG. 28 has the same configuration as that of FIG. 16, except for the immovable medicine sales means 29, so the explanation will be omitted, and the immovable medicine sales means 29 will be explained below.

Seventh embodiment: configuration of management server
The immovable medicine sales means 29 is an additional function for selling immovable prescription medicines. In the first to sixth embodiments, the prescription medicines were new, but in the seventh embodiment, prescription medicines that are immovable stock at pharmacies and the like are purchased and sold in vending machines. For this reason, an immovable medicine sales means is provided in the management server to sell new medicines and immovable medicines in parallel, thereby reducing the amount of medicine waste as much as possible and contributing to the reduction of social welfare costs.

Figure 29 is a conceptual diagram of a remote sales system for prescription medicines combined with the inventory liquidation system of the seventh embodiment. Prescription medicines are sold remotely by providing online customer service (remote customer service) using a vending machine. This remote sales is the same as in the first to seventh embodiments described above. A customer service app is used for remote customer service. The system operator shares data on the availability of stock in the vending machine, and when the vending machine runs out of prescription medicines, the system operator replenishes the machine with medicines as appropriate. The system operator also purchases prescription medicines that are not in stock at pharmacies, drug stores, convenience stores, etc. (stock of medicines that dispensing pharmacies purchased from pharmaceutical wholesalers or manufacturers, but were not sold as planned) and sells them to stores that need stock. Excess stock data from pharmacies, drug stores, and convenience stores is shared, and that information is used to guide customers to pharmacies that have stock when there is no stock in the vending machine.

Fig. 30 is a conceptual diagram of a system configuration for realizing the inventory liquidation system of Fig. 29. In the example of Fig. 30, a monitor display, system operation, an online customer service application, and a physical pharmacy store are conceptually shown.
Fig. 31 is a process flow chart of a remote prescription drug vending system combined with the inventory liquidation system of Fig. 30. Hereinafter, the flow of remote prescription drug sales conducted by a pharmacist will be described with reference to the flow chart of Fig. 31.

First, the prescription is read by the vending machine (step 3101). Various methods can be used to read the prescription, such as by using a scanner, reading a QR code (registered trademark), or reading an electronic prescription. A portable patient terminal, as shown in FIG. 23, can be used to read an electronic prescription.

After reading the prescription, the validity of the prescription is judged (step 3102). Next, if the prescription is valid, the type of prescription is determined (step 3103). Depending on the type of prescription, normal prescription processing (step 3104), refill prescription processing (step 3105), or split prescription processing (step 3106) is performed. In the case of prescription medicines (step 3107), online medication instructions are given by a pharmacist through online customer service processing A (see FIG. 33 for details) (step 3107).
After the online customer service process is completed (step 3107), the inventory in the vending machine is checked (step 3108). If there is no inventory in the vending machine (step 3108), the company's own inventory is checked (step 3112). If there is no inventory in the company, the process transitions to an affiliated pharmacy search process (step 3113). Next, an affiliated pharmacy inventory search process is executed, and an affiliated pharmacy inquiry process is executed (step 3114). If the purchaser requests a purchase, a purchase request process is executed to a pharmacy terminal that has the inventory.

If the drug is in stock in the vending machine (step 3108), a prescription message is displayed (step 3109) and the prescription is processed (step 3110). The drug is dispensed from the vending machine and the prescription drug is sold (step 3111).

In the above embodiment, the flow of remote sales of prescription drugs has been described, but the vending machine may be configured to store OTC drugs in addition to prescription drugs. In that case, a decision step is added before the prescription reading step 3101 to ask whether prescription explanation is necessary, and a touch-type selection screen with "prescription explanation included" or "prescription explanation not included" is displayed on the monitor screen of the vending machine. If the prospective purchaser selects "prescription explanation not included," the processing after the prescription reading step 3101 is not performed, and the OTC drug is sold remotely. If the prospective purchaser selects "prescription explanation included," the above-mentioned processing steps after the prescription reading step 3101 are executed.

The vending machine may be configured to change the medicines (whether OTC medicines or prescription medicines) stored depending on the location where it is installed. This is because popular medicines may differ depending on the location of the vending machine, whether in the countryside or in the city. For example, in rural mountain villages, where there are many trees and vegetation growing in the forests and woods, there is a risk of being bitten by mosquitoes, so there is a high possibility that insect bite medicines will sell. Also, in cities, the air is polluted by exhaust fumes from cars, so there is a high possibility that asthma medicines will sell. In this way, popular medicines may differ depending on the location of the vending machine, so by changing the medicines stored, it is expected that the sales of the vending machine will increase. Also, if a vending machine is installed near a hospital or clinic and medicines that match the medical department of the hospital or clinic are stocked, it is possible to expect an increase in sales. For example, if the vending machine is installed near a dermatology clinic or clinic, skin medicines may sell, and if it is near an internal medicine clinic or clinic, gastrointestinal medicines and hay fever medicines may sell.

Figure 32 is a conceptual diagram of the online customer service of the present invention, and Figure 33 shows the online customer service flowchart of Figure 32. First, the vending machine (automatic vending machine) is connected to the customer service system (step 3301). A synchronization confirmation message is sent to all registered pharmacists (step 3302). A connection is made to the pharmacist customer service terminal of the first synchronized pharmacist (step 3304). Online customer service is performed by the pharmacist or a pharmacist avatar (step 3305). When the connection to the pharmacist customer service terminal is completed (step 3306), a pick-up pharmacy selection screen is displayed (step 3307). The purchaser selects either inside the vending machine or a pharmacy that can receive the medicine (step 3308). When inside the vending machine is selected, the medicine is dispensed from the vending machine (step 3309). When a pharmacy that can receive the medicine is selected (step 3308), data is sent to the pick-up pharmacy (step 3310). Here, the selection of the pick-up pharmacy in step 3308 may be made during or before the online customer service in the online customer service flow.

In the above-described embodiment, after the pharmacist has finished online customer service (steps 3305, 3306), the process of displaying the receiving pharmacy selection screen (step 3307), selecting a pharmacy in the vending machine or one that can receive the drug (step 3308), dispensing the drug from the vending machine (step 3309), and sending the data to the receiving pharmacy (step 3310) is executed, but the process of steps 3307 to 3310 may be configured to be executed while the pharmacist is online customer service (step 3305). In that case, the process of terminating the connection (step 3306) is executed after the process of steps 3307 to 3310 is finished.

In this way, according to the seventh embodiment, a remote pharmaceutical vending system can be realized that combines secure pharmacist avatar customer service with an inventory liquidation system, making it possible to reduce pharmaceutical waste and realize a new work environment (creating new jobs).

Reference Signs List 1a, 1b, 1c Vending machine 2 Management server 3a, 3b, 3c Pharmacist customer service terminal 4 Network 5 Manager terminal 6a, 6b Pharmacy terminal 7 Person wishing to purchase prescription medicine 11 Imaging means 12 Captured image transmission means 13 Prescription reading means 14 Validity determination means 15 Prescription type discrimination means 16 Prescription data transmission means 17 Discharge means 20 Prescription reception means 21 Prescription information recording means 22 Pharmacist registration management means 23 Purchaser registration means 24 Online customer service allocation means 25 Simultaneous broadcast transmission means 26 Stock information management means 27 Partner pharmacy cooperation means 28 Introduction means 29 Immobile medicine sales means 30 Display means 31 Online customer service means

Claims (8)

A remote prescription drug vending system comprising: a pharmacist customer service terminal at which a pharmacist serves a person who wishes to purchase a prescription drug online in a non-face-to-face format; a vending machine connected to the pharmacist customer service terminal via a network and remotely sells prescription drugs to the person who has received the online customer service; and a management server connected to the pharmacist customer service terminal and the vending machine via a network,
a storage means for storing prescription medications;
an imaging means for imaging the person who wishes to purchase the prescription drug, including at least the prescription drug stored in the storage means;
a captured image transmission means for transmitting the captured image of the purchase applicant captured by the imaging means to the pharmacist serving terminal via a network, or to the pharmacist serving terminal via the management server;
A prescription reading means for reading a prescription;
a validity determining means for determining the validity of the prescription read by the prescription reading means;
a prescription type discrimination means for discriminating the type read by the prescription reading means;
a prescription data transmission means for transmitting prescription read data and prescription type data to the management server together with the result of discrimination by the prescription type discrimination means when the prescription is judged to be valid by the validity judgment means;
an ejection means for ejecting the prescription medicines stored in the storage means;
The vending machine having the above structure,
a display means for displaying the captured image of the purchase applicant transmitted by the captured image transmitting means;
an online customer service means for providing the online customer service via the vending machine to the purchase applicant displayed by the display means;
The pharmacist customer service terminal having
a prescription reception means for receiving the prescription reading data and the prescription type data transmitted from the vending machine, and receiving the prescription of the purchaser;
The online customer service means provides online customer service to the purchaser whose prescription has been accepted by the prescription acceptance means. The remote prescription drug vending system according to claim 1, characterized in that the vending machine performs identity authentication using a personal authentication IC card or a driver's license IC card. The remote prescription drug vending system according to claim 1 or 2, characterized in that a pharmacist avatar is used for the online customer service. The remote prescription drug vending system according to claim 3, further comprising a referral means for searching multiple pharmacy terminals and introducing pharmacies that have the prescription drug in stock if the prescription drug is not in stock in the vending machine. The remote prescription drug vending system according to claim 4, characterized in that the introduction means has a function of displaying on a screen pharmacies that have stock for the purchaser, and a function of sending a purchase request for the prescription drug to the introduced pharmacy terminal. The remote prescription drug vending system according to claim 5, characterized in that the pharmacy terminal has a function of displaying prescription drugs on a purchase request screen when a purchase request is received. A registration management means for registering and managing a plurality of pharmacists using the pharmacist service terminal;
a simultaneous broadcasting means for introducing the online customer service to a plurality of pharmacist customer service terminals registered by the registration management means;
3. The remote vending system for prescription medicines as described in claim 1 or 2, further comprising an online customer service allocation means for allocating the online customer service of the purchaser whose prescription has been accepted by the prescription acceptance means to only one of the plurality of pharmacist customer service terminals. The remote prescription drug vending system according to claim 1 or 2, characterized in that the prescription drugs include immovable drugs.

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