SPOC-CO
Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.

Order Sets

Pathway-driven order-set automation and discharge planning orchestration. Tracks orders generated, clinical-review status, and downstream EKG / RPM / IPC / DME / steerage creation, then surfaces a discharge planning worklist with post-acute, medication, RPM, and specialist follow-up needs.

90 activations10 order sets in library
Filters
90 of 90 activations
Presets
No saved presets yet — set filters above and click “Save preset”.
Synthetic data prototype — no PHI. Numbers, names, and IDs are fabricated for design review only.

Operational Charts

Activation, Discharge & Review Mix

Order Set Activations by Pathway

Generated Orders by Type

Discharge Disposition Mix

Post-Acute Destination Mix

DME Order Status

Clinical Review Completion Rate by Pathway

Worklist

Order Set Activation

One row per order-set activation with downstream EKG / RPM / IPC / DME / steerage flags and clinical-review status.

90 activations7 pending review28 EKG31 RPM17 IPC23 DME
90 order-set activations
PatientPathwayOrder SetActivatedByReview Req.Review Done# OrdersSteerageEKGRPMConsultDMEStatus
Maria AlvarezEPI-2026-0001Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-10 00:00Sofia Diaz—N/A4————YesActivated
Maria AlvarezEPI-2026-0001Urology Post-Surgical RecoveryDME Recovery Bundle2026-01-07 00:00Brandon Lee—N/A4————YesCancelled
Thomas BennettEPI-2026-0002Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-19 00:00AI Engine—N/A4————YesActivated
Linda ChenEPI-2026-0003Cardiology SOB PathwaySOB Cardiology Bundle2026-02-07 00:00Naomi ReyesRequiredYes5YesYesYes——Activated
Robert DavisEPI-2026-0004Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-28 00:00Felix Stone—N/A4————YesActivated
Robert DavisEPI-2026-0004Urology Post-Surgical RecoveryDME Recovery Bundle2026-01-31 00:00AI Engine—N/A4————YesActivated
Patricia EvansEPI-2026-0005Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-03-12 00:00AI Engine—N/A4————YesActivated
George FloresEPI-2026-0006Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-01-26 00:00Sofia DiazRequiredPending3YesYesYesYes—Pending Review
Ellen GreeneEPI-2026-0007PCP Chronic Disease APCMPCP APCM Chronic Bundle2025-11-25 00:00AI Engine—N/A4——Yes——Partially Activated
Samuel HernandezEPI-2026-0008Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-06 00:00Brandon Lee—N/A4————YesActivated
Denise JohnsonEPI-2026-0009Cardiology SOB PathwaySOB Cardiology Bundle2026-02-11 00:00Sofia DiazRequiredYes5YesYesYes——Partially Activated
William KimEPI-2026-0010Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-01-31 00:00Jamal CarterRequiredYes3YesYesYesYes—Activated
Barbara LawsonEPI-2026-0011Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-06 00:00Brandon Lee—N/A4————YesPartially Activated
Susan NguyenEPI-2026-0013Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-25 00:00Jamal Carter—N/A4————YesActivated
Donald OwensEPI-2026-0014Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-09 00:00Sofia Diaz—N/A4————YesActivated
Donald OwensEPI-2026-0014Urology Post-Surgical RecoveryDME Recovery Bundle2026-02-06 00:00AI Engine—N/A4————YesActivated
Karen ParkEPI-2026-0015Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-03-09 00:00AI EngineRequiredPending3YesYesYesYes—Pending Review
Sandra VargasEPI-2026-0021PCP Chronic Disease APCMPCP APCM Chronic Bundle2025-10-25 00:00AI Engine—N/A4——Yes——Activated
Anthony WalkerEPI-2026-0022Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-01-11 00:00AI EngineRequiredPending3YesYesYesYes—Pending Review
Donna XuEPI-2026-0023Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-08 00:00AI Engine—N/A4————YesPartially Activated
Brian YoungEPI-2026-0024Cardiology SOB PathwaySOB Cardiology Bundle2026-01-15 00:00Elena RiveraRequiredYes5YesYesYes——Cancelled
Frank AdlerEPI-2026-0026Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-14 00:00AI Engine—N/A4————YesActivated
Grace BrooksEPI-2026-0027Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-26 00:00Sofia Diaz—N/A4————YesActivated
James EllisEPI-2026-0030Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-01-13 00:00AI EngineRequiredYes3YesYesYesYes—Activated
Kenneth GarciaEPI-2026-0032Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-02-03 00:00Elena RiveraRequiredPending3YesYesYesYes—Pending Review
Oscar KleinEPI-2026-0036Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-11 00:00AI Engine—N/A4————YesPartially Activated
Quincy MorrisonEPI-2026-0038Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2025-12-28 00:00Felix Stone—N/A4————YesActivated
Rachel NewmanEPI-2026-0039PCP Chronic Disease APCMPCP APCM Chronic Bundle2025-12-12 00:00Sofia Diaz—N/A4——Yes——Activated
Steven OrtegaEPI-2026-0040Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-09 00:00AI Engine—N/A4————YesActivated
Steven OrtegaEPI-2026-0040Urology Post-Surgical RecoveryDME Recovery Bundle2026-02-09 00:00Elena Rivera—N/A4————YesActivated
Teresa PruittEPI-2026-0041Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-18 00:00AI Engine—N/A4————YesActivated
Vincent RomeroEPI-2026-0042Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-03-26 00:00Brandon LeeRequiredYes3YesYesYesYes—Partially Activated
Wendy SullivanEPI-2026-0043Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-01-21 00:00Jamal Carter—N/A4————YesActivated
Wendy SullivanEPI-2026-0043Urology Post-Surgical RecoveryDME Recovery Bundle2026-01-22 00:00Brandon Lee—N/A4————YesActivated
Xavier ThompsonEPI-2026-0044Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-03-09 00:00AI Engine—N/A4————YesActivated
Bruce XiongEPI-2026-0048Urology Post-Surgical RecoveryPost-Urology Discharge Bundle2026-02-09 00:00AI Engine—N/A4————YesActivated
Dennis ZimmermanEPI-2026-0050Syncope / Arrhythmia PathwaySyncope Monitoring Bundle2026-03-10 00:00Naomi ReyesRequiredPending3YesYesYesYes—Pending Review
Camille DoolittleEPI-2026-0053Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-02 11:00Derek Mensah—N/A4Yes————Cancelled
Desmond EberhardtEPI-2026-0054Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-13 07:00Brandon Lee—N/A4Yes————Activated
Estela FramptonEPI-2026-0055SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-03-11 16:45AI EngineRequiredPending4YesYesYes——Pending Review
Felipe GranadosEPI-2026-0056Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-02-12 15:30Brandon Lee—N/A4YesYesYesYes—Activated
Greta HollowayEPI-2026-0057Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-21 08:00AI Engine—N/A4Yes————Cancelled
Hideki ImamuraEPI-2026-0058Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-14 18:00AI Engine—N/A4Yes————Cancelled
Inara JoaquimEPI-2026-0059Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-28 13:45AI Engine—N/A4Yes————Activated
Jonas KetteringEPI-2026-0060Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-20 15:00Jamal Carter—N/A4Yes————Cancelled
Kira LambrightEPI-2026-0061Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-01-24 17:15Jamal Carter—N/A4YesYesYesYes—Cancelled
Lorenzo MendizabalEPI-2026-0062Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-09 17:00Aisha Patel—N/A4Yes————Activated
Marisol NakaharaEPI-2026-0063Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-17 08:00Derek Mensah—N/A4Yes————Activated
Nestor OkonkwoEPI-2026-0064Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-01-20 12:15Derek Mensah—N/A4YesYesYesYes—Activated
Quintessa RasmussenEPI-2026-0067Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-02-12 12:15AI Engine—N/A4YesYesYesYes—Activated
Reinaldo StavrosEPI-2026-0068Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-03-07 11:00AI Engine—N/A4YesYesYesYes—Activated
Sabine TcherenkovEPI-2026-0069Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-14 08:15Sofia Diaz—N/A4Yes————Activated
Tobias UenoEPI-2026-0070Elevated PSA PathwayElevated PSA Workup Bundle2026-03-08 14:30Sofia DiazRequiredYes2Yes————Activated
Ursula VanceEPI-2026-0071Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-18 09:30Derek Mensah—N/A4Yes————Activated
Wilhelmina XanthopoulosEPI-2026-0073SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-01-25 12:45Derek MensahRequiredYes4YesYesYes——Cancelled
Xiomara YanceyEPI-2026-0074Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-09 12:15AI Engine—N/A4Yes————Cancelled
Adrian BeasleyEPI-2026-0075Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-01-06 10:45Sofia Diaz—N/A4YesYesYesYes—Activated
Beatrice CaldwellEPI-2026-0076Elevated PSA PathwayElevated PSA Workup Bundle2026-01-25 17:45Aisha PatelRequiredYes2Yes————Activated
Camille DoolittleEPI-2026-0077SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-01-19 13:00AI EngineRequiredYes4YesYesYes——Partially Activated
Desmond EberhardtEPI-2026-0078Elevated PSA PathwayElevated PSA Workup Bundle2026-02-07 16:00AI EngineRequiredYes2Yes————Activated
Felipe GranadosEPI-2026-0080Elevated PSA PathwayElevated PSA Workup Bundle2026-03-09 12:45Derek MensahRequiredYes2Yes————Activated
Greta HollowayEPI-2026-0081Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-24 12:30AI Engine—N/A4Yes————Activated
Hideki ImamuraEPI-2026-0082Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-19 11:15AI Engine—N/A4Yes————Partially Activated
Jonas KetteringEPI-2026-0084Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-02-13 16:00AI Engine—N/A4YesYesYesYes—Activated
Lorenzo MendizabalEPI-2026-0086Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-19 11:00AI Engine—N/A4Yes————Cancelled
Marisol NakaharaEPI-2026-0087Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-04 08:15Derek Mensah—N/A4Yes————Cancelled
Nestor OkonkwoEPI-2026-0088Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-01-17 09:45Sofia Diaz—N/A4YesYesYesYes—Activated
Pascal QuinteroEPI-2026-0090Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-22 15:30AI Engine—N/A4Yes————Activated
Quintessa RasmussenEPI-2026-0091Elevated PSA PathwayElevated PSA Workup Bundle2026-02-14 14:30Jamal CarterRequiredPending2Yes————Pending Review
Reinaldo StavrosEPI-2026-0092Elevated PSA PathwayElevated PSA Workup Bundle2026-03-23 15:45AI EngineRequiredYes2Yes————Cancelled
Sabine TcherenkovEPI-2026-0093Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-16 16:15Jamal Carter—N/A4Yes————Activated
Tobias UenoEPI-2026-0094Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-08 09:15Brandon Lee—N/A4Yes————Activated
Valentin WassermanEPI-2026-0096SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-03-22 17:15Felix StoneRequiredYes4YesYesYes——Activated
Wilhelmina XanthopoulosEPI-2026-0097Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-09 14:45AI Engine—N/A4Yes————Activated
Xiomara YanceyEPI-2026-0098Pre-Specialty Cardiology PathwayPre-Specialty Cardiology Bundle2026-02-21 10:00AI Engine—N/A4YesYesYesYes—Activated
Adrian BeasleyEPI-2026-0099Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-13 08:15Derek Mensah—N/A4Yes————Activated
Beatrice CaldwellEPI-2026-0100Elevated PSA PathwayElevated PSA Workup Bundle2026-02-10 10:45Sofia DiazRequiredYes2Yes————Activated
Camille DoolittleEPI-2026-0101SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-03-03 18:30Derek MensahRequiredYes4YesYesYes——Activated
Desmond EberhardtEPI-2026-0102Elevated PSA PathwayElevated PSA Workup Bundle2026-01-13 17:15AI EngineRequiredYes2Yes————Partially Activated
Estela FramptonEPI-2026-0103Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-02 15:45AI Engine—N/A4Yes————Activated
Felipe GranadosEPI-2026-0104Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-17 16:15AI Engine—N/A4Yes————Activated
Greta HollowayEPI-2026-0105Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-08 17:30Jamal Carter—N/A4Yes————Activated
Hideki ImamuraEPI-2026-0106Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-01-18 17:15Aisha Patel—N/A4Yes————Activated
Inara JoaquimEPI-2026-0107Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-27 11:30Derek Mensah—N/A4Yes————Activated
Jonas KetteringEPI-2026-0108Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-29 14:45Jamal Carter—N/A4Yes————Activated
Kira LambrightEPI-2026-0109Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-03-19 13:45AI Engine—N/A4Yes————Activated
Lorenzo MendizabalEPI-2026-0110Pre-Specialty Urology PathwayPre-Specialty Urology Bundle2026-02-13 12:15AI Engine—N/A4Yes————Partially Activated
Marisol NakaharaEPI-2026-0111SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-01-22 10:30Felix StoneRequiredYes4YesYesYes——Cancelled
Octavia PembertonEPI-2026-0113SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-02-01 14:45AI EngineRequiredYes4YesYesYes——Activated
Pascal QuinteroEPI-2026-0114SOB Cardiology PathwaySOB Cardiology Pre-Visit Bundle2026-02-19 12:00AI EngineRequiredYes4YesYesYes——Cancelled

Discharge Planning

Discharge Planning Worklist

One row per episode with disposition, post-acute plan, DME / medication / RPM / specialist follow-up needs, owner, due date, and blocking reason.

114 home-bound19 DME needed114 med plans7 blocked
114 discharge plans
PatientDispositionPost-Acute PlanDME NeedMedication PlanRPM NeedSpecialist FUNext Best ActionOwnerDueBlocked Reason
Maria AlvarezEPI-2026-0001Home (self-care)—1 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationJamal Carter2026-01-25—
Thomas BennettEPI-2026-0002Home (self-care)—2 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationSofia Diaz2026-03-05—
Linda ChenEPI-2026-0003Home (self-care)——Standard discharge medsBP cuff (active)Specialist referral queuedShip RPM device + activate transmissionsAisha Patel2026-02-09—
Robert DavisEPI-2026-0004Home (self-care)—1 item(s) · ShippedStandard discharge meds——Verify DME delivery + patient educationNaomi Reyes2026-02-15—
Patricia EvansEPI-2026-0005Home (self-care)—2 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationBrandon Lee2026-03-27—
George FloresEPI-2026-0006Home (self-care)——Standard discharge medsPulse oximeter (active)Endocrinology consult · scheduledShip RPM device + activate transmissionsDerek Mensah2026-01-28Order set pending clinical review
Ellen GreeneEPI-2026-0007Home (self-care)——Discharge med reconciliation + 30-day refillsGlucometer (active)—Ship RPM device + activate transmissionsElena Rivera2026-02-10—
Samuel HernandezEPI-2026-0008Home (self-care)—2 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationFelix Stone2026-02-25—
Denise JohnsonEPI-2026-0009Home (self-care)——Standard discharge medsBP cuff (active)Specialist referral queuedShip RPM device + activate transmissionsJamal Carter2026-02-13—
William KimEPI-2026-0010Home (self-care)——Standard discharge medsBP cuff (active)Endocrinology consult · scheduledShip RPM device + activate transmissionsSofia Diaz2026-02-02—
Barbara LawsonEPI-2026-0011Home (self-care)—3 item(s) · ShippedStandard discharge meds——Verify DME delivery + patient educationAisha Patel2026-02-20—
Charles MitchellEPI-2026-0012Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionNaomi Reyes2026-01-26—
Susan NguyenEPI-2026-0013Home (self-care)—1 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationBrandon Lee2026-03-09—
Donald OwensEPI-2026-0014Home (self-care)—2 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationDerek Mensah2026-02-21—
Karen ParkEPI-2026-0015Home (self-care)——Standard discharge medsPulse oximeter (active)Nephrology consult · scheduledShip RPM device + activate transmissionsElena Rivera2026-03-12Order set pending clinical review
Edward QuinnEPI-2026-0016Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionFelix Stone2026-02-14—
Helen ReyesEPI-2026-0017Home (self-care)——Discharge med reconciliation + 30-day refills——Continue care plan; no urgent actionJamal Carter2026-02-13—
Henry SandersEPI-2026-0018Home (self-care)——Standard discharge meds——Schedule TCM visit within 14dSofia Diaz2026-02-10—
Michelle TanakaEPI-2026-0019Home (self-care)——Discharge med reconciliation + 30-day refills—Nephrology consult · scheduledContinue care plan; no urgent actionAisha Patel2026-03-11—
Kevin UnderwoodEPI-2026-0020Home (self-care)——Standard discharge meds——Episode closed — survivorship surveillance onlyNaomi Reyes2026-03-04—
Sandra VargasEPI-2026-0021Home (self-care)——Discharge med reconciliation + 30-day refillsPulse oximeter (active)—Ship RPM device + activate transmissionsBrandon Lee2026-01-08—
Anthony WalkerEPI-2026-0022Home (self-care)——Standard discharge medsWeight scale (active)Pulmonology consult · scheduledShip RPM device + activate transmissionsDerek Mensah2026-01-12Order set pending clinical review
Donna XuEPI-2026-0023Home (self-care)—2 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationElena Rivera2026-01-27—
Brian YoungEPI-2026-0024Home (self-care)——Standard discharge medsCardiac monitor (active)Specialist referral queuedSchedule TCM visit within 14dFelix Stone2026-01-17—
Emily ZhangEPI-2026-0025Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionJamal Carter2026-03-02—
Frank AdlerEPI-2026-0026Home (self-care)—1 item(s) · ShippedStandard discharge meds——Verify DME delivery + patient educationSofia Diaz2026-01-23—
Grace BrooksEPI-2026-0027Home (self-care)—1 item(s) · ShippedStandard discharge meds——Schedule TCM visit within 14dAisha Patel2026-03-17—
Howard CarterEPI-2026-0028Home (self-care)——Discharge med reconciliation + 30-day refills—Cardiology consult · scheduledContinue care plan; no urgent actionNaomi Reyes2026-02-04—
Irene DelgadoEPI-2026-0029Home (self-care)——Discharge med reconciliation + 30-day refills—Urology consult · scheduledConfirm PCM consent + enrollBrandon Lee2026-03-19—
James EllisEPI-2026-0030Home (self-care)——Standard discharge medsBP cuff (active)Nephrology consult · scheduledShip RPM device + activate transmissionsDerek Mensah2026-01-16—
Janet FosterEPI-2026-0031Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionElena Rivera2026-03-10—
Kenneth GarciaEPI-2026-0032Home (self-care)——Standard discharge medsGlucometer (active)Endocrinology consult · scheduledSchedule TCM visit within 14dFelix Stone2026-02-05Order set pending clinical review
Laura HayesEPI-2026-0033Home (self-care)——Discharge med reconciliation + 30-day refills—Urology consult · scheduledContinue care plan; no urgent actionJamal Carter2026-03-14—
Mark IversonEPI-2026-0034Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionSofia Diaz2026-01-29—
Nancy JacobsEPI-2026-0035Home (self-care)——Discharge med reconciliation + 30-day refills—Urology consult · scheduledContinue care plan; no urgent actionAisha Patel2026-03-04—
Oscar KleinEPI-2026-0036Home (self-care)—2 item(s) · ShippedStandard discharge meds——Schedule TCM visit within 14dNaomi Reyes2026-01-18—
Peggy LopezEPI-2026-0037Home (self-care)——Discharge med reconciliation + 30-day refills—Urology consult · scheduledContinue care plan; no urgent actionBrandon Lee2026-03-25—
Quincy MorrisonEPI-2026-0038Home (self-care)—1 item(s) · DeliveredStandard discharge meds——Schedule TCM visit within 14dDerek Mensah2026-01-17—
Rachel NewmanEPI-2026-0039Home (self-care)——Discharge med reconciliation + 30-day refillsPulse oximeter (active)—Ship RPM device + activate transmissionsElena Rivera2026-02-11—
Steven OrtegaEPI-2026-0040Home (self-care)—3 item(s) · DeliveredStandard discharge meds——Verify DME delivery + patient educationFelix Stone2026-03-02—
Teresa PruittEPI-2026-0041Home (self-care)—1 item(s) · CancelledStandard discharge meds——Verify DME delivery + patient educationJamal Carter2026-01-31—
Vincent RomeroEPI-2026-0042Home (self-care)——Standard discharge medsWeight scale (active)Cardiology consult · scheduledShip RPM device + activate transmissionsSofia Diaz2026-03-28—
Wendy SullivanEPI-2026-0043Home (self-care)—1 item(s) · ShippedStandard discharge meds——Schedule TCM visit within 14dAisha Patel2026-01-29—
Xavier ThompsonEPI-2026-0044Home (self-care)—3 item(s) · DeliveredStandard discharge meds——Schedule TCM visit within 14dNaomi Reyes2026-03-27—
Yvonne UnderhillEPI-2026-0045Home (self-care)——Standard discharge meds——Schedule TCM visit within 14dBrandon Lee2026-02-06—
Zachary VelascoEPI-2026-0046Home (self-care)——Discharge med reconciliation + 30-day refills—Nephrology consult · scheduledConfirm PCM consent + enrollDerek Mensah2026-01-18—
Alice WhitakerEPI-2026-0047Home (self-care)——Discharge med reconciliation + 30-day refills——Confirm PCM consent + enrollElena Rivera2026-02-11—
Bruce XiongEPI-2026-0048Home (self-care)—1 item(s) · DeliveredStandard discharge meds——Schedule TCM visit within 14dFelix Stone2026-02-20—
Carol YoderEPI-2026-0049Home (self-care)——Standard discharge meds——Continue care plan; no urgent actionJamal Carter2026-02-03—
Dennis ZimmermanEPI-2026-0050Home (self-care)——Standard discharge medsGlucometer (active)Urology consult · scheduledSchedule TCM visit within 14dSofia Diaz2026-03-12Order set pending clinical review
Adrian BeasleyEPI-2026-0051Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedTrack outstanding pre-visit workupAisha Patel2026-02-16—
Beatrice CaldwellEPI-2026-0052Home (self-care)——Discharge med reconciliation + 30-day refillsCardiac monitor (active)Specialist referral queuedClose loop with referring providerNaomi Reyes2026-01-28—
Camille DoolittleEPI-2026-0053Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachBrandon Lee2026-03-01—
Desmond EberhardtEPI-2026-0054Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerDerek Mensah2026-02-14—
Estela FramptonEPI-2026-0055Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerElena Rivera2026-03-13Order set pending clinical review
Felipe GranadosEPI-2026-0056Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerFelix Stone2026-02-12—
Greta HollowayEPI-2026-0057Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitJamal Carter2026-02-20—
Hideki ImamuraEPI-2026-0058Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachSofia Diaz2026-01-13—
Inara JoaquimEPI-2026-0059Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitAisha Patel2026-03-02—
Jonas KetteringEPI-2026-0060Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachNaomi Reyes2026-03-20—
Kira LambrightEPI-2026-0061Home (self-care)——Discharge med reconciliation + 30-day refillsBP cuff (active)Specialist referral queuedResolve documents/intake blocker before outreachBrandon Lee2026-01-25—
Lorenzo MendizabalEPI-2026-0062Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm appointment + send remindersDerek Mensah2026-01-10—
Marisol NakaharaEPI-2026-0063Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerElena Rivera2026-01-19—
Nestor OkonkwoEPI-2026-0064Home (self-care)——Discharge med reconciliation + 30-day refillsDevice ship pendingSpecialist referral queuedClose loop with referring providerFelix Stone2026-01-19—
Octavia PembertonEPI-2026-0065Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachJamal Carter2026-01-08—
Pascal QuinteroEPI-2026-0066Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm reach + offer PCMSofia Diaz2026-01-13—
Quintessa RasmussenEPI-2026-0067Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedTrack outstanding pre-visit workupAisha Patel2026-02-14—
Reinaldo StavrosEPI-2026-0068Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm appointment + send remindersNaomi Reyes2026-03-08—
Sabine TcherenkovEPI-2026-0069Home (self-care)—1 item(s) · DeliveredDischarge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerBrandon Lee2026-01-15—
Tobias UenoEPI-2026-0070Home (self-care)——Discharge med reconciliation + 30-day refills—Oncology consult · scheduledConfirm appointment + send remindersDerek Mensah2026-03-07—
Ursula VanceEPI-2026-0071Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerElena Rivera2026-03-18—
Valentin WassermanEPI-2026-0072Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerFelix Stone2026-01-20—
Wilhelmina XanthopoulosEPI-2026-0073Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachJamal Carter2026-01-26—
Xiomara YanceyEPI-2026-0074Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachSofia Diaz2026-01-10—
Adrian BeasleyEPI-2026-0075Home (self-care)——Discharge med reconciliation + 30-day refillsWeight scale (active)Specialist referral queuedClose loop with referring providerAisha Patel2026-01-07—
Beatrice CaldwellEPI-2026-0076Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerNaomi Reyes2026-01-27—
Camille DoolittleEPI-2026-0077Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerBrandon Lee2026-01-21—
Desmond EberhardtEPI-2026-0078Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerDerek Mensah2026-02-09—
Estela FramptonEPI-2026-0079Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachElena Rivera2026-02-10—
Felipe GranadosEPI-2026-0080Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm appointment + send remindersFelix Stone2026-03-10—
Greta HollowayEPI-2026-0081Home (self-care)——Discharge med reconciliation + 30-day refills—Nephrology consult · scheduledObtain PCM consent + enrolJamal Carter2026-03-24—
Hideki ImamuraEPI-2026-0082Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerSofia Diaz2026-02-19—
Inara JoaquimEPI-2026-0083Home (self-care)——Discharge med reconciliation + 30-day refillsCardiac monitor (active)Specialist referral queuedClose loop with referring providerAisha Patel2026-02-06—
Jonas KetteringEPI-2026-0084Home (self-care)——Discharge med reconciliation + 30-day refillsWeight scale (active)Specialist referral queuedOrder pre-visit workup per pathwayNaomi Reyes2026-02-13—
Kira LambrightEPI-2026-0085Home (self-care)——Discharge med reconciliation + 30-day refills—Oncology consult · scheduledClose loop with referring providerBrandon Lee2026-02-05—
Lorenzo MendizabalEPI-2026-0086Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerDerek Mensah2026-02-20—
Marisol NakaharaEPI-2026-0087Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachElena Rivera2026-02-05—
Nestor OkonkwoEPI-2026-0088Home (self-care)——Discharge med reconciliation + 30-day refillsCardiac monitor (active)Specialist referral queuedConfirm reach + offer PCMFelix Stone2026-01-17—
Octavia PembertonEPI-2026-0089Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitJamal Carter2026-03-26—
Pascal QuinteroEPI-2026-0090Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm reach + offer PCMSofia Diaz2026-02-21—
Quintessa RasmussenEPI-2026-0091Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitAisha Patel2026-02-13Order set pending clinical review
Reinaldo StavrosEPI-2026-0092Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm reach + offer PCMNaomi Reyes2026-03-22—
Sabine TcherenkovEPI-2026-0093Home (self-care)——Discharge med reconciliation + 30-day refills—Nephrology consult · scheduledClose loop with referring providerBrandon Lee2026-01-16—
Tobias UenoEPI-2026-0094Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerDerek Mensah2026-01-07—
Ursula VanceEPI-2026-0095Home (self-care)——Discharge med reconciliation + 30-day refillsDevice ship pendingSpecialist referral queuedClose loop with referring providerElena Rivera2026-03-22—
Valentin WassermanEPI-2026-0096Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedOrder pre-visit workup per pathwayFelix Stone2026-03-23—
Wilhelmina XanthopoulosEPI-2026-0097Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedTrack outstanding pre-visit workupJamal Carter2026-02-10—
Xiomara YanceyEPI-2026-0098Home (self-care)——Discharge med reconciliation + 30-day refillsBP cuff (active)Specialist referral queuedOrder pre-visit workup per pathwaySofia Diaz2026-02-23—
Adrian BeasleyEPI-2026-0099Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedTrack outstanding pre-visit workupAisha Patel2026-03-12—
Beatrice CaldwellEPI-2026-0100Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitNaomi Reyes2026-02-09—
Camille DoolittleEPI-2026-0101Home (self-care)——Discharge med reconciliation + 30-day refillsPulse oximeter (active)Specialist referral queuedConfirm appointment + send remindersBrandon Lee2026-03-04—
Desmond EberhardtEPI-2026-0102Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerDerek Mensah2026-01-14—
Estela FramptonEPI-2026-0103Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedSchedule first specialist visitElena Rivera2026-02-04—
Felipe GranadosEPI-2026-0104Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerFelix Stone2026-01-16—
Greta HollowayEPI-2026-0105Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerJamal Carter2026-03-08—
Hideki ImamuraEPI-2026-0106Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedOrder pre-visit workup per pathwaySofia Diaz2026-01-19—
Inara JoaquimEPI-2026-0107Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedObtain PCM consent + enrolAisha Patel2026-02-27—
Jonas KetteringEPI-2026-0108Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerNaomi Reyes2026-03-28—
Kira LambrightEPI-2026-0109Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedTrack outstanding pre-visit workupBrandon Lee2026-03-20—
Lorenzo MendizabalEPI-2026-0110Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedConfirm reach + offer PCMDerek Mensah2026-02-12—
Marisol NakaharaEPI-2026-0111Home (self-care)——Discharge med reconciliation + 30-day refillsPulse oximeter (active)Specialist referral queuedResolve documents/intake blocker before outreachElena Rivera2026-01-22—
Nestor OkonkwoEPI-2026-0112Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerFelix Stone2026-01-13—
Octavia PembertonEPI-2026-0113Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedClose loop with referring providerJamal Carter2026-02-03—
Pascal QuinteroEPI-2026-0114Home (self-care)——Discharge med reconciliation + 30-day refills—Specialist referral queuedResolve documents/intake blocker before outreachSofia Diaz2026-02-20—