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

Patient 360

Longitudinal Episode View

Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.

Adrian Beasley

PT-000051 · USC-900100 · EPI-2026-0051

Referral WorkupHigh riskMedicareProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 60%Pre-Specialty Urology PathwayReferral - Workup In ProgressPCMSpecialist Referral

NBA: Track outstanding pre-visit workup

Reason codes: ROUTINE_SPECIALTY_REFERRAL

Outreach

PCM Min.

Paid $

Age / Sex

71 · M

ZIP

90055

Language

English

Payer

Medicare FFS

Procedure

Robotic Prostatectomy

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Urology Beverly Hills

Surgery Date

Feb 14, 2026

Discharge

Feb 14, 2026

LOS

Status

Referral Workup

Consent

Missing

Episode Timeline

60 events

Program Assignment · Specialist Referral · Eligible

2026-01-05 10:45

Accepted (assigned by AI Engine)

Program Assignment · RPM · Eligible

2026-01-06 10:45

Not accepted (Pass payer check)

Order Set · Pre-Specialty Cardiology Bundle · Activated

2026-01-06 10:45

4 orders

Outreach · Attempt 1 · Left Voicemail

2026-01-07 08:00

Felix Stone

Program Assignment · PCM · Eligible

2026-01-07 10:45

Not accepted (Pass payer check)

Workup Ordered · Lipid panel

2026-01-08

Lab

Workup Ordered · Records request

2026-01-08

Records

Workup Ordered · 12-lead EKG

2026-01-10

EKG

Outreach · Attempt 2 · No Answer

2026-01-10 13:15

Jamal Carter

Steerage · Lab → USC

2026-01-11

USC Norris Cancer Hospital

Workup Completed · Lipid panel

2026-01-11

Final

Workup Ordered · BMP

2026-01-11

Lab

Downstream USC Service · Lab

2026-01-11

Outreach · Attempt 3 · TCM Accepted

2026-01-11 14:45

Jamal Carter

Exception · Referral Documents Missing · Medium · Open

2026-01-11 17:45

Sofia Diaz

Exception Opened · Referral Documents Missing

2026-01-11 17:45

Medium · Open

Workup Scheduled · Lipid panel

2026-01-12

RPM Enrollment · Weight scale · CPT 99453/99454/99457

2026-01-14

17/30 transmission days

RPM Alert · 1 alert(s) in last 30d

2026-01-14

Weight scale

Workup Scheduled · 12-lead EKG

2026-01-15

Readiness Updated · Score 43% · At Risk

2026-01-18 10:45

2 pending workups; Outside records; PCM enrolment; RPM device activation

Steerage · Procedure → USC

2026-01-19

USC Urology Beverly Hills

Workup Completed · 12-lead EKG

2026-01-19

Final

Downstream USC Service · Procedure

2026-01-19

Surgery · Robotic Prostatectomy

2026-02-14

Dr. Eliot Kashani

Discharge · LOS 0d

2026-02-14

Intake Trigger · Specialty Referral · Community PCP

2026-02-14 17:45

Routed at 2026-02-16 08:15

Program Assignment · PCM · Eligible

2026-02-14 17:45

Accepted (assigned by AI Engine)

Program Assignment · Specialist Referral · Eligible

2026-02-14 17:45

Accepted (assigned by STF-002)

Referral Received · Nephrology · CKD stage 3 evaluation

2026-02-14 17:45

External System · South Bay Family Practice

Intake Created · Intake REF-0001

2026-02-14 17:45

Urgency: Routine

PCM Offered · Pre-visit PCM offered

2026-02-14 17:45

Outreach Started · First contact attempt

2026-02-16 08:15

2d from referral

Outreach · Attempt 1 · Left Voicemail

2026-02-16 13:00

Liam Chen

PCM Enrollment · Enrolled · consent signed

2026-02-19

PCM Enrolled · Patient enrolled in PCM

2026-02-19

PCM Activity · Patient Education · 13m

2026-03-02 15:15

Elena Rivera

Program Assignment · PCM · Eligible

2026-03-10 08:15

Not accepted (Pass payer check)

Program Assignment · Specialist Referral · Eligible

2026-03-10 08:15

Accepted (assigned by AI Engine)

Specialist Visit Scheduled · Nephrology appointment

2026-03-12

26d from referral

Order Set · Pre-Specialty Urology Bundle · Activated

2026-03-13 08:15

4 orders

Outreach · Attempt 1 · Call Back Requested

2026-03-15 13:45

Sofia Diaz

Workup Ordered · PSA

2026-03-16

Lab

Outreach · Attempt 2 · TCM Accepted

2026-03-16 16:15

Felix Stone

Workup Ordered · UA

2026-03-17

Lab

Workup Ordered · Records request

2026-03-18

Records

Workup Scheduled · PSA

2026-03-19

Workup Ordered · Renal ultrasound

2026-03-19

Imaging

Steerage · Lab → USC

2026-03-23

USC Pasadena Surgery Center

Workup Completed · PSA

2026-03-23

Final

Workup Scheduled · Renal ultrasound

2026-03-23

Workup Scheduled · Records request

2026-03-23

Downstream USC Service · Lab

2026-03-23

Steerage · Imaging → USC

2026-03-26

Keck Hospital of USC

Workup Completed · Renal ultrasound

2026-03-26

Final

Downstream USC Service · Imaging

2026-03-26

Steerage · Other → USC

2026-03-30

USC Norris Cancer Hospital

Workup Completed · Records request

2026-03-30

Final

Downstream USC Service · Other

2026-03-30

Workup Scheduled · UA

2026-04-04

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0121	#1	2026-02-16 13:00	Left Voicemail	Liam Chen	5
OUT-0162	#1	2026-01-07 08:00	Left Voicemail	Felix Stone	5
OUT-0163	#2	2026-01-10 13:15	No Answer	Jamal Carter	2
OUT-0164	#3	2026-01-11 14:45	TCM Accepted	Jamal Carter	12
OUT-0200	#1	2026-03-15 13:45	Call Back Requested	Sofia Diaz	3
OUT-0201	#2	2026-03-16 16:15	TCM Accepted	Felix Stone	15

TCM Encounters

No TCM encounter yet

Actionable Chat

Synthetic

I can answer questions about this patient's EPIC workflow, intake trigger, pathway, programs, order set, tasks, and billing evidence. Try one of the suggested prompts below.

Next Best Actions

Rule-based recommendations derived from the patient's current state.

Schedule TCM encounter
High
Patient accepted 49d ago, encounter not yet completed
Owner: NP
Log additional PCM time this month
Medium
Current month at 0m; need 30m more to bill 99426
Owner: RN
Review exception: Referral Documents Missing
Low
Medium severity · 83d open
Owner: RN
Resolve RPM alert(s)
High
1 unresolved Weight scale alert(s) in last 30d
Owner: RN
Backfill Pre-Visit Workup RWE
Low
Pre-Visit Workup only 36% complete
Owner: Ops Coordinator
Backfill Pre-Visit Readiness RWE
Low
Pre-Visit Readiness only 40% complete
Owner: Ops Coordinator
Schedule lab: BMP
Medium
Workup ordered but not yet scheduled
Owner: MA
Schedule records: Records request
Medium
Workup ordered but not yet scheduled
Owner: MA
Expedite delayed lab
High
Authorization delay
Owner: RN
Resolve low readiness items
High
Readiness score 43% — 2 pending workups; Outside records; PCM enrolment; RPM device activation
Owner: RN
Close RWE data gaps
Low
5 domain(s) with completeness gaps
Owner: Ops Coordinator

Open Exceptions

Referral Documents Missing
83d open · Open
Medium

Longitudinal Episode View

Adrian Beasley

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions