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.

Beatrice Caldwell

PT-000052 · USC-900101 · EPI-2026-0052

Referral ClosedMedium riskCommercialProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 78%Pre-Specialty Cardiology PathwayReferral - CompletedPCMSpecialist ReferralRPM

NBA: Close loop with referring provider

Reason codes: URGENCY_URGENT, CARDIO_RISK, RPM_CANDIDATE

Outreach

PCM Min.

Paid $

Age / Sex

65 · F

ZIP

90050

Language

English

Payer

United Healthcare

Procedure

Robotic Prostatectomy

Surgeon

Dr. Rebecca Lim

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 26, 2026

Discharge

Jan 26, 2026

LOS

Status

Referral Closed

Consent

On file

Episode Timeline

41 events

Program Assignment · PCM · Ineligible - Coverage

2026-01-25 17:45

Not accepted (Fail payer check)

Program Assignment · Specialist Referral · Eligible

2026-01-25 17:45

Accepted (assigned by STF-004)

Order Set · Elevated PSA Workup Bundle · Activated

2026-01-25 17:45

2 orders · review complete

Surgery · Robotic Prostatectomy

2026-01-26

Dr. Rebecca Lim

Discharge · LOS 0d

2026-01-26

Workup Ordered · PSA repeat

2026-01-26

Lab

Outreach · Attempt 1 · TCM Accepted

2026-01-26 10:45

Sofia Diaz

Intake Trigger · Specialty Referral · Portal

2026-01-26 18:15

Routed at 2026-01-27 11:00

Program Assignment · PCM · Ineligible - Coverage

2026-01-26 18:15

Not accepted (Fail payer check)

Referral Received · Cardiology · Shortness of breath

2026-01-26 18:15

Portal · EHR Portal Self-Referral

Intake Created · Intake REF-0002

2026-01-26 18:15

Urgency: Urgent

Outreach · Attempt 1 · Call Back Requested

2026-01-27 09:15

Liam Chen

Outreach Started · First contact attempt

2026-01-27 11:00

1d from referral

Program Assignment · Specialist Referral · Eligible

2026-01-27 18:15

Accepted (assigned by STF-001)

Program Assignment · RPM · Eligible

2026-01-27 18:15

Accepted (assigned by AI Engine)

Readiness Updated · Score 71% · In Progress

2026-01-28 17:45

1 pending workups

Workup Ordered · MRI prostate (multiparametric)

2026-01-30

Imaging

Outreach · Attempt 2 · TCM Accepted

2026-01-30 14:15

Jamal Carter

Workup Scheduled · MRI prostate (multiparametric)

2026-01-31

Specialist Visit Scheduled · Cardiology appointment

2026-01-31

5d from referral

Outreach · Attempt 3 · TCM Accepted

2026-02-02 12:00

Sofia Diaz

Steerage · Imaging → External

2026-02-04

Pacific Imaging (External)

Workup Scheduled · PSA repeat

2026-02-04

Workup Completed · MRI prostate (multiparametric)

2026-02-04

Final

RPM Enrollment · Cardiac monitor · CPT 99453/99454/99457

2026-02-05

23/30 transmission days

RPM Alert · 1 alert(s) in last 30d

2026-02-05

Cardiac monitor

Program Assignment · Specialist Referral · Eligible

2026-02-07 10:45

Accepted (assigned by STF-002)

Program Assignment · PCM · Ineligible - Coverage

2026-02-08 10:45

Not accepted (Fail payer check)

Outreach · Attempt 1 · TCM Accepted

2026-02-09 14:30

Jamal Carter

Workflow Task · Referral navigation: Oncology · Done

2026-02-09 17:45

Intake · Ops Coordinator

Workup Ordered · MRI prostate (multiparametric)

2026-02-10

Imaging

Order Set · Elevated PSA Workup Bundle · Activated

2026-02-10 10:45

2 orders · review complete

Workup Ordered · PSA repeat

2026-02-11

Lab

Workup Scheduled · MRI prostate (multiparametric)

2026-02-12

Steerage · Imaging → USC

2026-02-13

USC Norris Cancer Hospital

Workup Scheduled · PSA repeat

2026-02-13

Workup Completed · MRI prostate (multiparametric)

2026-02-13

Final

Downstream USC Service · Imaging

2026-02-13

Steerage · Lab → External

2026-02-16

Community Health LA (External)

Workup Completed · PSA repeat

2026-02-16

Final

Workflow Task · Referral navigation: Cardiology · Done

2026-02-18 18:15

Intake · RN

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0122	#1	2026-01-27 09:15	Call Back Requested	Liam Chen	2
OUT-0123	#2	2026-01-30 14:15	TCM Accepted	Jamal Carter	14
OUT-0124	#3	2026-02-02 12:00	TCM Accepted	Sofia Diaz	11
OUT-0165	#1	2026-01-26 10:45	TCM Accepted	Sofia Diaz	15
OUT-0202	#1	2026-02-09 14:30	TCM Accepted	Jamal Carter	16

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 68d ago, encounter not yet completed
Owner: NP
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve RPM alert(s)
High
1 unresolved Cardiac monitor alert(s) in last 30d
Owner: RN
Backfill Pre-Visit Workup RWE
Low
Pre-Visit Workup only 45% complete
Owner: Ops Coordinator
Expedite delayed lab
High
External lab slow turnaround
Owner: RN
Close RWE data gaps
Low
6 domain(s) with completeness gaps
Owner: Ops Coordinator

Longitudinal Episode View

Beatrice Caldwell

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions