Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Desmond Eberhardt
PT-000054 · USC-900103 · EPI-2026-0054
NBA: Close loop with referring provider
Reason codes: URGENCY_URGENT
Outreach
4
PCM Min.
0
Paid $
$0
Age / Sex
74 · M
ZIP
90013
Language
English
Payer
Medicare FFS
Procedure
Robotic Prostatectomy
Surgeon
Dr. Sofia Marchetti
Surgery Site
USC Urology Beverly Hills
Surgery Date
Feb 12, 2026
Discharge
Feb 12, 2026
LOS
0d
Status
Referral Closed
Consent
Missing
Episode Timeline
64 eventsOrder Set · Elevated PSA Workup Bundle · Partially Activated
2026-01-13 17:152 orders · review complete
Program Assignment · PCM · Ineligible - Coverage
2026-01-14 17:15Not accepted (Fail payer check)
Program Assignment · Specialist Referral · Eligible
2026-01-14 17:15Accepted (assigned by STF-008)
Program Assignment · IPC · Eligible
2026-01-14 17:15Not accepted (Pass payer check)
Outreach · Attempt 1 · TCM Accepted
2026-01-16 15:15Felix Stone
Workup Ordered · MRI prostate (multiparametric)
2026-01-19Imaging
Workup Ordered · PSA repeat
2026-01-20Lab
Workup Scheduled · MRI prostate (multiparametric)
2026-01-21Workup Scheduled · PSA repeat
2026-01-22Steerage · Imaging → External
2026-01-29Community Health LA (External)
Workup Completed · MRI prostate (multiparametric)
2026-01-29Final
Steerage · Lab → USC
2026-01-30USC Norris Cancer Hospital
Workup Completed · PSA repeat
2026-01-30Final
Downstream USC Service · Lab
2026-01-30Workflow Task · Referral navigation: Oncology · Done
2026-01-30 17:15Intake · Ops Coordinator
Workup Ordered · MRI prostate (multiparametric)
2026-02-07Imaging
Outreach · Attempt 1 · Call Back Requested
2026-02-07 10:00Jamal Carter
Program Assignment · APCM · Eligible
2026-02-07 16:00Not accepted (Pass payer check)
Order Set · Elevated PSA Workup Bundle · Activated
2026-02-07 16:002 orders · review complete
Workup Ordered · PSA repeat
2026-02-08Lab
Program Assignment · PCM · Eligible
2026-02-08 16:00Not accepted (Pass payer check)
Program Assignment · Specialist Referral · Eligible
2026-02-08 16:00Accepted (assigned by AI Engine)
Outreach · Attempt 2 · TCM Accepted
2026-02-09 08:15Liam Chen
Exception · Referral Documents Missing · High · Open
2026-02-09 13:00Felix Stone
Exception Opened · Referral Documents Missing
2026-02-09 13:00High · Open
Steerage · Lab → USC
2026-02-11Keck Hospital of USC
Workup Completed · PSA repeat
2026-02-11Final
Workup Scheduled · MRI prostate (multiparametric)
2026-02-11Downstream USC Service · Lab
2026-02-11Surgery · Robotic Prostatectomy
2026-02-12Dr. Sofia Marchetti
Discharge · LOS 0d
2026-02-12Steerage · Imaging → USC
2026-02-12USC Pasadena Surgery Center
Workup Scheduled · PSA repeat
2026-02-12Workup Completed · MRI prostate (multiparametric)
2026-02-12Final
Downstream USC Service · Imaging
2026-02-12Intake Trigger · Specialty Referral · Phone
2026-02-12 07:00Routed at 2026-02-13 12:45
AI Detection · AI score 61%
2026-02-12 07:00URGENCY_URGENT
Referral Received · Nephrology · Proteinuria workup
2026-02-12 07:00Phone · Inbound Phone Line
Intake Created · Intake REF-0004
2026-02-12 07:00Urgency: Urgent
PCM Offered · Pre-visit PCM offered
2026-02-12 07:00Order Set Generated · Pre-Specialty Urology Bundle
2026-02-12 07:00Workup Ordered · PSA
2026-02-13Lab
Program Assignment · PCM · Eligible
2026-02-13 07:00Not accepted (Pass payer check)
Order Set · Pre-Specialty Urology Bundle · Activated
2026-02-13 07:004 orders
Outreach · Attempt 1 · TCM Accepted
2026-02-13 10:00Liam Chen
Outreach Started · First contact attempt
2026-02-13 12:451d from referral
Workup Ordered · Renal ultrasound
2026-02-14Imaging
Program Assignment · Specialist Referral · Eligible
2026-02-14 07:00Accepted (assigned by AI Engine)
Workup Ordered · Records request
2026-02-15Records
Workup Ordered · UA
2026-02-16Lab
Workup Scheduled · Renal ultrasound
2026-02-17Workup Scheduled · Records request
2026-02-17Steerage · Other → External
2026-02-18Community Health LA (External)
Workup Completed · Records request
2026-02-18Final
Workup Scheduled · UA
2026-02-19Specialist Visit Scheduled · Nephrology appointment
2026-02-197d from referral
Steerage · Lab → External
2026-02-20Community Health LA (External)
Workup Completed · UA
2026-02-20Final
Steerage · Imaging → External
2026-02-24Pacific Imaging (External)
Workup Completed · Renal ultrasound
2026-02-24Final
Readiness Updated · Score 71% · In Progress
2026-02-27 07:001 pending workups; PCM enrolment
Workup Scheduled · PSA
2026-02-28Workflow Task · Referral navigation: Oncology · Done
2026-03-04 16:00Intake · RN
Workflow Task · Referral navigation: Nephrology · Done
2026-03-06 07:00Intake · RN
Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0128 | #1 | 2026-02-13 10:00 | TCM Accepted | Liam Chen | 7 |
| OUT-0167 | #1 | 2026-02-07 10:00 | Call Back Requested | Jamal Carter | 1 |
| OUT-0168 | #2 | 2026-02-09 08:15 | TCM Accepted | Liam Chen | 6 |
| OUT-0206 | #1 | 2026-01-16 15:15 | TCM Accepted | Felix Stone | 6 |
TCM Encounters
No TCM encounter yet
Actionable Chat
SyntheticNext Best Actions
Rule-based recommendations derived from the patient's current state.
Resolve exception: Referral Documents Missing
CriticalOpen 54d, assigned to Felix Stone
Owner: RN
Schedule TCM encounter
HighPatient accepted 51d ago, encounter not yet completed
Owner: NP
Resolve eligibility for PCM
HighIneligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Backfill Referral Intake RWE
LowReferral Intake only 46% complete
Owner: Ops Coordinator
Obtain PCM consent
MediumPatient is PCM-eligible but consent has not been captured
Owner: RN
Expedite delayed lab
HighPatient no-show
Owner: RN
Close RWE data gaps
Low6 domain(s) with completeness gaps
Owner: Ops Coordinator
Open Exceptions
- High
Referral Documents Missing
54d open · Open