Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Estela Frampton
PT-000055 · USC-900104 · EPI-2026-0055
NBA: Close loop with referring provider
Reason codes: URGENCY_URGENT
Outreach
3
PCM Min.
0
Paid $
$75
Age / Sex
81 · F
ZIP
90080
Language
English
Payer
Anthem Blue Cross
Procedure
Robotic Prostatectomy
Surgeon
Dr. Sofia Marchetti
Surgery Site
USC Urology Beverly Hills
Surgery Date
Mar 11, 2026
Discharge
Mar 11, 2026
LOS
0d
Status
Referral Intake
Consent
On file
Episode Timeline
62 eventsProgram Assignment · Specialist Referral · Eligible
2026-02-02 15:45Accepted (assigned by STF-002)
Order Set · Pre-Specialty Urology Bundle · Activated
2026-02-02 15:454 orders
Program Assignment · PCM · Eligible
2026-02-03 15:45Accepted (assigned by AI Engine)
Workup Ordered · Renal ultrasound
2026-02-05Imaging
Workup Ordered · Records request
2026-02-05Records
Outreach · Attempt 1 · Left Voicemail
2026-02-05 17:30Jamal Carter
PCM Enrollment · Enrolled · consent signed
2026-02-06Workup Scheduled · Records request
2026-02-07Workup Ordered · UA
2026-02-08Lab
Workup Ordered · PSA
2026-02-08Lab
Outreach · Attempt 1 · TCM Accepted
2026-02-08 09:15Liam Chen
Program Assignment · Specialist Referral · Eligible
2026-02-08 14:00Not accepted (Pass payer check)
Workup Scheduled · Renal ultrasound
2026-02-09Exception · Pre-Visit Readiness Blocked · Low · In Progress
2026-02-09 12:00Jamal Carter
Exception Opened · Pre-Visit Readiness Blocked
2026-02-09 12:00Low · In Progress
PCM Activity · Med Reconciliation · 21m
2026-02-10 08:30Elena Rivera
Program Assignment · PCM · Eligible
2026-02-10 14:00Not accepted (Pass payer check)
Workup Scheduled · UA
2026-02-12Workup Scheduled · PSA
2026-02-12Steerage · Lab → External
2026-02-14Community Health LA (External)
Workup Completed · PSA
2026-02-14Final
PCM Activity · Phone Call · 10m
2026-02-14 09:30Elena Rivera
Billing · PCM Monthly · CPT 99426 · Paid
2026-02-15$75 / $75
Steerage · Other → USC
2026-02-15Keck Hospital of USC
Workup Completed · Records request
2026-02-15Final
Downstream USC Service · Other
2026-02-15Steerage · Imaging → USC
2026-02-16USC Urology Beverly Hills
Workup Completed · Renal ultrasound
2026-02-16Final
Downstream USC Service · Imaging
2026-02-16Steerage · Lab → USC
2026-02-20USC Norris Cancer Hospital
Workup Completed · UA
2026-02-20Final
Downstream USC Service · Lab
2026-02-20Surgery · Robotic Prostatectomy
2026-03-11Dr. Sofia Marchetti
Discharge · LOS 0d
2026-03-11Intake Trigger · Specialty Referral · USC Referral Center
2026-03-11 16:45Routed at 2026-03-12 10:30
Program Assignment · Specialist Referral · Eligible
2026-03-11 16:45Accepted (assigned by AI Engine)
Order Set · SOB Cardiology Pre-Visit Bundle · Pending Review
2026-03-11 16:454 orders · review pending
Referral Received · Pulmonology · Chronic cough
2026-03-11 16:45Call Center · USC Referral Center Intake Team
Intake Created · Intake REF-0005
2026-03-11 16:45Urgency: Urgent
PCM Offered · Pre-visit PCM offered
2026-03-11 16:45Order Set Generated · SOB Cardiology Pre-Visit Bundle
2026-03-11 16:45Workup Ordered · 12-lead EKG
2026-03-12EKG
Workup Ordered · Troponin
2026-03-12Lab
Outreach Started · First contact attempt
2026-03-12 10:301d from referral
Outreach · Attempt 1 · TCM Accepted
2026-03-12 16:00Sofia Diaz
Program Assignment · APCM · Eligible
2026-03-12 16:45Accepted (assigned by AI Engine)
Program Assignment · PCM · Eligible
2026-03-13 16:45Not accepted (Pass payer check)
Workup Scheduled · Troponin
2026-03-14Workup Ordered · Ambulatory cardiac telemetry (ROCT)
2026-03-15Imaging
Workup Ordered · BNP
2026-03-16Lab
Readiness Updated · Score 71% · In Progress
2026-03-17 16:451 pending workups; PCM enrolment
Steerage · Lab → USC
2026-03-20USC Urology Beverly Hills
Workup Scheduled · Ambulatory cardiac telemetry (ROCT)
2026-03-20Workup Completed · Troponin
2026-03-20Final
Downstream USC Service · Lab
2026-03-20Workup Scheduled · BNP
2026-03-21Steerage · Imaging → External
2026-03-22Community Health LA (External)
Steerage · Lab → USC
2026-03-22USC Pasadena Surgery Center
Workup Completed · Ambulatory cardiac telemetry (ROCT)
2026-03-22Final
Workup Completed · BNP
2026-03-22Final
Downstream USC Service · Lab
2026-03-22Specialist Visit Scheduled · Pulmonology appointment
2026-03-2514d from referral
Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0129 | #1 | 2026-03-12 16:00 | TCM Accepted | Sofia Diaz | 13 |
| OUT-0169 | #1 | 2026-02-08 09:15 | TCM Accepted | Liam Chen | 15 |
| OUT-0207 | #1 | 2026-02-05 17:30 | Left Voicemail | Jamal Carter | 5 |
TCM Encounters
No TCM encounter yet
Actionable Chat
SyntheticNext Best Actions
Rule-based recommendations derived from the patient's current state.
Schedule TCM encounter
HighPatient accepted 24d ago, encounter not yet completed
Owner: NP
Log additional PCM time this month
MediumCurrent month at 0m; need 30m more to bill 99426
Owner: RN
Review exception: Pre-Visit Readiness Blocked
LowLow severity · 54d open
Owner: RN
Complete clinical review for order set
HighOrder set OS-103 pending NP/MD review
Owner: NP
Backfill Pre-Visit Workup RWE
LowPre-Visit Workup only 46% complete
Owner: Ops Coordinator
Backfill Pre-Visit Readiness RWE
LowPre-Visit Readiness only 44% complete
Owner: Ops Coordinator
Obtain PCM consent
MediumPatient is PCM-eligible but consent has not been captured
Owner: RN
Schedule ekg: 12-lead EKG
MediumWorkup ordered but not yet scheduled
Owner: MA
Close RWE data gaps
Low5 domain(s) with completeness gaps
Owner: Ops Coordinator
Open Exceptions
- Low
Pre-Visit Readiness Blocked
54d open · In Progress