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.

Felipe Granados

PT-000056 · USC-900105 · EPI-2026-0056

Referral ClosedMedium riskCommercialProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 44%Pre-Specialty Cardiology PathwayReferral - CompletedPCMSpecialist Referral

NBA: Close loop with referring provider

Reason codes: CARDIO_RISK, DOCS_INCOMPLETE

Outreach

PCM Min.

Paid $

$72

Age / Sex

51 · M

ZIP

90039

Language

English

Payer

Anthem Blue Cross

Procedure

Robotic Prostatectomy

Surgeon

Dr. Priya Ramaswamy

Surgery Site

USC Urology Beverly Hills

Surgery Date

Feb 10, 2026

Discharge

Feb 10, 2026

LOS

Status

Referral Closed

Consent

On file

Episode Timeline

78 events

Workup Ordered · PSA

2026-01-16

Lab

Workup Ordered · Renal ultrasound

2026-01-16

Imaging

Workup Ordered · Records request

2026-01-16

Records

Outreach · Attempt 1 · Left Voicemail

2026-01-16 08:45

Sofia Diaz

Program Assignment · PCM · Eligible

2026-01-16 16:15

Not accepted (Pass payer check)

Program Assignment · Specialist Referral · Eligible

2026-01-16 16:15

Accepted (assigned by STF-006)

Program Assignment · APCM · Eligible

2026-01-16 16:15

Accepted (assigned by AI Engine)

Workup Ordered · UA

2026-01-17

Lab

Order Set · Pre-Specialty Urology Bundle · Activated

2026-01-17 16:15

4 orders

Outreach · Attempt 2 · Left Voicemail

2026-01-18 17:30

Jamal Carter

Workup Scheduled · Records request

2026-01-19

Steerage · Lab → External

2026-01-20

Community Health LA (External)

Workup Scheduled · UA

2026-01-20

Workup Scheduled · PSA

2026-01-20

Workup Completed · PSA

2026-01-20

Final

Outreach · Attempt 3 · TCM Accepted

2026-01-20 17:30

Sofia Diaz

Steerage · Lab → External

2026-01-26

Pacific Imaging (External)

Steerage · Other → External

2026-01-26

Community Health LA (External)

Workup Completed · UA

2026-01-26

Final

Workup Completed · Records request

2026-01-26

Final

Workflow Task · Referral navigation: Urology · Done

2026-02-04 16:15

Intake · RN

Surgery · Robotic Prostatectomy

2026-02-10

Dr. Priya Ramaswamy

Discharge · LOS 0d

2026-02-10

Workup Ordered · 12-lead EKG

2026-02-10

EKG

Outreach Started · First contact attempt

2026-02-10 09:15

0d from referral

Outreach · Attempt 1 · TCM Accepted

2026-02-10 10:30

Sofia Diaz

Intake Trigger · Specialty Referral · External Provider

2026-02-10 15:30

Routed at 2026-02-10 09:15

Program Assignment · PCM · Ineligible - Coverage

2026-02-10 15:30

Not accepted (Fail payer check)

Referral Received · Cardiology · Hypertension management

2026-02-10 15:30

External System · Pacific Nephrology Group (mock)

Intake Created · Intake REF-0006

2026-02-10 15:30

Urgency: Routine

Order Set Generated · Pre-Specialty Cardiology Bundle

2026-02-10 15:30

Outreach · Attempt 2 · No Answer

2026-02-11 08:15

Liam Chen

Workup Scheduled · 12-lead EKG

2026-02-12

Program Assignment · Specialist Referral · Eligible

2026-02-12 15:30

Accepted (assigned by AI Engine)

Order Set · Pre-Specialty Cardiology Bundle · Activated

2026-02-12 15:30

4 orders

Readiness Updated · Score 71% · In Progress

2026-02-12 15:30

Outside records

Outreach · Attempt 3 · TCM Accepted

2026-02-12 17:00

Sofia Diaz

Steerage · Procedure → External

2026-02-13

Community Health LA (External)

Workup Completed · 12-lead EKG

2026-02-13

Final

Workup Ordered · Lipid panel

2026-02-14

Lab

Workup Ordered · BMP

2026-02-14

Lab

Workup Ordered · Records request

2026-02-14

Records

Workup Scheduled · BMP

2026-02-15

Workup Scheduled · Records request

2026-02-16

Exception · Referral Documents Missing · Low · Open

2026-02-17 14:30

Brandon Lee

Exception Opened · Referral Documents Missing

2026-02-17 14:30

Low · Open

Steerage · Lab → External

2026-02-18

Pacific Imaging (External)

Workup Completed · Lipid panel

2026-02-18

Final

Workup Scheduled · Lipid panel

2026-02-19

Specialist Visit Scheduled · Cardiology appointment

2026-02-19

9d from referral

Steerage · Other → USC

2026-02-21

USC Norris Cancer Hospital

Workup Completed · Records request

2026-02-21

Final

Downstream USC Service · Other

2026-02-21

Steerage · Lab → USC

2026-02-22

USC Urology Beverly Hills

Workup Completed · BMP

2026-02-22

Final

Downstream USC Service · Lab

2026-02-22

Workflow Task · Referral navigation: Cardiology · Done

2026-03-06 15:30

Intake · RN

Workup Ordered · MRI prostate (multiparametric)

2026-03-08

Imaging

Outreach · Attempt 1 · TCM Accepted

2026-03-08 10:30

Liam Chen

Program Assignment · APCM · Eligible

2026-03-08 12:45

Not accepted (Pass payer check)

PCM Enrollment · Enrolled · consent signed

2026-03-09

Workup Scheduled · MRI prostate (multiparametric)

2026-03-09

Order Set · Elevated PSA Workup Bundle · Activated

2026-03-09 12:45

2 orders · review complete

Outreach · Attempt 3 · TCM Accepted

2026-03-10 09:30

Liam Chen

Program Assignment · PCM · Eligible

2026-03-10 12:45

Accepted (assigned by AI Engine)

Program Assignment · Specialist Referral · Eligible

2026-03-10 12:45

Accepted (assigned by AI Engine)

Steerage · Imaging → USC

2026-03-11

Keck Hospital of USC

Workup Completed · MRI prostate (multiparametric)

2026-03-11

Final

Downstream USC Service · Imaging

2026-03-11

Outreach · Attempt 2 · TCM Accepted

2026-03-11 11:30

Liam Chen

PCM Activity · Care Plan Review · 19m

2026-03-11 16:45

Brandon Lee

Workup Ordered · PSA repeat

2026-03-12

Lab

PCM Activity · Symptom Check · 21m

2026-03-14 08:45

Brandon Lee

Billing · PCM Monthly · CPT 99426 · Paid

2026-03-15

$72 / $72

Workup Scheduled · PSA repeat

2026-03-17

Steerage · Lab → USC

2026-03-18

USC Urology Beverly Hills

Workup Completed · PSA repeat

2026-03-18

Final

Downstream USC Service · Lab

2026-03-18

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0130	#1	2026-02-10 10:30	TCM Accepted	Sofia Diaz	17
OUT-0131	#2	2026-02-11 08:15	No Answer	Liam Chen	4
OUT-0132	#3	2026-02-12 17:00	TCM Accepted	Sofia Diaz	10
OUT-0170	#1	2026-03-08 10:30	TCM Accepted	Liam Chen	15
OUT-0171	#2	2026-03-11 11:30	TCM Accepted	Liam Chen	14
OUT-0172	#3	2026-03-10 09:30	TCM Accepted	Liam Chen	8
OUT-0208	#1	2026-01-16 08:45	Left Voicemail	Sofia Diaz	3
OUT-0209	#2	2026-01-18 17:30	Left Voicemail	Jamal Carter	4
OUT-0210	#3	2026-01-20 17:30	TCM Accepted	Sofia Diaz	12

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 53d 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
Low severity · 46d open
Owner: RN
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Request missing referral documents
High
Referring office has not sent required clinical documents
Owner: Ops Coordinator
Schedule imaging: Renal ultrasound
Medium
Workup ordered but not yet scheduled
Owner: MA
Mitigate leakage risk
High
Referral flagged as at-risk for leaving the USC network
Owner: Ops Coordinator
Close RWE data gaps
Low
4 domain(s) with completeness gaps
Owner: Ops Coordinator

Open Exceptions

Referral Documents Missing
46d open · Open
Low

Longitudinal Episode View

Felipe Granados

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions