Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Greta Holloway
PT-000057 · USC-900106 · EPI-2026-0057
NBA: Schedule first specialist visit
Reason codes: ROUTINE_SPECIALTY_REFERRAL
Outreach
4
PCM Min.
0
Paid $
$0
Age / Sex
75 · F
ZIP
90065
Language
English
Payer
Medicare FFS
Procedure
Robotic Prostatectomy
Surgeon
Dr. Rebecca Lim
Surgery Site
USC Urology Beverly Hills
Surgery Date
Feb 18, 2026
Discharge
Feb 18, 2026
LOS
0d
Status
Pre-Visit Ready
Consent
On file
Episode Timeline
89 eventsSurgery · Robotic Prostatectomy
2026-02-18Dr. Rebecca Lim
Discharge · LOS 0d
2026-02-18Intake Trigger · Specialty Referral · Fax
2026-02-18 08:00Routed at 2026-02-23 16:30
Program Assignment · Specialist Referral · Eligible
2026-02-18 08:00Accepted (assigned by AI Engine)
Referral Received · Urology · Recurrent UTI
2026-02-18 08:00Fax · Fax: External PCP Office
Intake Created · Intake REF-0007
2026-02-18 08:00Urgency: Routine
PCM Offered · Pre-visit PCM offered
2026-02-18 08:00Order Set Generated · Pre-Specialty Urology Bundle
2026-02-18 08:00Program Assignment · APCM · Eligible
2026-02-19 08:00Accepted (assigned by AI Engine)
Program Assignment · PCM · Eligible
2026-02-20 08:00Accepted (assigned by AI Engine)
Order Set · Pre-Specialty Urology Bundle · Cancelled
2026-02-21 08:004 orders
Workup Ordered · Renal ultrasound
2026-02-23Imaging
Workup Ordered · Records request
2026-02-23Records
Outreach · Attempt 1 · TCM Accepted
2026-02-23 09:30Jamal Carter
Outreach Started · First contact attempt
2026-02-23 16:305d from referral
Workup Ordered · UA
2026-02-26Lab
Steerage · Imaging → External
2026-02-27Community Health LA (External)
Workup Ordered · PSA
2026-02-27Lab
Workup Completed · Renal ultrasound
2026-02-27Final
Workup Scheduled · Records request
2026-02-27PCM Enrollment · Enrolled · consent signed
2026-02-28PCM Enrolled · Patient enrolled in PCM
2026-02-28Workup Scheduled · PSA
2026-02-28Workup Scheduled · Renal ultrasound
2026-02-28Workup Scheduled · UA
2026-03-03Specialist Visit Scheduled · Urology appointment
2026-03-0313d from referral
Steerage · Lab → External
2026-03-04Pacific Imaging (External)
Workup Completed · UA
2026-03-04Final
Steerage · Other → USC
2026-03-06USC Urology Beverly Hills
Workup Completed · Records request
2026-03-06Final
Downstream USC Service · Other
2026-03-06Outreach · Attempt 1 · No Answer
2026-03-06 09:00Liam Chen
Workup Ordered · Records request
2026-03-07Records
PCM Activity · Med Reconciliation · 13m
2026-03-07 09:30Carmen Ortiz
Program Assignment · PCM · Eligible
2026-03-07 17:30Not accepted (Pass payer check)
Steerage · Lab → External
2026-03-08Pacific Imaging (External)
Workup Completed · PSA
2026-03-08Final
Workup Ordered · UA
2026-03-08Lab
Workup Scheduled · Records request
2026-03-08PCM Activity · Specialist Coordination · 17m
2026-03-08 12:30Carmen Ortiz
Program Assignment · Specialist Referral · Eligible
2026-03-08 17:30Accepted (assigned by AI Engine)
Order Set · Pre-Specialty Urology Bundle · Activated
2026-03-08 17:304 orders
Workup Ordered · PSA
2026-03-09Lab
Workup Ordered · Renal ultrasound
2026-03-09Imaging
Outreach · Attempt 2 · TCM Accepted
2026-03-09 15:00Felix Stone
Exception · Referral Documents Missing · High · Open
2026-03-09 17:30Jamal Carter
Exception Opened · Referral Documents Missing
2026-03-09 17:30High · Open
Workup Scheduled · UA
2026-03-10Workup Scheduled · Renal ultrasound
2026-03-11Steerage · Other → External
2026-03-12Community Health LA (External)
Workup Completed · Records request
2026-03-12Final
Steerage · Lab → External
2026-03-14Community Health LA (External)
Workup Scheduled · PSA
2026-03-14Workup Completed · PSA
2026-03-14Final
PCM Activity · Specialist Coordination · 11m
2026-03-14 17:30Carmen Ortiz
Billing · PCM Monthly · CPT 99426 · Pending
2026-03-15$0 / $72
Steerage · Lab → External
2026-03-15Pacific Imaging (External)
Workup Completed · UA
2026-03-15Final
Steerage · Imaging → USC
2026-03-16USC Norris Cancer Hospital
Workup Completed · Renal ultrasound
2026-03-16Final
Downstream USC Service · Imaging
2026-03-16Workflow Task · Referral navigation: Nephrology · Done
2026-03-16 17:30Intake · RN
Readiness Updated · Score 100% · Ready
2026-03-17 08:00None
Visit Ready · All pre-visit requirements met
2026-03-17 08:00Program Assignment · PCM · Eligible
2026-03-23 12:30Not accepted (Pass payer check)
Program Assignment · IPC · Eligible
2026-03-23 12:30Not accepted (Pass payer check)
Program Assignment · Specialist Referral · Eligible
2026-03-24 12:30Accepted (assigned by AI Engine)
Order Set · Pre-Specialty Urology Bundle · Activated
2026-03-24 12:304 orders
Workup Ordered · UA
2026-03-26Lab
Outreach · Attempt 1 · TCM Accepted
2026-03-26 08:45Sofia Diaz
Workup Ordered · PSA
2026-03-28Lab
Workup Ordered · Renal ultrasound
2026-03-28Imaging
Workup Ordered · Records request
2026-03-28Records
Workup Scheduled · UA
2026-03-30Workup Scheduled · PSA
2026-03-30Workup Scheduled · Renal ultrasound
2026-03-30Steerage · Lab → USC
2026-03-31USC Urology Beverly Hills
Steerage · Imaging → USC
2026-03-31USC Urology Beverly Hills
Workup Completed · UA
2026-03-31Final
Workup Completed · Renal ultrasound
2026-03-31Final
Downstream USC Service · Lab
2026-03-31Downstream USC Service · Imaging
2026-03-31Workup Scheduled · Records request
2026-04-01IPC Consult · Nephrology · CPT 99445
2026-04-05 12:30Report missing
Steerage · Other → USC
2026-04-06Keck Hospital of USC
Workup Completed · Records request
2026-04-06Final
Downstream USC Service · Other
2026-04-06Steerage · Lab → External
2026-04-08Pacific Imaging (External)
Workup Completed · PSA
2026-04-08Final
Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0133 | #1 | 2026-02-23 09:30 | TCM Accepted | Jamal Carter | 13 |
| OUT-0173 | #1 | 2026-03-26 08:45 | TCM Accepted | Sofia Diaz | 6 |
| OUT-0211 | #1 | 2026-03-06 09:00 | No Answer | Liam Chen | 1 |
| OUT-0212 | #2 | 2026-03-09 15:00 | TCM Accepted | Felix Stone | 9 |
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 26d, assigned to Jamal Carter
Owner: RN
Schedule TCM encounter
HighPatient accepted 45d 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
Submit IPC consult report
MediumNephrology consult on 2026-04-05 12:30 missing report
Owner: NP
Close RWE data gaps
Low6 domain(s) with completeness gaps
Owner: Ops Coordinator
Open Exceptions
- High
Referral Documents Missing
26d open · Open