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.

Hideki Imamura

PT-000058 · USC-900107 · EPI-2026-0058

Referral BlockedLow riskCommercialProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 55%Pre-Specialty Urology PathwayReferral - BlockedPCMSpecialist Referral

NBA: Resolve documents/intake blocker before outreach

Reason codes: URGENCY_URGENT, DOCS_INCOMPLETE

Outreach

PCM Min.

Paid $

$70

Age / Sex

58 · M

ZIP

90038

Language

English

Payer

Anthem Blue Cross

Procedure

Robotic Prostatectomy

Surgeon

Dr. Marcus Whelan

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 11, 2026

Discharge

Jan 11, 2026

LOS

Status

Referral Blocked

Consent

Missing

Episode Timeline

81 events

Surgery · Robotic Prostatectomy

2026-01-11

Dr. Marcus Whelan

Discharge · LOS 0d

2026-01-11

Workup Ordered · PSA

2026-01-11

Lab

Workup Ordered · Records request

2026-01-11

Records

Outreach Started · First contact attempt

2026-01-11 08:15

0d from referral

Outreach · Attempt 1 · TCM Accepted

2026-01-11 08:45

Jamal Carter

Intake Trigger · Specialty Referral · Fax

2026-01-11 18:00

Not yet routed

AI Detection · AI score 55%

2026-01-11 18:00

URGENCY_URGENT, DOCS_INCOMPLETE

Referral Received · Urology · Lower urinary tract symptoms

2026-01-11 18:00

Fax · Fax: External PCP Office

Intake Created · Intake REF-0008

2026-01-11 18:00

Urgency: Urgent

PCM Offered · Pre-visit PCM offered

2026-01-11 18:00

Order Set Generated · Pre-Specialty Urology Bundle

2026-01-11 18:00

PCM Enrollment · Enrolled · consent signed

2026-01-12

PCM Enrolled · Patient enrolled in PCM

2026-01-12

Program Assignment · Specialist Referral · Eligible

2026-01-12 18:00

Not accepted (Pass payer check)

Workup Ordered · UA

2026-01-13

Lab

Workup Scheduled · PSA

2026-01-13

Workup Ordered · Renal ultrasound

2026-01-13

Imaging

Exception · Pre-Visit Readiness Blocked · Medium · Open

2026-01-13 09:00

Aisha Patel

Exception Opened · Pre-Visit Readiness Blocked

2026-01-13 09:00

Medium · Open

PCM Activity · Phone Call · 11m

2026-01-13 10:15

Elena Rivera

Program Assignment · PCM · Eligible

2026-01-13 18:00

Accepted (assigned by STF-004)

Readiness Updated · Score 71% · Blocked

2026-01-13 18:00

1 pending workups; Outside records

Outreach · Attempt 2 · Left Voicemail

2026-01-14 08:15

Felix Stone

Order Set · Pre-Specialty Urology Bundle · Cancelled

2026-01-14 18:00

4 orders

Billing · PCM Monthly · CPT 99426 · Paid

2026-01-15

$70 / $70

Steerage · Lab → External

2026-01-15

Community Health LA (External)

Workup Completed · UA

2026-01-15

Final

Outreach · Attempt 3 · Left Voicemail

2026-01-15 10:00

Felix Stone

Steerage · Lab → External

2026-01-16

Community Health LA (External)

Workup Completed · PSA

2026-01-16

Final

Workup Scheduled · Renal ultrasound

2026-01-16

Workup Scheduled · UA

2026-01-17

Outreach · Attempt 1 · Left Voicemail

2026-01-17 15:15

Jamal Carter

Program Assignment · PCM · Eligible

2026-01-17 17:15

Accepted (assigned by STF-004)

Program Assignment · Specialist Referral · Eligible

2026-01-17 17:15

Accepted (assigned by STF-004)

Workup Ordered · Records request

2026-01-18

Records

Outreach · Attempt 2 · TCM Accepted

2026-01-18 14:00

Sofia Diaz

Order Set · Pre-Specialty Urology Bundle · Activated

2026-01-18 17:15

4 orders

PCM Activity · Care Plan Review · 21m

2026-01-19 14:15

Elena Rivera

Workup Ordered · UA

2026-01-20

Lab

Workup Ordered · PSA

2026-01-20

Lab

Workup Ordered · Renal ultrasound

2026-01-20

Imaging

Workup Scheduled · Records request

2026-01-21

PCM Enrollment · Enrolled · consent signed

2026-01-22

Workup Scheduled · Records request

2026-01-22

Specialist Visit Scheduled · Urology appointment

2026-01-22

11d from referral

Workup Scheduled · PSA

2026-01-23

Steerage · Lab → External

2026-01-24

Community Health LA (External)

Workup Completed · PSA

2026-01-24

Final

Steerage · Imaging → External

2026-01-25

Community Health LA (External)

Workup Completed · Renal ultrasound

2026-01-25

Final

Steerage · Other → External

2026-01-27

Pacific Imaging (External)

Workup Completed · Records request

2026-01-27

Final

PCM Activity · Care Plan Review · 22m

2026-02-05 14:00

Naomi Reyes

Program Assignment · Specialist Referral · Eligible

2026-02-17 11:15

Accepted (assigned by AI Engine)

Workup Ordered · PSA

2026-02-19

Lab

Program Assignment · PCM · Eligible

2026-02-19 11:15

Not accepted (Pass payer check)

Program Assignment · APCM · Eligible

2026-02-19 11:15

Not accepted (Pass payer check)

Order Set · Pre-Specialty Urology Bundle · Partially Activated

2026-02-19 11:15

4 orders

Outreach · Attempt 1 · TCM Accepted

2026-02-19 17:30

Jamal Carter

Workup Scheduled · PSA

2026-02-20

Workup Ordered · Renal ultrasound

2026-02-20

Imaging

Workup Ordered · Records request

2026-02-21

Records

Workup Scheduled · Renal ultrasound

2026-02-22

Workup Ordered · UA

2026-02-23

Lab

Workup Scheduled · Records request

2026-02-23

Steerage · Lab → USC

2026-02-26

USC Pasadena Surgery Center

Steerage · Imaging → USC

2026-02-26

USC Urology Beverly Hills

Workup Completed · UA

2026-02-26

Final

Workup Completed · Renal ultrasound

2026-02-26

Final

Downstream USC Service · Lab

2026-02-26

Downstream USC Service · Imaging

2026-02-26

Steerage · Lab → USC

2026-02-27

USC Urology Beverly Hills

Workup Scheduled · UA

2026-02-27

Workup Completed · PSA

2026-02-27

Final

Downstream USC Service · Lab

2026-02-27

Steerage · Other → USC

2026-03-03

USC Pasadena Surgery Center

Workup Completed · Records request

2026-03-03

Final

Downstream USC Service · Other

2026-03-03

Workflow Task · Referral navigation: Urology · Done

2026-03-13 11:15

Intake · RN

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0134	#1	2026-01-11 08:45	TCM Accepted	Jamal Carter	10
OUT-0135	#2	2026-01-14 08:15	Left Voicemail	Felix Stone	1
OUT-0136	#3	2026-01-15 10:00	Left Voicemail	Felix Stone	1
OUT-0174	#1	2026-02-19 17:30	TCM Accepted	Jamal Carter	15
OUT-0213	#1	2026-01-17 15:15	Left Voicemail	Jamal Carter	2
OUT-0214	#2	2026-01-18 14:00	TCM Accepted	Sofia Diaz	15

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 83d 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: Pre-Visit Readiness Blocked
Low
Medium severity · 81d open
Owner: Ops Coordinator
Route intake trigger
High
Specialty Referral from Fax not yet routed
Owner: Ops Coordinator
Request missing referral documents
High
Referring office has not sent required clinical documents
Owner: Ops Coordinator
Schedule lab: UA
Medium
Workup ordered but not yet scheduled
Owner: MA
Schedule imaging: Renal ultrasound
Medium
Workup ordered but not yet scheduled
Owner: MA
Expedite delayed records
High
Authorization delay
Owner: RN
Mitigate leakage risk
High
Referral flagged as at-risk for leaving the USC network
Owner: Ops Coordinator
Close RWE data gaps
Low
6 domain(s) with completeness gaps
Owner: Ops Coordinator

Open Exceptions

Pre-Visit Readiness Blocked
81d open · Open
Medium

Longitudinal Episode View

Hideki Imamura

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions