SPOC-CO
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.

IJ

Inara Joaquim

PT-000059 · USC-900108 · EPI-2026-0059

Pre-Visit ReadyLow riskCommercialProstate Cancer
Referral CenterReferral CenterSpecialty ReferralAI 62%Pre-Specialty Urology PathwayReferral - Visit ReadyPCMSpecialist Referral

NBA: Schedule first specialist visit

Reason codes: URGENCY_URGENT

Outreach

4

PCM Min.

0

Paid $

$0

Age / Sex

55 · F

ZIP

90077

Language

Spanish

Payer

Anthem Blue Cross

Procedure

Robotic Prostatectomy

Surgeon

Dr. Janet Okafor

Surgery Site

USC Urology Beverly Hills

Surgery Date

Feb 28, 2026

Discharge

Feb 28, 2026

LOS

0d

Status

Pre-Visit Ready

Consent

On file

Episode Timeline

63 events

Program Assignment · RPM · Eligible

2026-02-04 16:15

Not accepted (Pass payer check)

Program Assignment · Specialist Referral · Eligible

2026-02-05 16:15

Accepted (assigned by AI Engine)

Outreach · Attempt 1 · TCM Accepted

2026-02-06 10:30

Sofia Diaz

Program Assignment · PCM · Ineligible - Coverage

2026-02-06 16:15

Not accepted (Fail payer check)

Outreach · Attempt 2 · TCM Accepted

2026-02-07 09:45

Liam Chen

RPM Enrollment · Cardiac monitor · CPT 99453/99454/99457

2026-02-14

8/30 transmission days

RPM Alert · 1 alert(s) in last 30d

2026-02-14

Cardiac monitor

Program Assignment · PCM · Eligible

2026-02-25 11:30

Not accepted (Pass payer check)

Program Assignment · APCM · Eligible

2026-02-25 11:30

Not accepted (Pass payer check)

Outreach · Attempt 1 · Call Back Requested

2026-02-25 16:30

Jamal Carter

Workup Ordered · PSA

2026-02-26

Lab

Program Assignment · Specialist Referral · Eligible

2026-02-26 11:30

Accepted (assigned by AI Engine)

Workup Ordered · UA

2026-02-27

Lab

Workup Ordered · Records request

2026-02-27

Records

Order Set · Pre-Specialty Urology Bundle · Activated

2026-02-27 11:30

4 orders

Surgery · Robotic Prostatectomy

2026-02-28

Dr. Janet Okafor

Discharge · LOS 0d

2026-02-28

Workup Scheduled · PSA

2026-02-28

Workup Ordered · Renal ultrasound

2026-02-28

Imaging

Intake Trigger · Specialty Referral · External Provider

2026-02-28 13:45

Routed at 2026-03-01 09:30

AI Detection · AI score 62%

2026-02-28 13:45

URGENCY_URGENT

Order Set · Pre-Specialty Urology Bundle · Activated

2026-02-28 13:45

4 orders

Referral Received · Urology · Recurrent UTI

2026-02-28 13:45

External System · Long Beach Pulmonology (mock)

Intake Created · Intake REF-0009

2026-02-28 13:45

Urgency: Urgent

PCM Offered · Pre-visit PCM offered

2026-02-28 13:45

Order Set Generated · Pre-Specialty Urology Bundle

2026-02-28 13:45

Workup Scheduled · UA

2026-03-01

Outreach Started · First contact attempt

2026-03-01 09:30

1d from referral

Outreach · Attempt 1 · TCM Accepted

2026-03-01 10:15

Sofia Diaz

Program Assignment · Specialist Referral · Eligible

2026-03-01 13:45

Accepted (assigned by AI Engine)

Workup Ordered · UA

2026-03-02

Lab

Workup Ordered · PSA

2026-03-02

Lab

Workup Ordered · Records request

2026-03-02

Records

Program Assignment · PCM · Eligible

2026-03-02 13:45

Not accepted (Pass payer check)

Steerage · Lab → External

2026-03-03

Community Health LA (External)

Workup Completed · UA

2026-03-03

Final

Workup Scheduled · Renal ultrasound

2026-03-03

Steerage · Other → USC

2026-03-04

USC Pasadena Surgery Center

Steerage · Lab → USC

2026-03-04

USC Urology Beverly Hills

Steerage · Imaging → USC

2026-03-04

USC Urology Beverly Hills

Workup Scheduled · PSA

2026-03-04

Workup Completed · Records request

2026-03-04

Final

Workup Completed · PSA

2026-03-04

Final

Workup Completed · Renal ultrasound

2026-03-04

Final

Downstream USC Service · Other

2026-03-04

Downstream USC Service · Lab

2026-03-04

Downstream USC Service · Imaging

2026-03-04

Workup Ordered · Renal ultrasound

2026-03-05

Imaging

Workup Scheduled · Records request

2026-03-06

Workup Scheduled · Records request

2026-03-06

Steerage · Lab → USC

2026-03-07

USC Norris Cancer Hospital

Workup Scheduled · UA

2026-03-07

Workup Completed · PSA

2026-03-07

Final

Downstream USC Service · Lab

2026-03-07

Steerage · Imaging → External

2026-03-08

Pacific Imaging (External)

Workup Completed · Renal ultrasound

2026-03-08

Final

Workup Scheduled · Renal ultrasound

2026-03-09

Steerage · Lab → USC

2026-03-10

USC Norris Cancer Hospital

Workup Completed · UA

2026-03-10

Final

Specialist Visit Scheduled · Urology appointment

2026-03-10

10d from referral

Downstream USC Service · Lab

2026-03-10

Readiness Updated · Score 86% · Ready

2026-03-26 13:45

PCM enrolment

Visit Ready · All pre-visit requirements met

2026-03-26 13:45

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0137#12026-03-01 10:15TCM AcceptedSofia Diaz8
OUT-0175#12026-02-06 10:30TCM AcceptedSofia Diaz18
OUT-0176#22026-02-07 09:45TCM AcceptedLiam Chen9
OUT-0215#12026-02-25 16:30Call Back RequestedJamal Carter3

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 35d ago, encounter not yet completed

    Owner: NP

  • Resolve eligibility for PCM

    High

    Ineligible - Coverage (payer check Fail)

    Owner: Ops Coordinator

  • Activate RPM device

    Medium

    Cardiac monitor transmitting only 8/30 days — confirm setup

    Owner: RN

  • Resolve RPM alert(s)

    High

    1 unresolved Cardiac monitor alert(s) in last 30d

    Owner: RN

  • Obtain PCM consent

    Medium

    Patient is PCM-eligible but consent has not been captured

    Owner: RN

  • Expedite delayed records

    High

    Authorization delay

    Owner: RN

  • Close RWE data gaps

    Low

    5 domain(s) with completeness gaps

    Owner: Ops Coordinator