Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Inara Joaquim
PT-000059 · USC-900108 · EPI-2026-0059
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 eventsProgram Assignment · RPM · Eligible
2026-02-04 16:15Not accepted (Pass payer check)
Program Assignment · Specialist Referral · Eligible
2026-02-05 16:15Accepted (assigned by AI Engine)
Outreach · Attempt 1 · TCM Accepted
2026-02-06 10:30Sofia Diaz
Program Assignment · PCM · Ineligible - Coverage
2026-02-06 16:15Not accepted (Fail payer check)
Outreach · Attempt 2 · TCM Accepted
2026-02-07 09:45Liam Chen
RPM Enrollment · Cardiac monitor · CPT 99453/99454/99457
2026-02-148/30 transmission days
RPM Alert · 1 alert(s) in last 30d
2026-02-14Cardiac monitor
Program Assignment · PCM · Eligible
2026-02-25 11:30Not accepted (Pass payer check)
Program Assignment · APCM · Eligible
2026-02-25 11:30Not accepted (Pass payer check)
Outreach · Attempt 1 · Call Back Requested
2026-02-25 16:30Jamal Carter
Workup Ordered · PSA
2026-02-26Lab
Program Assignment · Specialist Referral · Eligible
2026-02-26 11:30Accepted (assigned by AI Engine)
Workup Ordered · UA
2026-02-27Lab
Workup Ordered · Records request
2026-02-27Records
Order Set · Pre-Specialty Urology Bundle · Activated
2026-02-27 11:304 orders
Surgery · Robotic Prostatectomy
2026-02-28Dr. Janet Okafor
Discharge · LOS 0d
2026-02-28Workup Scheduled · PSA
2026-02-28Workup Ordered · Renal ultrasound
2026-02-28Imaging
Intake Trigger · Specialty Referral · External Provider
2026-02-28 13:45Routed at 2026-03-01 09:30
AI Detection · AI score 62%
2026-02-28 13:45URGENCY_URGENT
Order Set · Pre-Specialty Urology Bundle · Activated
2026-02-28 13:454 orders
Referral Received · Urology · Recurrent UTI
2026-02-28 13:45External System · Long Beach Pulmonology (mock)
Intake Created · Intake REF-0009
2026-02-28 13:45Urgency: Urgent
PCM Offered · Pre-visit PCM offered
2026-02-28 13:45Order Set Generated · Pre-Specialty Urology Bundle
2026-02-28 13:45Workup Scheduled · UA
2026-03-01Outreach Started · First contact attempt
2026-03-01 09:301d from referral
Outreach · Attempt 1 · TCM Accepted
2026-03-01 10:15Sofia Diaz
Program Assignment · Specialist Referral · Eligible
2026-03-01 13:45Accepted (assigned by AI Engine)
Workup Ordered · UA
2026-03-02Lab
Workup Ordered · PSA
2026-03-02Lab
Workup Ordered · Records request
2026-03-02Records
Program Assignment · PCM · Eligible
2026-03-02 13:45Not accepted (Pass payer check)
Steerage · Lab → External
2026-03-03Community Health LA (External)
Workup Completed · UA
2026-03-03Final
Workup Scheduled · Renal ultrasound
2026-03-03Steerage · Other → USC
2026-03-04USC Pasadena Surgery Center
Steerage · Lab → USC
2026-03-04USC Urology Beverly Hills
Steerage · Imaging → USC
2026-03-04USC Urology Beverly Hills
Workup Scheduled · PSA
2026-03-04Workup Completed · Records request
2026-03-04Final
Workup Completed · PSA
2026-03-04Final
Workup Completed · Renal ultrasound
2026-03-04Final
Downstream USC Service · Other
2026-03-04Downstream USC Service · Lab
2026-03-04Downstream USC Service · Imaging
2026-03-04Workup Ordered · Renal ultrasound
2026-03-05Imaging
Workup Scheduled · Records request
2026-03-06Workup Scheduled · Records request
2026-03-06Steerage · Lab → USC
2026-03-07USC Norris Cancer Hospital
Workup Scheduled · UA
2026-03-07Workup Completed · PSA
2026-03-07Final
Downstream USC Service · Lab
2026-03-07Steerage · Imaging → External
2026-03-08Pacific Imaging (External)
Workup Completed · Renal ultrasound
2026-03-08Final
Workup Scheduled · Renal ultrasound
2026-03-09Steerage · Lab → USC
2026-03-10USC Norris Cancer Hospital
Workup Completed · UA
2026-03-10Final
Specialist Visit Scheduled · Urology appointment
2026-03-1010d from referral
Downstream USC Service · Lab
2026-03-10Readiness Updated · Score 86% · Ready
2026-03-26 13:45PCM enrolment
Visit Ready · All pre-visit requirements met
2026-03-26 13:45Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0137 | #1 | 2026-03-01 10:15 | TCM Accepted | Sofia Diaz | 8 |
| OUT-0175 | #1 | 2026-02-06 10:30 | TCM Accepted | Sofia Diaz | 18 |
| OUT-0176 | #2 | 2026-02-07 09:45 | TCM Accepted | Liam Chen | 9 |
| OUT-0215 | #1 | 2026-02-25 16:30 | Call Back Requested | Jamal Carter | 3 |
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 35d ago, encounter not yet completed
Owner: NP
Resolve eligibility for PCM
HighIneligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Activate RPM device
MediumCardiac monitor transmitting only 8/30 days — confirm setup
Owner: RN
Resolve RPM alert(s)
High1 unresolved Cardiac monitor alert(s) in last 30d
Owner: RN
Obtain PCM consent
MediumPatient is PCM-eligible but consent has not been captured
Owner: RN
Expedite delayed records
HighAuthorization delay
Owner: RN
Close RWE data gaps
Low5 domain(s) with completeness gaps
Owner: Ops Coordinator