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.

KL

Kira Lambright

PT-000061 · USC-900110 · EPI-2026-0061

Referral BlockedLow riskMedicareProstate Cancer
Referral CenterReferral CenterSpecialty ReferralAI 63%Pre-Specialty Cardiology PathwayReferral - BlockedPCMSpecialist ReferralRPM

NBA: Resolve documents/intake blocker before outreach

Reason codes: CARDIO_RISK, DOCS_INCOMPLETE, RPM_CANDIDATE

Outreach

3

PCM Min.

41

Paid $

$73

Age / Sex

76 · F

ZIP

90034

Language

English

Payer

Medicare FFS

Procedure

Robotic Prostatectomy

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 23, 2026

Discharge

Jan 23, 2026

LOS

0d

Status

Referral Blocked

Consent

On file

Episode Timeline

57 events

Surgery · Robotic Prostatectomy

2026-01-23

Dr. Eliot Kashani

Discharge · LOS 0d

2026-01-23

Intake Trigger · Specialty Referral · Community PCP

2026-01-23 17:15

Not yet routed

Program Assignment · Specialist Referral · Eligible

2026-01-23 17:15

Not accepted (Pass payer check)

Referral Received · Cardiology · Syncope evaluation

2026-01-23 17:15

External System · Eastside Internal Medicine

Intake Created · Intake REF-0011

2026-01-23 17:15

Urgency: Routine

PCM Offered · Pre-visit PCM offered

2026-01-23 17:15

Order Set Generated · Pre-Specialty Cardiology Bundle

2026-01-23 17:15

Workup Ordered · Records request

2026-01-24

Records

Exception · Pre-Visit Readiness Blocked · Low · In Progress

2026-01-24 10:15

Jamal Carter

Exception Opened · Pre-Visit Readiness Blocked

2026-01-24 10:15

Low · In Progress

Outreach · Attempt 1 · TCM Accepted

2026-01-24 13:15

Sofia Diaz

Outreach Started · First contact attempt

2026-01-24 15:15

1d from referral

Program Assignment · RPM · Eligible

2026-01-24 17:15

Accepted (assigned by AI Engine)

Order Set · Pre-Specialty Cardiology Bundle · Cancelled

2026-01-24 17:15

4 orders

Program Assignment · PCM · Eligible

2026-01-25 17:15

Not accepted (Pass payer check)

Workup Ordered · 12-lead EKG

2026-01-26

EKG

Workup Scheduled · 12-lead EKG

2026-01-27

Workup Ordered · BMP

2026-01-27

Lab

Workup Ordered · Lipid panel

2026-01-28

Lab

Workup Scheduled · Lipid panel

2026-01-29

RPM Enrollment · BP cuff · CPT 99453/99454/99457

2026-01-30

21/30 transmission days

Workup Scheduled · BMP

2026-02-01

Steerage · Procedure → USC

2026-02-03

USC Urology Beverly Hills

Steerage · Lab → External

2026-02-03

Pacific Imaging (External)

Workup Completed · 12-lead EKG

2026-02-03

Final

Workup Completed · Lipid panel

2026-02-03

Final

Downstream USC Service · Procedure

2026-02-03

Program Assignment · Specialist Referral · Eligible

2026-02-03 16:15

Accepted (assigned by AI Engine)

Program Assignment · IPC · Eligible

2026-02-03 16:15

Not accepted (Pass payer check)

Program Assignment · PCM · Ineligible - Coverage

2026-02-05 16:15

Not accepted (Fail payer check)

Steerage · Lab → USC

2026-02-06

USC Norris Cancer Hospital

Workup Completed · BMP

2026-02-06

Final

Downstream USC Service · Lab

2026-02-06

Readiness Updated · Score 29% · Blocked

2026-02-07 17:15

1 pending workups; Outside records; PCM enrolment; RPM device activation

Outreach · Attempt 1 · TCM Accepted

2026-02-08 11:00

Felix Stone

IPC Consult · Oncology · CPT 99445

2026-02-13 16:15

Report complete

Workflow Task · Referral navigation: Oncology · Done

2026-02-27 16:15

Intake · RN

Program Assignment · PCM · Eligible

2026-03-18 13:45

Accepted (assigned by STF-002)

Program Assignment · Specialist Referral · Eligible

2026-03-18 13:45

Accepted (assigned by AI Engine)

Order Set · Pre-Specialty Urology Bundle · Activated

2026-03-19 13:45

4 orders

Workup Ordered · Renal ultrasound

2026-03-23

Imaging

Workup Ordered · Records request

2026-03-23

Records

Outreach · Attempt 1 · TCM Accepted

2026-03-23 11:15

Liam Chen

Workup Scheduled · Renal ultrasound

2026-03-24

Workup Ordered · UA

2026-03-25

Lab

Workup Ordered · PSA

2026-03-26

Lab

PCM Enrollment · Enrolled · consent signed

2026-03-27

Workup Scheduled · PSA

2026-03-27

Steerage · Lab → External

2026-03-29

Pacific Imaging (External)

Workup Completed · PSA

2026-03-29

Final

Steerage · Imaging → External

2026-03-30

Pacific Imaging (External)

Workup Completed · Renal ultrasound

2026-03-30

Final

PCM Activity · Specialist Coordination · 17m

2026-04-03 14:00

Naomi Reyes

PCM Activity · Specialist Coordination · 15m

2026-04-04 14:00

Naomi Reyes

PCM Activity · Specialist Coordination · 9m

2026-04-05 12:00

Naomi Reyes

Billing · PCM Monthly · CPT 99426 · Paid

2026-04-15

$73 / $73

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0141#12026-01-24 13:15TCM AcceptedSofia Diaz6
OUT-0178#12026-02-08 11:00TCM AcceptedFelix Stone12
OUT-0218#12026-03-23 11:15TCM AcceptedLiam Chen11

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 71d ago, encounter not yet completed

    Owner: NP

  • Review exception: Pre-Visit Readiness Blocked

    Low

    Low severity · 70d open

    Owner: RN

  • Route intake trigger

    High

    Specialty Referral from Community PCP not yet routed

    Owner: Ops Coordinator

  • Resolve eligibility for PCM

    High

    Ineligible - Coverage (payer check Fail)

    Owner: Ops Coordinator

  • Backfill Pre-Visit Workup RWE

    Low

    Pre-Visit Workup only 33% complete

    Owner: Ops Coordinator

  • Request missing referral documents

    High

    Referring office has not sent required clinical documents

    Owner: Ops Coordinator

  • Obtain PCM consent

    Medium

    Patient is PCM-eligible but consent has not been captured

    Owner: RN

  • Schedule records: Records request

    Medium

    Workup ordered but not yet scheduled

    Owner: MA

  • Schedule lab: UA

    Medium

    Workup ordered but not yet scheduled

    Owner: MA

  • Schedule records: Records request

    Medium

    Workup ordered but not yet scheduled

    Owner: MA

  • Resolve low readiness items

    High

    Readiness score 29% — 1 pending workups; Outside records; PCM enrolment; RPM device activation

    Owner: RN

  • Mitigate leakage risk

    High

    Referral flagged as at-risk for leaving the USC network

    Owner: Ops Coordinator

Open Exceptions

  • Pre-Visit Readiness Blocked

    70d open · In Progress

    Low