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.

Marisol Nakahara

PT-000063 · USC-900112 · EPI-2026-0063

Referral ClosedMedium riskMedicaidProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 51%Pre-Specialty Urology PathwayReferral - CompletedPCMSpecialist Referral

NBA: Close loop with referring provider

Reason codes: ROUTINE_SPECIALTY_REFERRAL

Outreach

PCM Min.

Paid $

Age / Sex

79 · F

ZIP

90085

Language

English

Payer

Medi-Cal

Procedure

Robotic Prostatectomy

Surgeon

Dr. Marcus Whelan

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 17, 2026

Discharge

Jan 17, 2026

LOS

Status

Referral Closed

Consent

On file

Episode Timeline

76 events

Surgery · Robotic Prostatectomy

2026-01-17

Dr. Marcus Whelan

Discharge · LOS 0d

2026-01-17

Intake Trigger · Specialty Referral · Community PCP

2026-01-17 08:00

Routed at 2026-01-18 15:15

Program Assignment · Specialist Referral · Eligible

2026-01-17 08:00

Accepted (assigned by STF-008)

Order Set · Pre-Specialty Urology Bundle · Activated

2026-01-17 08:00

4 orders

Referral Received · Nephrology · Resistant hypertension

2026-01-17 08:00

External System · South Bay Family Practice

Intake Created · Intake REF-0013

2026-01-17 08:00

Urgency: Routine

Order Set Generated · Pre-Specialty Urology Bundle

2026-01-17 08:00

Workup Ordered · PSA

2026-01-18

Lab

Program Assignment · PCM · Ineligible - Coverage

2026-01-18 08:00

Not accepted (Fail payer check)

Outreach · Attempt 1 · TCM Accepted

2026-01-18 09:30

Felix Stone

Outreach Started · First contact attempt

2026-01-18 15:15

1d from referral

Workup Ordered · UA

2026-01-19

Lab

Workup Ordered · Records request

2026-01-19

Records

Workup Ordered · Ambulatory cardiac telemetry (ROCT)

2026-01-20

Imaging

Program Assignment · PCM · Ineligible - Coverage

2026-01-20 10:30

Not accepted (Fail payer check)

Outreach · Attempt 1 · Left Voicemail

2026-01-20 17:45

Felix Stone

Workup Scheduled · PSA

2026-01-21

Workup Scheduled · Records request

2026-01-21

Steerage · Lab → External

2026-01-22

Community Health LA (External)

Workup Completed · UA

2026-01-22

Final

Workup Ordered · Renal ultrasound

2026-01-22

Imaging

Workup Ordered · 12-lead EKG

2026-01-22

EKG

Program Assignment · Specialist Referral · Eligible

2026-01-22 10:30

Not accepted (Pass payer check)

Program Assignment · RPM · Eligible

2026-01-22 10:30

Accepted (assigned by AI Engine)

Order Set · SOB Cardiology Pre-Visit Bundle · Cancelled

2026-01-22 10:30

4 orders · review complete

Outreach · Attempt 2 · TCM Accepted

2026-01-22 10:45

Liam Chen

Workup Scheduled · UA

2026-01-23

Workup Ordered · BNP

2026-01-23

Lab

Steerage · Imaging → USC

2026-01-24

USC Norris Cancer Hospital

Workup Completed · Renal ultrasound

2026-01-24

Final

Workup Scheduled · BNP

2026-01-24

Workup Ordered · Troponin

2026-01-24

Lab

Downstream USC Service · Imaging

2026-01-24

Steerage · Other → USC

2026-01-25

USC Pasadena Surgery Center

Steerage · Lab → External

2026-01-25

Pacific Imaging (External)

Workup Scheduled · Renal ultrasound

2026-01-25

Workup Completed · Records request

2026-01-25

Final

Workup Completed · BNP

2026-01-25

Final

Downstream USC Service · Other

2026-01-25

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

2026-01-25 15:30

Felix Stone

Exception Opened · Pre-Visit Readiness Blocked

2026-01-25 15:30

Low · In Progress

RPM Enrollment · Pulse oximeter · CPT 99453/99454/99457

2026-01-26

13/30 transmission days

RPM Alert · 1 alert(s) in last 30d

2026-01-26

Pulse oximeter

Workup Scheduled · 12-lead EKG

2026-01-26

Steerage · Lab → External

2026-01-27

Community Health LA (External)

Workup Scheduled · Troponin

2026-01-27

Workup Completed · Troponin

2026-01-27

Final

Steerage · Procedure → USC

2026-01-28

USC Urology Beverly Hills

Workup Completed · 12-lead EKG

2026-01-28

Final

Downstream USC Service · Procedure

2026-01-28

Steerage · Lab → USC

2026-01-30

Keck Hospital of USC

Workup Completed · PSA

2026-01-30

Final

Downstream USC Service · Lab

2026-01-30

Specialist Visit Scheduled · Nephrology appointment

2026-01-31

14d from referral

Program Assignment · Specialist Referral · Eligible

2026-02-03 08:15

Not accepted (Pass payer check)

Program Assignment · PCM · Ineligible - Coverage

2026-02-04 08:15

Not accepted (Fail payer check)

Order Set · Pre-Specialty Urology Bundle · Cancelled

2026-02-04 08:15

4 orders

Exception · Pre-Visit Readiness Blocked · Low · Open

2026-02-04 10:15

Derek Mensah

Exception Opened · Pre-Visit Readiness Blocked

2026-02-04 10:15

Low · Open

Workup Ordered · Renal ultrasound

2026-02-05

Imaging

Workup Scheduled · Ambulatory cardiac telemetry (ROCT)

2026-02-05

Outreach · Attempt 1 · TCM Accepted

2026-02-05 11:15

Sofia Diaz

Outreach · Attempt 2 · TCM Accepted

2026-02-06 12:00

Felix Stone

Workup Ordered · PSA

2026-02-07

Lab

Workup Ordered · Records request

2026-02-08

Records

Workup Ordered · UA

2026-02-09

Lab

Workup Scheduled · PSA

2026-02-09

Workflow Task · Referral navigation: Nephrology · Done

2026-02-10 08:00

Intake · Ops Coordinator

Readiness Updated · Score 86% · Ready

2026-02-11 08:00

None

Visit Ready · All pre-visit requirements met

2026-02-11 08:00

Outreach · Attempt 3 · TCM Accepted

2026-02-11 17:45

Jamal Carter

Workup Scheduled · UA

2026-02-15

Steerage · Lab → USC

2026-02-16

USC Urology Beverly Hills

Workup Completed · PSA

2026-02-16

Final

Downstream USC Service · Lab

2026-02-16

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0143	#1	2026-01-18 09:30	TCM Accepted	Felix Stone	15
OUT-0180	#1	2026-02-05 11:15	TCM Accepted	Sofia Diaz	14
OUT-0181	#2	2026-02-06 12:00	TCM Accepted	Felix Stone	11
OUT-0182	#3	2026-02-11 17:45	TCM Accepted	Jamal Carter	15
OUT-0220	#1	2026-01-20 17:45	Left Voicemail	Felix Stone	2
OUT-0221	#2	2026-01-22 10:45	TCM Accepted	Liam Chen	11

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 77d ago, encounter not yet completed
Owner: NP
Review exception: Pre-Visit Readiness Blocked
Low
Low severity · 69d open
Owner: RN
Review exception: Pre-Visit Readiness Blocked
Low
Low severity · 59d open
Owner: Ops Coordinator
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve eligibility for PCM
High
Ineligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Activate RPM device
Medium
Pulse oximeter transmitting only 13/30 days — confirm setup
Owner: RN
Resolve RPM alert(s)
High
1 unresolved Pulse oximeter alert(s) in last 30d
Owner: RN
Schedule imaging: Renal ultrasound
Medium
Workup ordered but not yet scheduled
Owner: MA
Schedule records: Records request
Medium
Workup ordered but not yet scheduled
Owner: MA
Expedite delayed lab
High
Patient no-show
Owner: RN
Expedite delayed imaging
High
Scheduling backlog
Owner: RN

Open Exceptions

Pre-Visit Readiness Blocked
69d open · In Progress
Low
Pre-Visit Readiness Blocked
59d open · Open
Low

Longitudinal Episode View

Marisol Nakahara

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions