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.

Octavia Pemberton

PT-000065 · USC-900114 · EPI-2026-0065

Referral BlockedHigh riskMedicare AdvantageProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 82%Pre-Specialty Urology PathwayReferral - BlockedPCMSpecialist Referral

NBA: Resolve documents/intake blocker before outreach

Reason codes: URGENCY_URGENT, DOCS_INCOMPLETE

Outreach

PCM Min.

Paid $

Age / Sex

56 · F

ZIP

90082

Language

English

Payer

Humana Medicare Advantage

Procedure

Robotic Prostatectomy

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 06, 2026

Discharge

Jan 06, 2026

LOS

Status

Referral Blocked

Consent

On file

Episode Timeline

45 events

Surgery · Robotic Prostatectomy

2026-01-06

Dr. Eliot Kashani

Discharge · LOS 0d

2026-01-06

Intake Trigger · Specialty Referral · Phone

2026-01-06 13:30

Not yet routed

AI Detection · AI score 82%

2026-01-06 13:30

URGENCY_URGENT, DOCS_INCOMPLETE

Program Assignment · PCM · Eligible

2026-01-06 13:30

Not accepted (Pass payer check)

Program Assignment · Specialist Referral · Eligible

2026-01-06 13:30

Not accepted (Pass payer check)

Referral Received · Urology · Lower urinary tract symptoms

2026-01-06 13:30

Phone · Inbound Phone Line

Intake Created · Intake REF-0015

2026-01-06 13:30

Urgency: Urgent

PCM Offered · Pre-visit PCM offered

2026-01-06 13:30

Exception · Pre-Visit Readiness Blocked · Medium · Open

2026-01-07 08:30

Sofia Diaz

Exception Opened · Pre-Visit Readiness Blocked

2026-01-07 08:30

Medium · Open

Outreach · Attempt 1 · TCM Accepted

2026-01-08 10:00

Liam Chen

Outreach Started · First contact attempt

2026-01-08 15:45

2d from referral

Specialist Visit Scheduled · Urology appointment

2026-01-13

7d from referral

Outreach · Attempt 1 · TCM Accepted

2026-02-01 14:45

Jamal Carter

Program Assignment · Specialist Referral · Eligible

2026-02-01 14:45

Accepted (assigned by STF-001)

Order Set · SOB Cardiology Pre-Visit Bundle · Activated

2026-02-01 14:45

4 orders · review complete

Workup Ordered · Troponin

2026-02-02

Lab

Program Assignment · PCM · Ineligible - Coverage

2026-02-02 14:45

Not accepted (Fail payer check)

Workup Ordered · 12-lead EKG

2026-02-03

EKG

Workup Scheduled · 12-lead EKG

2026-02-05

Workup Ordered · Ambulatory cardiac telemetry (ROCT)

2026-02-05

Imaging

Workup Ordered · BNP

2026-02-05

Lab

Steerage · Lab → USC

2026-02-07

USC Urology Beverly Hills

Workup Scheduled · BNP

2026-02-07

Workup Completed · BNP

2026-02-07

Final

Workup Scheduled · Troponin

2026-02-07

Downstream USC Service · Lab

2026-02-07

Steerage · Imaging → External

2026-02-08

Pacific Imaging (External)

Workup Completed · Ambulatory cardiac telemetry (ROCT)

2026-02-08

Final

Workup Scheduled · Ambulatory cardiac telemetry (ROCT)

2026-02-09

Steerage · Lab → External

2026-02-14

Pacific Imaging (External)

Workup Completed · Troponin

2026-02-14

Final

Steerage · Procedure → USC

2026-02-15

USC Norris Cancer Hospital

Workup Completed · 12-lead EKG

2026-02-15

Final

Downstream USC Service · Procedure

2026-02-15

Readiness Updated · Score 86% · Ready

2026-02-15 14:45

None

Visit Ready · All pre-visit requirements met

2026-02-15 14:45

Workflow Task · Referral navigation: Pulmonology · Done

2026-02-27 14:45

Intake · RN

Program Assignment · Specialist Referral · Eligible

2026-03-24 15:00

Accepted (assigned by STF-010)

Program Assignment · PCM · Eligible

2026-03-25 15:00

Accepted (assigned by STF-010)

Outreach · Attempt 1 · No Answer

2026-03-26 16:15

Felix Stone

PCM Enrollment · Enrolled · consent signed

2026-03-27

Outreach · Attempt 2 · TCM Accepted

2026-03-29 08:45

Jamal Carter

PCM Activity · Med Reconciliation · 13m

2026-04-02 14:15

Brandon Lee

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0146	#1	2026-01-08 10:00	TCM Accepted	Liam Chen	7
OUT-0184	#1	2026-03-26 16:15	No Answer	Felix Stone	3
OUT-0185	#2	2026-03-29 08:45	TCM Accepted	Jamal Carter	15
OUT-0223	#1	2026-02-01 14:45	TCM Accepted	Jamal Carter	9

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 88d ago, encounter not yet completed
Owner: NP
Log additional PCM time this month
Medium
Current month at 13m; need 17m more to bill 99426
Owner: RN
Review exception: Pre-Visit Readiness Blocked
Low
Medium severity · 87d open
Owner: RN
Route intake trigger
High
Specialty Referral from Phone 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 43% 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
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
87d open · Open
Medium

Longitudinal Episode View

Octavia Pemberton

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions

Open Exceptions