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.

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Quintessa Rasmussen

PT-000067 · USC-900116 · EPI-2026-0067

Referral WorkupMedium riskMedicare AdvantageProstate Cancer
Referral CenterReferral CenterSpecialty ReferralAI 50%Pre-Specialty Cardiology PathwayReferral - Workup In ProgressPCMSpecialist ReferralIPC

NBA: Track outstanding pre-visit workup

Reason codes: CARDIO_RISK, DOCS_INCOMPLETE, IPC_CANDIDATE

Outreach

4

PCM Min.

0

Paid $

$0

Age / Sex

56 · F

ZIP

90033

Language

English

Payer

Humana Medicare Advantage

Procedure

Robotic Prostatectomy

Surgeon

Dr. Rebecca Lim

Surgery Site

USC Urology Beverly Hills

Surgery Date

Feb 12, 2026

Discharge

Feb 12, 2026

LOS

0d

Status

Referral Workup

Consent

On file

Episode Timeline

46 events

Surgery · Robotic Prostatectomy

2026-02-12

Dr. Rebecca Lim

Discharge · LOS 0d

2026-02-12

Workup Ordered · 12-lead EKG

2026-02-12

EKG

Workup Ordered · Lipid panel

2026-02-12

Lab

Outreach · Attempt 1 · TCM Accepted

2026-02-12 09:00

Jamal Carter

Outreach Started · First contact attempt

2026-02-12 12:00

0d from referral

Intake Trigger · Specialty Referral · External Provider

2026-02-12 12:15

Routed at 2026-02-12 12:00

Order Set · Pre-Specialty Cardiology Bundle · Activated

2026-02-12 12:15

4 orders

Referral Received · Cardiology · Palpitations

2026-02-12 12:15

External System · Long Beach Pulmonology (mock)

Intake Created · Intake REF-0017

2026-02-12 12:15

Urgency: Routine

PCM Offered · Pre-visit PCM offered

2026-02-12 12:15

Order Set Generated · Pre-Specialty Cardiology Bundle

2026-02-12 12:15

Program Assignment · PCM · Eligible

2026-02-12 14:30

Not accepted (Pass payer check)

Workup Ordered · BMP

2026-02-13

Lab

Workup Ordered · PSA repeat

2026-02-13

Lab

Program Assignment · PCM · Eligible

2026-02-13 12:15

Accepted (assigned by STF-006)

Program Assignment · Specialist Referral · Eligible

2026-02-13 12:15

Accepted (assigned by STF-006)

Exception · Referral Documents Missing · Low · Resolved

2026-02-13 14:15

Brandon Lee

Exception Resolved · Referral Documents Missing

2026-02-13 14:15

Low · Resolved

Program Assignment · Specialist Referral · Eligible

2026-02-13 14:30

Accepted (assigned by AI Engine)

Outreach · Attempt 1 · TCM Declined

2026-02-13 17:15

Felix Stone

Outreach · Attempt 2 · TCM Accepted

2026-02-14 10:00

Sofia Diaz

Program Assignment · IPC · Eligible

2026-02-14 12:15

Accepted (assigned by AI Engine)

Order Set · Elevated PSA Workup Bundle · Pending Review

2026-02-14 14:30

2 orders · review pending

PCM Enrollment · Enrolled · consent signed

2026-02-15

Steerage · Lab → USC

2026-02-15

Keck Hospital of USC

PCM Enrolled · Patient enrolled in PCM

2026-02-15

Workup Scheduled · 12-lead EKG

2026-02-15

Workup Completed · BMP

2026-02-15

Final

Workup Ordered · Records request

2026-02-15

Records

Downstream USC Service · Lab

2026-02-15

Steerage · Procedure → External

2026-02-16

Community Health LA (External)

Steerage · Lab → USC

2026-02-16

Keck Hospital of USC

Workup Completed · 12-lead EKG

2026-02-16

Final

Workup Scheduled · BMP

2026-02-16

Workup Completed · PSA repeat

2026-02-16

Final

Downstream USC Service · Lab

2026-02-16

Outreach · Attempt 2 · TCM Accepted

2026-02-16 12:30

Jamal Carter

Workup Ordered · MRI prostate (multiparametric)

2026-02-17

Imaging

Workup Scheduled · PSA repeat

2026-02-18

Workup Scheduled · Lipid panel

2026-02-20

Workup Scheduled · MRI prostate (multiparametric)

2026-02-20

PCM Activity · Specialist Coordination · 14m

2026-02-22 15:00

Naomi Reyes

Steerage · Imaging → External

2026-02-27

Community Health LA (External)

Workup Completed · MRI prostate (multiparametric)

2026-02-27

Final

Readiness Updated · Score 57% · At Risk

2026-02-27 12:15

2 pending workups; Outside records; IPC consult

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0148#12026-02-12 09:00TCM AcceptedJamal Carter16
OUT-0149#22026-02-14 10:00TCM AcceptedSofia Diaz14
OUT-0188#12026-02-13 17:15TCM DeclinedFelix Stone2
OUT-0189#22026-02-16 12:30TCM AcceptedJamal Carter14

TCM Encounters

No TCM encounter yet

Actionable Chat

Synthetic
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Next Best Actions

Rule-based recommendations derived from the patient's current state.

  • Schedule TCM encounter

    High

    Patient accepted 51d ago, encounter not yet completed

    Owner: NP

  • Log additional PCM time this month

    Medium

    Current month at 0m; need 30m more to bill 99426

    Owner: RN

  • Complete clinical review for order set

    High

    Order set OS-102 pending NP/MD review

    Owner: NP

  • Request missing referral documents

    High

    Referring office has not sent required clinical documents

    Owner: Ops Coordinator

  • Schedule records: Records request

    Medium

    Workup ordered but not yet scheduled

    Owner: MA

  • Expedite delayed lab

    High

    External lab slow turnaround

    Owner: RN

  • Mitigate leakage risk

    High

    Referral flagged as at-risk for leaving the USC network

    Owner: Ops Coordinator

  • Close RWE data gaps

    Low

    3 domain(s) with completeness gaps

    Owner: Ops Coordinator