Patient 360
Longitudinal Episode View
Search a synthetic patient or episode to inspect discharge → TCM → PCM → billing → outcomes end-to-end.
Reinaldo Stavros
PT-000068 · USC-900117 · EPI-2026-0068
NBA: Confirm appointment + send reminders
Reason codes: URGENCY_URGENT, CARDIO_RISK
Outreach
2
PCM Min.
0
Paid $
$0
Age / Sex
69 · M
ZIP
90023
Language
Spanish
Payer
Medi-Cal
Procedure
Robotic Prostatectomy
Surgeon
Dr. Eliot Kashani
Surgery Site
USC Urology Beverly Hills
Surgery Date
Mar 06, 2026
Discharge
Mar 06, 2026
LOS
0d
Status
Referral Scheduled
Consent
On file
Episode Timeline
43 eventsSurgery · Robotic Prostatectomy
2026-03-06Dr. Eliot Kashani
Discharge · LOS 0d
2026-03-06Intake Trigger · Specialty Referral · USC Referral Center
2026-03-06 11:00Routed at 2026-03-07 17:45
Referral Received · Cardiology · Chest pain workup
2026-03-06 11:00Call Center · USC Referral Center Intake Team
Intake Created · Intake REF-0018
2026-03-06 11:00Urgency: Urgent
Order Set Generated · Pre-Specialty Cardiology Bundle
2026-03-06 11:00Workup Ordered · 12-lead EKG
2026-03-07EKG
Outreach · Attempt 1 · Call Back Requested
2026-03-07 08:00Felix Stone
Order Set · Pre-Specialty Cardiology Bundle · Activated
2026-03-07 11:004 orders
Outreach Started · First contact attempt
2026-03-07 17:451d from referral
Workup Scheduled · 12-lead EKG
2026-03-08Program Assignment · PCM · Ineligible - Coverage
2026-03-08 11:00Not accepted (Fail payer check)
Program Assignment · Specialist Referral · Eligible
2026-03-08 11:00Accepted (assigned by STF-001)
Workup Ordered · Lipid panel
2026-03-09Lab
Workup Ordered · BMP
2026-03-10Lab
Workup Ordered · Records request
2026-03-11Records
Specialist Visit Scheduled · Cardiology appointment
2026-03-115d from referral
Steerage · Other → External
2026-03-13Community Health LA (External)
Workup Scheduled · Lipid panel
2026-03-13Workup Completed · Records request
2026-03-13Final
Workup Scheduled · Records request
2026-03-14Workup Scheduled · BMP
2026-03-15Steerage · Procedure → External
2026-03-16Pacific Imaging (External)
Workup Completed · 12-lead EKG
2026-03-16Final
Steerage · Lab → USC
2026-03-19USC Pasadena Surgery Center
Workup Completed · Lipid panel
2026-03-19Final
Downstream USC Service · Lab
2026-03-19Program Assignment · IPC · Eligible
2026-03-20 15:45Not accepted (Pass payer check)
Outreach · Attempt 1 · TCM Accepted
2026-03-21 13:45Jamal Carter
Steerage · Lab → USC
2026-03-22Keck Hospital of USC
Workup Completed · BMP
2026-03-22Final
Downstream USC Service · Lab
2026-03-22Program Assignment · PCM · Ineligible - Coverage
2026-03-22 15:45Not accepted (Fail payer check)
Program Assignment · Specialist Referral · Eligible
2026-03-22 15:45Accepted (assigned by STF-004)
Workup Ordered · PSA repeat
2026-03-23Lab
Order Set · Elevated PSA Workup Bundle · Cancelled
2026-03-23 15:452 orders · review complete
Exception · Referral Documents Missing · Medium · Open
2026-03-23 17:45Aisha Patel
Exception Opened · Referral Documents Missing
2026-03-23 17:45Medium · Open
Workup Ordered · MRI prostate (multiparametric)
2026-03-25Imaging
Workup Scheduled · PSA repeat
2026-03-30Workup Scheduled · MRI prostate (multiparametric)
2026-04-01Readiness Updated · Score 86% · Ready
2026-04-03 11:00None
Visit Ready · All pre-visit requirements met
2026-04-03 11:00Outreach Attempts
| ID | Attempt | Datetime | Outcome | Staff | Min |
|---|---|---|---|---|---|
| OUT-0150 | #1 | 2026-03-07 08:00 | Call Back Requested | Felix Stone | 2 |
| OUT-0190 | #1 | 2026-03-21 13:45 | TCM Accepted | Jamal Carter | 17 |
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 29d ago, encounter not yet completed
Owner: NP
Review exception: Referral Documents Missing
LowMedium severity · 12d open
Owner: Ops Coordinator
Resolve eligibility for PCM
HighIneligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Resolve eligibility for PCM
HighIneligible - Coverage (payer check Fail)
Owner: Ops Coordinator
Backfill Pre-Visit Readiness RWE
LowPre-Visit Readiness only 45% complete
Owner: Ops Coordinator
Expedite delayed lab
HighPatient no-show
Owner: RN
Expedite delayed imaging
HighExternal lab slow turnaround
Owner: RN
Close RWE data gaps
Low5 domain(s) with completeness gaps
Owner: Ops Coordinator
Open Exceptions
- Medium
Referral Documents Missing
12d open · Open