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.

Xiomara Yancey

PT-000074 · USC-900123 · EPI-2026-0074

Referral BlockedMedium riskCommercialProstate Cancer

Referral CenterReferral CenterSpecialty ReferralAI 83%Pre-Specialty Urology PathwayReferral - BlockedPCMSpecialist ReferralAPCM

NBA: Resolve documents/intake blocker before outreach

Reason codes: URGENCY_URGENT, HEMATURIA, DOCS_INCOMPLETE

Outreach

PCM Min.

Paid $

Age / Sex

53 · F

ZIP

90015

Language

English

Payer

Aetna

Procedure

Robotic Prostatectomy

Surgeon

Dr. Priya Ramaswamy

Surgery Site

USC Urology Beverly Hills

Surgery Date

Jan 08, 2026

Discharge

Jan 08, 2026

LOS

Status

Referral Blocked

Consent

On file

Episode Timeline

53 events

Surgery · Robotic Prostatectomy

2026-01-08

Dr. Priya Ramaswamy

Discharge · LOS 0d

2026-01-08

Intake Trigger · Specialty Referral · External Provider

2026-01-08 12:15

Not yet routed

AI Detection · AI score 83%

2026-01-08 12:15

URGENCY_URGENT, HEMATURIA, DOCS_INCOMPLETE

Program Assignment · PCM · Eligible

2026-01-08 12:15

Not accepted (Pass payer check)

Referral Received · Urology · Hematuria

2026-01-08 12:15

External System · Cedars-Sinai Cardiology (mock)

Intake Created · Intake REF-0024

2026-01-08 12:15

Urgency: Urgent

PCM Offered · Pre-visit PCM offered

2026-01-08 12:15

Order Set Generated · Pre-Specialty Urology Bundle

2026-01-08 12:15

Workup Ordered · PSA

2026-01-09

Lab

Workup Ordered · Renal ultrasound

2026-01-09

Imaging

Outreach Started · First contact attempt

2026-01-09 08:30

1d from referral

Outreach · Attempt 1 · TCM Accepted

2026-01-09 09:30

Sofia Diaz

Program Assignment · APCM · Eligible

2026-01-09 12:15

Not accepted (Pass payer check)

Order Set · Pre-Specialty Urology Bundle · Cancelled

2026-01-09 12:15

4 orders

Outreach · Attempt 2 · TCM Declined

2026-01-10 08:30

Sofia Diaz

Program Assignment · Specialist Referral · Eligible

2026-01-10 12:15

Not accepted (Pass payer check)

Workup Ordered · Records request

2026-01-11

Records

Exception · Pre-Visit Readiness Blocked · Medium · Resolved

2026-01-11 14:15

Derek Mensah

Exception Resolved · Pre-Visit Readiness Blocked

2026-01-11 14:15

Medium · Resolved

Workup Ordered · UA

2026-01-12

Lab

Specialist Visit Scheduled · Urology appointment

2026-01-12

4d from referral

Workup Scheduled · Renal ultrasound

2026-01-13

Steerage · Imaging → USC

2026-01-15

USC Pasadena Surgery Center

Workup Completed · Renal ultrasound

2026-01-15

Final

Downstream USC Service · Imaging

2026-01-15

Outreach · Attempt 3 · TCM Accepted

2026-01-15 16:00

Jamal Carter

Readiness Updated · Score 43% · Blocked

2026-01-16 12:15

3 pending workups; Outside records; PCM enrolment

Workup Scheduled · PSA

2026-01-19

Order Set · Pre-Specialty Cardiology Bundle · Activated

2026-02-21 10:00

4 orders

Program Assignment · Specialist Referral · Eligible

2026-02-22 10:00

Accepted (assigned by STF-002)

Program Assignment · PCM · Eligible

2026-02-23 10:00

Accepted (assigned by AI Engine)

Program Assignment · APCM · Eligible

2026-02-23 10:00

Not accepted (Pass payer check)

Program Assignment · RPM · Eligible

2026-02-23 10:00

Not accepted (Pass payer check)

Outreach · Attempt 1 · Call Back Requested

2026-02-23 14:30

Liam Chen

Workup Ordered · BMP

2026-02-24

Lab

Workup Ordered · Records request

2026-02-24

Records

Outreach · Attempt 2 · TCM Accepted

2026-02-24 12:00

Liam Chen

PCM Enrollment · Enrolled · consent signed

2026-02-25

Workup Scheduled · BMP

2026-02-25

Workup Ordered · 12-lead EKG

2026-02-26

EKG

Workup Ordered · Lipid panel

2026-02-27

Lab

PCM Activity · Care Plan Review · 14m

2026-02-27 17:30

Naomi Reyes

Workup Scheduled · 12-lead EKG

2026-02-28

Steerage · Lab → External

2026-03-01

Pacific Imaging (External)

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

2026-03-01

12/30 transmission days

RPM Alert · 2 alert(s) in last 30d

2026-03-01

BP cuff

Workup Completed · BMP

2026-03-01

Final

PCM Activity · Specialist Coordination · 10m

2026-03-03 16:30

Naomi Reyes

Steerage · Procedure → USC

2026-03-06

USC Urology Beverly Hills

Workup Completed · 12-lead EKG

2026-03-06

Final

Downstream USC Service · Procedure

2026-03-06

Workup Scheduled · Lipid panel

2026-03-13

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0159	#1	2026-01-09 09:30	TCM Accepted	Sofia Diaz	13
OUT-0160	#2	2026-01-10 08:30	TCM Declined	Sofia Diaz	3
OUT-0161	#3	2026-01-15 16:00	TCM Accepted	Jamal Carter	17
OUT-0198	#1	2026-02-23 14:30	Call Back Requested	Liam Chen	4
OUT-0199	#2	2026-02-24 12:00	TCM Accepted	Liam Chen	16

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 86d 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
Route intake trigger
High
Specialty Referral from External Provider not yet routed
Owner: Ops Coordinator
Activate RPM device
Medium
BP cuff transmitting only 12/30 days — confirm setup
Owner: RN
Resolve RPM alert(s)
High
2 unresolved BP cuff alert(s) in last 30d
Owner: RN
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 lab: UA
Medium
Workup ordered but not yet scheduled
Owner: MA
Schedule records: Records request
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
External lab slow turnaround
Owner: RN
Expedite delayed lab
High
Scheduling backlog
Owner: RN

Longitudinal Episode View

Xiomara Yancey

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions