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.

Linda Chen

PT-000003 · USC-900003 · EPI-2026-0003

PCM ActiveMedium riskMedicare AdvantageStones

Generalist Hospital-InitiatedGeneralist Acute CareInpatient Rounding ListAI 66%Cardiology SOB PathwayLongitudinalTCMRPMSpecialist Referral

NBA: Ship RPM device + activate transmissions

Reason codes: ED_INDEX_VISIT, HIGH_LOS, PRIOR_READMIT_30D

Outreach

PCM Min.

Paid $

$164

Age / Sex

69 · F

ZIP

90062

Language

English

Payer

Humana Medicare Advantage

Procedure

Stone Removal

Surgeon

Dr. Daniel Park

Surgery Site

Keck Hospital of USC

Surgery Date

Feb 07, 2026

Discharge

Feb 07, 2026

LOS

Status

PCM Active

Consent

On file

Episode Timeline

26 events

Program Assignment · TCM · Eligible

2026-02-06 00:00

Accepted (assigned by AI Engine)

Intake Trigger · Inpatient Rounding List · Keck Hospitalist Rounding Tool

2026-02-06 16:45

Not yet routed

AI Detection · AI score 66%

2026-02-06 16:45

ED_INDEX_VISIT, HIGH_LOS, PRIOR_READMIT_30D

Surgery · Stone Removal

2026-02-07

Dr. Daniel Park

Discharge · LOS 0d

2026-02-07

Program Assignment · Specialist Referral · Pending Verification

2026-02-07 00:00

Not accepted (Pending payer check)

Order Set · SOB Cardiology Bundle · Activated

2026-02-07 00:00

5 orders · review complete

RPM Enrollment · BP cuff · CPT 99453/99454/99458

2026-02-08

15/30 transmission days

RPM Alert · 2 alert(s) in last 30d

2026-02-08

BP cuff

Program Assignment · RPM · Eligible

2026-02-08 00:00

Accepted (assigned by STF-004)

Outreach · Attempt 1 · Call Back Requested

2026-02-08 14:00

Felix Stone

Workflow Task · Initiate TCM · Done

2026-02-10 00:00

TCM · NP

Outreach · Attempt 2 · TCM Accepted

2026-02-11 11:45

Felix Stone

Exception · Billing Defect · High · Resolved

2026-02-12 11:00

Naomi Reyes

TCM Encounter · Telehealth · CPT 99495

2026-02-17

Note sent to USC

Billing · TCM Encounter · CPT 99495 · Paid

2026-02-17

$164 / $164

Workflow Task · Initiate RPM · Done

2026-02-18 00:00

RPM · NP

PCM Enrollment · Enrolled · consent signed

2026-02-26

PCM Activity · Phone Call · 21m

2026-03-04 13:30

Elena Rivera

Satisfaction · Post-TCM · 4.8/5

2026-03-10

Care team called when they said they would.

Satisfaction · PCM Monthly · 4.2/5

2026-03-14

Steerage · Imaging → USC

2026-03-25

USC Norris Cancer Hospital

PCM Activity · Care Plan Review · 10m

2026-04-06 13:40

Naomi Reyes

PCM Activity · Care Plan Review · 5m

2026-04-10 16:40

Elena Rivera

PCM Activity · Care Plan Review · 12m

2026-04-13 15:20

Naomi Reyes

PCM Activity · Symptom Check · 5m

2026-04-25 14:20

Elena Rivera

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0005	#1	2026-02-08 14:00	Call Back Requested	Felix Stone	4
OUT-0006	#2	2026-02-11 11:45	TCM Accepted	Felix Stone	6

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0003	2026-02-17	Telehealth	99495	Yes	Yes	Felix Stone

2 satisfaction survey(s) on file — see timeline.

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.

Route intake trigger
High
Inpatient Rounding List from Keck Hospitalist Rounding Tool not yet routed
Owner: Ops Coordinator
Activate RPM device
Medium
BP cuff transmitting only 15/30 days — confirm setup
Owner: RN
Resolve RPM alert(s)
High
2 unresolved BP cuff alert(s) in last 30d
Owner: RN

Longitudinal Episode View

Linda Chen

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions