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.

DJ

Denise Johnson

PT-000009 · USC-900009 · EPI-2026-0009

OutreachLow riskMedicareBPH
Generalist Hospital-InitiatedGeneralist Acute CareEHR Diagnosis SignalAI 99%Cardiology SOB PathwayRouted - OutreachTCMRPMSpecialist Referral

NBA: Ship RPM device + activate transmissions

Reason codes: HIGH_RISK_PROC, ABNORMAL_LABS

Outreach

3

PCM Min.

0

Paid $

$0

Age / Sex

51 · F

ZIP

90039

Language

Korean

Payer

Medicare FFS

Procedure

TURP

Surgeon

Dr. Priya Ramaswamy

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Feb 08, 2026

Discharge

Feb 11, 2026

LOS

3d

Status

Outreach

Consent

On file

Episode Timeline

15 events

Surgery · TURP

2026-02-08

Dr. Priya Ramaswamy

Discharge · LOS 3d

2026-02-11

Program Assignment · TCM · Eligible

2026-02-11 00:00

Accepted (assigned by STF-007)

Program Assignment · RPM · Eligible

2026-02-11 00:00

Accepted (assigned by AI Engine)

Order Set · SOB Cardiology Bundle · Partially Activated

2026-02-11 00:00

5 orders · review complete

Intake Trigger · EHR Diagnosis Signal · USC EHR Problem List Watcher

2026-02-11 12:00

Routed at 2026-02-12 00:00

AI Detection · AI score 99%

2026-02-11 12:00

HIGH_RISK_PROC, ABNORMAL_LABS

Outreach · Attempt 2 · No Answer

2026-02-12 08:00

Liam Chen

Program Assignment · Specialist Referral · Eligible

2026-02-13 00:00

Not accepted (Pass payer check)

Outreach · Attempt 1 · TCM Accepted

2026-02-13 08:30

Jamal Carter

Outreach · Attempt 3 · No Answer

2026-02-13 09:15

Liam Chen

Steerage · PT → USC

2026-02-15

USC Pasadena Surgery Center

RPM Enrollment · BP cuff · CPT 99453/99454/99458/99470

2026-02-18

30/30 transmission days

TCM Encounter · Telehealth · CPT 99495

2026-02-23

Note sent to USC

Exception · TCM Overdue · Medium · Resolved

2026-03-16 15:00

Aisha Patel

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0020#12026-02-13 08:30TCM AcceptedJamal Carter1
OUT-0021#22026-02-12 08:00No AnswerLiam Chen3
OUT-0022#32026-02-13 09:15No AnswerLiam Chen1

TCM Encounters

IDEncounterTypeCPTDoc CompleteNote → USCStaff
TCM-00332026-02-23Telehealth99495YesYesJamal Carter

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.

  • Offer PCM enrollment

    Medium

    TCM completed; patient not yet enrolled in PCM

    Owner: NP

  • Backfill Steerage History RWE

    Low

    Steerage History only 33% complete

    Owner: Ops Coordinator