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.

Charles Mitchell

PT-000012 · USC-900012 · EPI-2026-0012

OutreachLow riskMedicareStones

Generalist Hospital-InitiatedGeneralist Acute CareInpatient Rounding ListAI 90%UTI / Infection PathwayRouted - OutreachTCM

NBA: Continue care plan; no urgent action

Reason codes: HIGH_RISK_PROC, POLYPHARMACY, ABNORMAL_LABS, MISSING_PCP_FOLLOWUP

Outreach

PCM Min.

Paid $

Age / Sex

67 · M

ZIP

90077

Language

Spanish

Payer

Medicare FFS

Procedure

Stone Removal

Surgeon

Dr. Janet Okafor

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Jan 23, 2026

Discharge

Jan 24, 2026

LOS

Status

Outreach

Consent

On file

Episode Timeline

10 events

Intake Trigger · Inpatient Rounding List · Keck Hospitalist Rounding Tool

2026-01-21 13:00

Routed at 2026-01-22 00:00

AI Detection · AI score 90%

2026-01-21 13:00

HIGH_RISK_PROC, POLYPHARMACY, ABNORMAL_LABS, MISSING_PCP_FOLLOWUP

Surgery · Stone Removal

2026-01-23

Dr. Janet Okafor

Program Assignment · TCM · Eligible

2026-01-23 00:00

Accepted (assigned by STF-009)

Discharge · LOS 1d

2026-01-24

Outreach · Attempt 1 · TCM Accepted

2026-01-26 13:00

Liam Chen

Exception · No Discharge Feed · Medium · Open

2026-02-02 09:00

Aisha Patel

Discharge Planning · Resolve: No Discharge Feed · Open

2026-02-02 09:00

Due 2026-02-05 17:00 · OVERDUE

TCM Encounter · Phone · CPT 99495

2026-02-04

Note sent to USC

Steerage · Follow-up → USC

2026-02-22

USC Pasadena Surgery Center

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0026	#1	2026-01-26 13:00	TCM Accepted	Liam Chen	2

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0035	2026-02-04	Phone	99495	Yes	Yes	Jamal 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
Review exception: No Discharge Feed
Low
Medium severity · 60d open
Owner: Ops Coordinator
Backfill Utilization Outcomes RWE
Low
Utilization Outcomes only 31% complete
Owner: Ops Coordinator

Open Exceptions

No Discharge Feed
60d open · Open
Medium