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.

Donna Xu

PT-000023 · USC-900023 · EPI-2026-0023

PCM ActiveHigh riskMedicare AdvantageBPH

Specialist Post-SurgicalPost-Surgical SPOCSurgery ScheduleAI 71%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: PRIOR_READMIT_30D, MISSING_PCP_FOLLOWUP, ABNORMAL_LABS

Outreach

PCM Min.

Paid $

$221

Age / Sex

55 · F

ZIP

90084

Language

English

Payer

Humana Medicare Advantage

Procedure

TURP

Surgeon

Dr. Daniel Park

Surgery Site

USC Norris Cancer Hospital

Surgery Date

Jan 24, 2026

Discharge

Jan 25, 2026

LOS

Status

PCM Active

Consent

Missing

Episode Timeline

21 events

Intake Trigger · Surgery Schedule · USC Surgical Scheduling System

2026-01-07 12:00

Routed at 2026-01-07 00:00

Order Set · Post-Urology Discharge Bundle · Partially Activated

2026-01-08 00:00

4 orders

Program Assignment · TCM · Eligible

2026-01-09 00:00

Accepted (assigned by AI Engine)

Program Assignment · DME · Eligible

2026-01-09 00:00

Accepted (assigned by STF-009)

Program Assignment · Post-Acute · Eligible

2026-01-09 00:00

Accepted (assigned by AI Engine)

Workflow Task · Initiate Post-Acute · Done

2026-01-18 00:00

Post-Acute · NP

Surgery · TURP

2026-01-24

Dr. Daniel Park

Discharge · LOS 1d

2026-01-25

DME Order · Synthetic Medical Supply Co · 2 item(s) · Delivered

2026-01-25 00:00

A4338 Foley catheter, 2-way, 30d supply · E0114 Crutches, underarm, pair

Outreach · Attempt 1 · Call Back Requested

2026-01-25 09:30

Felix Stone

Outreach · Attempt 2 · TCM Accepted

2026-01-26 16:30

Felix Stone

DME Fulfillment · Delivered via Local Courier

2026-01-28

Patient education complete

TCM Encounter · Telehealth · CPT 99496

2026-02-08

Note sent to USC

Billing · TCM Encounter · CPT 99496 · Paid

2026-02-08

$221 / $221

PCM Enrollment · Enrolled · consent signed

2026-02-12

PCM Activity · Phone Call · 10m

2026-02-14 10:10

Elena Rivera

Satisfaction · Post-TCM · 4.5/5

2026-02-25

Steerage · Pharmacy → USC

2026-03-14

USC Norris Cancer Hospital

PCM Activity · Phone Call · 21m

2026-03-17 08:10

Naomi Reyes

PCM Activity · Care Plan Review · 19m

2026-03-19 13:30

Brandon Lee

PCM Activity · Care Plan Review · 6m

2026-04-24 09:10

Carmen Ortiz

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0052	#1	2026-01-25 09:30	Call Back Requested	Felix Stone	2
OUT-0053	#2	2026-01-26 16:30	TCM Accepted	Felix Stone	6

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0016	2026-02-08	Telehealth	99496	Yes	Yes	Jamal Carter

1 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.

Log additional PCM time this month
Medium
Current month at 6m; need 24m more to bill 99426
Owner: RN

Longitudinal Episode View

Donna Xu

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions