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.

BY

Brian Young

PT-000024 · USC-900024 · EPI-2026-0024

OutreachMedium riskMedicare AdvantageProstate Cancer
Generalist Hospital-InitiatedGeneralist Acute CareEHR Symptom ClusterAI 77%Cardiology SOB PathwayRouted - OutreachTCMRPMSpecialist Referral

NBA: Schedule TCM visit within 14d

Reason codes: ABNORMAL_LABS, AGE>=65

Outreach

3

PCM Min.

0

Paid $

$0

Age / Sex

75 · M

ZIP

90056

Language

English

Payer

Humana Medicare Advantage

Procedure

Robotic Prostatectomy

Surgeon

Dr. Eliot Kashani

Surgery Site

USC Pasadena Surgery Center

Surgery Date

Jan 13, 2026

Discharge

Jan 15, 2026

LOS

2d

Status

Outreach

Consent

On file

Episode Timeline

15 events

Surgery · Robotic Prostatectomy

2026-01-13

Dr. Eliot Kashani

Intake Trigger · EHR Symptom Cluster · USC AI Symptom Detector

2026-01-14 14:45

Routed at 2026-01-14 00:00

AI Detection · AI score 77%

2026-01-14 14:45

ABNORMAL_LABS, AGE>=65

Discharge · LOS 2d

2026-01-15

Order Set · SOB Cardiology Bundle · Cancelled

2026-01-15 00:00

5 orders · review complete

Program Assignment · TCM · Eligible

2026-01-16 00:00

Not accepted (Pass payer check)

Program Assignment · RPM · Pending Verification

2026-01-16 00:00

Not accepted (Pending payer check)

Program Assignment · Specialist Referral · Eligible

2026-01-16 00:00

Accepted (assigned by AI Engine)

Outreach · Attempt 1 · No Answer

2026-01-17 13:45

Sofia Diaz

Outreach · Attempt 2 · No Answer

2026-01-17 16:15

Liam Chen

Outreach · Attempt 4 · Left Voicemail

2026-01-18 17:00

Jamal Carter

RPM Enrollment · Cardiac monitor · CPT 93241/93228/93229

2026-01-20

23/30 transmission days

RPM Alert · 1 alert(s) in last 30d

2026-01-20

Cardiac monitor

Utilization · ED Visit · Anastomotic leak

2026-01-28 11:07

In-network

Steerage · Pharmacy → USC

2026-03-21

Keck Hospital of USC

Outreach Attempts

IDAttemptDatetimeOutcomeStaffMin
OUT-0054#12026-01-17 13:45No AnswerSofia Diaz2
OUT-0055#22026-01-17 16:15No AnswerLiam Chen4
OUT-0112#42026-01-18 17:00Left VoicemailJamal Carter4

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.

  • Resolve RPM alert(s)

    High

    1 unresolved Cardiac monitor alert(s) in last 30d

    Owner: RN

  • Backfill Steerage History RWE

    Low

    Steerage History only 29% complete

    Owner: Ops Coordinator