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.

Steven Ortega

PT-000040 · USC-900040 · EPI-2026-0040

PCM EnrolledLow riskMedicare AdvantageBPH

Specialist Post-SurgicalPost-Surgical SPOCDischarge ListAI 51%Urology Post-Surgical RecoveryLongitudinalTCMDMEPost-Acute

NBA: Verify DME delivery + patient education

Reason codes: PAYER_PCM_ELIGIBLE, PAYER_TCM_ELIGIBLE, ED_INDEX_VISIT, PRIOR_COMPLICATION

Outreach

PCM Min.

Paid $

Age / Sex

51 · M

ZIP

90076

Language

English

Payer

Humana Medicare Advantage

Procedure

TURP

Surgeon

Dr. Henry Coltrane

Surgery Site

Keck Hospital of USC

Surgery Date

Feb 28, 2026

Discharge

Feb 28, 2026

LOS

Status

PCM Enrolled

Consent

Missing

Episode Timeline

20 events

Program Assignment · TCM · Eligible

2026-02-08 00:00

Accepted (assigned by AI Engine)

Program Assignment · DME · Eligible

2026-02-08 00:00

Accepted (assigned by AI Engine)

Intake Trigger · Discharge List · USC Discharge Planner

2026-02-08 07:45

Routed at 2026-02-09 00:00

Order Set · Post-Urology Discharge Bundle · Activated

2026-02-09 00:00

4 orders

Order Set · DME Recovery Bundle · Activated

2026-02-09 00:00

4 orders

Program Assignment · Post-Acute · Eligible

2026-02-10 00:00

Accepted (assigned by AI Engine)

Workflow Task · Initiate TCM · Done

2026-02-10 00:00

TCM · NP

Workflow Task · Initiate DME · Done

2026-02-18 00:00

DME · Ops Coordinator

Workflow Task · Initiate Post-Acute · Done

2026-02-19 00:00

Post-Acute · NP

Surgery · TURP

2026-02-28

Dr. Henry Coltrane

Discharge · LOS 0d

2026-02-28

DME Order · Synthetic Medical Supply Co · 3 item(s) · Delivered

2026-02-28 00:00

E0143 Folding walker · E0114 Crutches, underarm, pair · E0163 Bedside commode chair

Outreach · Attempt 1 · TCM Accepted

2026-02-28 14:00

Sofia Diaz

Outreach · Attempt 2 · TCM Accepted

2026-03-02 17:45

Jamal Carter

Utilization · ED Visit · Hematuria

2026-03-04 12:57

Out-of-network

DME Fulfillment · Delivered via Local Courier

2026-03-06

Patient education complete

TCM Encounter · In-Person · CPT 99495

2026-03-13

Note pending

Billing · TCM Encounter · CPT 99495 · Pending

2026-03-13

$0 / $176

PCM Enrollment · Enrolled · consent signed

2026-03-16

Satisfaction · Post-TCM · 4.8/5

2026-03-19

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0085	#1	2026-02-28 14:00	TCM Accepted	Sofia Diaz	15
OUT-0086	#2	2026-03-02 17:45	TCM Accepted	Jamal Carter	11

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0024	2026-03-13	In-Person	99495	Yes	No	Sofia Diaz

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.

Send TCM note to USC EHR
High
Documentation completed but note not transmitted
Owner: RN
Log additional PCM time this month
Medium
Current month at 0m; need 30m more to bill 99426
Owner: RN
Backfill PROMs RWE
Low
PROMs only 38% complete
Owner: Ops Coordinator

Longitudinal Episode View

Steven Ortega

Episode Timeline

Outreach Attempts

TCM Encounters

Actionable Chat

Chat QA Checklist

Next Best Actions