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.

Alice Whitaker

PT-000047 · USC-900047 · EPI-2026-0047

TCM CompleteLow riskMedicare AdvantageProstate Cancer

Specialist Post-SurgicalPost-Surgical SPOCManual ReferralAI 84%Prostate Cancer RecoveryCare Plan ActiveTCMPCMPost-Acute

NBA: Confirm PCM consent + enroll

Reason codes: MULTI_CHRONIC, HIGH_RISK_PROC, HIGH_LOS, PRIOR_READMIT_30D

Outreach

PCM Min.

Paid $

Age / Sex

84 · F

ZIP

90083

Language

English

Payer

Humana Medicare Advantage

Procedure

Robotic Prostatectomy

Surgeon

Dr. Henry Coltrane

Surgery Site

Keck Hospital of USC

Surgery Date

Feb 07, 2026

Discharge

Feb 09, 2026

LOS

Status

TCM Complete

Consent

On file

Episode Timeline

12 events

Intake Trigger · Manual Referral · Manual entry by Ops Coordinator

2026-01-28 18:45

Routed at 2026-01-28 00:00

Program Assignment · PCM · Pending Verification

2026-01-29 00:00

Not accepted (Pending payer check)

Program Assignment · Post-Acute · Ineligible - Clinical

2026-01-29 00:00

Not accepted (Pass payer check)

Program Assignment · TCM · Eligible

2026-01-30 00:00

Accepted (assigned by STF-005)

Surgery · Robotic Prostatectomy

2026-02-07

Dr. Henry Coltrane

Discharge · LOS 2d

2026-02-09

Outreach · Attempt 3 · TCM Accepted

2026-02-11 08:15

Liam Chen

Outreach · Attempt 1 · TCM Accepted

2026-02-11 14:15

Sofia Diaz

Outreach · Attempt 2 · No Answer

2026-02-12 12:45

Felix Stone

TCM Encounter · In-Person · CPT 99495

2026-02-16

Note pending

Satisfaction · Post-TCM · 3.6/5

2026-03-04

Long wait to reach someone after hours.

Utilization · ED Visit · Wound infection

2026-03-09 13:11

In-network

Outreach Attempts

ID	Attempt	Datetime	Outcome	Staff	Min
OUT-0096	#1	2026-02-11 14:15	TCM Accepted	Sofia Diaz	18
OUT-0097	#2	2026-02-12 12:45	No Answer	Felix Stone	3
OUT-0098	#3	2026-02-11 08:15	TCM Accepted	Liam Chen	12

TCM Encounters

ID	Encounter	Type	CPT	Doc Complete	Note → USC	Staff
TCM-0028	2026-02-16	In-Person	99495	Yes	No	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.

Send TCM note to USC EHR
High
Documentation completed but note not transmitted
Owner: RN
Offer PCM enrollment
Medium
TCM completed; patient not yet enrolled in PCM
Owner: NP
Resolve eligibility for Post-Acute
High
Ineligible - Clinical (payer check Pass)
Owner: Ops Coordinator
Backfill Steerage History RWE
Low
Steerage History only 43% complete
Owner: Ops Coordinator
Backfill Utilization Outcomes RWE
Low
Utilization Outcomes only 46% complete
Owner: Ops Coordinator