GLOBAL MAP DATA DICTIONARY #9000010.07 -- V POV FILE 3/24/25 PAGE 1 STORED IN ^AUPNVPOV( *** NO DATA STORED YET *** SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 1.0) ----------------------------------------------------------------------------------------------------------------------------------- This file has been designed for joint use by the Indian Health Service and the Department of Veteran Affairs. POV is an abbreviation for "Purpose of Visit" (descriptive name used by IHS) or "Problem of Visit" (descriptive name used by VA). The V POV file is used to store clinical data related to the "Purpose of Visit" or "Problem of Visit", (POV). This is the provider's definition of what diagnosis represents the patient care given at the visit. The POV entry is not the patient's "Chief Complaint" text. It is the diagnosis as defined by the provider, which will have an ICD Diagnosis code related to it to support Clinical needs and additionally support Administrative functions such as Billing, Workload, and DSS. There should be at least one V POV entry for each patient visit, whether it is an inpatient, outpatient or field visit, and regardless of the discipline of the provider, i.e., dental, CHN, mental health, etc. There is no limit to the number of POV's that can be entered for a patient for a given encounter. At IHS facilities, POV's are generated automatically at the time of discharge from the Admission, Discharge and Transfer (ADT) system. POVs are entered in narrative form, and coded automatically to the appropriate ICD diagnosis code. Physician entered narrative, which modifies the diagnosis, such as "doubtful", "suspect", "resolved" are entered by the data entry person in the MODIFIER field. The file contains pointers to the IHS Patient file, and Visit file, and data must exist in both files for this visit before a POV can be entered. At VA facilities, POVs are primarily created for clinic visits from 3 sources: 1) In the CPRS encounter form on the Diagnosis Tab. Pre-existing problems from the patient's Problem List can be selected on this tab. 2) The scheduling checkout process, in which case the information collected about the POV is limited to the ICD Diagnosis code. The Provider Narrative becomes the ICD long description from the ICD Diagnosis file. 3) Encounters created by other packages using the API DATA2PCE^PXAPI. If the Provider Narrative is not passed it defaults to the ICD Long Description. CROSS REFERENCED BY: VISIT(AA), PATIENT NAME(AATOO), VISIT(AD), VISIT(AV10), POV(B), PATIENT NAME(C) INDEXED BY: POV & PATIENT NAME & VISIT & PRIMARY/SECONDARY & OP (ACR) ^AUPNVPOV(D0,0)= (#.01) POV [1P:80] ^ (#.02) PATIENT NAME [2P:9000001] ^ (#.03) VISIT [3P:9000010] ^ (#.04) PROVIDER NARRATIVE ==>[4P:9999999.27] ^ ^ (#.06) MODIFIER [6S] ^ ^ ^ ^ ^ ^ (#.12) PRIMARY/SECONDARY [12S] ^ (#.13) DATE OF ==>INJURY [13D] ^ ^ (#.15) CLINICAL TERM [15P:757.01] ^ (#.16) PROBLEM LIST ENTRY [16P:9000011] ^ (#.17) ==>ORDERING/RESULTING [17S] ^ ^AUPNVPOV(D0,12)= (#1201) OP [1D] ^ (#1202) ORDERING PROVIDER [2P:200] ^ ^ (#1204) ENCOUNTER PROVIDER [4P:200] ^ ^AUPNVPOV(D0,800)= (#80001) SERVICE CONNECTED [1S] ^ (#80002) AGENT ORANGE EXPOSURE [2S] ^ (#80003) IONIZING RADIATION EXPOSURE ==>[3S] ^ (#80004) SW ASIA CONDITIONS [4S] ^ (#80005) MILITARY SEXUAL TRAUMA [5S] ^ (#80006) HEAD AND/OR NECK ==>CANCER [6S] ^ (#80007) COMBAT VETERAN [7S] ^ (#80008) PROJ 112/SHAD [8S] ^ ^AUPNVPOV(D0,801)= (#80101) EDITED FLAG [1S] ^ (#80102) AUDIT TRAIL [2F] ^ ^AUPNVPOV(D0,802)= (#80201) PROVIDER NARRATIVE CATEGORY [1P:9999999.27] ^ ^AUPNVPOV(D0,811)= (#81101) COMMENTS [1F] ^ ^AUPNVPOV(D0,812)= (#81201) VERIFIED [1S] ^ (#81202) PACKAGE [2P:9.4] ^ (#81203) DATA SOURCE [3P:839.7] ^ INPUT TEMPLATE(S): PRINT TEMPLATE(S): ^DIPT(1272)= ONC DISEASE INDEX SORT TEMPLATE(S): ^DIBT(716)= ONC DISEASE INDEX ^DIBT(910)= ONC DISEASE INDEX CASEFINDING FORM(S)/BLOCK(S):