Global: ^AUPNVPOV

FileMan FileNo	FileMan Filename	Package
9000010.07	V POV	PCE Patient Care Encounter

Package	Total	Routines
PCE Patient Care Encounter	4	PXBPL PXCEPOV1 PXPXRMI2 PXRRMDR
Enterprise Health Management Platform	3	HMPDJ04 HMPDJ09 HMPDVSIT
Virtual Patient Record	3	VPRDJ09 VPRDVSIT VPRSDAVF
Scheduling	2	SDES2GETEXPENTRY SDES2GETXPENTRY2
Automated Information Collection System	1	IBDFRPC6
Clinical Reminders	1	PXRMVPOV
Oncology	1	ONCOPRT

Package	Total	FileMan Files
Text Integration Utility	1	TIU PROBLEM LINK(#8925.9)[.03]

Package	Total	FileMan Files
PCE Patient Care Encounter	4	PATIENT/IHS(#9000001)[.02] VISIT(#9000010)[.03] PROVIDER NARRATIVE(#9999999.27)[.04, 80201] PCE DATA SOURCE(#839.7)[81203]
Kernel	2	PACKAGE(#9.4)[81202] NEW PERSON(#200)[1202, 1204]
DRG Grouper	1	ICD DIAGNOSIS(#80)[.01]
Lexicon Utility	1	EXPRESSIONS(#757.01)[.15]
Problem List	1	PROBLEM(#9000011)[.16]

Fields, Total: 29

Field #	Name	Loc	Type	Details
.01	POV	0;1	POINTER TO ICD DIAGNOSIS FILE (#80)	**********************REQUIRED FIELD********************** ICD DIAGNOSIS(#80) INPUT TRANSFORM: `S:$D(APCDEIN) APCDTPCC="" S DIC("S")="D ^AUPNSICD" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the ICD Diagnosis code or text for the problem treated at the encounter.` DESCRIPTION: `POV is an abbreviation for "Purpose of Visit". Since Purpose of Visit is often confused with "Chief complaint", another abbreviation might better be "Problem of Visit". This is the Provider's conclusion about what was` `treated at the visit. The Provider should be able to indicate a preferred narrative for what was treated and an ICD Diagnosis code. If the problem treated is from the Problem List, then the Problem List entry information` `can be used for the "Problem of Visit" entry.` `At VA facilities, the ICD Diagnosis is screened by Inactive Code and it must be appropriate for the Patient's age and sex.` `At IHS facilities, the ICD Diagnosis is screened by Inactive Code, appropriate for the Patient's age and sex, and Not "E" codes.` TECHNICAL DESCR: `This is a pointer to the ICD Diagnosis file, #80.` SCREEN: `S DIC("S")="D ^AUPNSICD"` EXPLANATION: `POV CANNOT BE AN INACTIVE CODE` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER` CROSS-REFERENCE: `9000010.07^B` `1)= S ^AUPNVPOV("B",$E(X,1,30),DA)=""` `2)= K ^AUPNVPOV("B",$E(X,1,30),DA)` RECORD INDEXES: `ACR (#840)`
.019	ICD NARRATIVE		COMPUTED	MUMPS CODE: `S X="" I $T(SDESC^PXDXUTL)'="" S X=$$SDESC^PXDXUTL(D0)` ALGORITHM: `S X="" I $T(SDESC^PXDXUTL)'="" S X=$$SDESC^PXDXUTL(D0)` LAST EDITED: `FEB 13, 2012` DESCRIPTION: `This is the computed diagnosis narrative that is defined in the ICD Diagnosis file for the ICD Diagnosis code identified in the POV (.01) field.`
.02	PATIENT NAME	0;2	POINTER TO PATIENT/IHS FILE (#9000001)	**********************REQUIRED FIELD********************** PATIENT/IHS(#9000001) LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter the name of the patient who had the POV treated.` DESCRIPTION: `This is the patient whose problem or diagnosis was treated.` TECHNICAL DESCR: `This is a pointer to the Patient/IHS file, #9000001, which is DINUMED to the Patient file, #2. This field is always stuffed by the application. No editing is allowed.` `UNEDITABLE` CROSS-REFERENCE: `9000010.07^AATOO^MUMPS` `1)= I $P(^AUPNVPOV(DA,0),U,3)]"" S ^AUPNVPOV("AA",X,(9999999-$P(+^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),".",1)),DA)=""` `2)= I $P(^AUPNVPOV(DA,0),U,3)]"" K ^AUPNVPOV("AA",X,(9999999-$P(+^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),".",1)),DA)` `This cross-reference is used for searches in sequence by patient, inverted visit date, and internal entry number.` `"AA",PATIENT,VISIT,DA` CROSS-REFERENCE: `9000010.07^C` `1)= S ^AUPNVPOV("C",$E(X,1,30),DA)=""` `2)= K ^AUPNVPOV("C",$E(X,1,30),DA)` `This cross-reference allows FileMan to look-up entries in the file for a patient.` RECORD INDEXES: `ACR (#840)`
.03	VISIT	0;3	POINTER TO VISIT FILE (#9000010)	**********************REQUIRED FIELD********************** VISIT(#9000010) INPUT TRANSFORM: `S DIC("S")="I $P(^(0),U,5)=$P(^AUPNVPOV(DA,0),U,2)" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the visit date/time for the encounter where the problem was treated.` DESCRIPTION: `The encounter entry in the Visit file that is associated with this problem treated.` `In IHS facilities, this is the date and time the visit occurred.` `In VA facilities, this is the date and time of the clinic appointment for the patient in the Scheduling package, or the date and time the encounter occurred if there was no appointment. By using the appointment date and` `time, clinic activity can be captured for clinical use as well as be used for billing and workload information by the appropriate VA packages. If the visit was a walk-in, an appointment should be entered in Scheduling` `first so the clinical information can also be used for the administrative uses.` `Non-clinic appointment encounters can be entered, but the clinical POV information is not accepted for billing.` `The patient encounter can be the result of an inpatient encounter. In this case, the ward would be specified as the hospital location in the Visit file.` TECHNICAL DESCR: `This is a pointer to the Visit file, #9000010. This field is stuffed by the applications. No editing is allowed.` SCREEN: `S DIC("S")="I $P(^(0),U,5)=$P(^AUPNVPOV(DA,0),U,2)"` EXPLANATION: `VISIT MUST BE FOR CURRENT PATIENT` `UNEDITABLE` CROSS-REFERENCE: `9000010.07^AD` `1)= S ^AUPNVPOV("AD",$E(X,1,30),DA)=""` `2)= K ^AUPNVPOV("AD",$E(X,1,30),DA)` `This cross-reference is used for searches by the visit pointer and internal entry number.` `"AD",VISIT pointer value, DA` CROSS-REFERENCE: `9000010.07^AA^MUMPS` `1)= Q:$P(^AUPNVPOV(DA,0),U,2)="" S ^AUPNVPOV("AA",$P(^AUPNVPOV(DA,0),U,2),(9999999-$P(+^AUPNVSIT(X,0),".",1)),DA)=""` `2)= Q:$P(^AUPNVPOV(DA,0),U,2)="" K ^AUPNVPOV("AA",$P(^AUPNVPOV(DA,0),U,2),(9999999-$P(+^AUPNVSIT(X,0),".",1)),DA)` `This cross-reference is used for searches in sequence by patient, inverted visit date (from the Visit file) and the internal entry number.` `"AA",PATIENT,inverted VISIT,DA` CROSS-REFERENCE: `9000010.07^AV10^MUMPS` `1)= D ADD^AUPNVSIT` `2)= D SUB^AUPNVSIT` `This cross-reference adds and subtracts from the dependent entry count in the VISIT file.` RECORD INDEXES: `ACR (#840)`
.04	PROVIDER NARRATIVE	0;4	POINTER TO PROVIDER NARRATIVE FILE (#9999999.27)	**********************REQUIRED FIELD********************** PROVIDER NARRATIVE(#9999999.27) INPUT TRANSFORM: `S DIC(0)=$S($D(PXKLAYGO):"LOX",$D(APCDALVR):"LO",$D(ZTQUEUED):"LO",1:"EMQLO") D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter the provider's preferred text identifying the diagnosis treated at the encounter.` DESCRIPTION: `This is the provider's text describing the diagnosis that was treated at the visit. The text may contain additional information related specifically, to the patient at the time of the visit (e.g., hypertension,` `uncontrolled). The provider's narrative may be different from the ICD Diagnosis files description for a code, but should not have a significantly different meaning. The ICD Diagnosis code in the POV (.01) field should be` `the code that "most closely" represents the providers narrative.` `In IHS facilities, this narrative is entered by data entry clerks.` `In VA facilities, this narrative may be entered manually or derived from: 1) the ICD Diagnosis text from the ICD Diagnosis file (Scheduling interface) 2) the text defined on Encounter Forms when defining the most common` `diagnosis treated for a clinic (AICS or other automated data capture) 3) the Problem List entries' "provider narrative", captured from the Active Problem List being checked off for problems treated at the encounter on an` `Encounter Form (AICS or other automated data capture).` TECHNICAL DESCR: `This is a pointer to the Provider Narrative file, #9999999.27. Disk space is saved by storing one entry in the Provider Narrative file for each unique narrative. The provider narrative is often repetitive, especially, if` `the data capture mode is automated.` `The resulting entries in the Provider Narrative file builds a file of preferred provider terminology.`
.06	MODIFIER	0;6	SET	'C' FOR CONSIDER; 'D' FOR DOUBTFUL; 'F' FOR FOLLOW UP; 'M' FOR MAYBE, POSSIBLE, PERHAPS; 'O' FOR RULE OUT; 'P' FOR PROBABLE; 'R' FOR RESOLVED; 'S' FOR SUSPECT, SUSPICIOUS; 'T' FOR STATUS POST; LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the provider's modifier of the diagnosis treated.` DESCRIPTION: `(Optional) This is how a provider may modify the diagnosis or problem treated to reflect the status of the diagnosis as of this visit. Common examples of modifiers are Rule Out, Follow-up, or Status Post.` TECHNICAL DESCR: `The VA uses a smaller set of modifiers than the IHS does. The file is distributed with the complete set of codes originally defined by the Indian Health Service.` SCREEN: `S:DUZ("AG")="V" DIC("S")="I ""FOT""[Y"` EXPLANATION: `VA screens for Rule Out, Follow Up, and Status Post` `SOURCE OF DATA: 061/DISPEC`
.12	PRIMARY/SECONDARY	0;12	SET	'P' FOR PRIMARY; 'S' FOR SECONDARY; LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the clinically pertinent ranking for this problem treated.` DESCRIPTION: `This field represents the clinically pertinent ranking of problems treated. An encounter can have only one primary diagnosis, all others are secondary.` `SOURCE OF DATA: 061/DIPRIME` RECORD INDEXES: `ACR (#840)`
.13	DATE OF INJURY	0;13	DATE	INPUT TRANSFORM: `S %DT="EST" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `NOV 16, 2018` HELP-PROMPT: `Enter the date and optional time of the injury.` DESCRIPTION: `This is the date and optional time the injury occurred for the problem being treated, it must be prior to the Visit Date and Time.` `At VA facilities, Date of Injury is prompted for when the ICD diagnosis code is considered to be an injury code. For ICD-9, this is when the code lies in the range 800-999.999. For ICD-10, this is when the code starts with` `an 'S' or 'T'.`
.15	CLINICAL TERM	0;15	POINTER TO EXPRESSIONS FILE (#757.01)	EXPRESSIONS(#757.01) LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the provider narrative or clinical terminology for the diagnosis treated.` DESCRIPTION: `This field is the Clinical Lexicon term which most closely represents the Provider Narrative of the problem treated.` `At VA facilities: The Clinical Lexicon is automatically captured via encounter form data capture (AICS package) when the problem being treated is from the Active Problem List. In the manual data entry process, there is` `currently no prompt for the clinical term.` TECHNICAL DESCR: `This field was created by the VA to capture the Clinical Lexicon term, as an alternative to, or in addition to the ICD Diagnosis code. This field will primarily be populated when the diagnosis being treated at a visit is` `based on an entry in the Active Problem List.`
.16	PROBLEM LIST ENTRY	0;16	POINTER TO PROBLEM FILE (#9000011)	PROBLEM(#9000011) LAST EDITED: `SEP 18, 2018` HELP-PROMPT: `Enter the problem entry from the patient's problem list for the problem treated.` DESCRIPTION: `This field identifies what Problem List entry is related to the problem treated at the visit.` TECHNICAL DESCR: `This field was added for use by PCE in the VA.` `Automated data capture methods, that allow the problems treated at a visit to be selected from the active problem list, will be able to provide the Problem List entry which is stored in this field.`
.17	ORDERING/RESULTING	0;17	SET	'O' FOR ORDERING; 'R' FOR RESULTING; 'OR' FOR BOTH O&R; LAST EDITED: `FEB 17, 2004` HELP-PROMPT: `Enter O if the diagnosis is an ordering diagnosis, enter R if the diagnosis is a resulting diagnosis and enter B if the diagnosis is used for both ordering and resulting.` DESCRIPTION: `This field identifies a diagnosis as being Ordering, Resulting, or both Ordering and Resulting.` TECHNICAL DESCR: `Ordering diagnoses are used for facility charges in billing, resulting diagnoses are used in professional services billing.`
1201	OP	12;1	DATE	INPUT TRANSFORM: `S %DT="ESTX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `DEC 15, 2020` HELP-PROMPT: `Enter the date and time this diagnosis was given.` DESCRIPTION: `This is the date and time the diagnosis was given. This date and time may be different from the visit date and time. For example, for clinic appointment visits, the Visit Date and Time is the date and time of the` `appointment, not the time the provider performed the clinical event.` `The date may be an imprecise date.` `Date and time may be before or after the Visit date, with the restriction the date cannot be a future date.` TECHNICAL DESCR: `This field was added for use by PCE in the VA, to support the capture of the actual event date and time of the encounter which is not reflected in the Visit file entry. IHS allows the Visit Date and Time to be the actual` `date and time. But, the VA uses the Visit date and time as the Appointment date and time, rather than the "actual" encounter date and time. The Appointment Date and Time orientation of Visits allows the VA Scheduling,` `Billing and Workload functionality to understand the linkage between the clinical data being captured for a Visit and the existing Outpatient Scheduled events.` RECORD INDEXES: `ACR (#840)`
1202	ORDERING PROVIDER	12;2	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `MAY 13, 1996` HELP-PROMPT: `Enter the ordering provider.` DESCRIPTION: `For consistency, this field was added to each V-file. However, for the V POV, the Ordering Provider does not apply itself well, unless a provider is ordering another provider to treat a problem. Optionally, in the future,` `this field may be able to represent the provider responsible for the encounter providers work.`
1204	ENCOUNTER PROVIDER	12;4	POINTER TO NEW PERSON FILE (#200)	NEW PERSON(#200) LAST EDITED: `DEC 19, 1994` HELP-PROMPT: `Enter the care giver who treated the problem.` DESCRIPTION: `This is the provider who treated the diagnosis at the encounter.`
80001	SERVICE CONNECTED	800;1	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this problem treated is service connected, enter 'YES' here.` DESCRIPTION: `This field is used in the VA to indicate that this problem treated at this visit was service connected.` TECHNICAL DESCR: `This field is used by the VA. The data is only passed to PCE from the automated data capture of encounter form data when a Problem from the Active Problem list has been identified as the problem treated at the visit. If` `the Problem List identified the Problem as Service Connected, then this Service Connected field would be automatically set to 1.`
80002	AGENT ORANGE EXPOSURE	800;2	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If the problem treated is related to Agent Orange Exposure, enter 'YES' here.` DESCRIPTION: `This field is used in the VA to indicate that this problem treated at this visit was related to agent orange exposure.` TECHNICAL DESCR: `This field is used by the VA. The data is only passed to PCE from the automated data capture of encounter form data. If a problem from the Active Problem List is identified as the problem treated at the visit, and the` `problem has been associated with Agent Orange Exposure in the Problem List, then the POV's Agent Orange Exposure will be set to "1".`
80003	IONIZING RADIATION EXPOSURE	800;3	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this problem treated is related to Ionizing Radiation Exposure, enter 'YES'.` DESCRIPTION: `This field is used in the VA to indicate that this problem treated at this visit was related to ionizing radiation exposure.` TECHNICAL DESCR: `This field is used by the VA. The data is only passed to PCE from the automated data capture of encounter form data. If a problem on the Active Problem List is identified as a problem treated at the visit, and the problem` `is defined as related to ionizing radiation exposure, then the POV Ionizing Radiation Exposure will be set to "1".`
80004	SW ASIA CONDITIONS	800;4	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this problem treated is related to SW Asia Conditions exposure, enter 'YES' here.` DESCRIPTION: `This field is used in the VA to indicate that this problem treated at this visit was related to Southwest Asia Conditions exposure.` TECHNICAL DESCR: `This field is only passed to PCE from the automated data capture of encounter form data. If a problem on the Active Problem List is identified as the problem treated at the visit, and the problem defined as being related` `to Southwest Asia Conditions Exposure in the Problem List, then the POV Southwest Asia Conditions Exposure will automatically be set to "1".`
80005	MILITARY SEXUAL TRAUMA	800;5	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this diagnosis code is related to Military Sexual Trauma, enter 'YES' here.` DESCRIPTION: `This field will be used to indicate if this diagnosis code was related to a Military Sexual Trauma problem.`
80006	HEAD AND/OR NECK CANCER	800;6	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this diagnosis code is related to Head/Neck Cancer, enter 'YES'.` DESCRIPTION: `This field will be used to indicate if this diagnosis code was related to Head and/or Neck Cancer.`
80007	COMBAT VETERAN	800;7	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this visit is treating a problem related to combat, enter 'YES'.` DESCRIPTION: `This field is used to indicate that the visit represents treatment of a VA patient for a problem that is related to combat.` TECHNICAL DESCR:
80008	PROJ 112/SHAD	800;8	SET	'1' FOR YES; '0' FOR NO; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `If this visit is treating a problem related to PROJ 112/SHAD, enter 'YES'.` DESCRIPTION: `Project 112/SHAD was the name of the overall program for both shipboard and land-based biological and chemical testing that was conducted by the United States (U.S.) military between 1962 and 1973. Project SHAD (Shipboard` `Hazard and Defense) was the shipboard portion of these tests.`
80101	EDITED FLAG	801;1	SET	'1' FOR EDITED; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter 1 if any data has been edited.` DESCRIPTION: `This field is automatically set to 1 if PCE detects that any data in the V POV entry has been edited.` TECHNICAL DESCR: `PCE filing logic automatically compares the before and after pictures of the record to determine if the edited flag should be set to "1".`
80102	AUDIT TRAIL	801;2	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>85!($L(X)<2) X` LAST EDITED: `MAY 09, 1996` HELP-PROMPT: `Answer must be 2-85 characters in length.`
80201	PROVIDER NARRATIVE CATEGORY	802;1	POINTER TO PROVIDER NARRATIVE FILE (#9999999.27)	PROVIDER NARRATIVE(#9999999.27) INPUT TRANSFORM: `S DIC(0)=$S($D(PXKLAYGO):"LOX",$D(APCDALVR):"LO",$D(ZTQUEUED):"LO",1:"EMQLO") D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `APR 21, 1994` HELP-PROMPT: `Enter the category narrative related to this problem treated.` DESCRIPTION: `This field is the category narrative related to the problem treated.` TECHNICAL DESCR: `This field is used by the VA when capturing encounter form information via scanning (e.g., such as AICS scanning) or workstation data capture methods. This field is used to document how providers group the clinical` `terminology being used to document encounters. Providers may group the problems which may be selected under specific headers on the encounter form definition. This field is used to store the actual header text used by the` `provider.` SCREEN: `S DIC(0)=$S($D(PXKLAYGO):"LOX",$D(APCDALVR):"LO",$D(ZTQUEUED):"LO",1:"EMQLO")` EXPLANATION: `OLD LOOKUP`
81101	COMMENTS	811;1	FREE TEXT	INPUT TRANSFORM: `K:$L(X)>245!($L(X)<1) X` LAST EDITED: `JUL 11, 1995` HELP-PROMPT: `Answer must be 1-245 characters in length.`
81201	VERIFIED	812;1	SET	'1' FOR ELECTRONICALLY SIGNED; '2' FOR VERIFIED BY PACKAGE; LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter 1 if electronically signed, 2 if verified by Package.` TECHNICAL DESCR: `This field is uneditable.` `UNEDITABLE`
81202	PACKAGE	812;2	POINTER TO PACKAGE FILE (#9.4)	PACKAGE(#9.4) LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter the Package associated with this V POV entry.` TECHNICAL DESCR: `This field is uneditable.` `UNEDITABLE`
81203	DATA SOURCE	812;3	POINTER TO PCE DATA SOURCE FILE (#839.7)	PCE DATA SOURCE(#839.7) LAST EDITED: `OCT 23, 2018` HELP-PROMPT: `Enter the Data Source associated with this V POV entry.` TECHNICAL DESCR: `This field is uneditable.` `UNEDITABLE`

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Package: PCE Patient Care Encounter

Global: ^AUPNVPOV

Information

Description

Accessed By FileMan Db Calls, Total: 15

Pointed To By FileMan Files, Total: 1

Pointer To FileMan Files, Total: 9

Fields, Total: 29