| DESCRIPTION |
This file has been designed for joint use by the Indian Health Service and the
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
Department of Veteran Affairs. POV is an abbreviation for "Purpose of Visit"
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.
(descriptive name used by IHS) or "Problem of Visit" (descriptive name used by
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.
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
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