Global: ^AUPNVPOV

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.  The provider can alternatively have this information automatically captured via scanned Encounter Forms (e.g., AICS - the VA's Encounter Form Data Capture package).

At VA facilites, 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.

This is a pointer to the ICD Diagnosis (#80) file.  APCDALVR Variable = APCDALVR("APCDTPOV")

1)= S ^AUPNVPOV("B",$E(X,1,30),DA)=""

2)= K ^AUPNVPOV("B",$E(X,1,30),DA)

1)= S:$D(APCDLOOK) DIC("DR")=""

2)= Q

1)= S ATXSAVE=X,X="ATXPOV" X ^%ZOSF("TEST") S X=ATXSAVE K ATXSAVE I $T S ATXAD="" D ^ATXPOV K ATXAD

2)= K ATXAD S ATXSAVE=X,X="ATXPOV" X ^%ZOSF("TEST") S X=ATXSAVE K ATXSAVE I $T D ^ATXPOV

1)= D ASTV^AUPNVXRF

2)= Q

9.2 = S Y(9000010.07,.019,80)=$S($D(D0):D0,1:""),Y(9000010.07,.019,1)=$S($D(^AUPNVPOV(D0,0)):^(0),1:""),D0=$P(Y(9000010.07,.019,1),U,1) S:'$D(^ICD9(+D0,0)) D0=-1

APCDALVR Variable = APCDALVR("APCDPAT")

UNEDITABLE

1)= S ^AUPNVPOV("AC",$E(X,1,30),DA)=""

2)= K ^AUPNVPOV("AC",$E(X,1,30),DA)

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)

1)= I $P(^AUPNVPOV(DA,0),U,3),$P($G(^AUPNVPOV(DA,11)),U,1)]"" S ^AUPNVPOV("ASNC",X,$P($G(^AUPNVPOV(DA,11)),U,1),(9999999-$P($P(^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),U),".")),DA)=""

2)= I $P(^AUPNVPOV(DA,0),U,3),$P($G(^AUPNVPOV(DA,11)),U,1)]"" K ^AUPNVPOV("ASNC",X,$P($G(^AUPNVPOV(DA,11)),U,1),(9999999-$P($P(^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),U),".")),DA)

In IHS facilities, this is the date and time the visit actually occurred.

In VA facilities, this is the data 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 for a walk-in, an appointment should be entered in Scheduling

first in order to have the clinical information 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.

This is a pointer to the Visit file (#9000010).  This field is stuffed by the applications.  No editing is allowed.  APCDALVR Variable = APCDALVR("APCDVSIT")

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

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

1)= D ADD^AUPNVSIT

2)= D SUB^AUPNVSIT

This cross-reference adds and subtracts from the dependent entry count in the VISIT file.

1)= I $P(^AUPNVPOV(DA,0),U,2),$P($G(^AUPNVPOV(DA,11)),U,1)]"" S ^AUPNVPOV("ASNC",$P(^AUPNVPOV(DA,0),U,2),$P($G(^AUPNVPOV(DA,11)),U,1),(9999999-$P($P(^AUPNVSIT(X,0),U),".")),DA)=""

2)= I $P(^AUPNVPOV(DA,0),U,2),$P($G(^AUPNVPOV(DA,11)),U,1)]"" K ^AUPNVPOV("ASNC",$P(^AUPNVPOV(DA,0),U,2),$P($G(^AUPNVPOV(DA,11)),U,1),(9999999-$P($P(^AUPNVSIT(X,0),U),".")),DA)

uncontrolled).  The providers' 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).

if the data capture mode is automated.

The resulting entries in the Provider Narrative file builds a file of preferred provider terminology.

APCDALVR Variable = APCDALVR("APCDTSTG")

SOURCE OF DATA:   061/DISPEC

1)= I $T(EP^APCDSTGC)]"" D EP^APCDSTGC($P(^AUPNVPOV(DA,0),U,2),$P(^AUPNVPOV(DA,0),U,3),DA,X)

2)= I $T(EP^APCDSTGC)]"" D EP^APCDSTGC($P(^AUPNVPOV(DA,0),U,2),$P(^AUPNVPOV(DA,0),U,3),DA,X)

(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.

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.  APCDALVR Variable = APCDALVR("APCDTMOD")

SOURCE OF DATA:   061/DISPEC

APCDALVR Variable = APCDALVR("APCDTCD")

SOURCE OF DATA:   061/DICAUSE

APCDALVR Variable = APCDALVR("APCDTFR")

SOURCE OF DATA:   061/DIFVTD

APCDALVR Variable = APCDALVR("APCDTCI")

SOURCE OF DATA:   061/DIECIJ

APCDALVR Variable = APCDALVR("APCDTPA")

SOURCE OF DATA:   061/DIPACC

This field represents the clinically pertinent ranking of problems treated.  There is no limit on how many POV's may be identified as primary or secondary problems treated at the visit.

APCDALVR Variable = APCDALVR("APCDTPS")

SOURCE OF DATA:   061/DIPRIME

At VA facilities, the date of injury is prompted for when the ICD Diagnosis in the POV field (.01) is for an injury with a code between 800-999.999.

APCDALVR Variable = APCDALVR("APCDTDI")

APCDALVR Variable = APCDALVR("APCDTACC")

At VA facilities: The clinical lexicon is automatically captured via encounter form data capture (AICS package) when the of problem being treated is from the Active Problem List.  In the manual data entry process, there is

currently no prompt for the clinical term.

based on an entry in the Active Problem List.  APCDALVR Variable = APCDALVR("APCDTCT")

This field identifies what Problem List entry is related to the problem treated at the visit.

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.  APCDALVR Variable =

APCDALVR("APCDTPLE")

1)= S ^AUPNVPOV("APRB",$E(X,1,30),DA)=""

2)= K ^AUPNVPOV("APRB",$E(X,1,30),DA)

Enter the month, day and year of the onset of this diagnosis.  Currently, this is only asked for surgical complication diagnosis codes.

APCDALVR Variable = APCDALVR("APCDTDOO")

1)= I $P(^AUPNVPOV(DA,0),U,2),$P(^AUPNVPOV(DA,0),U,3) S ^AUPNVPOV("ASNC",$P(^AUPNVPOV(DA,0),U,2),X,(9999999-$P($P(^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),U),".")),DA)=""

2)= I $P(^AUPNVPOV(DA,0),U,2),$P(^AUPNVPOV(DA,0),U,3) K ^AUPNVPOV("ASNC",$P(^AUPNVPOV(DA,0),U,2),X,(9999999-$P($P(^AUPNVSIT($P(^AUPNVPOV(DA,0),U,3),0),U),".")),DA)

patient dfn, concept id, inverse date, da

1)= S ^AUPNVPOV("ASCI",$E(X,1,30),DA)=""

2)= K ^AUPNVPOV("ASCI",$E(X,1,30),DA)

date.

This field is useful for capturing the actual time encounters take place, or when, during the encounter, something happened.

date and time. But, the VA uses the Visit date and time as the Appointment date and time, rather than the "Actual" encounter event 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.  APCDALVR Variable = APCDALVR("APCDTCDT")

this field may be able to represent the provider responsible for the encounter providers work.

The person entered here must hold the "AK.PROVIDER" security key.  APCDALVR Variable = APCDALVR("APCDTPRV")

APCDALVR Variable = APCDALVR("APCDTCLN")

This is the provider who treated the diagnosis at the encounter.

This person can be any person in the new person file.  The person does not have to hold the "AK.PROVIDER" security key.  APCDALVR Variable = APCDALVR("APCDTEPR")

APCDALVR Variable = APCDALVR("APCDTPNT")

APCDALVR Variable = APCDALVR("APCDTEXK")

APCDALVR Variable = APCDALVR("APCDTOPR")

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^AUPNVPOV(D0,12)):^(12),1:"") S X=$P(Y(1),U,17),X=X S DIU=X K Y S X=DIV I '$G(APCDVMUX) S X=DUZ X ^DD(9000010.07,1216,1,1,1.4)

1.4)= S DIH=$G(^AUPNVPOV(DIV(0),12)),DIV=X S $P(^(12),U,17)=DIV,DIH=9000010.07,DIG=1217 D ^DICR

2)= Q

CREATE VALUE)= I '$G(APCDVMUX) S X=DUZ

DELETE VALUE)= NO EFFECT

FIELD)= #1217

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^AUPNVPOV(D0,12)):^(12),1:"") S X=$P(Y(1),U,18),X=X S DIU=X K Y S X=DIV I '$G(APCDVMUX) S X=$$NOW^XLFDT X ^DD(9000010.07,1216,1,2,1.4)

1.4)= S DIH=$G(^AUPNVPOV(DIV(0),12)),DIV=X S $P(^(12),U,18)=DIV,DIH=9000010.07,DIG=1218 D ^DICR

2)= Q

CREATE VALUE)= I '$G(APCDVMUX) S X=$$NOW^XLFDT

DELETE VALUE)= NO EFFECT

FIELD)= #1218

1)= K DIV S DIV=X,D0=DA,DIV(0)=D0 S Y(1)=$S($D(^AUPNVPOV(D0,12)):^(12),1:"") S X=$P(Y(1),U,19),X=X S DIU=X K Y S X=DIV I '$G(APCDVMUX) S X=DUZ X ^DD(9000010.07,1218,1,1,1.4)

1.4)= S DIH=$G(^AUPNVPOV(DIV(0),12)),DIV=X S $P(^(12),U,19)=DIV,DIH=9000010.07,DIG=1219 D ^DICR

2)= Q

CREATE VALUE)= I '$G(APCDVMUX) S X=DUZ

DELETE VALUE)= NO EFFECT

FIELD)= #1219

This field is used in the VA to indicate that this problem treated at this visit was service connected.

the Problem List identified the Problem as Service Connected, then this Service Connected field would be automatically set to 1.

This field is used in the VA to indicate that this problem treated at this visit was related to agent orange exposure.

problem has been associated with Agent Orange Exposure in the Problem List, then the POV's Agent Orange Exposure will be set to "1".

This field is used in the VA to indicate that this problem treated at this visit was related to ionizing radiation exposure.

problem is defined as related to ionizing radiation exposure, then the POV Ionizing Radiation Exposure will be set to "1".

This field is used in the VA to indicate that this problem treated at this visit was related to Persian Gulf exposure.

to Persian Gulf Exposure in the Problem List, then the POV Persian Gulf Exposure will automatically be set to "1".

This field is automatically set to 1 if PCE detects that any measurement data is being edited from the original entry of data.

PCE filing logic automatically compares the before and after pictures of the record to determine if the edited flag should be set to "1".

This field is the category narrative related to the problem treated.

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.

UNEDITABLE

UNEDITABLE

UNEDITABLE