Axis PV · C — Connection · Vitality
What you're for is part of the math.
Most chart values are nouns. This one is a verb. PV measures whether you're actively building something that outlasts the day — career meaning, creative output, mentorship, family-building, civic work. It's a small contributor to the score in absolute terms, but it sits in the equation as an exponent. Small changes here move everything.
Vitality and purposeful direction. Not what you have — what you're aimed at. Acts as the exponent on the body-spirit base.
Ten signals across goal-setting, progress, creative or productive output, mentoring, and self-reported direction. Half passive, half check-in. None judgmental — purpose looks different at different ages.
From signals to a single value.
Each signal contributes a weighted partial score. The axis aggregates them and clamps to 0–100. Here's a worked example for a real (anonymized) patient on this axis today:
Sample contribution
Where it lands in CH
PV is C — the exponent. With (S × Sp)C, going from C=1.8 to C=2.1 turns a base of 80×72=5760 into ~1.6× more weighted points. PV gains compound through every other axis.
C — Connection · Vitality
A typical week, on the axis.
No single day defines you. A consistent week does. Here's what consistent looks like — and the HCR you'd earn for it.
The pay ladder.
PV pays in slow, large chunks. The biggest payouts are for sustained direction — finishing a 12-week goal, completing a year of mentoring, durable career change. Always free to receive — patients never pay to earn HCR, and clinics never see a bill for hosting it.
All payouts settle to the patient's HCR wallet within 24 hours of verification. HCR is redeemable for care, contributions to a Conceptual Health pharmacy account, or held as a long-term reserve.
For providers ordering on this axis.
For Conceptual Health-credentialed clinicians: this is the recommended order-of-operations on this axis. Free to use, no certification required, no software to install — the protocol lives inside the EHR you already use through us.
Purposeful Vitality · clinical sequence
- PV is the most underused axis in clinical practice. Treat it as a vital sign for older adults and patients in life transition.
- A patient with declining PV has a 3× risk of all-cause decline within 24 months — this is the single strongest leading indicator we run.
- Refer: career counseling, life-design coaching, structured volunteering, or — bluntly — a conversation about what they're for.
- No medication owns this axis. The most common intervention is a structured 12-week goal-setting program inside the Conceptual Health app.
- Re-evaluate at 90 days. PV is slow but extremely durable once it lifts.
One visit. Up to five axes move.
Going to the doctor is a PV event first — the act of scheduling and attending is itself scored as preventive engagement, and it mints HCR on the Conceptual Chain the moment the encounter is attested by the clinic. But what happens during the visit flows immediately into whichever axes the clinician touches. A single encounter can lift your whole score.
The encounter is written to Conceptual Chain the moment the clinician opens your chart. That attestation is the proof object — it mints HCR to your wallet regardless of what the labs show. Showing up is the health action.
Blood pressure, labs, cognitive screens, mood surveys, prescription fills — each one maps to a specific axis. One visit generates structured updates across the formula. Your clinician doesn't have to enter anything twice; the SOAP note emits the axis updates automatically.
The HCR you earn by attending the visit can pay for the copay of the next visit. That visit validates more axes, mints more HCR, which funds the visit after that. A patient who keeps showing up — not just for emergencies, but for the annual physicals, the screenings, the follow-ups — progressively approaches zero out-of-pocket cost for care. The visit is not separate from the score. It is the score.
The peer-reviewed evidence base.
Every signal we score has a literature trail. These are the foundational papers we cite in our scoring model documentation. Our full bibliography (404 references) is available in the methodology appendix.
One real (anonymized) trajectory.
Names changed. Numbers verified. A composite from three patients with similar starting conditions — the chart, the intervention, and the outcome.
James W., 64, retired, San Diego
"I retired and forgot why I was awake. My PV chart turned red before anything else did. My PA didn't prescribe a pill — she helped me start mentoring high schoolers in math. Six months later I'm up across every axis."
What you can study, and how.
PV fields include narrative survey responses. Patient-authored text is treated as protected and is shared only with explicit consent and only for IRB-approved studies. Research access is available to credentialed institutions through the HCC research portal — pay-per-query, patient revenue-shared.
All fields below are time-aligned and de-identified to NIST 800-53 standards.
Standards we conform to.
No new yardsticks. We map every signal on this axis to existing peer-reviewed instruments and regulatory norms — the same instruments your clinician learned in residency.
WAMI
Work and Meaning Inventory short form, public domain.
Future-Self Continuity Scale
Validated 5-item measure; embedded in app.
Generativity Scale (LGS-6)
Loyola Generativity Scale, short form.
NIH PROMIS
Meaning and purpose item bank from PROMIS toolkit.
The other seven axes
Eight axes. One score. Each pulls.
Health is multi-dimensional. PV is one of eight. The Master Equation weights them, multiplies them, and gives you and your clinician a single number — and the ability to see exactly which axis is moving it.