CRX.002.084

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TMSIS Dataguide

Medicaid.gov

Version:

DATE-PRESCRIBED

Data Element

DE Number

CRX084

System DE Number

CRX.002.084

File Name

CRX - CLAIM PHARMACY

File Segment Number

File Segment Name

CLAIM-HEADER-RECORD-RX

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	The date the drug, device, or supply was prescribed by the physician or other practitioner. This should not be confused with the Prescription Fill Date, which represents the date the prescription was actually filled by the provider.
Size	9(8)
FLF Start Position	599
FLF Stop Position	606
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. The date must be a valid calendar date in the form "CCYYMMDD" 2. Value must be on or after associated eligible party's Date of Birth (ELG.002.024) 3. Value must be on or before associated Prescription Fill Date (CRX.002.085) 4. Value must be on or before associated Adjudication Date (CRX.002.027) 5. Value must be on or before associated eligible party's Date of Death (ELG.002.025) 6. Mandatory 7. Value should be on or before End of Time Period (CRX.001.010)

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1861	If a claim is a non-denied claim from an RX file, then the date prescribed value reported must be a valid date of the form CCYYMMDD.
RULE-1863	If date prescribed and prescription fill date are populated on a non-denied claim from an RX file, then the date prescribed value reported must be before or equal to the prescription fill date value reported.
RULE-1865	If a non-denied RX claim has a value populated for date prescribed and the date of death is populated on the primary demographics eligibility segment, then the date prescribed must be less than or equal to the date of death.
RULE-1866	If date prescribed is populated on a non-denied RX claim and end of time period is populated on the file header, then the date prescribed value reported must be less than or equal to the end of time period value reported.

Measure ID	Measure Name
FFS-14-003-6	% of claim headers with Prescription Fill Date = Date Prescribed
FFS-16-003-6	% of claim headers with Prescription Fill Date = Date Prescribed
MCR-17-003-6	% of claim headers with Prescription Fill Date = Date Prescribed
MCR-19-003-6	% of claim headers with Prescription Fill Date = Date Prescribed
MIS-8-011-11	% missing: DATE-PRESCRIBED (CRX00002)
MIS-27-009-9	% missing: DATE-PRESCRIBED (CRX00002)
MIS-85-009-9	% missing: DATE-PRESCRIBED (CRX00002)

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/16/2024	4.0.0	CRX.002.084	UPDATE	File segment	None	40
09/16/2024	4.0.0	CRX.002.084	ADD	N/A		Created