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TMSIS Dataguide Medicaid.gov

Version:

3.38.0

RULE-2012

Validation Rule
Last updated

No Updates

Tier 1.1
Tier Description Value Error
Error Category E1103
Error Category Message Value not in specified valid value set
Rule Type Valid Value
File Segment Number ELG00002
Data Element Name PRIMARY-DEMOGRAPHICS-ELIGIBILITY.SEX
Validation Logic 'If the SEX field is populated, the value must be contained in the set of valid values with id: 'SEX' and (if PRIMARY-DEMOGRAPHICS-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE is non-null then PRIMARY-DEMOGRAPHICS-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE >= Valid Values Effective-Date and PRIMARY-DEMOGRAPHICS-ELIGIBILITY.PRIMARY-DEMOGRAPHIC-ELEMENT-EFF-DATE <= Valid Values End-Date)'
Rule Definition If sex is populated on a primary demographics eligibility segment from an ELG file, then the sex value reported must be in the list of valid values for sex.
Denominator Logic # of PRIMARY-DEMOGRAPHICS-ELIGIBILITY segments with PRIMARY-DEMOGRAPHICS-ELIGIBILITY.SEX equal to a valid, non-null value