Proposed Changes to the Currently Approved MDE Data Variables

Attachment 6: Proposed Changes to the Currently Approved MDE Data Variables

Revision Type	Revision	MDE field (v6 item number)	Rationale
Removed
	Removed 11 data elements	County of Screening (1.02) Enrollment Site (1.03) Breast symptoms (4.01) Bethesda System Used (5.05) Specimen Adequacy of Pap Test (5.06) Specimen Type for Pap Test (5.07) Previous mammogram (6.01) Previous mammogram date (6.02) Cervical cancer stage at diagnosis (8.05) Breast cancer stage at diagnosis (12.04) Breast cancer tumor size (12.05)	Discontinue reporting these data fields to CDC because they are outdated or no longer relevant.
	Removed 17 data elements reporting breast and cervical diagnostic procedures	Additional Cervical Diagnostic Procedures (Section 7): Colposcopy without Biopsy (7.01) Colposcopy with Biopsy and/or ECC (7.02) LEEP (7.03) CKC (7.04) ECC(7.05) Other Cervical Procedures Performed (7.06) Description of Other Cervical Procedures (7.07) Additional Breast Imaging Procedures (Section 10): Additional Mammographic Views (10.01) Ultrasound (10.02) Film Comparison of Assessment Incomplete (10.03) Final Imaging Outcome (10.04) Date of Final Imaging Outcome (10.05) Additional Breast Diagnostic Procedures (Section 11): Repeat Breast Exam/Surgical Consult (11.01) Biopsy/Lumpectomy (11.02) Fine Needle/Cyst Aspiration (11.03) Other Breast Procedures Performed (11.04) Description of Other Breast Procedures (11.05)	These data fields are not needed for program evaluation.
	Removed 14 data elements reporting breast and cervical registry fields	Cervical Registry Histologic Type (14.03) Cervical Registry Behavior (14.04) Cervical CS tumor size (14.07) Cervical CS stage extension (14.08) Cervical CS lymph nodes (14.09) Cervical CS Mets at diagnosis (14.10) Cervical Registry Primary Site (14.11) Breast Registry Histologic Type (15.03) Breast Registry Behavior (15.04) Breast CS tumor size (15.07) Breast CS stage extension (15.08) Breast CS lymph nodes (15.09) Breast CS Mets at diagnosis (15.10) Breast Registry Primary Site (15.11)	Collaborative Stage (CS) system is no longer collected by cancer registries as of 2016
Consolidated
	Consolidated 3 data elements into 1 element for Breast Services Paid (new) Consolidated 3 data elements into 1 element for Cervical Services Paid (new)	CBE paid (4.04) Mammogram paid (6.07) Breast Diagnostic service paid (11.06) Pap test paid (5.12) HPV test paid (5.15) Cervical Diagnostic service paid (7.08)	This change simplifies MDE data reporting
	Consolidated 2 data elements into 1 element for Results of Pap Test (simplified) (new)	Result of Pap Bethesda system 1991 (5.08) Result of Pap Bethesda system 2001 (5.09)	This change simplifies MDE data reporting independent of the changing Bethesda systems
Modified
	Modified details collected on 1 data element	Date of Birth (3.04)	Reporting month and year for date of birth only to reduce risk for collecting Personally Identifiable Information (PII)
	Modified categories on 1 data element	Clinical Breast Exam result (4.02)	Combining 2 categories to simplify reporting
	Modified codes/categories for 2 data elements	Indication for Pap Test (5.03) Indication for Initial Mammogram (6.03)	Modification of the codes/categories to clarify purpose of the screening test
	Modified category on 1 data element	HPV Test Result (5.13)	Removed category to simplify reporting
	Modified categories for 1 data element	Initial Mammogram Screening Result (6.05)	Combining 2 categories to simplify reporting
	Modified categories for 1 data element	MDE Version Number (6.09)	Added a category for MDE version 7
Added
	Added 6 data elements to report breast and cervical cancer stage groups	Breast TNM Pathologic stage group (new) Cervical TNM Pathologic stage group (new) (NAACCR #1014) Breast TNM Clinical stage group (new) Cervical TNM Clinical stage group (new) (NAACCR #1004) Breast TNM Edition number (new) Cervical TNM Edition number (new) (NAACCR #1060)	NPCR required fields as of 2016 cases
	Added 2 data elements to assess woman’s risk for cancer	Risk for Breast Cancer (new) Risk for Cervical Cancer (new)	Reporting will provide context needed to assess who the program serves and evaluate service outcomes
	Added 1 data element to collect data on women receiving patient navigation	Patient Navigation Service paid (new)	Reporting will provide details on women receiving patient navigation services
	Added 1 data element to assess purpose of HPV test	Indication for HPV test (new)	Distinguish cervical screening test as outlined by clinical guidelines.