0920-1046 Minimum Data Elements (MDE) Data Definition Table

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
MDE Data Definiti on T abl e

Table of Contents

Section 1: Program, Patient, and Record Location ............................................................................................. 131
Section 2: Patient Demographic Information............................................................................................................. 131
Section 3: Patient Navigation .................................................................................................................................................. 134
Section 4: Cervical Screening Information .................................................................................................................. 134
Section 5: Breast Screening Information ...................................................................................................................... 141
Section 6: Cervical Final Diagnosis Information .................................................................................................... 145
Section 7: Cervical Cancer Treatment Information ............................................................................................. 146
Section 8: Breast Final Diagnosis Information ......................................................................................................... 147
Section 9: Breast Cancer Treatment Information .................................................................................................. 148
Section 10: Cervical Cancer Registry Data ................................................................................................................ 149
Section 11: Breast Cancer Registry Data .................................................................................................................... 151

130

Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

All Patients Sections: These sections must be completed for each MDE record when NBCCEDP funds are used to pay for all or part of at least one of the screening or diagnostic
procedure(s).

Section 1: Program, Patient, and Record Location
1.01

State, Territorial, or
Tribal Program

2

1

2

Right Justify (i.e. California = ∼6 and Texas = 48, where ∼ = a
blank character.

15

3

17

If Social Security Number (SSN) is used, it must be encoded.
The ID number should be unique and constant for each patient
in order to track the patient over time. This field should not
contain any identifiable information, including partial names or
dates.

Valid code for your program.

[PN Abbreviated Field]
1.02

Unique Patient ID
Number
[PN Abbreviated Field]

Alphanumeric (no special symbols), left justify.
Alphabetic characters must be entered consistently in
uppercase or lowercase for all records for each patient.
1.03

Record Identifier

18

25

Right Justify. This field will be used to uniquely identify one
record among many for a woman. This could be a cycle
number, a visit date, or a record number. In this context, record
and screening cycle have the same meaning.

3

26

28

FIPS Code, Right Justify. (If unknown, blank fill). Not required
if Zip Code of residence is reported.

Valid FIPS code for the county.

2

29

30

FIPS Code, Right Justify. (If unknown, blank fill).

Valid FIPS code for the state or territory.

8

[PN Abbreviated Field]
Section 2: Patient Demographic Information
2.01

County of Residence
[PN Abbreviated Field]

2.02

State or Territory of
Residence
[PN Abbreviated Field]

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

2.03

ZIP Code of Residence

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

5

31

35

Right Justify. (If unknown, blank fill) Not required if county of
residence is reported.

Valid 5 digit numeric zip code.

6

36

41

MMYYYY (i.e. Jan 1942 = 011942). If unknown, blank fill.

Check for validity, i.e. no one too old or too young at date of
enrollment. See edit guidelines for dates at the end of this
document.

1

42

42

1.
2.
3.

Yes
No
Unknown

Range check.

1

43

43

1.
2.
3.
4.
5.
7.
8.

White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Unknown
Asian/Pacific Islander (v4.1 only)*

Range check. This race field should be populated first. If a
woman self identifies more than one race, then each race
identified should be reported in a separate race field. Report up to
five (5) separate races.

[PN Abbreviated Field]
2.04

Date of Birth
[PN Abbreviated Field]

2.05

Hispanic or Latino Origin
(self-reported)
[PN Abbreviated Field]

2.06.1

Race 1
(self-reported)
[PN Abbreviated Field]

*8 - Asian/Pacific Islander (v4.1 only) may only be reported for
data collected prior to 10/01/2002.
2.06.2

Race 2
(self-reported)
[PN Abbreviated Field]

132

1

44

44

1.
2.
3.
4.
5.
7.

White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Unknown

Chapter 2 – Minimum Data Elements (MDEs)

It is recommended that your Program no longer collect ‘Other’ race
on your data collection forms. However, if your Program collects
‘Other’ as a race category, please export this to ’7’ (Unknown) in
the MDEs.
This field should be left blank, unless the woman reports more
than one race.

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
2.06.3

Variable Name
Race 3
(self-reported)

Column Column Column
Length Begin
End

Race 4
(self-reported)

45

45

1.
2.
3.
4.
5.
7.

White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Unknown

This field should be left blank, unless the woman reports more
than two races.

1

46

46

1.
2.
3.
4.
5.
7.

White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Unknown

This field should be left blank, unless the woman reports more
than three races.

1

47

47

1.
2.
3.
4.
5.
7.

White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Unknown

This field should be left blank, unless the woman reports more
than four races.

[PN Abbreviated Field]

2.06.5

Race 5
(self-reported)
[PN Abbreviated Field]

MDE 7.0 Data User’s Manual
Revised January 2021

Edit Checks/Skip Patterns

1

[PN Abbreviated Field]

2.06.4

Codes / Format / Comments

Chapter 2 – Minimum Data Elements (MDEs)

133

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Section 3: Patient Navigation
3.01

Patient Navigation Paid
by NBCCEDP funds

1

48

48

1.
2.
3.

Yes
No
Unknown

[PN Abbreviated Field]

Data collection for this field is effective 01/01/2019. This field is
asking whether PN was paid with NBCCEDP funds, not whether
PN was delivered. Historical data should be coded as ‘3’
Unknown.
If patient navigation is delivered (consistent with CDC policy) using
NBCCEDP funds to support the navigation (e.g. reimbursement
fee-for-service, paid for staff delivering PN), select ‘1’ Yes.
‘2’ No should be selected if NBCCEDP funds were not used or PN
was not delivered.
‘3’ Unknown

Section 4: Cervical Screening Information
4.01

Previous Pap Test

1

49

49

4.02

Date of Previous Pap
Test

6

50

55

1.
2.
3.

Yes
No
Unknown

If "Previous Pap Test" = ‘1’ then enter MMYYYY (if known) or
blank fill (if unknown).

Range check.

If not blank, must be a valid date. Check the skip pattern.

If "Previous Pap Test" = ‘2’ or ‘3’, blank fill.

134

Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

4.03

Indication for Pap Test

Column Column Column
Length Begin
End

1

56

56

Codes / Format / Comments
1.
2.
3.
4.
5.
6.
9.

Screening
Surveillance
Non-program Pap, Referred in for diagnostic evaluation
No Pap
No Cervical Service
Pap after primary HPV+
Unknown

Edit Checks/Skip Patterns
If Indication for Pap Test is ‘5’ then items 4.04 – 4.13 should be
blank.
Data collection for this field is effective 01/01/2009. Historical data
can be reported if accurately collected; otherwise, code as ‘9’
(Unknown).
‘1’ (Screening) should be reported for a Pap test performed as part
of a routine screening schedule. Items 4.04 – 4.13 should be
reported as appropriate. Item 4.06 should be blank.
‘2’ (Surveillance) should be reported for a Pap test performed on a
woman under management for a cervical abnormality (abnormal
Pap or HPV) detected prior to this cycle. Items 4.04 – 4.13 should
be reported as appropriate. Item 4.06 should be blank.
‘3’ (Referred) should be reported when a patient has had a Pap
test performed outside of the Program, and is referred to the
Program for diagnostic work-up. Referral Date (4.06) must be
completed, and a valid Pap test Result should be provided: (4.07)
‘1’-‘11’ or ‘14’.
‘4’ (No Pap) should be reported when the patient does not have a
screening Pap test and goes directly to Diagnostic Work-up or only
had a primary HPV test. Items 4.06 – 4.09 should be blank.
‘5’ (No Cervical Service) should be reported when no cervical
services are provided or reported in this record, only breast
services. Items 4.04 – 4.13 should be blank.
‘6’ (Pap after primary HPV+) should be reported when a Pap test is
done as follow-up to a positive (other 12) primary HPV test. Items
4.04 – 4.13 should be reported as appropriate. Item 4.06 should be
blank.

MDE 7.0 Data User’s Manual
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Chapter 2 – Minimum Data Elements (MDEs)

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
4.04

Variable Name
Cervical Service Paid by
NBCCEDP Funds

Column Column Column
Length Begin
End

1

57

57

Codes / Format / Comments
1.
2.
3.

Yes
No
Unknown

[PN Abbreviated Field]

Edit Checks/Skip Patterns
Data collection for this field is effective 01/01/2019. Historical data
can be reported if accurately collected; otherwise, code as ‘3’
(Unknown).
This field should be left blank if “Indication for Pap Test” (4.03) is
‘5’.
If Pap test, HPV test, or at least one cervical diagnostic procedure
was paid by NBCCEDP Funds, then this field should be set to ‘1’
(Yes).

4.05

High Risk for Cervical
Cancer

1

58

58

1.
2.
9.

Yes
No
Not assessed/Unknown

Data collection for this field is effective 01/01/2019. Historical
data should be coded as ‘9’ (Unknown). This field should be left
blank if “Indication for Pap Test” (4.03) is ‘5’.
‘1’ (Yes) should be reported if risk was assessed and determined
to be high risk, as defined as prior DES exposure and/or
immunocompromised patients.
‘2’ (No) should be reported if risk was assessed and not
determined to be high risk
‘9’ (Not assessed/Unknown) should be reported if risk was not
assessed, family history was not taken, genetic testing was not
done or if risk is unknown.

4.06

Cervical Diagnostic
Referral Date

8

59

66

If “Indication for Pap Test” = ‘3’, enter MMDDYYYY; otherwise
leave blank

Data collection for this field is effective 01/01/2009. Historical data
can be reported if accurately collected; otherwise, leave blank.
If not blank, must be a valid date. Check the skip pattern.
See edit guidelines for skip patterns at the end of this document.
This field should indicate the enrollment date for a patient referred
in to the program for diagnostic evaluation following an abnormal
Pap test provided outside of the program.

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Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

4.07

Result of Pap Test

Column Column Column
Length Begin
End

2

67

68

Simplified categories
from all Bethesda
Reporting Systems

Other Pap Test Result

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.

[PN Abbreviated Field]

4.08

Codes / Format / Comments
Negative for intraepithelial lesion or malignancy
Infection/Inflammation/Reactive Changes (Beth1991)
Atypical squamous cells of undetermined significance
(ASC-US)
Low Grade SIL (including HPV changes)
Atypical squamous cells cannot exclude HSIL (ASC-H
Beth2001)
High Grade SIL
Squamous Cell Carcinoma
Atypical Glandular Cells (Beth2014)
Adenocarcinoma in situ (AIS) (Beth2014)
Adenocarcinoma (Beth2014)
Other
Unsatisfactory
Result Pending
Result unknown, presumed abnormal, Pap test from nonprogram funded source

Edit Checks/Skip Patterns
Data collection for this field is effective 01/01/2019.
Please reference MDE v6 to v7 Conversion Specifications in
Appendix 6 to map historical data.
This field should be left blank if “Indication for Pap Test” (4.03) is
‘4’ or ‘5’.
If the result of this Pap test is not 12 or 13 and the clinician
determines a diagnostic work-up should be done, the Cervical
Diagnosis Information Section MUST also be completed.
This field should = ‘14’ only when “Indication for Pap test” (4.03) is
3 (Non-program Pap, Referred in for diagnostic evaluation) and the
actual result of the Pap test is not known.

20

69

88

If "Result of Pap Test" = ‘11’, enter "Result" in free text format.

This field should be left blank if “Indication for Pap Test” (4.03) is
‘4’ or ‘5’.

8

89

96

If "Result of Pap Test" ≤ ‘12’, enter MMDDYYYY.

This field should be left blank if “Indication for Pap Test” (4.03) is
‘4’ or ‘5’.

[PN Abbreviated Field]
4.09

Date of Pap Test
[PN Abbreviated Field]

MDE 7.0 Data User’s Manual
Revised January 2021

If you know the date for ‘13’ or ‘14’, enter MMDDYYYY,
otherwise blank fill.

Chapter 2 – Minimum Data Elements (MDEs)

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

4.10

Indication for HPV Test

Column Column Column
Length Begin
End

1

97

97

Codes / Format / Comments
1.
2.
3.
9.

Co-Test/Screening
Reflex
Test not done
Unknown

Edit Checks/Skip Patterns
Data collection for this field is effective 01/01/2019. For cycles
before 01/01/2019 where an HPV test was not performed, code as
‘3’ (Test Not Done). Other historical data were an HPV test was
done can be reported if accurately collected; otherwise code as ‘9’
(Unknown).
This field should be left blank if “Indication for Pap Test” (4.03) is
‘5’.
‘1’ (Co-Test/Screening) should be reported if HPV test is
performed alone or in combination with a Pap test as part of
cervical cancer screening.
‘2’ (Reflex) should be reported if a HPV test is performed as a
follow-up test after a screening Pap test.
‘3’ (Test not done)

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Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

4.11

HPV Test Result

Column Column Column
Length Begin
End

1

98

98

[PN Abbreviated Field]

Codes / Format / Comments
1.
2.
4.
5.
9.

Positive with genotyping not done/unknown
Negative
Positive with positive genotyping
Positive with negative genotyping
Unknown

Edit Checks/Skip Patterns
Data collection for this field is effective 01/01/2009. Historical data
can be reported if accurately collected; otherwise, leave blank.
This field should be left blank if “Indication for Pap Test” (4.03) is
‘5’.
This field should be left blank if “Indication for HPV Test” (4.10) is
‘3’.
‘1’ should be reported if HPV test was positive and genotyping was
not done or unknown.
‘2’ should be reported if HPV test was negative.
‘4’ should be reported if HPV test was positive and genotyping
identifies type 16 or 18.
‘5’ should be reported if HPV test was positive and genotyping
does not identify type 16 or 18.

4.12

Date of HPV Test
[PN Abbreviated Field]

8

99

106

If “HPV Test Result” = ‘1’- ‘5 or ‘9’, then enter MMDDYYYY
Date of HPV Test is the date of the sample collection.

Data collection for this field is effective 01/01/2009. Historical data
can be reported if accurately collected; otherwise, leave blank.
This field should be left blank if “Indication for Pap Test” (4.03) is
‘5’.
This field should be left blank if “Indication for HPV Test” (4.10) is
‘3’.

MDE 7.0 Data User’s Manual
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Chapter 2 – Minimum Data Elements (MDEs)

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
4.13

Variable Name
Diagnostic Work-up
Planned for Cervical
Dysplasia or Cancer

Column Column Column
Length Begin
End

1

107

107

Codes / Format / Comments
1.
2.
3.

Diagnostic work-up planned
Diagnostic work-up not planned
Diagnostic work-up plan not yet determined

Edit Checks/Skip Patterns
If “Indication for Pap Test” (4.03) is ‘1’, ‘2’, ‘3’, ‘4’, ‘6’ or ‘9’ this field
must be completed; otherwise, leave blank.
If this field is coded as ‘1’, the Cervical Diagnosis Information
Section must be completed. If this field is coded as ‘2’ or ‘3’, the
Cervical Diagnosis Information Section must be blank.

140

Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Section 5: Breast Screening Information
5.01

Indication for Initial
Mammogram

1

108

108

1.
2.
3.
4.
5.
9.

Screening
Diagnostic
Non-program mammogram, Referred in for diagnostic
evaluation
No mammogram
No Breast Service
Unknown

If Indication for Initial Mammogram is ‘5’ then items 5.02 – 5.11
should be blank.
Data collection for this field is effective 01/01/2009, but no records
should be blank. Historical data can be reported if accurately
collected; otherwise, report a cycle with mammogram data as ‘9’
(Unknown). A cycle with cervical only data should be reported as
‘5’ (No Breast Service).
‘1’ (Screening) should be reported for a mammogram performed
as part of a routine or annual screening schedule and in the
absence of symptoms or a recent positive CBE.
‘2’ (Diagnostic) should be reported for a mammogram performed
as additional evaluation of a recent mammogram prior to this
cycle, evaluation of current symptoms or abnormal CBE finding, or
prior history of breast cancer.
‘3’ (Referred) should be reported when a patient has had a
mammogram performed outside of the Program, and is referred to
the Program for diagnostic work-up. Referral Date (5.03) must be
completed, and a valid Mammogram Result (5.07) of ‘1’ – ‘5’, ‘7’,
‘11’, or ‘14’ – ‘15’ should be reported.
‘4’ (No Mam) should be reported when the patient only received a
CBE or screening MRI; or when the patient does not have an initial
mammogram performed and goes directly to Diagnostic Work-up.
Items 5.07 – 5.08 should be blank.
‘5’ (No Breast Service) should be reported when no breast
services are provided or reported in this record, only cervical
services. Items 5.02 – 5.11 should be blank.

MDE 7.0 Data User’s Manual
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Chapter 2 – Minimum Data Elements (MDEs)

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
5.02

Variable Name
Breast Service Paid by
NBCCEDP Funds

Column Column Column
Length Begin
End

1

109

109

Codes / Format / Comments
1.
2.
3.

Yes
No
Unknown

[PN Abbreviated Field]

Edit Checks/Skip Patterns
Data collection for this field is effective 01/01/2019. Historical data
can be reported if accurately collected; otherwise, code as ‘3’
(Unknown).
This field should be left blank if “Indication for Mammogram” (5.01)
is ‘5’.
If Mammogram, CBE, MRI or at least one breast imaging or
diagnostic procedures was paid by NBCCEDP Funds, then this
field should be set to ‘1’ (Yes).

5.03

Breast Diagnostic
Referral Date

8

110

117

If “Indication for Initial Mammogram” (5.01) = ’3’, enter
MMDDYYYY.

Data collection for this field is effective 01/01/2009. Historical data
can be reported if accurately collected; otherwise, leave blank.

If “Indication for Initial Mammogram” (5.01) = ‘4’ then 5.03 MAY
be completed as MMDDYYYY; otherwise leave blank.
5.04

High Risk for Breast
Cancer

1

118

118

1.
2.
9.

Yes
No
Not Assessed/Unknown

Data collection for this field is effective 01/01/2019. Historical data
should be coded as ‘9’ (Unknown).
This field should be left blank if “Indication for Mammogram” (5.01)
is ‘5’.
‘1’ (Yes) should be reported if risk was assessed and determined
to be high risk as defined as a woman with BRCA mutation, a firstdegree relative who is a BRCA carrier, a lifetime risk of 20-25% or
greater as defined by risk assessment models, radiation treatment
to the chest between ages 10-30, or personal or family history of
genetic syndromes like Li-Fraumeni syndrome.
‘2’ (No) should be reported if risk was assessed and not
determined to be high risk
‘9’ (Not Assessed/Unknown) should be reported if risk was not
assessed, family history was not taken, genetic testing was not
done or if risk is unknown.

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Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

5.05

Screening MRI results

Column Column Column
Length Begin
End

1

119

119

1.
2.
3.
4.
5.
6.
7.
8.
9.

5.06

Date of Screening MRI

8

120

127

Codes / Format / Comments

Edit Checks/Skip Patterns

Negative (Category 1)
Benign Finding (Category 2)
Probably Benign indicated (Category 3)
Suspicious (Category 4)
Highly Suggestive of Malignancy (Category 5)
Known Malignancy (Category 6)
Incomplete — Need Additional Imaging Evaluation
(Category 0)
Results Pending
Not done

Data collection for this field is effective 01/01/2019. Historical data
should NOT be reported.

If MRI Results (5.05) ≤ “7‟, enter MMDDYYYY.

This field should be left blank if “Indication for Mammogram” (5.01)
is ‘5’ or “High Risk of Breast Cancer” (5.04) ≠ ‘1’.

If not blank, must be a valid date.

If you know the date for ‘8’, enter MMDDYYYY, otherwise blank This field should be left blank if “Indication for Mammogram” (5.01)
is ‘5’ or if “Screening MRI Results” (5.05) is ‘9’.
fill.
If MRI Results (5.05) = “9‟ blank fill.
5.07

Initial Mammography
Test Result
(includes all
mammograms which
were the first
mammogram of a
screening cycle)
Categories from the
American College of
Radiology Breast
Imaging Reporting and
Database System
[PN Abbreviated Field]

MDE 7.0 Data User’s Manual
Revised January 2021

2

128

129

1.
2.
3.
4.
5.
7.
10.
11.
14.
15.

Negative (BI-RADS 1)
Benign Finding (BI-RADS 2)
*Probably Benign – Initial short interval follow-up
suggested (BI-RADS 3)
Suspicious Abnormality - Biopsy should be considered
(BI-RADS 4)
Highly Suggestive of Malignancy - Appropriate action
should be taken (BI-RADS 5)
Unsatisfactory - This applies if the mammogram was
technically unsatisfactory and could not be interpreted by
radiologist.
Result pending
Result unknown, presumed abnormal, mammogram from
non-program funded source
Need evaluation or film comparison (BI-RADS 0)
Known Biopsy-Proven Malignancy (BI-RADS 6)

*Based on new BI-RADS guidance from the Fourth Edition
2003, (3) Probably Benign should not be reported as the initial
mammogram result unless a complete work-up was performed
prior to the screening cycle either within or outside of the
program. Please refer to the Field Description in the Data
User’s Manual for further details.

Chapter 2 – Minimum Data Elements (MDEs)

This field should be left blank if “Indication for Mammogram” (5.01)
is ‘4’ or ‘5’.
If the result of the initial mammogram is ‘4’, ‘5’, ‘11’ or ‘14’, the
”Additional procedures needed to complete breast cycle“ (5.11)
should = ‘1’.
A result of ‘7’ (Unsatisfactory) indicates that the cycle should be
considered complete, and a new cycle will begin with the repeat
mammogram.
This variable should be the initial result of the first mammographic
film only. If any additional imaging is needed, to obtain a final
imaging result or if a film comparison is necessary to obtain a final
imaging result, then report ‘14’.
This field should = ‘11’ only when “Indication for Initial
Mammogram” (5.01) is ‘4’ (Non-program mammogram, Referred in
for diagnostic evaluation) and the actual result of the initial
mammogram is not known.

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
5.08

Variable Name
Date of Initial
Mammogram

Column Column Column
Length Begin
End

8

130

137

[PN Abbreviated Field]

5.09

Clinical Breast Exam

Codes / Format / Comments
If "Initial Mammography Test Result" ≤ ‘5’, ‘7’, ’14’, or ‘15’ enter
MMDDYYYY.
If you know the date for ‘10’ or ‘11’, enter MMDDYYYY,
otherwise blank fill.

1

138

138

1.
2.
5.

5.10

Date of Clinical Breast
Exam

8

139

146

Edit Checks/Skip Patterns
If not blank, must be a valid date.
This field should be left blank if “Indication for Mammogram” (5.01)
is ‘4’ or ‘5’.

Normal/Benign findings – schedule for routine CBE in one This field should be left blank if “Indication for Mammogram” (5.01)
year
is ‘5’.
Abnormality suspicious for cancer – diagnostic evaluation
needed
Not performed

If "Clinical Breast Exam" = ‘1’ or ‘2’, enter MMDDYYYY
If "Clinical Breast Exam" = 5 blank fill.

This field should be left blank if “Indication for Mammogram” (5.01)
is ‘5’.
If "Clinical Breast Exam" (5.09) = ‘1’ or ‘2’, enter MMDDYYYY
If "Clinical Breast Exam" (5.09) = ‘5’, blank fill.

5.11

Additional Procedures
Needed to Complete
Breast Cycle

1

147

147

1.
2.
3.

Additional procedures needed or planned.
If “Indication for Mammogram” (5.01) is ‘1’, ‘2’, ‘3’, ‘4’ or ‘9’ this field
Additional procedures not needed or planned.
must be completed; otherwise, leave blank.
Need or plan for additional procedures not yet determined
If this field is coded as ‘1’, the Breast Diagnosis Information
Section must be completed.
If this field is coded as ‘2’ or ‘3’, the Breast Diagnosis Information
Section must be blank.
If “Indication for Initial Mammogram” (5.01) is ‘3’, then this field
must = ‘1’ (Additional procedures needed or planned) and the
Breast Diagnosis Information Section must be completed.

5.12

MDE Version Number

2

148

149

21. For CBE data collected through 9/30/1994
70. For all other data collected

Note that the period in the version number is not included. For
example, version 7.0 will be submitted as ‘70’.
Only certain records with historical CBE data should use ‘21’.

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Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Cervical Final Diagnosis and Treatment Sections: These sections must be completed if Diagnostic Work-up Planned for Cervical Dysplasia or Cancer (4.13) = ‘1’ (planned),
otherwise leave blank.

Section 6: Cervical Final Diagnosis Information
6.01

Status of Final Diagnosis

1

150

150

1.
2.
3.
4.
9.

Work-up complete
Work-up pending
Lost to follow-up
Work-up refused
Irreconcilable

Range check.
A status of “Work-up complete” means that the diagnostic testing
is complete, and that “Final Diagnosis” (6.02) and “Date of Final
Diagnosis” (6.04) are known.

A response of “9” will be used for those records, which after
clinical review; it was determined that there was no sufficient
way to translate the clinical scenario into the MDE data record.
An example would be: If the clinician refers the woman for
short-term follow-up instead of following the guideline for
immediate diagnostic work-up, enter a ‘9’ to indicate a closed
cycle with an irreconcilable status.
6.02

Final Diagnosis

1

151

151

[PN Abbreviated Field]

1.
2.
3.
4.
5.
6.
7.
8.
9.

6.03

Final Diagnosis – Other

20

152

171

Normal/Benign reaction/inflammation
HPV/Condylomata/Atypia
CIN1/mild dysplasia (biopsy diagnosis)
CIN2/moderate dysplasia (biopsy diagnosis)
CIN3/severe dysplasia/Carcinoma in situ (Stage 0) or
Adenocarcinoma In Situ of the cervix (AIS) (biopsy
diagnosis)
Invasive Cervical Carcinoma (biopsy diagnosis)
Other
Low grade SIL (biopsy diagnosis)
High grade SIL (biopsy diagnosis)

Free text format, Description of "Final Diagnosis - Other".

Range check.
Low grade SIL and High grade SIL are provided as alternatives to
diagnoses 2-5 and only one diagnosis should be submitted.
Invasive Adenocarcinoma of the cervix should be coded as a ‘6’
(Invasive Cervical Carcinoma). Adenocarcinoma In Situ (AIS) of
the cervix should be coded as ‘5’ (CIN3 /severe
dysplasia/CIS/AIS).

Check the skip pattern.

[PN Abbreviated Field]

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Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

6.04

Date of Final Diagnosis

Column Column Column
Length Begin
End

8

172

179

Codes / Format / Comments
If Status of Final Diagnosis (6.01) = ‘1’ enter MMDDYYYY, the
date of diagnosis of cancer or precancerous lesion or date the
decision made that no cancer is present.

Edit Checks/Skip Patterns
See edit guidelines for dates at the end of this document.

If Status of Final Diagnosis (6.01) = ‘2’ then blank fill.
If Status of Final Diagnosis (6.01) = ‘3’, ‘4’ or ‘9’ then enter
MMDDYYYY, the date of administrative closeout.
Section 7: Cervical Cancer Treatment Information – This section is completed based on the results of MDE Item 6.02 (Final Diagnosis).
7.01

Status of Treatment

1

180

180

1.
2.
3.
4.
5.

Treatment started
Treatment pending
Lost to follow-up
Treatment refused
Treatment not needed

A woman should be classified as having started treatment when
the Program has confirmed that a plan for treatment of the cancer
or precancerous lesion has been developed and started.
Range and skip pattern check.
If Final Diagnosis (6.02) = ‘4’, ‘5’, ‘6’, or ‘9’ then complete 7.01 and
7.02.
If Final Diagnosis (6.02) = ‘2’, ‘3’, ‘7’, or ‘8’ then 7.01 and 7.02 MAY
be completed.
If Final Diagnosis (6.02) = ‘1’, then 7.01 and 7.02 should be left
blank.
If a woman dies before treatment has started, enter a ‘3’ (Lost to
follow-up).

7.02

Date of Treatment
Status

8

181

188

If Status of Treatment (7.01) = ‘1’ enter MMDDYYYY, the date
that treatment of cancer or precancerous lesion began.

Check the skip pattern. If not blank, should be ≥ “Date of Final
Diagnosis” (6.04).

If Status of Treatment (7.01) = ‘2’ then blank fill.
If Status of Treatment (7.01) = ‘3’, ‘4’, or ‘5’ then enter
MMDDYYYY, the date of administrative closeout.

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MDE 7.0 Data User’s Manual
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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Breast Final Diagnosis and Treatment Sections: These sections must be completed if Additional Procedures Needed to Complete Breast Cycle (5.11) = ‘1’ (planned), otherwise
leave blank.

Section 8: Breast Final Diagnosis Information
8.01

Status of Final
Diagnosis / Imaging

1

189

189

1.
2.
3.
4.
9.

Work-up complete
Work-up pending
Lost to follow-up
Work-up refused
Irreconcilable

A response of ’9’ will be used for those records, which after
clinical review; it was determined that there was no sufficient
way to translate the clinical scenario into the MDE data record.
An example would be: If the clinician refers the woman for
short-term follow-up instead of following the guideline for
immediate diagnostic work-up, enter a ‘9’ to indicate a closed
cycle with an irreconcilable status.
8.02

Final Diagnosis

1

190

190

[PN Abbreviated Field]

1.
2.
3.
4.
5.

Carcinoma In Situ, Other*
Invasive Breast Cancer
Breast Cancer Not Diagnosed
Lobular Carcinoma In Situ (LCIS) - (Stage 0)
Ductal Carcinoma In Situ (DCIS ) - (Stage 0)

Range check.
A status of “Work-up complete” means that all additional imaging
and diagnostic testing (if applicable) is complete, and that the
“Final Diagnosis” (8.02) and “Date of Final Diagnosis” (8.03) are
known.

Range check.
If a patient gets a final imaging outcome that requires no further
diagnostic procedures, then this field should be coded as ‘3’
(Breast Cancer Not Diagnosed).

*Category (1) - CIS, Other is not a current reporting option for
Final Diagnosis. It was used to report CIS diagnoses prior to
10/01/1999.
8.03

Date of Final
Diagnosis / Imaging

8

191

198

If Status of Final Diagnosis/Imaging (8.01) = ‘1’, then enter
MMDDYYYY, the date of diagnosis of cancer or date that
decision made that no cancer is present.
If Status of Final Diagnosis/Imaging (8.01) = ‘2’, then blank fill.

See edit guidelines for dates at the end of this document.
The “Date of Final Diagnosis/Imaging” (8.03) should be the date of
the definitive procedure indicating cancer or not cancer

If Status of Final Diagnosis/Imaging (8.01) = ‘3’, ‘4’ or ‘9’ then
enter MMDDYYYY, the administrative date of closeout of this
episode.

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Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Section 9: Breast Cancer Treatment Information – This section is completed based on the results of Final Diagnosis (8.02).
9.01

Status of Treatment

1

199

199

1.
2.
3.
4.
5.

Treatment started
Treatment pending
Lost to follow-up
Treatment refused
Treatment not needed

Range and skip pattern check.
A woman should be classified as having started treatment when
the Program has confirmed that a plan for treatment of the cancer
or precancerous lesion has been developed and started.

If a woman dies before treatment has started, enter a ‘3’ (Lost to
If Final Diagnosis (8.02) = ‘1’, ‘2’ or ‘5’ then complete 9.01 and
follow-up).
9.02.
If Final Diagnosis (8.02) = ‘4’, then 9.01 and 9.02 MAY be
completed.
If Final Diagnosis (8.02) = ‘3’, then 9.01 and 9.02 should be blank.
9.02

Date of Treatment
Status

8

200

207

If Status of Treatment (9.01) = ‘1’, then enter MMDDYYYY, the
date that treatment for cancer began.

Check the skip pattern. If not blank, should be ≥ “Date of Final
Diagnosis” (8.03).

If Status of Treatment (9.01) = ‘2’, then blank fill.
If Status of Treatment (9.01) = ‘3’, ‘4’, or ‘5’ then enter
MMDDYYYY, the date of administrative closeout.

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MDE 7.0 Data User’s Manual
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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Cervical and Breast Cancer Registry Data Sections
Section 10: Cervical Cancer Registry Data – If Final Diagnosis (6.02) is a ‘6’ (Invasive Cervical Carcinoma) and the patient was screened as of January 1, 2004, then this section
must be completed. This section is reserved for data acquired through a State Central Cancer Registry or an equivalent data source approved by CDC/IMS.
NAACCR Record Data Standards and Data Dictionary are available at www.naaccr.org.
10.01

Registry Linkage Status

1

208

208

10.02

Registry Date of
Diagnosis

8

209

216

1.
2.
3.

Linkage process pending
Linkage process complete, record matched
Linkage process attempted, record not matched

MMDDYYYY

Registry Summary Stage
[NAACCR data item:
#764 When 10.02 ≥
01/01/2018
#759 When 10.02 =
1/1/2016 –
12/31/2017

Leave blank if 10.01 = 1, 3.
If not blank, must be a valid date.

[NAACCR data item
#390]
10.03

Range check.

1

217

217

0.
1.
2.
3.
4.
5.
7.
8.
9.

In situ (IS)
Localized (L)
Regional, direct extension only (RE)
Regional, regional lymph nodes only (RN)
Regional, extension and nodes (RE+RN)
Regional, NOS (RNOS)
Distant (D)
Not Applicable (NA)
Unknown/unstaged (U)

Range check.
Leave blank if 10.01 = 1, 3.
Note: These NAACCR data items are specific to definitions in
place for the calendar year of the Registry Date of Diagnosis
(10.02).

#3020 When 10.02 =
01/01/2004 –
12/31/2015
#759 When 10.02 =
01/01/2001 –
12/31/2003
#760 When 10.02 ≤
12/31/2000]

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Minimum Data Elements (MDE) Data Definition Table
Item
Number
10.04

Variable Name
Registry Collaborative
Stage (CS) – Derived
AJCC Stage Group

Column Column Column
Length Begin
End

2

218

219

Codes / Format / Comments
Right Justify With Leading Zeroes

Leave blank if 10.01 = 1, 3.

Range: 00-99

Complete only if Registry Date of Diagnosis (10.02) = 01/01/2004
– 12/31/2015; otherwise leave blank.

[NAACCR data item:

Complete CS-Derived AJCC Stage Group 6th Edition as available
since not required by NPCR registries.

#3000 when 10.02 is
between
years 2004-2009
(AJCC 6th Edition)

While CS-Derived AJCC Stage Group expanded from 2-digits in
the 6th Edition to 3-digits in the 7th Edition, the CDC does not plan
to expand to 3-digis in the MDEs at this time. When reporting
AJCC 7th, edition cases from 2010 forward, the MDEs will collect
the first 2-digits of the 3-digit code which provide a general
classification. Programs are encouraged to consult with their IT
staff/system vendor and their Cancer Registry to assess the
feasibility and need to expand this field to 3-digits in their database
system. Programs are advised to truncate the 3-digit value when
creating the MDE file by reporting the first two digits and dropping
the last of the three digits.

#3430 when 10.02 is
between
years 2010-2015
(AJCC 7th Edition)]

150

Edit Checks/Skip Patterns

Chapter 2 – Minimum Data Elements (MDEs)

MDE 7.0 Data User’s Manual
Revised January 2021

National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number

Variable Name

Column Column Column
Length Begin
End

Codes / Format / Comments

Edit Checks/Skip Patterns

Section 11: Breast Cancer Registry Data – If Final Diagnosis (8.02) is a ‘1’ (Carcinoma In Situ, Other), ‘2’ (Invasive Breast Cancer), ‘4’ (Lobular Carcinoma In Situ) or ‘5’ (Ductal
Carcinoma In Situ) and the patient was screened as of January 1, 2004, then this section must be completed. This section is reserved for data acquired through a State Central
Cancer Registry or an equivalent data source approved by CDC/IMS.
NAACCR Record Data Standards and Data Dictionary are available at www.naaccr.org.
11.01

Registry Linkage Status

1

220

220

11.02

Registry Date of
Diagnosis

8

221

228

1.
2.
3.

Pending linkage
Linked, matched
Linked, not matched

MMDDYYYY

Registry Summary Stage
[NAACCR data item:
#764 When 11.02 ≥
01/01/2018
#759 When 11.02 =
1/1/2016 –
12/31/2017

Leave blank if 11.01 = 1, 3.
If not blank, must be a valid date.

[NAACCR data item
#390]
11.03

Range check.

1

229

229

0.
1.
2.
3.
4.
5.
7.
8.
9.

In situ (IS)
Localized (L)
Regional, direct extension only (RE)
Regional, regional lymph nodes only (RN)
Regional, extension and nodes (RE+RN)
Regional, NOS (RNOS)
Distant (D)
Not Applicable (NA)
Unknown/unstaged (U)

Range check.
Leave blank if 11.01 = 1, 3.
Note: These NAACCR data items are specific to definitions in
place for the calendar year of the Registry Date of Diagnosis
(11.02).

#3020 When 11.02 =
01/01/2004 –
12/31/2015
#759 When 11.02 =
01/01/2001 –
12/31/2003
#760 When 11.02 ≤
12/31/2000]

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
Item
Number
11.04

Variable Name
Registry Collaborative
Stage (CS) – Derived
AJCC Stage Group

Column Column Column
Length Begin
End

2

230

231

Codes / Format / Comments

Edit Checks/Skip Patterns

Right Justify With Leading Zeroes

Leave blank if 11.01 = 1, 3.

Range: 00-99

Complete only if Registry Date of Diagnosis (11.02) = 01/01/2004
– 12/31/2015; otherwise leave blank.

[NAACCR data item:

Complete CS-Derived AJCC Stage Group 6th Edition as available
since not required by NPCR registries.

#3000 when 11.02 is
between years 20042009
(AJCC 6th Edition)

While CS-Derived AJCC Stage Group expanded from 2-digits in
the 6th Edition to 3-digits in the 7th Edition, the CDC does not plan
to expand to 3-digis in the MDEs at this time. When reporting
AJCC 7th, edition cases from 2010 forward, the MDEs will collect
the first 2-digits of the 3-digit code which provide a general
classification. Programs are encouraged to consult with their IT
staff/system vendor and their Cancer Registry to assess the
feasibility and need to expand this field to 3-digits in their database
system. Programs are advised to truncate the 3-digit value when
creating the MDE file by reporting the first two digits and dropping
the last of the three digits.

#3430 when 11.02 is
between years 20102015
(AJCC 7th Edition)]

End of Record Mark – Completed for each MDE record
End of Record/Newline

152

1

232

232

Character that ends the current record and begins a new line of
text.

Chapter 2 – Minimum Data Elements (MDEs)

Example: Carriage Return-Line Feed

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National Breast and Cervical Cancer Early Detection Program
Minimum Data Elements (MDE) Data Definition Table
General edit guidelines for:
Dates: If your data processing system does not store dates as complete dates (i.e. they are separate month, day, and year fields), you need to verify the individual fields. The month needs to be
between 1 and 12 and the day, if specified, between 1 and 31 and appropriate for the month (i.e. no June 31). A common situation for some dates could be that the year is known, but the month
or day is not. If this occurs, please blank fill only the unknown fields.
Correct date sequences: A correct sequence of dates that track screening, diagnosis, and treatment is very important. These relationships have been specified in the edit section above or in
the Edits Application. Please check these date relationships to ensure that the date sequences are reasonable.
Range checks: These are performed on fields like Hispanic Origin (2.05), Race (2.06.x),, etc. where specific values are requested. A simple check of these data before they are submitted will
ensure that, for example, Hispanic Origin only has values of ‘1’ to ‘3’ as specified in the MDE documentation.
Skip patterns: There are fields in the MDEs that are supposed to be completed under certain circumstances and left blank in others. For example, Clinical Breast Exam Date (5.10) should only
be completed if Clinical Breast Exam (5.09) is a ‘1’ or ‘2’. Thus please check to see that if, for example, 10 women have a ‘1’ or a ‘2’ for Clinical Breast Exam, that there are no more than 10
Clinical Breast Exam Dates (5.10).

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153