Why Move to Version 3.4?
As breast imaging technology and processes evolve, new data become valuable for understanding individual practice performance. With the guidance of NMD Committee members, new data fields are added to the registry that reflect changing practice.
NMD participating practices are encouraged to transition to the latest version to obtain the most benefit from registry participation and to contribute data so that national performance benchmarks can be established.
Versions 2.0, 3.0 and 3.4 are the only versions supported at this time.
Additional Data Fields Available in 3.4
NMD Version 3.4 has many additional data fields, some of which are explained below. View the complete list here. For further explanations, see the NMD Data Dictionary.
Laterality of audit exam: allows reporting data at either the breast level or patient level. If you are using NMD-certified software, you configure this option when you first start using Version 3.4.
Note: Do not change this frequently because then your audit results will be derived from a mix of breast- and patient-level data.
Combination examination: enables reporting data at either the component level or the combination level. For example, for a combination exam consisting of a mammogram and an ultrasound, you can assign a different assessment to the mammogram and the ultrasound, or just one assessment for the combination exam.
Note: NMD defines a combination exam as two or three exams, or components, conducted on the same patient for the same indication on the same day using different modalities.
Second and third physician identifier: allows for up to three separate assessments for the same exam to audit assessments more accurately from double reads, using one of various methods described in the Follow up and Outcomes Monitoring section of the BI-RADS Atlas.
Note: Assessments are used in calculating measures by physician. You still must report a single assessment for the entire exam for use in calculating measures by facility.
NMD Version 3.4 includes all the fields from Version 3.0, as well as the following fields:
Facility ID
Old Medicare Beneficiary ID
New Medicare Beneficiary ID
Fields for reporting COVID information about the patient
Additionally, Version 3.4 includes a field for reporting method of cancer detection.