1
ODS EXAM 2025 Questions and Answers
NAACCR Edits Metafile, 7 key components - Answer✔✔agencies
edits
edit sets
fields
layouts
messages
tables
Single-field (item) edits - Answer✔✔Check only one data field at a time
Verify and validate values
ex. race codes must have only allowable values
Inter-field (multi-field) edits - Answer✔✔Compare related data item codes for
corrections
ex. females cannot have prostate cancer
Inter-record (multi-record) edits - Answer✔✔Compare data on more than one like
record
Identify errors common to all records
ex. multiple primaries must have the correct sequence numbers assigned in
chronological order
Call for Data - Answer✔✔NAACCR and CDC publish annually
1
,2
Pareto Chart - Answer✔✔A good way to present findings from a recoding audit
The chart helps identify areas that need attention by ranking them in decreasing
order of importance (so data items with the most errors will be listed first)
Re-abstracting studies - Answer✔✔Assess the quality of the collected data by
having a qualified staff member re-abstract a sample of cases from the medical
record documents
Completeness Rate - Answer✔✔Casefinding audits can be used to determine
completeness rates
Completeness rate (%) = 100 - ((missed cases/total number identified) * 100)
Missed Rate - Answer✔✔Missed rate = (# missed total/ # identified) * 100
Central Registries perform - Answer✔✔edits
data linkage
death clearance
audits (case-fginding, consolidation, re-abstraction, recoding)
de-duplication
manual record consolidation
process monitoring
The 3 Most Common Methods for Conducting QI - Answer✔✔PDSA (PDCA),
DMAIC, Lean
2
, 3
PDSA (PDCA) - Answer✔✔Plan, Do, Study (Check), Act
Usually depicted as a cycle, intended to be repeated continually for small,
incremental changes
Best applied to rapid-cycle processes
Measured and repeated again and again
DMAIC - Answer✔✔Define, Measure, Analyze, Improve, and Control
Usually for larger scale projects where repeated testing is not possible
Lean - Answer✔✔Focused on reducing waste to improve efficiency
7 categories: Overproduction, Waiting, Transportation, Inventory,
Overprocessing, Motion, Defects
Lean Overproduction - Answer✔✔Abstracting non-reportable cases
Lean Waiting - Answer✔✔Computer crashes
Lean Transportation - Answer✔✔Bringing paper charts from the medical records
office to the cancer registry
Lean Inventory - Answer✔✔Suspense list
Lean Overprocessing - Answer✔✔Rereviewing the same pathology report each
time an addendum is added
3
ODS EXAM 2025 Questions and Answers
NAACCR Edits Metafile, 7 key components - Answer✔✔agencies
edits
edit sets
fields
layouts
messages
tables
Single-field (item) edits - Answer✔✔Check only one data field at a time
Verify and validate values
ex. race codes must have only allowable values
Inter-field (multi-field) edits - Answer✔✔Compare related data item codes for
corrections
ex. females cannot have prostate cancer
Inter-record (multi-record) edits - Answer✔✔Compare data on more than one like
record
Identify errors common to all records
ex. multiple primaries must have the correct sequence numbers assigned in
chronological order
Call for Data - Answer✔✔NAACCR and CDC publish annually
1
,2
Pareto Chart - Answer✔✔A good way to present findings from a recoding audit
The chart helps identify areas that need attention by ranking them in decreasing
order of importance (so data items with the most errors will be listed first)
Re-abstracting studies - Answer✔✔Assess the quality of the collected data by
having a qualified staff member re-abstract a sample of cases from the medical
record documents
Completeness Rate - Answer✔✔Casefinding audits can be used to determine
completeness rates
Completeness rate (%) = 100 - ((missed cases/total number identified) * 100)
Missed Rate - Answer✔✔Missed rate = (# missed total/ # identified) * 100
Central Registries perform - Answer✔✔edits
data linkage
death clearance
audits (case-fginding, consolidation, re-abstraction, recoding)
de-duplication
manual record consolidation
process monitoring
The 3 Most Common Methods for Conducting QI - Answer✔✔PDSA (PDCA),
DMAIC, Lean
2
, 3
PDSA (PDCA) - Answer✔✔Plan, Do, Study (Check), Act
Usually depicted as a cycle, intended to be repeated continually for small,
incremental changes
Best applied to rapid-cycle processes
Measured and repeated again and again
DMAIC - Answer✔✔Define, Measure, Analyze, Improve, and Control
Usually for larger scale projects where repeated testing is not possible
Lean - Answer✔✔Focused on reducing waste to improve efficiency
7 categories: Overproduction, Waiting, Transportation, Inventory,
Overprocessing, Motion, Defects
Lean Overproduction - Answer✔✔Abstracting non-reportable cases
Lean Waiting - Answer✔✔Computer crashes
Lean Transportation - Answer✔✔Bringing paper charts from the medical records
office to the cancer registry
Lean Inventory - Answer✔✔Suspense list
Lean Overprocessing - Answer✔✔Rereviewing the same pathology report each
time an addendum is added
3