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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11274
Database ID: 2345
Record Series Title: Immunization Registry Program Records
Record Series Abstract: The Records include, but not limited to Immunization Registry Change of Status Request (Parental Opt-In or Opt-Out) of Immunization Registry Participation Status Report.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: Death of patient
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records are now generated electronically and may be received in multiple electronic formats (i.e. PDF, DOC, picture, email, electronic fax, etc.). The files are to be cut off at the death of patient and 5 years; then destroy.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2344
Record Location: Immunization Program - 3rd Floor, Andrew Johnson Tower, 710 James Robertson Pkwy, Nashville Network Shared Drive: Central Office (AG03SDCWF00533\DC\Data)H:\CEDS\Imm\TennIIS Patient Record Management\Opt out Process\Completed Opt Out Forms
File Arrangement: Tracking by last name, first name- alpha
Media Format Generated: Both
Media Format Stored: Electronic: Other
Date Range: 1996 to current
Annual Accumulation: 120mb
Current Volume: 10GB
Record Value: Administrative, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 0
Past Year: 24
2 - 5 Years: 48
Over 5 Years: 144
Data Update Frequency: Monthly
Information Shared Outside of State: No
If Shared, List Agencies: N/A
Essential Record: Yes - Original
Essential Record Stored: CEDEP/IMMUNIZATION maintains; after retention period, Network Shared H:Drive is purged and records destroyed.
Essential Record Media Type: Electronic
Confidential: Yes
Confidential Legal Citation: T.C.A. 63-2-101
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 5 years
Agency Retention - Years Active:
Agency Retention - Years Inactive:
Records Center Retention Period:
Final Disposition after Retention Expires: Destroy
Legal Citation: T.C.A 63-2-101
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: Network H Drive: (AG03SDCWF00533)
IT-ABC Number: AG03SDCWF00533
Hardware Description: VMware Virtual Server
Software Description: Windows 2012 R2 Server
System Location: STS DATA CENTER SOUTH, SMYRNA, TN
Backup Procedures: Standard file level backup services are provided with "EMC Avamar Backup". Backup is run nightly on all STS managed servers. Nightly backup consist of incremental backup to disk storage and is replicated to the alternate STS site.
Disaster Recovery: In the event of data loss at a facility data will be recovered by the State IT Department (STS)or the replicated storage at the alternate facility.
Data Migration Description: Electronic records are located on the Network Shared Drive which is managed by the State ID Department (STS). If necessary, STS would oversee the transfer of electronic Program records from the Network Shared Drive to the new designated secure network location
Metadata Description: Filing is organized alphabetically by last and first names.
Contact Information
Contact Name: Lois Holt-Cooper
Job Title: Department Record Officer
Address 1: 710 James Robertson Parkway
Address 2: 6th Floor; Andrew Johnson Tower
City: Nashville
Zip: 37243
Phone: 615/253-4084
Email: lois.holt-cooper@tn.gov
Agency: Dept. of Health
Agency Head: Commissioner John J. Dreyzehner; MD;MPH;FACOEM
Director: Dr. Kelly Moore, MD; MPH
Allotment Code: 34349
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 08-16-2018 No recommended changes.
Tennessee State Libary and Archives: 08-16-2018 No recommended changes.
Comptroller Audit Review: 2018-08-17 We have reviewed RDA 11274 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 08-22-2018 Thank you.
RMD Director Recomendations: 09-25-2018 RDA 11274 is a request to create an RDA. The retention period will be five years and destroy. The format will be paper/electronic. Recommend approval of request to create RDA 11274.
Signed Form Received: 2018-09-24
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 11274.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2345 11274 2018-10-30 Approved