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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 11313
Database ID: 2456
Record Series Title: Pharmacy Patient Records
Record Series Abstract: Pharmacy records of any patient (student, staff, and faculty) utilizing the university’ campus pharmacy. Records include: name, address, telephone, social security number, insurance information, pharmacy profile information on each patient including but not limited to allergies and/or medical conditions, daily prescription journal, and controlled substance journal.
Record Series Active: Yes
Cut Off at End of: Fiscal Year
If Other, Explain:
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records will be maintained in agency for ten years in electronic and paper format. Existing records in paper format may be converted to electronic format as needed. Electronic version will be verified for accuracy prior to destruction of paper record. Records are confidential and will be destroyed by state approved method upon end of retention period.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 2459
Record Location: 1848 Blue Raider Dr., Murfreesboro, TN 37130
File Arrangement: alpha numeric
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 1/2009 - Current
Annual Accumulation: 24.89 cu. ft. .47 gigabytes
Current Volume: 224 cu ft. paper 4.42 gigabyte at this time
Record Value: Administrative, Fiscal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 1
Past Year: 1
2 - 5 Years: 0
Over 5 Years: 0
Data Update Frequency: Daily
Information Shared Outside of State: No
If Shared, List Agencies:
Essential Record: Yes - Original
Essential Record Stored: Stored on contracted vendor servers. Legacy paper records stored on 2nd floor of TN Tower.
Essential Record Media Type: Electronic
Confidential: Yes
Confidential Legal Citation: T.C.A. §10-7-504 (a)(1)(A) and (a)(4); T.C.A. §68-11-304; and 45 CFR Parts 160 and 164.
Media Recommendation:
Media Recommendation Other:
Agency Retention: 10
Agency Retention - Years Active: 10
Agency Retention - Years Inactive: 0
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation: T.C.A. § 68-11-305; and 45 CFR Parts 160 and 164.
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: shspropharmapp.fsa.mtsu.edu
IT-ABC Number: N/A
Hardware Description: two Windows Server 2012 R2 virtual machines running on two redundant Dell PowerEdge R620 servers
Software Description: Kalos, Inc. ProPharm One retail pharmacy software
System Location: Telecommunications Building data center and Student Health Services (Campus Recreation Building)
Backup Procedures: We use EMC Networker to back up the system to disk.
Disaster Recovery: We have two physical Dell PowerEdge R620 servers running Microsoft Hyper-V with replication enabled between the two locations on campus (one server in the Telecommunications data center, one server in the Student Health Services in the Campus Recreation Building). In addition, we back up the system to two EMC Data Domain appliances (one appliance in each data center on campus) via EMC Networker
Data Migration Description: When upgrading to a new system, we use standard procedures to backup and restore the SQL server database from the old system to the new system.
Metadata Description: File name, file type, date modified, etc.
Contact Information
Contact Name: Carroll Lewis
Job Title: Director, Business and Finance Compliance/Records Officer
Address 1: 1301 East Main St
Address 2: Cope Administration Bldg Room 103
City: Murfreesboro
Zip: 37160-2606
Phone: 6158985912
Email: carroll.lewis@mtsu.edu
Agency: Middle Tennessee State University
Agency Head:
Director: Gene Stephens
Allotment Code: 33260
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 10-04-2018 No recommended changes.
Tennessee State Libary and Archives: 10-04-2018 No recommended changes.
Comptroller Audit Review: 2018-10-04 We have reviewed RDA 11313 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 10-10-2018 No Comments
RMD Director Recomendations: 10-12-2018 RDA 11313 is a request to create an RDA. The retention period will be ten years and destroy. The format will be paper/electronic. Recommend approval of request to create RDA 11313.
Signed Form Received: 2018-10-12
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 11313.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
2456 11313 2018-10-30 Approved