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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 2080
Database ID: 578
Record Series Title: Hemophilia and Renal Disease Program Records
Record Series Abstract: These Records Include Patient Applications, Forms, And Related Correspondence And Documentation Related To The State Hemophilia And Renal Disease Program. Records Contain Patient Medical Information, Authorization for Release of Medical/Financial Information
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: Until Patient Discontinues Program Or Is Known To Be Deceased
Total Retention: 5 Years 0 Months
Retention End Action: Destroy
Disposition Notes: Records Are Generated In Paper, Maintain In Office Until Patient Discontinues Program, Or Until Five (5) Years After Patient Is Known To Be Deceased, Then Destroy By State Approved Method For Confidential Records.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 578
Record Location: 710 JAMES ROBERTSON PARKWAY
File Arrangement: Alpha
Media Format Generated: Paper
Media Format Stored: PAPER
Date Range: 2003- current
Annual Accumulation: 176 cu ft
Current Volume: 880 cu ft
Record Value: Administrative, Fiscal, Legal
Audit Requirements: State
Reference Frequency:
Current Year per Month: 12
Past Year: 12
2 - 5 Years: 60
Over 5 Years: 360
Data Update Frequency:
Information Shared Outside of State: No
If Shared, List Agencies: No
Essential Record: No
Essential Record Stored:
Essential Record Media Type:
Confidential: Yes
Confidential Legal Citation: TCA 63-2-101 & TCA 10-7-504
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 5
Agency Retention - Years Active:
Agency Retention - Years Inactive:
Records Center Retention Period:
Final Disposition after Retention Expires: Destroy
Legal Citation:
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name:
IT-ABC Number:
Hardware Description:
Software Description:
System Location:
Backup Procedures:
Disaster Recovery:
Data Migration Description:
Metadata Description:
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: Donna Hurst, Ms, RN
Allotment Code: 343.52
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 06-07-2018 No recommended changes.
Tennessee State Libary and Archives: 06-07-2018 No recommended changes.
Comptroller Audit Review: 2018-07-25 We have reviewed RDA 2080 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency: 08-22-2018 Thank you
RMD Director Recomendations: 10-02-2018 RDA 2080 is a request to revise an RDA. The retention period will remain five years and destroy. The format will be paper. The Title, Abstract, Cut Off, Disposition, and Worksheet have been updated. Recommend approval of request to revise RDA 2080.
Signed Form Received: 2018-10-01
PRC Meeting Date: 10-30-2018
PRC Comments: PRC approves RDA 2080.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
578 2080 2018-10-30 Approved