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Tennessee Secretary of State Tre Hargett
Records Management Division
RDA
RDA Management System
RDA Details
RDA
RDA: 150
Database ID: 8
Record Series Title: HEALTH DEPARTMENT PATIENT MEDICAL RECORDS
Record Series Abstract: RECORDS INCLUDE BUT ARE NOT LIMITED TO MEDICAL HISTORIES, REPORTS, SUMMARIES, DIAGNOSIS, RECORD OF TREATMENT, ETC.
Record Series Active: Yes
Cut Off at End of: Other
If Other, Explain: AT THE END OF EACH VISIT
Total Retention: 10 Years 0 Months
Retention End Action: Destroy
Disposition Notes: THE FILES ARE TO BE CUT OFF AT THE END OF EACH VISIT THEN, MAINTAIN IN AGENCY FOR 10 YEARS; OR AFTER AGE OF MAJORITY PLUS ONE YEAR, WHICH EVER IS LONGER; THEN DESTROY.
View Signed Form: Form Not Received
Worksheet
Worksheet ID: 8
Record Location: LOCAL HEALTH DEPARTMENT/CLINIC (RECORDS OFFICER HAS LIST OF LOCATIONS)
File Arrangement: PAPER: NUMERIC, ELECTRONIC: ALPHA NUMERIC
Media Format Generated: Both
Media Format Stored: Paper/Electronic
Date Range: 1967 – Current
Annual Accumulation: 2200 cubic feet in paper, 70gb
Current Volume: 36,250 cubic feet in paper, 700gb
Record Value: Administrative, Fiscal, Legal
Audit Requirements: Both
Reference Frequency:
Current Year per Month: 50000
Past Year: 600000
2 - 5 Years: 1200000
Over 5 Years: 3000000
Data Update Frequency: Daily
Information Shared Outside of State: Yes
If Shared, List Agencies: U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, U.S. DEPARTMENT OF AGRICULTURE, U.S. DEPARTMENT OF HOMELAND SECURITY, CENTERS FOR MEDICARE AND MEDICAID SERVICES, ETC.
Essential Record: Yes - Original
Essential Record Stored: LOCAL HEALTH DEPARTMENT (RECORDS OFFICER HAS LIST OF LOCATIONS)
Essential Record Media Type: Electronic
Confidential: Yes
Confidential Legal Citation: TCA 63-2-101
Media Recommendation: Current Format
Media Recommendation Other:
Agency Retention: 10 YEARS
Agency Retention - Years Active:
Agency Retention - Years Inactive:
Records Center Retention Period: 0
Final Disposition after Retention Expires: Destroy
Legal Citation: T.C.A. 68-11-305
Record Sample: No Sample
Legal Documentation: No Legal Documentation
Electronic Records Plan Inventory
System Name: (EPI) ELECTRONIC PUBLIC-HEALTH INFORMATION
IT-ABC Number: DC2901
Hardware Description: The EPI infrastructure consists of multiple environments – Development, Test/Train, Production, Availability (DR) and Data Migration. All hardware is located in the State’s Data Centers. The Development environment is two (2) Linux physical servers located in the South Data Center (SDC). The Test/Train environment consists of seven (7) Virtual Machine (VM) servers – both Linux and Windows located at SDC. The databases and Storage Area Network (SAN) storage are encrypted. The Production environment consists of ten (10) VM servers – both Linux and Microsoft located at SDC. The databases and SAN storage are encrypted. The Availability (DR) environment includes two (2) hot Linux databases which are mirrored to the production databases and SAN replication for the remaining eight (8) VM servers. These are located at the North Data Center (NDC). The Data Migration environment, which is at the production level, consists of two (2) Linux VM servers located at SDC. The databases and SAN storage are encrypted. All of the environments are supported for user access using the State’s Citrix XenApp solution which encrypts network traffic from the user to the Data Centers.
Software Description: EPI is facilitated by the use of vxVistA. The vxVistA suite is a product of software components developed by DSSInc., and the VistA software developed the Department of Veteran’s Affairs (VA) and released under the Freedom of Information Act (FOIA). vxVistA is built in client-server architecture. It ties together workstations and personal computers with graphical user interfaces at health facilities, as well as software developed by local medical staff.
System Location: All EPI Production servers, Non-Production servers and storage are located at Data Center South (SDC). The Availability (DR) servers and SAN replication for DR is located at NDC. All stored data is in Encrypted SAN storage.
Backup Procedures: All EPI servers are backed up in EMC Avamar on Encrypted SAN storage with a backup policy that backs up all local drives. The backup includes all four (4) storage drives on the EPI databases. Avamar backups run daily for incremental file level back-up with the full server backup completed on the last Friday of each month. These are kept onsite at the Data Center for 30 days. The Encrypted back-up is also transferred to tape and stored at Iron Mountain with seven (7) year retention.
Disaster Recovery: TDH is under agreement with STS via a Memorandum of Understanding (MOU) for disaster recovery services for the EPI Production solution hosted at the state data centers.
Data Migration Description: TDH has approved utilizing the Static Transfer Switches (STS) Tier 3 (formally Gold) Availability option. This option has servers recovered and available within eight (8) hours with a <30 minute lost from hot standby servers. The EPI vxVistA application is mirroring data from the two (2) Production database servers at SDC to the DR hot database servers located at NDC. This portion is not covered under STS Tier 3 Availability since it is application based. The remaining eight (8) VM servers are fully replicated from SDC to NDC Encrypted SAN storage. The design for the Production environment is stored in the STS Availability Ops Planner. If a disaster is declared by STS for the SDC, STS will be recovery at the NDC following their Business Continuity Procedures.
Metadata Description: vxVistA is an open source solution available per the FOIA. As such, all technical documentation is available on the internet via http://www.ehealth.va.gov/VistA Monograph.asp. This site contains “monographs” of each component of vxVistA, including data, etc. Due to the volume of information, the Agency would prefer not to download and save/print the volumes of data for purposes of responding to this request for information.
Contact Information
Contact Name: Lois Holt-Cooper
Job Title: RECORDS 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: DR. JOHN DREYZEHNER MD, MPH, FACOEM
Director: PAMELIA J. BAGGETT
Allotment Code: 343.60
Status
Action Requested: New RDA
Comments
  Date Comments
Records Management Division (RMD): 07-27-2017 No recommended changes.
Tennessee State Libary and Archives: 08-02-2017 No recommended changes.
Comptroller Audit Review: 2017-08-15 We have reviewed RDA 150 from an audit standpoint. We concur with the recommended retention and disposition specifications
Agency: 08-15-2017 Thank you.
RMD Director Recomendations: 08-18-2017 RDA 150 is a request to revise an RDA. The retention period will remain ten years and destroy. The format will change to paper/electronic. The Worksheet has been updated. Recommend approval of request to revise RDA 150.
Signed Form Received: 2017-08-18
PRC Meeting Date: 09-07-2017
PRC Comments: PRC approves RDA 150.
PRC Action: Approved
RDA History
ID RDA PRC Reviewed PRC Action
8 150 2017-09-07 Approved