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Clinical Laboratory Requisitions and Reports

RDA Number
2804
Effective Date
Record Series Abstract
Records include, but not limited to testing requisition forms and supply requisition forms associated with the clinical tests performed at the lab.
Record Series Active
Yes
Cut Off at End of
Calendar Year
Total Retention Years
5
Total Retention Months
0
Retention End Action
Destroy
Disposition Notes
Paper requisitions are submitted to the laboratory. After accessioning, these are retained in the laboratory's reporting office until the end of the retention period, then are destroyed by State approved methods.
Record Location
1st Floor Reporting Office
630 Hart Lane
Nashville, TN 37216
File Arrangement
Alpha and Numeric
Media Format Generated
Paper
Media Format Generated Summary
Paper: Sheet
Media Format Stored Summary
Paper: Sheet
Date Range
2018 to Present
Allotment Code
343.08
Annual Accumulation
87 CF
Current Volume
26.1 cf
Record Value
Administrative
Legal
Audit Requirements
Both
Information Shared Outside the State
Yes
Shared Agencies
Clinical Laboratory Improvement Amendments
Confidential
Yes
Confidential Legal Citation
42 CFR 493.1105(2)
Does this Record Series Contain Sensitive Information?
No
Agency Retention
5 Years
Records Center Retention Period
No
Records Management Division (RMD)
03-16-2023
No recommended changes.
Tennessee State Library and Archives
03-21-2023
No recommended changes.
Comptroller Audit Review
03-21-2023
We have reviewed RDA 2804 from an audit standpoint. We concur with the recommended retention and disposition specifications.
Agency Records Officer
03-22-2023
Thank you.
RMD Director
03-23-2023
RDA 2804 is a request to revise an RDA. The retention period will change from two years and then destroy to five years and then destroy. The format will be paper. The Abstract, Disposition Notes, and Worksheet have been updated. Recommend approval of the request to revise RDA 2804.
Public Records Commission
04-18-2023
PRC approves RDA 2804.