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Drug Overdose Reporting

Announcement (12/01/2020): 

Effective January 3rd, 2021, hospitals will be required to report drug overdoses containing 12 new Opioid-related ICD-10-CM codes. These new codes allow for more specific reporting of drug overdoses involving synthetic opioids including drug overdoses involving fentanyl. The 12 new codes have been added to the Drug Overdose Reporting (DOR) 2021 Reportable Diagnosis Code List and are detailed in the document links below:

Tennessee Department of Health – DOR Notification -

Tennessee Department of Health – DOR Diagnosis Code List -


What is Drug Overdose Reporting?

An important tactic in understanding and combating Drug Overdoses in Tennessee is to have more information about people who have died from drug overdoses.  Drug overdose deaths rose from 1263 in 2014 to 1451 in 2015, an increased rate of 22.1 per 100,000 Tennessee residents.  Many individuals experience multiple nonfatal overdoses during which they interact with the healthcare system prior to succumbing to a fatal overdose.  The goal of Drug Overdose Reporting is to collect and use timely information to identifying high risk behavior and to provide current, accurate information to clinicians caring for patients at risk.

Enabling Legislation: Tennessee Code Annotated Title 68, Chapter 11, Part 3 Tenn. Code Ann. § 68-11-314

In January 2020, the reportable condition, Opioid Drug Overdose, was expanded to Drug Overdose to include Opioids, Stimulants, Benzodiazepines, and Muscle Relaxants: 2020 Reportable Diseases List for Healthcare Providers


Drug Overdose Onboarding:

The onboarding process to exchange data with the Tennessee Department of Health (TDH) begins when a potential trading partner registers with TDH, expressing their intent to exchange data electronically.  Once the trading partner registers in the TPR system the trading partner will progress through all milestones development and testing the interface files with TDH.

Trading Partner Registration (TPR) system

A Trading Partner Registration worksheet is available to help you organize and obtain the information needed to complete the TPR registration.

TPR training is available to help you complete the TPR registration.

Technical Assistance

The Office of Informatics and Analytics (OIA) provides technical assistance for Drug Overdose Reporting (DOR) in the form of manuals and associated technical documentation for Drug Overdose Reporting (DOR).

The Drug Overdose Reporting Manual provides specifications for Tennessee Department of Health trading partner responsible for implementing the Drug Overdose Reporting Interface.  The manual include general reporting requirements, data dictionary, and the timing and frequency of data submission. 

The Drug Overdose Reporting REDCap Guide is a reference document for utilizing the REDCap application to submit DOR data and reports

The Drug Overdose Reporting Workflow Diagram provides a visual reference for the 6 milestones needed to complete the onboarding process for DOR.

For further information on DOR, contact Subject: Drug Overdose Reporting

Frequently Asked Questions:


Who is required to participate?

Any facility licensed under Tennessee Code Annotated Title 68, Chapter 11, Part 3. Tenn. Code Ann. § 68-11-314

What records are required to be submitted?

All inpatient, outpatient and “23 hour observation” records that have a diagnosis from the current list of reportable diseases code list (See Tennessee Department of Health – DOR Diagnosis Code List).

Please direct your questions to with Drug Overdose Reporting in the subject line.