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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


Tennessee Department of Health is now onboarding hospitals and emergency departments statewide for Drug Overdose Reporting.  As you know, per Tenn. Code Ann. § 68-1-104, “the commissioner of health or the commissioner's designee may obtain records maintained by any facility licensed under this title to facilitate investigations and inquiries concerning opioid drug abuse, opioid drug overdoses, and opioid overdose deaths.”  To further facilitate this work, please provide a contact list for your organization with both a leadership and technical contact (persons familiar with computer interfaces and data exchange).  Please direct this list to with the Subject: Drug Overdose Reporting.

TDH has distributed Drug Overdose Reporting (DOR) information and technical details through multiple channels in an effort to notify all applicable Tennessee hospitals and emergency departments that statewide Drug Overdose Reporting implementation has begun. 

  • TDH has worked with Tennessee Hospital Association (THA) to distribute DOR information packages to all THA member hospitals.
  • TDH sent emails with DOR information packages to all hospital TPR contacts.
  • TDH made this announcement available to the Tenncare ERH newsletter, East Tennessee Health Information Network (etTHIN) newsletter and the Rural Health Association of Tennessee newsletter.

 Note: All of these DOR materials are also available on the Drug Overdose Reporting web page. 

Next Steps: Please provide a contact list for your organization with both a leadership and technical contact.  TDH will help determine if your organization has an existing Trading Partner Registration (TPR).  Your organization will then need to either update your existing or create a TPR for your facility with the required Drug Overdose Reporting interface information.  Organizations and Facilities will only be considered “engaged” after the TPR is approved and the onboarding milestones are started.

Please submit your contact list and general inquiries to

For questions or concerns regarding how TN’s drug overdose reporting program is effected by 42 CFR, please contact

 Tennessee Department of Health – Commissioners Letter

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.

Trading Partner Registration 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?

Answer - 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?

Answer - All inpatient, outpatient and “23 hour observation” records that have a diagnosis from the current list of reportable International Classification of Diseases code list (See DOR manual).

What diagnosis codes should be reported in the 18 occurrences for diagnosis code?

Answer - In order to ensure that all of the possible occurrences of the drug overdose codes are captured only include valid codes from the Diagnosis Code List.