Electronic Death RegistrationIn California

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2 0 0 7 _ 0 701

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DCDeath Certificate

VS-11e VS-9e

DP Disposition Permit

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PI Personal Info

MI Medical Info

CI Coroner Info

VS-11e

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Icons

– Search Lists– State/Foreign Country– Hispanic– Race– Occupation– Kind of Industry– Embalmers– Funeral Homes– Medical Facilities– Physicians (MDs & DOs)

Field Sensitive Help

Select Date

Remote Attestation View PAC Fax image

Listen to Voice

?

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TRAINING NOTE:

• When using the Training Environment of EDRS, DO NOT create a Death Certificate of any live

person

• Please use Cartoon, TV, Movie or other fictional characters

• Creating a DC of a living person is a violation of privacy

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LOG IN & CREATE RECORD

• Enter User Name and Password

• Record Options > Create New Record

• Do not Assign Record Access

• Do not alter default values

Note: Record Access is to allow other EDRS users to see a given record. Record Access is NOT the Funeral Home, Medical Facility, ME/Coroner, or Local Registrar on the Death Certificate.

STEP 1

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PERSONAL INFORMATION

• Enter PI

• Validations

• Sign for Embalmer, if applicable

STEP 2

• Validations > Validate PI • Record Options > Print Working Copy

• Use search browser to auto-populate Embalmer Name & License # in Fields . 42 & 43. Otherwise type Embalmer Name & License # in fields 42 & 43. • Record Options > Sign Embalmer• If not embalmed, type NOT EMBALMED in Field 42 & a hyphen (-) in Field 43.

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PERSONAL INFORMATION (continued)

• Verify Social Security Number (SSN)

• Authenticate PI

• Verify status in Decedent Folder

STEP 2

• Must enter First Name, Middle Name or initial, Last Name, Date of Birth, Sex, . and SSN in fields 1, 2, 3, 4, 6, and 10 respectively BEFORE SSNV• Must attempt to Verify SSN at least once • Record Options > Request SSN Verification

• Must complete both Sign Embalmer and Verify SSN BEFORE AUTH• Record Options > Authenticate PI• PI is now LOCKED for updates

• Record Options > Decedent Folder (PI Auth = AUTH)

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MEDICAL INFORMATIONSTEP 3

• Enter MI & CI, if applicable• Validations

• Required BEFORE Submitting MI for LR Review, if applicable

• Validations > Validate MI • Validations > SpellCheck MI• Record Options > Print Working Copy

• Use search icon to auto-populate Fields 115 & 116 or enter Physician’s name &  . Title in Field 115, Physician’s License in Field 116. Fields 115 & 116 may be blank when Submitting MI for LR Review.

• If Coroner assigns number BEFORE Physician attests, select Record Options > Refer to ME/Coroner, then enter number in Field 108A • If Coroner assigns number AFTER Physician attests, select Record Options > Refer to ME/Coroner.

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MEDICAL INFORMATION (continued)

STEP 3

• Submit MI for LR Review, if applicable

• Verify status in Decedent Folder

• For Coroner Referrals, go to STEP 4A

• For Physician Signature, go to STEP 4B

• Record Options > Submit MI for LR Review

MI is now LOCKED for updates

• Record Options > Decedent Folder

MI Review = SUBM

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REFER TO ME/CORONERSTEP 4A

• Refer to ME/Coroner

• Contact the Local Health Department for additional county specific requirements

• Verify attestation status in Decedent Folder

• Record Options > Refer to ME/Coroner

• Record Options > Decedent Folder • REV - ME/C reviews reportable case, assigns coroner referral #• ACC - ME/C accepts case, assigns coroner referral#, ME/C attests• DECL - ME/C declines case, no further action needed, “NONE” will appear in coroner referral field

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Remote AttestationSTEP 4B

• Required BEFORE Requesting Remote Attestation

• Request Remote Attestation• Record Options > Request Remote Attestation • Enter Physician’s fax number.• MI is not LOCKED for updates

• Use search icon to auto-populate Fields 115 & 116 or enter Physician’s name &  . Title in Field 115, Physician’s License in Field 116. • If Coroner assigns number BEFORE Physician attests, select Record Options > Refer to ME/Coroner, then enter number in Field 108A • If Coroner assigns number AFTER Physician attests, select Record Options > Refer to ME/Coroner.

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REMOTE ATTESTATION

The Physician will Receive…

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PhysicianFax

Coversheet

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Physician’sCopy of the

Death Certificate.

To be signed and Faxed back to

CA-EDRS.

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Remote Attestation (continued)

STEP 4B

• Verify attestation status in Decedent Folder

• Review Attestation

• View FAX Attestation

• Listen to Voice attestation

• Record Options > Decedent Folder

MI Rem ATTEST = REQ when requested

MI Rem ATTEST = ATT when attested

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view FAX remote attestation

or hear VOICE remote attestation

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View the Remote Attestation from the Medical Certifier / Physician

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View Remote

Attestation FAX

Confirm:•Physician’s signature•No Changes•No modifications•No additions

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View Remote

Attestation FAX

Confirm:•Physician’s signature•No Changes•No modifications•No additions

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Hear the Remote Attestation from the Medical Certifier / Physician

Physician’s voice stating Physician name + information is correct + Decedent name

Physician’s voice stating License Number = License Number in field 116

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DISPOSITION PERMITSTEP 5

• Create Disposition Permit(s)

• Enter Information• Save

• View Working Copy for items that are too long

• Permit Options > Create Permit

• Permit Options > Print Working Copy

• Permit Options > Save

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SUBMIT TO LOCAL REGISTRARSTEP 6

• Final Review• BEFORE you can Submit for Local Registration …• PI must be Authenticated (AUTH)• MI must be Attested (MC ATT or ME/C ATT)• Record Status = COMP• Disposition Permit(s) must be completed• Contact the Local Health Department for additional county specific

requirements

• Submit for Local Registration• Record Options > Submit to Local Registrar

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Death Certificate VS-11e

DEMO REGISTRAR, MD MPH

DEMO PHYSICIAN MD

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Steps

• 1• 2• 3• 4A if applicable• 4B• 5• 6

Steps

• 1• 2• 3• 4A• 5• 6

County Name

PHYSICIAN SIGNS

ME/Coroner SIGNS

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Steps

• 1• 2• 3• 4A if applicable• 4B• 5• 6

Steps

• 1• 2• 3• 4A• 5• 6

County Name

PHYSICIAN SIGNS

ME/CSIGNS

DUALSIGNATURE

Steps

• 1• 2• 3• 4A• 4B• 5• 6

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THANK YOUThis completes Training Session I