Electronic Death RegistrationIn California

MEDICAL FACILITY TRAINING

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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: Assigning Record Access allows other EDRS users to edit/modify 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 – First Name– Last Name– DOD– Time of Death– Sex– DOB (optional)

STEP 2

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MEDICAL INFORMATIONSTEP 3

• Enter MI • 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. These fields 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

• Verify MI Review 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 (excluding 115 and 116) 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 (including 115 & 116) is now 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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TRANSFER RECORD

• Select Record

• Transfer to Funeral Home• Record Options > Transfer • Select Funeral Home “Organization” or Medical Facility.

Note: Transfer allows an EDRS Funeral Home or EDRS Medical Facility “Organization” to edit/modify a given record. The “Organization” is NOT the Funeral Home or Medical Facility on the Death Certificate.

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Death Certificate VS-11e

DEMO REGISTRAR, MD MPH

DEMO PHYSICIAN MD

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THANK YOUThis completes the Medical Facility training