1. Electronic Death Registration In California MEDICAL FACILITY TRAINING 2 0 0 7_ 0 409

2. MEDICAL FACILITY TRAINING 2 DC Death Certificate VS-11e VS-9e DP Disposition Permit

3. MEDICAL FACILITY TRAINING 3 PI Personal Info MI Medical Info CI Coroner Info VS-11e

4. MEDICAL FACILITY TRAINING 4 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 ?

5. MEDICAL FACILITY TRAINING 5 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

6. MEDICAL FACILITY TRAINING 6 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

7. MEDICAL FACILITY TRAINING 7 PERSONAL INFORMATION Enter PI –First Name –Last Name –DOD –Time of Death –Sex –DOB (optional) STEP 2

8. MEDICAL FACILITY TRAINING 8 MEDICAL INFORMATION STEP 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

9. MEDICAL FACILITY TRAINING 9 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

10. MEDICAL FACILITY TRAINING 10 REFER TO ME/CORONER STEP 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

11. MEDICAL FACILITY TRAINING 11 Remote Attestation STEP 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.

12. MEDICAL FACILITY TRAINING 12 REMOTE ATTESTATION The Physician will Receive…

13. MEDICAL FACILITY TRAINING 13 Physician Fax Coversheet

14. MEDICAL FACILITY TRAINING 14 Physician’s Copy of the Death Certificate. To be signed and Faxed back to CA-EDRS.

15. MEDICAL FACILITY TRAINING 15 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

16. MEDICAL FACILITY TRAINING 16 view FAX remote attestation or hear VOICE remote attestation

17. MEDICAL FACILITY TRAINING 17 View the Remote Attestation from the Medical Certifier / Physician

18. MEDICAL FACILITY TRAINING 18 View Remote Attestation FAX Confirm: Physician’s signature No Changes No modifications No additions

19. MEDICAL FACILITY TRAINING 19 View Remote Attestation FAX Confirm: Physician’s signature No Changes No modifications No additions

20. MEDICAL FACILITY TRAINING 20 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

21. MEDICAL FACILITY TRAINING 21 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.

22. MEDICAL FACILITY TRAINING 22 Death Certificate VS-11e DEMO REGISTRAR, MD MPH DEMO PHYSICIAN MD

23. MEDICAL FACILITY TRAINING 23 THANK YOU This completes the Medical Facility training