1. Electronic Death Registration In California T R A I N I N G S E S S I O N I 2 0 0 7 _ 0 701

2. T R A I N I N G S E S S I O N I2 DC Death Certificate VS-11e VS-9e DP Disposition Permit

3. T R A I N I N G S E S S I O N I3 PI Personal Info MI Medical Info CI Coroner Info VS-11e

4. T R A I N I N G S E S S I O N I4 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. T R A I N I N G S E S S I O N I5 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. T R A I N I N G S E S S I O N I6 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

7. T R A I N I N G S E S S I O N I7 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.

8. T R A I N I N G S E S S I O N I8 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 )

9. T R A I N I N G S E S S I O N I9 MEDICAL INFORMATION STEP 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.

10. T R A I N I N G S E S S I O N I10 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

11. T R A I N I N G S E S S I O N I11 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

12. T R A I N I N G S E S S I O N I12 Remote Attestation STEP 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.

13. T R A I N I N G S E S S I O N I13 REMOTE ATTESTATION The Physician will Receive…

14. T R A I N I N G S E S S I O N I14 Physician Fax Coversheet

15. T R A I N I N G S E S S I O N I15 Physician’s Copy of the Death Certificate. To be signed and Faxed back to CA-EDRS.

16. T R A I N I N G S E S S I O N I16 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

17. T R A I N I N G S E S S I O N I17 view FAX remote attestation or hear VOICE remote attestation

18. T R A I N I N G S E S S I O N I18 View the Remote Attestation from the Medical Certifier / Physician

19. T R A I N I N G S E S S I O N I19 View Remote Attestation FAX Confirm: Physician’s signature No Changes No modifications No additions

20. T R A I N I N G S E S S I O N I20 View Remote Attestation FAX Confirm: Physician’s signature No Changes No modifications No additions

21. T R A I N I N G S E S S I O N I21 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

22. T R A I N I N G S E S S I O N I22 DISPOSITION PERMIT STEP 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

23. T R A I N I N G S E S S I O N I23 SUBMIT TO LOCAL REGISTRAR STEP 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

24. T R A I N I N G S E S S I O N I24 Death Certificate VS-11e DEMO REGISTRAR, MD MPH DEMO PHYSICIAN MD

25. T R A I N I N G S E S S I O N I25 Steps 1 2 3 4A if applicable 4B 5 6 Steps 1 2 3 4A 5 6 County Name PHYSICIAN SIGNS ME/Coroner SIGNS

26. T R A I N I N G S E S S I O N I26 Steps 1 2 3 4A if applicable 4B 5 6 Steps 1 2 3 4A 5 6 County Name PHYSICIAN SIGNS ME/C SIGNS DUAL SIGNATURE Steps 1 2 3 4A 4B 5 6

27. T R A I N I N G S E S S I O N I27 THANK YOU This completes Training Session I