Each state has tailored the workflow to meet their specific goals and mesh with their environment. This document shows several workflows that are in use by different states. There are also different options for what the forms themselves look like. Some states include a cover page with instructions, others send just the single page that needs to be reviewed and signed. The following diagrams show several workflow options.
Data Entry Highlights
Funeral home Medical data is handwritten by the physician, transcribed by the Funeral Director, and then faxed to the physician who certifies the data and signs the attestation form. Sample documents with fictitious content for this workflow process are included.
State staff Medical data is handwritten by the physician and faxed to the state, where the data is entered and approved as accurate and complete. The entered data is faxed to the physician who certifies the data and signs the attestation form. Sample documents with fictitious content for this workflow process are included.
Physician’s office Medical data is entered by staff at the physician’s office and faxed to the physician who certifies the data and signs the attestation form.
Manual All data is gathered manually, typically by the Funeral Director, and faxed to the state (or optionally brought to a local office) where the data is entered and approved as accurate and complete. The entered data is faxed to the physician who certifies the data and signs the attestation form.
Please contact Acordex for further information: Acordex Imaging Systems 37 Walker Rd., 1st Floor http://acordex.com 978-975-8000 North Andover, MA 01845
EDRS Remote Attestation Sample Workflows
Electronic Death Registration Systems (EDRS) use computer generated faxes to request physicians’ certification of medical data. Signed attestations from the physicians are automatically
computer processed to notify the EDRS of the certification.
EDRS Acordex Server Users
Funeral Director enters all
non-medical dataPrepare the Working Copy
data, which is missing the
medical section
Physician writes the cause
and manner of death, and
faxes the form back
Working Copy form and
instructions are faxed to the
physician
Funeral Director views the
Working Copy on-screen and
enters medical data
Recognize document;
notify the database of the
Working Copy’s return
Prepare the Attestation
Form, which includes the
medical sectionPhysician signs Attestation if
medical section is correct,
and faxes the form back
Tre
at
an
un
sign
ed
Att
est
ati
on
lik
e a
no
ther
Wo
rkin
g C
op
y
Attestation Form
Work Copy
Fax Attestation Workflow — Funeral Director Option
Capture medical data
(cause and manner of death)
Display Working Copy next
to data entry screen
Attestation Form is faxed to
the physician
Determine whether the
Attestation is signed or not
signed; notify the database
Death Certificate is issuedNo change request received
Issue Certificate
Is the Attestation signed?
No: repeat data entry.
Yes: issue death certificate
EDRS Database Acordex Server Users
Funeral Director enters all
non-medical dataPrepare the Attestation form,
which is missing the medical
information
Physician writes the cause
of death and signs form,
optionally requests Courtesy
Copy, faxes it back
Attestation form and
instructions are faxed to the
physician
State Nosologist views the
fax on-screen, enters and
approves cause of death
Optional audit
(local or state)
Recognize document,
determine whether it is
signed; notify VRS
Physician optionally reviews
typed cause of death, may
ask for changes
Death Certificate is issued
Courtesy Copy
Attestation Copy
Fax Attestation Workflow — State Nosologist Option
Capture medical data
(cause and manner of death)
Display form next to data
entry screen
Display Attestation in a web
page, if authorized
Courtesy Copy may be faxed
to the physician
Optionally type Courtesy
Copy of all data,
including cause of death
No change request received,
issuance process continues
Issue Certificate
Change requst may be
received; if so, notify VRS
EDRS Acordex Server Users
Funeral Director enters all non-medical data
Physician Office Staff enters medical information
Prepare the Attestation Form, which includes the
medical sectionPhysician signs Attestation if
medical section is correct, and faxes the form back
Attestation Form
Data Capture
Fax Attestation Workflow — Physician Office Option
Attestation Form is faxed to the physician
Determine whether the Attestation is signed;
notify EDRS
Death Certificate is issuedAttestation form signed without changes
Issue Certificate
Data Entry screen
Data Entry screen
Netsmart VRS Acordex Server Users
Local Office (e.g. county)
receives paper document
and faxes it to the state
Recognize document;
notify the database of the
Worksheet arrival
Prepare the Attestation
Form, which includes the
medical section
Physician signs Attestation if
medical section is correct,
and faxes the form back
Death Certificate is issued
Attestation Form
Worksheet
Fax Attestation Workflow — Manual Paper Option
Capture data
(medical &/or non-medical)
Display Worksheet
Is the Attestation signed?
No: repeat data entry.
Yes: issue death certificate
Attestation Form and
instructions are faxed to the
physician
Determine whether the
Attestation is signed or not
signed; notify the database
Is the everything complete?
Incomplete: Manually
contact the Funeral Director
Not signed: initiate Remote
Attestation
Complete: issue certificate
State staff views the Work-
sheet, determines what
death record it pertains to
and enters data
Funeral Director manually
collects medical and
non-medical information
Acordex Imaging Systems http://acordex.com 978-975-8000
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