Electronic death certification a fully electronic certification of the medical certificate of cause of death, i.e. the certifier completes and signs off an electronic form (on the computer). The form is then electronically sent to the relevant authorities. Explanation: In some countries the certifier completes the medical certificate on paper but all the information on this certificate is later entered in electronic format by somebody else, and all this information is available electronically to the compiler of the statistics. While this is not electronic death certification, it is a system that shares many of the benefits of electronic death certification.