An abstract contains the information about an event, but is not certified by the state (it would never be called a Certificate of Live Birth, for example). Does anyone even use abstracts anymore?
The certification statement for Hawaii certifies that a document is a true copy OR ABSTRACT of the original record on file. And the abstract is all that the Hawaii DOH will allow anybody to see now. Period. A computer printout.
And they do call it a “Certificate of Live Birth”. A standard copy of a birth certificate is authorized to be made by film, photocopy, or typing. Not by computer. But all the HDOH will issue is abstracts - computer printouts of the INFORMATION, not a copy of the actual record.
It’s as illegal as heck, but it’s what they do. Along with a bunch of other illegal things.