Some hospitals give a ‘suitable-for-framing’ diploma type birth certificate to the proud parents, and an ‘official’ birth certificate form for the state records.
And I'll just include this link in case it's useful. From 1981....
State of Hawaii Public Health Regulations Chapter 8.
I've gotta bug, but if anyone gets a chance to look up what the local regs were before the changes above, that might be useful.