Copy, paste, and cloned electronic records.

We read with great interest and appreciation the article by Weis and Levy 1 and the editorial by Koppel 2 in a recent issue of CHEST (March 2014). If we may make additional observations about the day-to-day review of records from those of us that perform health information reviews, there are more problems. One of us is on the faculty at National Jewish Health and consults on many out-of-state patients. Th e number of records brought has signifi cantly risen over time. One such patient arrived with 4,000 pages (electronically counted) for their consult. Where does the physician begin? With the patient and not with the too numerous records! It is very diffi cult to perform complex consultations buried in records of which only a few pages are actually helpful.