Both of us are consultants for the State of Colorado Disability Determination Services, and we peruse records from 30 to 5,000 pages per case. The massive increase in generated records over the past few years has contributed to slowing of the review and adjudication process. A single office visit may extend over five pages of records, of which only two sentences are different from the report of prior visits and no additional assessment or plans are recorded. The cut and paste of detailed physical examinations, often of body parts not relevant to the visit, cast doubt on the validity of any recorded physical findings. Often, there are contradictory statements within the same physical examination, making it difficult to know which is correct. A diagnosis, once considered, is propagated endlessly on the often cut and pasted but never edited problem list, even after it is discarded. It is often difficult to find the trees of useful information in the forest of cut and paste. This unintentional slowdown increases taxpayer costs and the time that severely disabled people must wait for disability payments. We applaud your thoughts and efforts, and hope your insight will ease our lives in the future.