As a former medical transcriptionist (25-plus years), I have a few problems with these documents. First, the “letterhead” is atrocious, and the report has multiple errors. There are plenty of mediocre transcriptionists, which can explain the poor quality of the documentation, but I’ve never seen a report that uses the SSN as an identifier.
Lastly, I’m surprised that Hillary didn’t use an alias. When I worked at Mayo Clinic in Scottsdale, I actually transcribed physical exams for George H. W. Bush and Barbara, who both were registered under fake names. The only reason I knew it was them was because I recognized the name Barbara Pierce, and as I transcribed the dictation it was confirmed for me.
Somehow, I doubt Queen Hillary would allow it any other way.