You’re choosing to ignore what Onaka has already disclosed. The information contained in the White House image is NOT “identical to” the information in the HDOH record. The White House image is a forgery.
It wasn’t forged to change some information; it was changed to DELETE some information - specifically the information showing that the record itself is legally non-valid.
Onaka’s disclosures have already told us what the White House did and why.
That's possible, we don't know. It might also be the case that nothing substantive was changed.