It's real
What we don't know is whether there was, and still is, an actual, paper birth certificate on file, or if there is just a computer birth record.
His medical records may indicate that he has a mental illness (for example, a paranoid narcissist with delusions of grandeur), a disease that is untreatable, a disease that could only have been contracted in Africa, a genetic disease that ties him to a different parent, or any other medical marker that conflicts with what he's told us.
His college records will show that he had no student loans, that someone else paid for him like Mansour, Soros, and/or Bill Ayers, that he could not have gotten into Columbia or Harvard on the basis of his grades and test scores, that he took crib courses throughout his college career, that he flunked Law, that he was put on academic probation, that he registered as a foreign student and/or under Barry Soetoro, that he was a dropout or stopout.
I'm sure that there are a few others.