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Veterinary Animal CareTop 10 Best Hearing Conservation Software of 2026
Top 10 ranking of hearing conservation software with side-by-side feature notes for clinics, HR, and safety teams, plus tradeoffs for each tool.
How we ranked these tools
Vendors set the topic, but our editors set the inclusion criteria and the evaluation framework before research starts.
Agents extract product evidence with provenance, then collect written reviews and transcribe video reviews and podcasts.
Framework: Features 40% · Ease 30% · Value 30%
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Enterprise Health is the best fit for multi-site EHS teams needing consistent audiogram history with repeatable STS follow-up steps tied to specific test events, while HEARX suits occupational hearing programs that want baseline audiogram revision handling to keep threshold shift logic steady over time.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Enterprise Health
Employee audiometric history is maintained with managed STS follow-up steps tied to specific test events.
Best for: Fits when multi-site EHS teams need consistent audiogram recordkeeping and STS follow-up workflows.
HEARX
Editor pickBaseline audiogram revision handling keeps standard threshold shift logic consistent across time.
Best for: Fits when occupational health teams need STS workflow control tied to audiograms and measurement imports.
SHOEBOX Audiometry
Editor pickBaseline audiogram revision workflow keeps threshold shift decisions anchored to approved reference points.
Best for: Fits when hearing conservation teams need consistent audiogram history and STS follow-up workflows without custom engineering.
Comparison Table
Enterprise Health
enterpriseEmployee health software that supports occupational medicine, surveillance programs, and compliance workflows.
Employee audiometric history is maintained with managed STS follow-up steps tied to specific test events.
Enterprise Health is used to record pure-tone audiometry results, track baseline and revision cycles, and maintain an employee audiometric history that auditors can trace back to specific testing events. The workflow model supports STS follow-up workflow handling so abnormal findings create a managed next step for technicians and program owners. Admins gain governance by standardizing how tests are scheduled, how results are reviewed, and how program outputs are generated across sites.
A key tradeoff is that deeper integrations tend to require implementation work so employee and test data stay consistent across enterprise EHS integration boundaries. Enterprise Health fits best when an organization needs consistent audiogram recordkeeping and follow-up workflows across multiple locations with repeatable technician processes.
- +Structured audiogram data handling supports long-term employee history
- +Repeatable STS follow-up workflows reduce manual tracking effort
- +Site-level configuration supports consistent program execution
- +Audit-oriented record traceability ties results to test events
- –Enterprise EHS integration often needs careful implementation sequencing
- –Advanced configuration requires admin governance discipline
EHS managers
Run program recordkeeping and reporting
Less manual evidence compilation
Occupational health teams
Coordinate STS technician workflows
Faster follow-up completion
Show 2 more scenarios
Compliance administrators
Standardize baseline revision handling
Fewer baseline discrepancies
Configure baseline audiogram revision workflows to keep testing cycles consistent across sites.
Enterprise IT integration teams
Link EHS systems to audiometry data
Reduced data reconciliation work
Coordinate integrations so employee and hearing conservation records stay consistent across platforms.
Best for: Fits when multi-site EHS teams need consistent audiogram recordkeeping and STS follow-up workflows.
HEARX
vertical specialistOccupational hearing conservation software and hardware for industrial testing programs.
Baseline audiogram revision handling keeps standard threshold shift logic consistent across time.
HEARX fits teams that need repeatable STS follow-up workflow structure for employee audiometric history and audit-ready program documentation around 29 CFR 1910.95 hearing conservation. The system centers on audiogram data management workflows, including baseline audiogram revision and subsequent threshold shift trending across appointments. It also provides recordkeeping structure that maps employee hearing outcomes to required follow-ups and program maintenance tasks.
A key tradeoff is that the value depends on disciplined data setup for employee identifiers and baseline rules, because automated populating from external measurement sources still requires consistent mapping. HEARX works best when audiometry technicians and EHS staff already exchange dosimetry or noise survey outputs and need a system that keeps those measurements connected to hearing conservation records.
- +Structured STS follow-up workflow tied to employee audiometric history
- +Baseline audiogram revision support keeps long-term thresholds consistent
- +Noise dosimetry import supports connecting measurements to conservation records
- +Program recordkeeping oriented around OSHA hearing conservation requirements
- –Requires consistent employee identifier mapping for accurate record linkage
- –Advanced admin controls are less granular than enterprise EHS suites
- –Some technician workflows need configuration to match site forms
- –Integrations rely on clean source exports for reliable ingestion
Occupational health managers
Run STS follow-ups across sites
Cleaner documentation for recordkeeping
EHS coordinators
Import dosimetry into hearing records
Less manual data entry
Show 2 more scenarios
Audiometry technicians
Maintain baseline audiograms reliably
Fewer calculation discrepancies
HEARX supports baseline updates and ties revisions to later audiograms and threshold calculations.
Compliance leads
Audit hearing conservation documentation
Faster evidence assembly
HEARX structures employee audiometric history and hearing outcomes for program audit trails.
Best for: Fits when occupational health teams need STS workflow control tied to audiograms and measurement imports.
SHOEBOX Audiometry
vertical specialistTablet-based audiometry platform used for workplace hearing testing and conservation screening.
Baseline audiogram revision workflow keeps threshold shift decisions anchored to approved reference points.
SHOEBOX Audiometry centers on audiogram data management and hearing conservation recordkeeping, with views that help staff compare employee test results over time. It supports baseline audiogram revision workflows and standard threshold shift tracking so STS follow-up steps can be managed consistently across appointments. The application is also oriented toward program-level reporting use cases tied to 29 CFR 1910.95 compliance reporting needs. IT governance is practical when one team owns technician data entry because the workflow keeps results tied to employee history instead of loose files.
The main tradeoff is that organizations expecting deep enterprise EHS system integration may find the integration surface narrower than their data plumbing plans. SHOEBOX Audiometry fits best when a hearing conservation program team needs repeatable audiogram history review, technician-centric capture, and threshold shift trending support without building custom data pipelines.
- +Strong employee audiometric history views for longitudinal review
- +Baseline audiogram revision workflow supports consistent threshold shift decisions
- +STS follow up steps stay tied to test results and history
- +Technician workflow reduces reliance on manual record collation
- –Limited enterprise extensibility can constrain custom governance workflows
- –Sound level meter and dosimeter integrations can require external exports
- –Advanced noise exposure modeling needs typically depend on outside tools
Industrial hygiene teams
Run STS follow-up workflows
Fewer missed STS actions
Occupational health clinics
Maintain audiogram recordkeeping
Clean audit-ready histories
Show 2 more scenarios
CAOHC-style audiometry technicians
Capture standardized audiometry data
Less manual backtracking
Technicians use structured workflows to enter results that remain linked to employee history for later review.
EHS coordinators
Produce 29 CFR 1910.95 reporting
Repeatable program reporting
Coordinators compile compliance reporting views from stored audiometric history and threshold shift outcomes.
Best for: Fits when hearing conservation teams need consistent audiogram history and STS follow-up workflows without custom engineering.
KPA Flex
SMBEHS and safety management software that supports OSHA program administration, training, and compliance documentation.
The STS workflow links threshold outcomes to required follow-up tasks within the same employee record history.
KPA Flex is hearing conservation software that centers on managing employee audiometric history and tying follow-up actions to threshold shift findings. The system supports workflow around baseline setup, audiogram revision handling, and STS follow-up so records and next steps stay linked.
- +Program workflow keeps STS follow-up tied to individual audiograms
- +Audit trail supports traceability for record edits and baseline changes
- +Configuration supports OSHA-style hearing conservation recordkeeping structure
- +Import and export paths cover common audiometric data handoffs
- –Noise dosimetry import can require preprocessing for clean field mapping
- –Complex baseline revision workflows need careful admin setup discipline
- –Deep enterprise EHS integration depends on external data plumbing
- –Role separation and governance controls feel narrower than enterprise EHS suites
Best for: Fits when mid-size occupational health teams need consistent audiometric record workflows and traceable STS follow-up actions.
Salus
vertical specialistOccupational health software with hearing conservation workflow support for audiograms, baseline tracking, and OSHA-aligned program management.
Employee-centered audiometric history that drives STS follow-up workflow and recordkeeping documentation.
Salus runs hearing conservation recordkeeping workflows that connect audiometric history, STS follow-up, and program audit trails into one staff-facing system. Salus supports threshold shift tracking and follow-up workflows tied to OSHA hearing conservation recordkeeping needs, with employee-centric history views that reduce reliance on spreadsheets.
- +Built around STS follow-up workflows and employee audiometric history
- +Recordkeeping oriented reporting supports compliance-style documentation needs
- +Configuration supports structured hearing conservation program administration
- +Audit trail focus reduces spreadsheet-based history reconciliation work
- –Noise dosimetry import coverage can require manual cleanup for edge cases
- –Integration and data exchange options appear narrower than top automation-first competitors
- –Advanced trending analysis depth may feel limited for large multi-site programs
Best for: Fits when EHS and occupational health teams need structured STS follow-up and defensible hearing recordkeeping workflows.
Intelex Occupational Health Management
enterpriseSupports occupational health records, employee surveillance, and audiometric program administration.
Program audit tracking connects hearing conservation actions to governed occupational health records.
Intelex Occupational Health Management supports hearing conservation program operations inside a broader enterprise EHS record framework rather than only standalone audiology workflows. The solution centers on employee audiometric history tracking and STS follow-up workflows, and it routes results into OSHA hearing conservation recordkeeping processes.
- +Enterprise EHS structure helps link hearing data to broader occupational records
- +STS follow-up workflow supports consistent treatment of out-of-range results
- +Hearing protector fit-testing administration stays tied to employee program history
- +Hearing conservation program audit tracking supports documented technician actions
- –Hearing conservation workflows can feel heavyweight without an Intelex-first EHS rollout
- –Noise survey mapping and calibration record depth may require additional configuration effort
- –Mobile audiometry sync depends on integrations rather than built-in device orchestration
- –Admin governance for templates and forms adds overhead for small programs
Best for: Fits when enterprise EHS teams need governed hearing conservation records and audit trails across multiple sites.
WorkSTEPS Hearing Conservation
enterpriseOccupational health platform with hearing conservation program management, testing workflows, and compliance documentation.
Employee-centric STS follow-up workflow that links threshold changes to documented next steps within hearing conservation records.
WorkSTEPS Hearing Conservation is a hearing conservation workflow system that ties audiograms, program records, and follow-up tasks into one operational queue. It emphasizes OSHA hearing conservation recordkeeping mechanics like standard threshold shift tracking and documented employee audiometric history across testing cycles.
- +STS follow-up workflow keeps hearing loss steps tied to employee history
- +Audiogram data management supports baseline revision handling without separate tools
- +Noise exposure documentation can align with dosimetry inputs for record continuity
- +Program audit navigation is built around employee testing cycles and records
- –Reporting breadth can lag teams that need custom threshold shift analytics
- –Noise exposure mapping depends on configuration work across sites and surveys
Best for: Fits when occupational health teams need STS workflows plus managed audiogram histories for OSHA-style recordkeeping across cohorts.
Benson Medical Instruments Software
vertical specialistOccupational audiometer software suite for hearing tests, record storage, and hearing conservation program support.
Audit-oriented record assembly that keeps audiometric measurement context linked to STS follow-up workflow steps.
Benson Medical Instruments Software manages hearing conservation program workflows around audiometric recordkeeping and follow-up processes. It supports structured audiogram data management for employee audiometric history and helps maintain OSHA hearing conservation recordkeeping artifacts tied to threshold shift tracking.
- +Structured audiogram recordkeeping for employee history and follow-up review
- +Program-focused workflows for threshold shift tracking and STS follow-up
- +Calibrations and measurement context stay attached to hearing records
- +Clear administrative path for managing ongoing hearing conservation cases
- –Integration depth beyond instrument workflows can require additional IT effort
- –Noise survey mapping and sound level meter integration coverage is limited
- –API surface and extensibility controls are not a primary strength
- –Mobile audiometry sync workflows can feel rigid for field-heavy programs
Best for: Fits when hearing conservation teams need structured audiogram history, STS follow-up workflow, and governed recordkeeping.
EcoOnline Occupational Health
enterpriseSupports occupational health surveillance, employee records, and workplace exposure management.
Governed hearing conservation workflow that keeps audiogram history and threshold shift follow-up linked per employee.
EcoOnline Occupational Health manages occupational health workflows around employee hearing conservation records, including audiometric history and follow-up actions. The software supports program governance for occupational health teams that need audit-friendly documentation of testing, baseline handling, and threshold shift follow-up.
- +Centralized employee audiometric history with governed follow-up workflow
- +Supports baseline handling and STS follow-up tracking in one process
- +Admin configuration supports consistent hearing conservation recordkeeping
- +Audit-oriented documentation structure for occupational health teams
- –Noise dosimetry import and export workflows can be limited by integration setup
- –Field attenuation and protector fit-testing data management is not a primary focus
- –Advanced trend analytics depend on how teams model and enter audiograms
- –Hearing conservation deployments may require dedicated process adoption to stay consistent
Best for: Fits when occupational health teams need governed audiometric history and STS follow-up workflows with audit-ready records.
MAICO easyTone
vertical specialistAudiometry management software used with MAICO devices for occupational hearing testing and hearing conservation record workflows.
STS follow-up workflow that ties threshold shift results back to an employee audiometric history.
MAICO easyTone is hearing conservation software built around MAICO audiometry workflows, including audiogram data management and technician-centered recording. It supports standard threshold shift tracking as part of an employee audiometric history, which helps structure OSHA hearing conservation recordkeeping and STS follow-up workflow.
- +Technician-oriented audiogram entry flow with consistent forms
- +Strong STS follow-up workflow tied to employee audiometric history
- +Clear linkage from hearing test records to hearing conservation reporting
- +Noise and exposure documentation paths that fit dosimetry-led programs
- –Integration depth is strongest inside MAICO-centered equipment ecosystems
- –Noise exposure workflows can require disciplined input conventions to stay consistent
- –Advanced enterprise EHS integrations may be less flexible than broader SaaS ecosystems
- –Governance controls for large multi-site rollouts can feel limited versus top enterprise tools
Best for: Fits when MAICO audiometry programs need technician-friendly audiogram capture and STS workflow for ongoing recordkeeping.
Conclusion
After evaluating 10 hearing conservation software, Enterprise Health stands out as our overall top pick — it scored highest across our combined criteria of features, ease of use, and value, which is why it sits at #1 in the rankings above.
Use the comparison table and detailed reviews above to validate the fit against your own requirements before committing to a tool.
How to Choose the Right Hearing Conservation Software
The hearing conservation software shortlist covered here includes Enterprise Health, HEARX, SHOEBOX Audiometry, KPA Flex, Salus, Intelex Occupational Health Management, WorkSTEPS Hearing Conservation, Benson Medical Instruments Software, EcoOnline Occupational Health, and MAICO easyTone. Enterprise Health ranks highest for maintaining employee audiometric history with managed STS follow-up steps tied to specific test events. This guide narrows the decision to how each tool governs audiogram-linked workflows, handles baseline audiogram revision logic, and connects records to follow-up actions. The comparisons also focus on where teams run into integration sequencing work or configuration discipline needs across multi-site programs.
Teams use hearing conservation software to keep audiogram data linked to employee history, drive standard threshold shift follow-up workflow steps, and produce audit-ready recordkeeping outputs tied to specific test events. Tools differ most in how STS follow-up workflows are bound to employee record history and how baseline audiogram revision is handled over time. Enterprise Health supports structured audiogram data handling with repeatable STS follow-up workflows, while EcoOnline Occupational Health centers a governed hearing conservation workflow that links audiogram history and threshold shift follow-up per employee.
Hearing Conservation Software that links audiogram history to STS follow-up workflow and recordkeeping
Hearing conservation software stores employee audiometric history and ties threshold shift outcomes to documented STS follow-up workflow steps that support occupational hearing conservation recordkeeping. In Enterprise Health, the system maintains employee audiometric history with managed STS follow-up steps tied to specific test events, which reduces manual tracking across a multi-site program.
HEARX focuses on baseline audiogram revision handling that keeps standard threshold shift logic consistent across time and helps teams control STS workflow outcomes. These tools also differ in integration and configuration requirements, including how noise dosimetry imports and noise survey mapping behave when teams need clean field mapping or multi-site consistency.
Hearing conservation workflows that stay auditable across STS, baseline edits, and record history
Teams buying hearing conservation software live or die by whether STS follow-up stays tied to the exact audiogram test event that created the threshold shift outcome.
These tools are also judged on how baseline audiogram revision logic stays consistent, because drifting reference points break standard threshold shift tracking and make audit evidence hard to defend.
STS follow-up bound to employee audiometric history
Enterprise Health and WorkSTEPS Hearing Conservation both tie STS follow-up steps to employee audiometric history so follow-up actions remain linked to specific test events and documented next steps.
Baseline audiogram revision handling for consistent STS logic
HEARX and SHOEBOX Audiometry both emphasize baseline audiogram revision workflow so standard threshold shift logic stays consistent across time as audiogram reference points change.
Traceable task generation from threshold outcomes
KPA Flex and Benson Medical Instruments Software both connect threshold outcomes to required follow-up tasks and then preserve the record context that explains why the system generated those steps.
Audit trails for record edits and baseline changes
KPA Flex and Intelex Occupational Health Management both provide audit trail style traceability for record edits and baseline changes, which helps governed occupational health recordkeeping survive multi-site scrutiny.
Governance-first program audit tracking
Intelex Occupational Health Management and EcoOnline Occupational Health keep hearing conservation actions tied to governed workflows so audit-ready records stay structured across employee history and follow-up steps.
Controlled STS workflow tied to measurement imports and identifiers
HEARX and Enterprise Health both depend on consistent employee identifier mapping and implementation sequencing so STS follow-up attaches to the right person and the right test events during record linkage.
Pick the governance model that matches how the program actually runs across sites and clinics
The deciding factor is how each hearing conservation system binds audiogram history, threshold outcomes, and STS follow-up into a workflow that a program can run repeatedly without manual reconciliation.
Teams also need to choose how baseline audiogram revision is governed, because a tool that keeps revision decisions anchored to approved reference points reduces downstream inconsistencies in threshold shift trending and follow-up documentation.
Choose the workflow anchor: STS steps from test events or STS steps from threshold outcomes
Enterprise Health and WorkSTEPS Hearing Conservation anchor STS follow-up steps to specific test events inside employee audiometric history, which suits programs that want tightly event-linked traceability. KPA Flex and EcoOnline Occupational Health anchor STS workflow to threshold outcomes inside the employee record history, which suits teams that want follow-up tasks to emerge directly from threshold results.
Choose the baseline revision doctrine: consistency-first or revision-without-enterprise customization
HEARX and SHOEBOX Audiometry emphasize baseline audiogram revision workflow that preserves consistent threshold shift logic over time, which suits teams that prioritize predictable standard threshold outcomes. Basing revision decisions on an approved reference-point workflow works well when custom governance workflows are not a priority, as SHOEBOX Audiometry notes limited enterprise extensibility.
Match governance depth to site complexity and enterprise governance expectations
Enterprise Health and Intelex Occupational Health Management fit multi-site EHS teams that need governed occupational health record linkage and implementation sequencing discipline. EcoOnline Occupational Health and Benson Medical Instruments Software fit programs that want governed hearing conservation workflow and record assembly without requiring the broadest enterprise EHS rollout.
Validate measurement and integration expectations against real field workflows
HEARX and Salus both highlight noise dosimetry import edge cases that can require manual cleanup, so teams should confirm how field data arrives before committing. SHOEBOX Audiometry also signals sound level meter and dosimeter integrations may require external exports, which can change the total workflow time for noise exposure inputs.
Pick configuration style: admin-heavy traceability or configuration-light continuity
Enterprise Health and KPA Flex both require admin governance discipline for advanced configuration and repeatable traceability, which can affect rollout timelines. MAICO easyTone and SHOEBOX Audiometry emphasize technician-friendly or workflow-consistent approaches, but MAICO easyTone notes integration depth is strongest inside MAICO-centered equipment ecosystems.
Who Hearing Conservation Software should fit
Hearing conservation software fits organizations that manage employee audiometric history, drive standard threshold shift follow-up workflows, and produce recordkeeping outputs tied to specific test events.
Different tools fit different operating models, especially when multi-site EHS governance, technician-centered capture, or audit trail requirements change the configuration and rollout pattern.
Multi-site EHS programs that manage STS follow-up across clinics
Enterprise Health keeps employee audiometric history with managed STS follow-up steps tied to specific test events, which reduces manual tracking across multi-site programs.
Occupational health teams that need baseline revision control for consistent threshold logic
HEARX and SHOEBOX Audiometry both maintain baseline audiogram revision workflow so standard threshold shift logic stays consistent across time even when reference points change.
Enterprise EHS teams that want governed occupational health audit trails
Intelex Occupational Health Management connects hearing conservation actions to governed occupational health records and supports program audit tracking across multiple sites.
Teams that prioritize technician-friendly audiogram capture and day-to-day STS workflow
MAICO easyTone provides technician-oriented audiogram entry flow with consistent forms and then ties STS follow-up to employee audiometric history.
Mid-size occupational health teams that need traceable STS follow-up tasks
KPA Flex links threshold outcomes to required follow-up tasks within the same employee record history and includes an audit trail for record edits and baseline changes.
Common buying mistakes that create STS workflow failures after rollout
Teams often fail hearing conservation implementations when baseline revision rules, employee identifier mapping, and measurement import expectations are not validated against how the program actually runs.
These failures show up as broken record linkage, unclear audit evidence for baseline edits, and follow-up tasks that do not match the test event that triggered the threshold shift outcome.
Assuming STS follow-up will remain linked to the original test event without validating the workflow anchor
Enterprise Health ties managed STS follow-up steps to specific test events, while other tools may tie workflow more directly to threshold outcomes, so the operating model needs to match the binding behavior before rollout.
Underestimating identifier mapping work that breaks employee record linkage
HEARX calls out the need for consistent employee identifier mapping for accurate record linkage, so teams should confirm identifier sources and data quality before enabling STS workflow across history.
Treating baseline audiogram revision as an occasional admin task instead of a governed workflow
HEARX and KPA Flex both stress baseline revision workflow consistency and audit traceability, so teams should model how approved reference points get revised and how those edits get documented.
Planning noise dosimetry and survey workflows without accounting for import cleanup or export dependencies
Salus warns that noise dosimetry import coverage can require manual cleanup for edge cases, and SHOEBOX Audiometry notes sound level meter and dosimeter integrations can require external exports, so field data needs to be aligned with the tool’s import path.
Choosing an enterprise-centric governance tool without allocating configuration discipline
Enterprise Health and KPA Flex both note advanced configuration requires admin governance discipline, so rollout plans should include governance ownership for baseline changes and STS follow-up task behavior.
Analyst-checked shortlist grounded in product behavior and documentation
Analysts gathered the hearing conservation software picks by opening the original publication and copying each figure next to the passages that state those specifics. Analysts compared each copied figure with official documentation and the vendor changelog, and they used an independent review only when one was cited in that same publication.
Analysts kept a figure when it matched what the documentation and changelog support and removed it when it did not align. Enterprise Health stood out because the workflow behavior described for employee audiometric history with managed STS follow-up steps tied to specific test events consistently matched the implementation and governance expectations reflected across the referenced materials.
Frequently Asked Questions About Hearing Conservation Software
How do Sycle and eCompliance-style teams differ from Enterprise Health in handling audiogram data and STS follow-up?
Which tool handles baseline audiogram revision so standard threshold shift logic stays consistent over time?
How does WorkSTEPS Hearing Conservation structure the technician workflow compared with Salus?
What breaks if noise dosimetry import does not match the data conventions used for STS workflows?
When teams need integrations and API-style data exchange, where do the category tools usually fall short?
Which platforms provide stronger admin controls for audit trails across governed occupational health records?
How do audiometric calibration records and instrument context get handled in Benson Medical Instruments Software versus MAICO easyTone?
What data migration risks show up when moving from spreadsheets into SHOEBOX Audiometry or EcoOnline Occupational Health?
When does hearing protector fit-testing administration matter more than pure audiogram recordkeeping?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
Funding and competing interests
This study was co-funded by several of the vendors assessed in it. No single vendor funded it. Funders could propose the market studied.
They had no role in selecting vendors, setting or weighting criteria, analysing data or drawing conclusions, and they received the same factual-accuracy check as every other vendor assessed.
Market definition, inclusion rules and criteria weights were fixed by an editor before research began and did not change afterwards. Editorial process →
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