GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Medical Record Software of 2026
Top 10 medical record software ranked for clinics, with technical comparisons of Practice Fusion, NextGen Healthcare, and Greenway Health.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
Practice Fusion is the best pick if you’re an ambulatory clinic looking for web-based charting with connected labs and document capture in one workflow, whereas Allscripts fits health systems that need governed clinical processes that play well with existing labs, pharmacy, and HIE partners.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Practice Fusion
Built-in encounter note workflow with structured clinical elements that stay editable during visit documentation.
Built for fits when an ambulatory clinic wants web-based charting plus connected labs and document capture..
NextGen Healthcare
Editor pickWorkflow configuration tools that coordinate documentation rules with downstream order and encounter steps across sites.
Built for fits when health systems need consistent clinical workflows and controlled interoperability across multiple sites..
Greenway Health
Editor pickTemplate-driven documentation that enforces structured capture aligned to encounter and order workflows.
Built for fits when multi-site groups need standardized visit documentation and order workflows..
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Comparison Table
Medical record software governs EHR workflows, billing handoffs, and interoperability through defined data models and integration APIs. This ranked list targets engineering-adjacent evaluators who need audit log coverage, RBAC controls, extensibility, and provisioning paths. The ordering reflects how each system handles automation throughput and cross-system data exchange, not marketing claims.
Practice Fusion
SMBCloud-based EHR for small independent practices.
Built-in encounter note workflow with structured clinical elements that stay editable during visit documentation.
Practice Fusion provides web-based charting centered on encounter notes, a problem list, and medication documentation that clinicians use during visit workflows. The system supports attachments and chart documents alongside structured elements, so care teams can keep transcripts, forms, and key files near the relevant encounters. Patient communication and scheduling tools reduce context switching during daily operations. Integration options matter most for labs, imaging, and reporting pipelines that must return discrete results into the record.
The main tradeoff is that advanced governance controls and enterprise-grade automation can require deliberate setup across users, roles, and connected interfaces. Practice Fusion fits clinics that want a fast charting workflow and can invest effort into interface configuration and clinical templates before scaling to many providers. It can also fit groups that rely on standardized data exchange from external systems and need consistent mapping into the record for ongoing operations.
- +Browser-based charting supports consistent daily workflows
- +Problem list and medication history reduce documentation gaps
- +Scheduling and patient messaging support visit day operations
- +Document attachments stay tied to encounters
- –Interface work can consume time when integrating external results
- –Advanced workflow automation needs careful template configuration
- –Enterprise governance depth may be thin for highly regulated multi-site setups
- –Extensibility depends on available integration patterns
Primary care practice teams
Chart visit notes with structured history
Faster, consistent visit documentation
Clinic operations managers
Coordinate scheduling and patient messages
Fewer missed visits
Show 2 more scenarios
IT teams running clinical integrations
Bring external results into chart history
Reduced manual result handling
IT staff connect lab and imaging feeds so discrete results land in the record for review.
Specialty clinics with heavy documentation
Attach documents to relevant encounters
Cleaner chart retrieval
Teams attach forms and clinician documents where they match the timeline of care.
Best for: Fits when an ambulatory clinic wants web-based charting plus connected labs and document capture.
More related reading
NextGen Healthcare
SMBAmbulatory EHR and practice management platform for multi-specialty practices.
Workflow configuration tools that coordinate documentation rules with downstream order and encounter steps across sites.
NextGen Healthcare is built for multi-site clinical operations where standard templates, order entry workflows, and documentation rules must stay consistent across teams. The integration surface is shaped for health system deployments that need lab and other external data feeds and ongoing exchange of clinical documents.
A common tradeoff is governance overhead during template and workflow standardization, because consistent configurations require active admin ownership. NextGen Healthcare fits best for health systems and specialty groups that can assign clinical informatics and IT staff to manage interfaces, permissions, and documentation rules.
- +Configurable workflow automation for encounter documentation and order flows
- +Long-deployment fit for organizations with established interface needs
- +Role-based controls and audit trails for clinical and operational actions
- +Support for both ambulatory and inpatient documentation patterns
- –Template and workflow standardization requires ongoing admin stewardship
- –Advanced configuration can slow down early rollout for new sites
- –UI complexity increases when many specialty modules are enabled
- –Some automation needs careful rules design to avoid documentation drift
Health system operations teams
Standardize multi-site encounter documentation
Lower variation between sites
Ambulatory specialty practices
Streamline medication reconciliation
Fewer reconciliation errors
Show 2 more scenarios
Informatics and integration teams
Manage external clinical interfaces
More complete records
Interface-driven data exchange supports lab and clinical data ingestion for documented encounters.
Clinical compliance leaders
Control access and document changes
Stronger change accountability
RBAC plus audit logging supports governance for who changed what during clinical documentation and orders.
Best for: Fits when health systems need consistent clinical workflows and controlled interoperability across multiple sites.
Greenway Health
SMBClinical, financial, and interoperability software for ambulatory practices.
Template-driven documentation that enforces structured capture aligned to encounter and order workflows.
Greenway Health supports front-desk through clinical workflow needs with appointment capture, encounter documentation, and downstream tasks that keep charting aligned to visits. Clinical documentation templates and structured fields support consistent data entry across providers, which helps reduce variability in encounter notes and order documentation. Integration options cover common interface needs like lab and health information exchange connectivity.
A tradeoff appears in how much configuration is required to match local documentation standards and ordering workflows. Practices that want tightly standardized clinical notes across clinicians will need governance for templates, picklists, and medication workflows. Greenway Health fits best when the organization already has established specialties workflows and wants repeatable documentation structure.
- +Configurable documentation templates drive consistent encounter notes
- +Order entry workflows align documentation with prescribing tasks
- +Integration paths support lab and health information exchange needs
- +Template governance can standardize problem list and medication capture
- –Local template configuration effort is high for multi-specialty sites
- –Advanced workflow automation needs governance to prevent template drift
- –Some specialty workflows require add-on modules for full coverage
- –Interface troubleshooting can extend time-to-stabilization after changes
Multi-site outpatient operations
Standardize encounter documentation across clinics
More consistent charting data
Primary care practices
Medication reconciliation during visits
Fewer medication list mismatches
Show 2 more scenarios
Specialty groups
Order entry with structured results
Cleaner order documentation
Order workflows keep ordering aligned to structured encounter content.
Clinical informatics teams
Govern documentation standards
Lower documentation variance
Template and configuration controls support ongoing standardization for documentation and ordering.
Best for: Fits when multi-site groups need standardized visit documentation and order workflows.
Athenahealth
SMBCloud-based EHR, billing, and patient engagement services for medical practices.
Automated task orchestration that ties clinical documentation to follow-up worklists and revenue cycle actions in one workflow engine.
Athenahealth delivers an ambulatory-focused EHR and revenue cycle suite with a heavy emphasis on clinical documentation plus operational workflows. Its distinct angle is workflow automation around scheduling, claims, patient communications, and task routing inside the same system of record.
Core capabilities include encounter documentation, e-prescribing and medication management, referral and prior authorization workflows, and a patient-facing portal for common requests. Integration relies on a documented API approach and interoperability formats such as HL7 for exchanging clinical and administrative data.
- +Strong automation across clinical workflow and follow-up tasks
- +Widely used integrations for lab, claims, and health data exchange
- +Patient portal supports appointment and message-driven workflows
- +e-prescribing and medication workflows fit outpatient usage patterns
- –Admin governance and workflow configuration require staff time
- –UI can feel task-driven rather than note-first for clinicians
- –Fewer inpatient-centric depth areas than inpatient-first EHRs
- –Some interoperability scenarios depend on partner interface availability
Best for: Fits when outpatient groups need automation across encounters and back-office follow-up without stitching many systems.
Allscripts
enterpriseEHR and practice management solutions rebranded under Veradigm.
Configurable clinical documentation templates and order sets that standardize encounter structure across ambulatory and inpatient workflows.
Allscripts supports ambulatory and inpatient clinical documentation workflows with EHR modules for orders, results review, and visit note creation. Its integration depth centers on interoperability services that move clinical data between internal systems and external partners, including standardized document and message formats.
Administration tools support role-based access patterns, audit trails for chart activity, and structured configuration for clinical templates. Automations like order sets and standardized documentation reduce manual rework during medication reconciliation and care transitions.
- +Broad clinical workflow coverage across documentation, orders, and results review
- +Interoperability tooling supports standardized exchange of clinical documents and messages
- +Configurable clinical templates help standardize encounter notes across sites
- +Role-based access and chart audit trails support governance needs
- –Complex deployments require strong IT governance to keep configurations consistent
- –Some specialty workflows depend on add-on configuration rather than native defaults
- –Screen navigation can feel heavy for high-frequency single-task users
- –Data migration and interface setup can extend project timelines
Best for: Fits when health systems need governed clinical workflows and integration with existing lab, pharmacy, and HIE partners.
DrChrono
SMBiPad-first EHR, scheduling, billing, and telehealth for medical practices.
DrChrono’s practice workflow ties documentation templates directly into e-prescribing and the visit record for end-to-end encounters.
DrChrono is a cloud-hosted EHR built for ambulatory practices that want one system for scheduling, charting, and patient communication. It covers encounter notes, e-prescribing workflows, and billing-linked documentation through a single record used during day-to-day visits.
Admin and clinical controls support role-based access patterns and audit-ready activity tracking across common record actions. Extensibility comes through a documented integration surface and healthcare-specific messaging support used to connect labs and other external systems.
- +One charting flow connects encounter documentation to e-prescribing
- +Patient portal supports appointment and document exchange tied to records
- +API-backed integrations support lab and external system connectivity
- +Audit-friendly activity tracking supports review of record changes
- –Some automation requires careful template design and workflow mapping
- –Advanced interoperability features depend on specific integration setups
- –Reporting depth can feel limited for highly specialized analytics needs
- –High customization increases training load for new staff
Best for: Fits when ambulatory groups need integrated charting, e-prescribing, and patient portal workflows.
AdvancedMD
SMBCloud EHR, practice management, and medical billing for independent practices.
Template-driven documentation and workflow configuration that helps standardize encounter notes across providers in multi-location practices.
AdvancedMD pairs ambulatory and practice workflow features with EHR foundations aimed at multi-provider outpatient operations. The system supports encounter documentation, scheduling and front-desk workflows, and order entry for labs and referrals.
Integrations and interoperability tools center on standards-based data exchange patterns used in clinical environments. Administrators get configuration controls for user roles and clinical templates that standardize documentation across providers.
- +Strong outpatient workflow coverage for scheduling, check-in, and encounter turnaround
- +Configurable clinical templates that standardize documentation across providers
- +Interoperability support designed for real-world lab and referral exchanges
- +Role-based access controls for day-to-day governance in multi-user practices
- –Advanced configuration is required to keep templates consistent across sites
- –Some workflow automation needs careful setup to match practice-specific rules
- –Reporting depth depends on how documentation is structured in templates
- –Certain specialty workflows may require add-on buildout to reach parity
Best for: Fits when outpatient groups need structured templates, workflow controls, and integration for order and results flows.
RXNT
SMBCloud EHR, practice management, and medical billing for small practices.
Template-driven encounter note building that preserves structured fields while minimizing clicks during repeat visits
RXNT is an ambulatory EHR built around fast charting for specialties and repeat workflows. It focuses on encounter documentation, order entry, and medication documentation in a single longitudinal record.
The integration depth shows up through clinical messaging support and downstream data exchange for external systems. Automation centers on reusable documentation patterns and workflow rules that reduce re-typing across visits.
- +Reusable documentation templates reduce repetitive encounter typing
- +Clinical order workflow keeps labs and medications attached to encounters
- +Messaging integration supports external system communication for continuity
- +Configurable visit workflows support specialty-specific documentation patterns
- –Specialty customization can require disciplined governance and training
- –Some advanced automation depends on configuration rather than built-in logic
- –Complex interoperability scenarios can require a deeper integration effort
- –Less granular reporting tools for operational metrics compared with top tiers
Best for: Fits when ambulatory practices need specialty workflows, encounter templates, and practical integration for external exchange.
PrognoCIS
SMBCloud EHR, billing, and telehealth for specialty practices.
Encounter-scoped ordering and results review keep clinical context attached to each visit record.
PrognoCIS records patient encounters and manages core clinical documentation in a structured CIS workflow rather than a document-only note system. It supports laboratory and diagnostic ordering flows tied to encounters, with results review and reconciliation at the point of care.
Administration focuses on user roles, auditability of clinical activity, and repeatable clinic configurations for consistent documentation across locations. The overall fit centers on high-throughput outpatient documentation and downstream clinical operations where data entry speed and governance matter.
- +Encounter-linked documentation reduces orphan notes across workflows
- +Laboratory and diagnostic ordering routes through the same visit context
- +Role-based access helps keep clinical screens separated by responsibility
- +Clinic configuration supports consistent forms and field sets
- –FHIR and HL7 integration support is not its strongest differentiator
- –Workflow automation relies more on configuration than event-driven rules
- –Large multi-site deployments need tighter standardization of templates
- –Extensibility options for custom automation appear limited versus API-first tools
Best for: Fits when outpatient teams need fast, encounter-centered charting plus lab-linked ordering and results handling.
Sevocity
SMBONC-certified cloud EHR for community health centers and ambulatory clinics.
Workflow task routing tied to structured encounter documentation to reduce missed follow-ups.
Sevocity is a medical record software option built for facilities that need structured clinical documentation with integration-focused workflows. It supports encounter capture and longitudinal record management with configurable forms and templates.
Automation features center on routing tasks and maintaining consistent documentation across visits. Integration capability and an API-oriented approach are key differentiators for connecting clinical systems and external data sources.
- +Configurable clinical templates for consistent encounter documentation
- +Workflow routing helps standardize follow-up tasks across visits
- +API-focused integration approach for connecting external clinical systems
- +Longitudinal record structure supports continuity across encounters
- –Automation coverage depends on configuration effort for each workflow
- –Advanced governance features may require admin process discipline
- –UI navigation can feel form-heavy for high-volume documentation
- –Interoperability outcomes vary by connected lab and messaging setup
Best for: Fits when mid-size clinics need configurable documentation plus integration-driven workflows.
Conclusion
After evaluating 10 healthcare medicine, Practice Fusion 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 medical record software
This buyer's guide covers Practice Fusion, NextGen Healthcare, Greenway Health, Athenahealth, Allscripts, DrChrono, AdvancedMD, RXNT, PrognoCIS, and Sevocity. It focuses on how clinical documentation workflows, integration behavior, automation configuration, and governance controls show up in day-to-day charting. It also maps common implementation failures to concrete configuration choices and template governance patterns.
Medical record software workflows for charting, orders, and longitudinal documentation
Medical record software is the system used to create encounter notes, manage problem and medication documentation, run order and results flows, and maintain a longitudinal patient record across visits. It reduces documentation gaps by linking structured fields to encounters and by keeping external artifacts tied to the visit workflow, like attachments and orders. Ambulatory groups typically use systems like Practice Fusion for web-based encounter documentation tied to orders and document capture, while multi-site organizations often pick platforms like NextGen Healthcare for controlled interoperability and workflow coordination.
Evaluation criteria that decide whether documentation, orders, and integrations actually stay consistent
The most costly failures in medical record software happen when templates and workflow rules drift across clinicians or sites. Evaluation should also track how automation is delivered, because configuration-based workflow engines behave differently than code-first extensibility. Integration depth matters because lab results, messaging, and partner exchanges can consume clinician time when they land outside the chart workflow.
Encounter-scoped note building with editable structured elements
Systems like Practice Fusion keep an encounter note workflow tied to structured clinical elements that remain editable during visit documentation. This structure lowers the risk of orphaned or partially captured data when clinicians document under time pressure.
Workflow configuration that coordinates documentation and downstream order steps
NextGen Healthcare provides workflow configuration tools that coordinate documentation rules with downstream order and encounter steps across sites. Greenway Health similarly ties order entry workflows to template-driven documentation to keep prescribing and charting aligned.
Template governance for consistent problem list and medication documentation
Greenway Health and AdvancedMD both emphasize configurable templates that standardize encounter notes across providers. Practice Fusion adds specific support through a structured problem list and medication history that reduces documentation gaps.
Automated task orchestration that connects clinical notes to follow-up worklists
Athenahealth stands out with automated task orchestration that ties clinical documentation to follow-up worklists and revenue cycle actions in one workflow engine. This is a different operational model than note-first charting because the system pushes subsequent work based on the same workflow state.
Integration surfaces that reduce chart context switching
DrChrono offers API-backed integrations for lab and external system connectivity while keeping documentation and e-prescribing in one practice workflow. Practice Fusion also focuses on keeping document attachments tied to encounters, which reduces manual re-association when external results arrive.
Governance controls that support role separation and audit trails
NextGen Healthcare centers administration on role-based access, change tracking, and audit trails for clinical and billing-related actions. Allscripts supports role-based access patterns and chart audit trails, which helps when multiple clinical and operational roles must review or change chart activity.
A decision path for matching documentation style, workflow automation, and governance needs
Tool fit depends on whether the practice wants note-first charting, workflow-driven task orchestration, or highly standardized template governance across locations. The decision path also depends on how much automation should be delivered through configuration versus through integration patterns. The goal is to choose the system that keeps encounter context attached from documentation to orders, results, and follow-up tasks.
Choose the documentation workflow model: editable note structure versus task-driven orchestration
If the clinic needs web-based encounter charting where structured clinical elements stay editable during documentation, Practice Fusion fits the workflow style. If the clinic needs automation that moves follow-up work based on documentation state, Athenahealth fits a task-orchestration model that ties clinical notes to worklists and revenue cycle actions.
Verify how ordering and results stay attached to the visit context
PrognoCIS keeps lab and diagnostic ordering tied to encounters and routes results review and reconciliation at the point of care. RXNT also ties labs and medications to encounters through clinical order workflow, but it emphasizes faster repeat workflows for specialty patterns.
Match template governance intensity to multi-site standardization needs
For multi-site standardization where documentation templates enforce structured capture aligned to encounter and order workflows, Greenway Health and NextGen Healthcare are designed around template governance. If the organization can maintain consistent templates and workflow rules, AdvancedMD supports structured templates across providers and locations.
Confirm the integration approach for external results and connected systems
DrChrono emphasizes an API-backed integration surface and keeps e-prescribing tied to documentation and the visit record, which reduces cross-system context switching. Practice Fusion and Allscripts both focus on interoperability tooling and keeping attachments tied to encounters, but complex interface work can consume time in integration-heavy environments.
Plan governance for workflow automation configuration to prevent drift
NextGen Healthcare and Greenway Health both rely on configurable workflow automation, which requires ongoing template stewardship to avoid documentation drift. Athenahealth also requires staff time for admin governance and workflow configuration, especially when many operational workflows are enabled.
Validate specialization coverage before committing to add-on dependent workflows
Some specialty workflows depend on add-on modules in Greenway Health and Allscripts, which can affect time-to-stabilization after changes. If the practice needs high-throughput encounter-centered documentation in a structured CIS workflow, PrognoCIS targets that style, while Sevocity focuses on configurable forms and routing tasks for follow-up consistency.
Which organizations get the fastest operational payoff from these medical record software patterns
Different medical record platforms optimize for different failure modes, like note capture drift, disconnected order flows, or manual follow-up routing. Buyer fit should map to the practice workflow that clinicians already use during visits and the operational workload that follows the visit. The following segments reflect how each tool is positioned for its best operational context.
Ambulatory clinics that need browser-based charting tied to encounter artifacts
Practice Fusion is positioned for ambulatory clinics that want web-based charting plus connected labs and document capture. The encounter note workflow with structured clinical elements and encounter-tied attachments matches a day-of-visit documentation rhythm.
Multi-site health systems that need controlled workflow standardization and auditability
NextGen Healthcare fits organizations that need consistent clinical workflows and controlled interoperability across multiple sites. Its role-based controls with change tracking and audit trails support governance across clinical and operational actions.
Multi-specialty groups that want templates to enforce structured capture aligned to orders
Greenway Health is built for multi-site groups that need standardized visit documentation and order workflows. Its template-driven documentation aligns structured capture with encounter and order entry to reduce mismatches.
Outpatient groups that prioritize automation from clinical documentation to follow-up worklists
Athenahealth fits outpatient groups that need automation across encounters and back-office follow-up without stitching many systems. Automated task orchestration in one workflow engine ties documentation to follow-up and revenue cycle actions.
Specialty or high-throughput outpatient teams that depend on encounter-scoped ordering and fast results handling
PrognoCIS supports encounter-scoped ordering and results review so clinical context remains attached to each visit record. This matches outpatient teams that prioritize speed during charting with lab-linked ordering and reconciliation at the point of care.
Implementation pitfalls that repeatedly create documentation gaps, integration pain, and governance overload
The most common mistakes come from underestimating how much workflow automation relies on configuration discipline. Another frequent pitfall is expecting interoperability to reduce clinician work without validating how external results land inside the chart workflow. Finally, some teams adopt a note-first mindset while later needing task-orchestration coverage for follow-up and back-office actions.
Treating workflow templates as a one-time setup instead of an ongoing governance job
NextGen Healthcare and Greenway Health require ongoing template stewardship because workflow standardization depends on configurable rules. AdvancedMD also requires administrators to keep templates consistent across providers and locations to preserve reporting structure.
Integrating external results without planning for chart context re-association
Practice Fusion can require interface-focused work when external results need to land cleanly in the encounter workflow. Allscripts and DrChrono also rely on interoperability and integration setups, which can extend project timelines when connected systems are not ready.
Selecting based on documentation features while ignoring follow-up task orchestration needs
Athenahealth is built to tie clinical documentation to follow-up worklists and revenue cycle actions. Teams that need that operational coupling should not pick note-only charting workflows like PrognoCIS without confirming the follow-up work routing model.
Expecting advanced interoperability to work the same way across all tools
PrognoCIS is not positioned with FHIR and HL7 integration as its strongest differentiator. Sevocity and DrChrono emphasize an API-oriented approach, so integration-heavy teams should match their connectivity requirements to the tool's stated integration emphasis.
Over-customizing specialty workflows without training and governance
RXNT calls out disciplined governance and training needs for specialty customization. Greenway Health and Allscripts also require governance effort when add-on modules or advanced configuration are needed for full specialty parity.
How We Selected and Ranked These Tools
We evaluated Practice Fusion, NextGen Healthcare, Greenway Health, Athenahealth, Allscripts, DrChrono, AdvancedMD, RXNT, PrognoCIS, and Sevocity on features coverage, ease of use, and value, with features carrying the most weight at 40% while ease of use and value each account for 30%. Each score reflects how the tools support real workflows like encounter documentation, problem and medication capture, order entry tied to visit context, and follow-up task handling, plus how workable the system is for administrators who must maintain templates and governance.
This editorial scoring used only the provided tool capabilities, workflow descriptions, and pros and cons, so the ranking reflects category fit and implementation risk patterns rather than any private lab benchmarking. Practice Fusion separated itself with a built-in encounter note workflow that uses structured clinical elements editable during visit documentation, and that alignment lifted features and ease-of-use for day-to-day ambulatory charting.
Frequently Asked Questions About medical record software
How do Practice Fusion and RXNT handle encounter note structure during documentation?
Which tools provide configuration-based interoperability without forcing code customization?
What integration patterns are common for lab connectivity in ambulatory EHRs?
When does SSO and RBAC typically become a gating requirement for selecting an EHR?
What breaks if a clinic skips data migration planning across problem lists and medication history fields?
Where does Athenahealth’s workflow automation trade off against systems that standardize templates across providers?
Which platforms support task routing tied to structured encounter documentation rather than generic messaging?
What is the practical difference between template-driven encounter capture and reusable documentation patterns?
Which tools best fit multi-site standardization when encounter documentation must stay aligned to downstream orders?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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