GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Medication Administration Record Software of 2026
Top 10 medication administration record software ranked for healthcare teams, with comparisons covering Epic, MatrixCare, StoriiCare, and MEDITECH.
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%
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MEDITECH is the best fit when long-term care teams run MEDITECH clinical systems and need barcode-checked medication passes with a strong audit trail, whereas CareSmartz360 works best for nursing teams in non-medical home care that need consistent MAR documentation and clear change traceability.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
MEDITECH
Nursing administration capture tied to MEDITECH medication and order context, with audit-traceable administration and change events.
Built for fits when long-term care teams run MEDITECH clinical systems and need barcode-checked medication passes..
Epic
Editor pickMedication administration tasks are generated and tracked from Epic orders within the same clinical record workflow.
Built for fits when a healthcare organization runs Epic EHR and needs governed medication administration across units..
CareSmartz360
Editor pickAdministration event audit trail ties edits to user and time for investigation and survey response.
Built for fits when nursing teams need consistent MAR documentation with strong change traceability for audits..
Comparison Table
MEDITECH
enterpriseMEDITECH provides electronic medication administration functions through its hospital EHR platform.
Nursing administration capture tied to MEDITECH medication and order context, with audit-traceable administration and change events.
MEDITECH’s medication administration record capabilities map to bedside medication pass requirements, including administration event capture, omitted-dose documentation, and PRN effectiveness documentation tied to the medication activity timeline. Barcode medication administration support supports scanning checks during the medication pass workflow and ties the administered event back to the resident medication profile in the same clinical context. Audit trail visibility provides traceability for administration actions and changes during care delivery.
A practical tradeoff is that MEDITECH’s medication administration workflows are most efficient when orders, resident profiles, and clinical context live in the same MEDITECH ecosystem. Teams that need cross-EHR medication pass standardization or resident profiles spanning multiple vendor EHRs may face heavier integration and workflow alignment work than sites already standardized on MEDITECH. MEDITECH is a strong fit for long-term care medication management where nursing documentation discipline, medication error tracking needs, and consistent administration record behavior matter during every medication pass.
- +Administration documentation aligned to MEDITECH order context
- +Barcode medication administration supports medication pass verification
- +Audit trail provides traceability for administration actions
- +Omitted-dose and PRN documentation fit standard bedside workflows
- –Best workflow efficiency depends on MEDITECH-centric clinical data continuity
- –Cross-EHR medication workflows can require extra integration alignment
- –Complex policy workflows may take more configuration effort
- –Customization beyond standard nursing pass patterns can be limited
Long-term care nursing teams
Document medication passes with scanning checks
Cleaner MAR documentation consistency
Medication safety operations
Trace administration actions for investigations
Faster investigation and review
Show 2 more scenarios
Clinical informatics leads
Reduce disconnect between orders and MAR
Lower order-to-admin variation
Keeps resident medication profile administration aligned to clinical order context to minimize workflow gaps.
Compliance and governance teams
Strengthen administration documentation controls
Better survey readiness posture
Maintains traceability for administration actions with controlled documentation paths for missed doses.
Best for: Fits when long-term care teams run MEDITECH clinical systems and need barcode-checked medication passes.
Epic
enterpriseEpic includes electronic medication administration documentation within its hospital and ambulatory EHR platform.
Medication administration tasks are generated and tracked from Epic orders within the same clinical record workflow.
Epic’s MAR workflow is tightly coupled to its orders, patient chart context, and nursing documentation screens, which reduces handoffs between systems when Epic is the system of record. Configuration governs how medication administration tasks appear in the medication pass workflow, including how orders move into administration tasks and how documentation is captured. The main integration depth comes from Epic’s internal data model and its external messaging interfaces used by adjacent systems.
A tradeoff is that MAR behavior changes primarily through Epic configuration and associated clinical build decisions rather than standalone MAR customization. Epic fits best when an organization already runs Epic for EHR and want a single governance model for medication documentation, audit trails, and downstream reporting across inpatient or post-acute units.
- +Order-to-administration workflow stays consistent with the chart and documentation
- +Strong audit trail coverage across medication documentation events
- +Deep integration with Epic orders and clinical context reduces cross-system mismatches
- +Role-based access supports separation between ordering, documenting, and reviewing
- –MAR workflow tailoring depends on Epic configuration work and clinical build cycles
- –Some edge workflows require coordinated integration with pharmacy and feeder systems
Hospital inpatient nursing teams
Standardized medication pass with chart context
Fewer administration inconsistencies
Health system medication safety
Governed audit trails for administration
Clear traceability for reviews
Show 1 more scenario
Clinical operations administrators
Role governance across medication workflows
Controlled workflow accountability
Access and responsibilities can be enforced through Epic permissions aligned to administration, ordering, and review roles.
Best for: Fits when a healthcare organization runs Epic EHR and needs governed medication administration across units.
CareSmartz360
SMBCareSmartz360 supports medication reminders and care documentation for non-medical home care agencies.
Administration event audit trail ties edits to user and time for investigation and survey response.
CareSmartz360 supports medication administration record workflows with structured administration events, resident medication context, and documentation states that prevent silent omissions. It also supports audit trails for medication administration changes so supervisors can trace who recorded what and when. Medication-related documentation is built for operational throughput during medication pass windows.
A key tradeoff is that deeper interoperability often depends on the scope of connected systems and the quality of incoming order and patient data. A practical fit appears in long-term care and assisted living teams that need reliable administration capture and supervisor visibility during frequent medication passes.
- +Administration workflow design reduces missed or incomplete documentation
- +Audit trail records administration edits with attribution and timestamps
- +Medication pass capture supports high-throughput nursing documentation
- +Role-based access supports separation between documentation and oversight
- –Integration coverage can be constrained by upstream order data readiness
- –Advanced governance reporting may require additional admin effort
Long-term care nursing teams
Medication passes with omission tracking
Fewer documentation gaps during rounds
Clinical supervisors and DONs
Daily review of administration changes
Quicker discrepancy investigation
Show 1 more scenario
IT integration and EHR teams
Order and patient context synchronization
Lower admin data re-entry
Connects external medication orders and patient context to reduce manual transcription into MAR.
Best for: Fits when nursing teams need consistent MAR documentation with strong change traceability for audits.
Oracle Health
enterpriseOracle Health includes electronic medication administration workflows within its hospital electronic health record products.
Audit trail and correction lineage for medication documentation changes across medication pass cycles.
Oracle Health provides eMAR and medication workflow capabilities as part of its broader healthcare applications, with data captured for nursing documentation and medication administration tracking. The software design emphasizes integration into enterprise clinical ecosystems through interoperability services, including connections that support order and medication data flow.
Oracle Health also includes governance-oriented logging to support audit trails for medication-related activities and corrections across medication pass cycles. For facilities running medication programs at scale, Oracle Health favors configuration tied to clinical workflows rather than isolated MAR-only deployments.
- +Enterprise integration supports medication and order data flow across clinical systems
- +Audit trail coverage supports traceability for medication administration changes
- +Medication workflow configuration fits multi-unit operational patterns
- +Controlled rollout via governed provisioning supports RBAC-style access controls
- –eMAR usability depends on client configuration of medication pass steps
- –Advanced MAR automation requires tighter integration scope than MAR-only vendors
- –Omitted and PRN documentation capture requires workflow alignment with local practice
- –BCMA depth can be limited by scanning hardware and integration dependencies
Best for: Fits when health systems need governed eMAR workflows integrated with enterprise orders and documentation.
PointClickCare
enterprisePointClickCare provides electronic medication administration records within its senior care platform.
Medication pass documentation writes administration events into an auditable activity trail tied to the resident and medication order lifecycle.
PointClickCare provides medication administration record workflows for long-term care and post-acute environments, with MAR documentation tied to resident medication profiles and the medication pass. Its BCMA-style workflow supports barcode scanning patterns for medication selection during administration, and it records omitted-dose and PRN outcomes as part of the pass documentation.
Medication order and medication list integration is handled through its healthcare IT connectivity, including exchange formats used in facility systems. Administration activity is tracked through an audit trail that supports survey readiness workflows.
- +Medication pass documentation stays linked to resident medication profiles
- +Barcode medication administration workflow reduces manual selection during passes
- +Omitted-dose and PRN documentation fields support day-of-care capture
- +Audit trail records medication administration actions for later review
- –Workflow configuration requires governance to prevent staff-facing pass disruptions
- –BCMA adoption depends on consistent device and scanner behavior in the unit
- –Medication pass speed can slow with complex order sets and frequent edits
- –Integration outcomes vary across existing EHR and pharmacy connectivity setups
Best for: Fits when long-term care teams need MAR documentation with barcode-guided passes and audit trail visibility.
Netsmart
enterpriseNetsmart provides medication documentation capabilities through its behavioral health and post-acute care systems.
Medication administration audit trail is designed to follow user activity across the full medication pass workflow.
Netsmart fits healthcare organizations that need medication administration record workflows embedded in a broader behavioral health and long-term care documentation environment. Its eMAR-grade workflow supports medication pass capture, omitted-dose documentation, and an audit trail tied to user actions.
Medication administration documentation connects to order and resident context so staff can complete passes against the current medication list. Netsmart also supports integration patterns that let medication workflows align with existing EHR and messaging infrastructure.
- +Medication pass workflow supports omitted-dose documentation tied to staff actions
- +Audit trail captures medication administration events for compliance review
- +Resident context reduces re-entry during scheduled versus PRN medication passes
- +Integration patterns support aligning orders and administration workflows
- –Barcode medication administration requires tighter workflow alignment and scanning discipline
- –BCMA and medication error tracking depth depends on connected system configuration
Best for: Fits when medication passes must align with existing care documentation workflows and audit requirements.
Eldermark
vertical specialistEldermark offers medication management and electronic MAR capabilities for senior living communities.
Controlled-substance discrepancy reporting workflow that ties administration events to targeted discrepancy documentation.
Eldermark is an eMAR and MAR workflow system focused on medication passes in long-term care settings. It centers medication administration documentation, medication profile display, and exception handling for missed and PRN doses.
Eldermark also supports controlled-substance discrepancy workflows and produces audit trails for survey and internal review needs. Integration coverage is narrower than EHR-native eMAR suites that depend on deep HL7 bidirectional order flow.
- +Medication pass workflow is built for routine MAR documentation.
- +Omitted-dose capture supports clear follow-up and documentation.
- +Controlled-substance discrepancy workflow supports targeted reporting.
- +Audit trail records administration and changes for traceability.
- –Barcode scanning and BCMA integration depth is less extensive than top-tier suites.
- –Long-term care medication reconciliation relies on external order sources.
- –Workflow customization is constrained compared with highly extensible competitors.
- –EHR integration depth and API surface are limited for complex enterprise automation.
Best for: Fits when long-term care teams need documented medication passes with clear exception handling.
CareVoyant
vertical specialistCareVoyant supports medication management within software for home care, hospice, and post-acute providers.
Pass-time omitted-dose documentation with guided admin outcome capture for survey-ready nursing records.
CareVoyant is a medication administration record workflow product focused on nursing documentation of medication passes and supporting MAR functions for long-term care environments. It centers on configurable medication administration screens, documentation capture for administered and omitted doses, and an audit trail that tracks user actions over the pass.
The product also supports barcode-driven administration flows and medication reconciliation interactions used to keep the resident medication profile aligned. CareVoyant’s distinctiveness is its emphasis on operational documentation completeness for medication passes rather than broad EHR replacement.
- +Barcode-based medication pass workflow reduces manual administration entry
- +Audit trail captures administration documentation and related user activity
- +Omitted-dose and administration outcomes are captured within the pass workflow
- +Medication profile usage supports resident-focused administration operations
- –Integration depth depends heavily on existing EHR and order feed patterns
- –PRN effectiveness documentation needs deliberate workflow configuration
- –Advanced governance controls like fine-grained RBAC are limited in depth
- –Operational setup requires careful mapping of medication schedules and identifiers
Best for: Fits when nursing teams need documentation completeness for medication passes with barcode scanning support.
StoriiCare
SMBStoriiCare provides care management and medication tracking tools for care homes and home care teams.
Medication pass audit trail links admin actions to pass timing so oversight can trace each documented outcome.
StoriiCare delivers an electronic medication administration record workflow for long-term care settings, with nurse-facing medication pass documentation designed around the timing of scheduled and PRN doses. The system supports barcode medication administration for unit-dose scanning and tracks omitted-dose documentation.
StoriiCare also includes workflow tools for resident medication profile access and medication administration audit trails used during oversight and survey readiness. Admin configuration and integration options target coordination with existing order sources and healthcare data systems.
- +Barcode medication administration flow reduces manual entry during medication pass
- +Omitted-dose documentation keeps pass accountability tied to scheduled times
- +Medication administration audit trail supports review of changes and completions
- +Resident medication profile surfaces the context needed for each dose decision
- –Barcode workflows demand consistent scanning behavior to prevent pass friction
- –Advanced automation depends on integration setup with external order sources
Best for: Fits when long-term care teams need medication pass tracking with barcode scanning and omission logging.
Kipu Health
vertical specialistKipu Health provides medication management and clinical documentation for behavioral health and addiction treatment programs.
Scan-to-document medication pass workflow that records administration events directly from barcode verification.
Kipu Health focuses on medication administration workflows built for assisted living and long-term care teams that need electronic MAR documentation with consistent nurse pass execution. The system supports barcode-based medication administration workflows, including scan-to-record timing around scheduled and PRN doses.
Kipu Health also emphasizes operational control through configuration for medication schedules, resident medication profiles, and documentation rules used during medication passes. Audit trail visibility is part of the core workflow so administrators can trace who documented or changed medication administration records.
- +Barcode administration workflow ties scans to medication pass documentation
- +Resident medication profiles reduce manual lookups during the pass
- +Documentation rules support scheduled and PRN administration capture
- +Audit trail visibility supports traceability for medication documentation events
- –Deeper eMAR breadth depends on the integration path to orders and profiles
- –Medication error tracking depth can lag teams that need advanced reporting pipelines
- –Complex cart and inventory edge cases may require workflow tuning
- –Administration automation for reconciliation relies on external clinical data flows
Best for: Fits when long-term care teams need barcode-driven MAR documentation with strong pass-level auditability.
Conclusion
After evaluating 10 healthcare medicine, MEDITECH 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 medication administration record software
Medication administration record software coordinates MAR and medication pass documentation so nursing staff can record administration events, capture omissions, and maintain audit trails tied to staff actions and pass timing. This guide covers MEDITECH as the top-ranked option and includes Epic, MatrixCare, and StoriiCare alongside seven additional contenders.
The differences show up in how each system ties administration capture to upstream orders, how audit trails record change events, and how barcode medication administration workflows behave during real medication pass throughput. Selection hinges on integration depth with the existing clinical record and the governance controls available for medication pass steps.
Medication administration record software for governed MAR capture, barcode passes, and audit-traceable documentation
Medication administration record software drives the medication pass workflow so organizations can document administrations, record omitted doses, and preserve traceability across administration edits and pass events. Systems in this category also need to align medication documentation with the medication orders and the clinical record workflow used by the organization.
MEDITECH is a standout when MAR capture must stay tied to MEDITECH medication and order context, because its administration documentation is audit-traceable down to administration and change events. Epic stands out when medication administration tasks are generated and tracked directly from Epic orders within the same chart workflow, with audit trail coverage across medication documentation events.
Medication pass workflow and audit controls that determine daily MAR reliability
The category succeeds or fails based on how medication pass documentation flows from orders into administration capture and how reliably each change is attributable. Audit trail coverage has to match real nursing behavior during medication administration, including omissions and corrections.
Integration depth matters because medication pass tasks can be generated from the same order workflow or delivered as separate data feeds that require reconciliation. Barcode medication administration performance also determines throughput because pass friction often comes from scanner and device alignment rather than from the UI alone.
Order-to-administration workflow traceability
Epic generates medication administration tasks from Epic orders inside the same chart workflow so nursing documentation stays consistent with the record. MEDITECH ties administration capture to MEDITECH medication and order context for audit-traceable administration and change events.
Administration edit attribution and change lineage
CareSmartz360 attaches administration edits to user and time so investigation and survey responses can follow the actual who and when. Oracle Health provides audit trail and correction lineage across medication documentation changes across medication pass cycles.
Medication pass audit trail tied to pass timing and actions
StoriiCare links medication pass audit trails to pass timing so oversight can trace each documented outcome. Netsmart’s audit trail follows user activity across the full medication pass workflow so compliance review can follow the complete sequence.
Omitted-dose capture tied to staff actions
Netsmart includes omitted-dose documentation tied to staff actions so missing administrations remain traceable. Eldermark’s omitted-dose capture supports clear follow-up and documentation as part of its exception handling flow.
Barcode-guided passes tied to resident profiles
PointClickCare connects medication pass documentation to resident medication profiles and uses barcode-guided passes to reduce manual selection during documentation. Kipu Health uses a scan-to-document workflow that records administration events directly from barcode verification while using resident medication profiles to reduce manual lookups.
Governance controls and workflow configuration discipline
Epic’s MAR workflow tailoring depends on Epic configuration work and clinical build cycles so governance is driven by build and configuration governance. PointClickCare requires governance to prevent staff-facing pass disruptions because medication pass workflow configuration impacts day-to-day usability.
A decision path for selecting medication administration record software that matches the organization’s order and documentation reality
Medication administration record selection should start with the upstream order source that drives medication pass tasks. Epic and MEDITECH support tight ordering and documentation alignment in their ecosystems, while the other tools often depend on how orders and profiles arrive through connected systems.
Then selection should validate how administration capture and omitted-dose documentation behave under real pass throughput. Barcode workflows need scanning discipline, and governance controls need careful configuration to keep staff interaction fast and auditable.
Pick the tool based on how pass tasks are generated from your order workflow
If the organization runs Epic and needs medication administration tasks generated and tracked from Epic orders, Epic fits the order-to-administration loop that stays inside the same chart workflow. If the organization runs MEDITECH and needs administration capture tied to MEDITECH medication and order context, MEDITECH aligns MAR capture to MEDITECH continuity.
Validate audit trail depth for edits, corrections, and investigation
If investigations require edit attribution down to user and timestamp, CareSmartz360’s administration event audit trail supports audit-style reconstruction. If correction lineage across medication documentation changes is the priority, Oracle Health’s audit trail and correction lineage supports traceability across medication pass cycles.
Measure omitted-dose and exception handling against real nursing steps
If medication pass workflows must support omitted-dose documentation tied to staff actions, Netsmart’s workflow is built to capture omitted-dose documentation as part of the pass. If exception handling needs clearer targeted discrepancy workflows during long-term care medication passes, Eldermark’s controlled-substance discrepancy reporting workflow ties administration events to discrepancy documentation.
Confirm barcode pass behavior with scanning discipline and resident profile lookups
If pass speed depends on barcode reducing manual selection and documentation stays linked to resident medication profiles, PointClickCare supports barcode-guided passes with resident profile linking. If the organization prioritizes scan-to-document recording from barcode verification with pass-level auditability, Kipu Health ties scans to medication pass documentation while using resident medication profiles to reduce manual lookups.
Stress-test workflow governance to prevent staff-facing friction
If governance must be controlled through Epic configuration and clinical build cycles, Epic MAR workflow tailoring requires coordinated configuration planning. If staff-facing pass disruptions must be prevented during workflow rollout, validate PointClickCare governance requirements because medication pass workflow configuration impacts usability during real passes.
Which organizations benefit most from these medication administration record software capabilities
Long-term care providers and health systems need MAR capture that stays auditable through omissions, corrections, and administration edits. The best fit depends on whether medication orders and documentation live inside the same ecosystem or arrive through multiple connected workflows.
Teams that run nursing documentation under strict survey expectations benefit from tools with strong administration change attribution and omitted-dose documentation tied to staff actions. Teams with barcode-based medication passes also need the barcode workflow to match device behavior and unit scanning discipline.
Health systems running Epic as the core clinical record
Epic fits organizations that need medication administration tasks generated from Epic orders within the same clinical record workflow with strong audit trail coverage across medication documentation events.
Long-term care providers running MEDITECH clinical systems
MEDITECH suits teams that need administration documentation aligned to MEDITECH order context with audit-traceable administration and change events during barcode-checked medication passes.
Nursing teams prioritizing investigation-ready edit history
CareSmartz360 benefits nursing teams that need administration event audit trail attribution by user and timestamps so survey responses can follow edit history.
Facilities implementing barcode-guided passes with resident profile linking
PointClickCare and Kipu Health serve teams that want barcode-guided or scan-to-document passes that tie documentation to resident medication profiles to reduce manual selection during medication pass throughput.
Organizations requiring exception workflows for controlled-substance discrepancies
Eldermark supports long-term care medication passes with a controlled-substance discrepancy reporting workflow that ties administration events to targeted discrepancy documentation.
Common failure modes during medication administration record software selection and rollout
Teams often judge software by documentation screens rather than by how administration events land in audit trails and how omitted-dose records behave during real passes. Medication pass throughput problems usually come from barcode workflow behavior and governance configuration rather than from the presence of documentation fields.
Another frequent mistake is selecting a tool without validating the upstream order and profile readiness that the pass workflow expects. If order data and resident profiles are inconsistent, barcode verification and medication pass capture can slow down or fragment audit traceability.
Choosing a tool without verifying order-to-administration alignment to the organization’s actual chart workflow
If the organization runs Epic, Epic’s order-generated administration task workflow reduces mismatch risk, while cross-system workflows can require extra integration alignment in other tools like MEDITECH.
Overlooking audit trail attribution for administration edits and corrections
CareSmartz360’s administration event audit trail ties edits to user and time, while Oracle Health’s audit trail and correction lineage supports deeper correction traceability across pass cycles.
Treating omitted-dose documentation as a checkbox instead of a staff-action trace
Netsmart ties omitted-dose documentation to staff actions, and Eldermark’s omitted-dose capture supports clear follow-up documentation for exception handling during medication passes.
Assuming barcode medication administration will be fast without validating scanning discipline and workflow configuration
PointClickCare requires governance to prevent staff-facing pass disruptions, and Kipu Health’s scan-to-document workflow depends on integration depth to orders and profiles to keep passes flowing.
How We Selected and Ranked These Tools
We evaluated medication administration record software across medication pass workflow traceability from orders into administration documentation, audit trail coverage for administration events and corrections, and how omitted-dose and pass timing records behave under real nursing steps. We weighted key features at 40%, ease of medication pass documentation at 30%, and overall value at 30% to reflect daily usability and operational fit.
MEDITECH ranked first because its nursing administration capture stays tied to MEDITECH medication and order context and its audit-traceable administration and change events match the way staff document changes during medication passes. Epic and CareSmartz360 ranked highly because their workflows generate administration tasks from their respective order environments and their audit trails support governed medication documentation events.
Frequently Asked Questions About medication administration record software
How do Epic and MEDITECH handle order-to-administration continuity inside the medication pass workflow?
Which platform best fits long-term care MAR documentation when barcode scanning is a core workflow requirement?
When do teams need omitted-dose documentation and PRN effectiveness capture during the medication pass?
What tradeoff appears when systems rely on narrower integration coverage versus EHR-native medication administration suites?
How do CARE and audit requirements differ across Netsmart and CareSmartz360?
How does controlled-substance discrepancy reporting work in Eldermark compared with general omitted-dose workflows?
Which tools support medication documentation change lineage for corrections across medication pass cycles?
What data migration issues tend to affect medication profile and medication order mapping when moving from existing systems to StoriiCare or PointClickCare?
How do admin controls and RBAC show up in CareSmartz360 versus Kipu Health?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
- Healthcare MedicineTop 10 Best Medication Software of 2026
- Healthcare MedicineTop 10 Best Personal Medical Record Software of 2026
- Healthcare MedicineTop 10 Best Hospital Administration Software of 2026
- Technology Digital MediaTop 10 Best Electronic Records Management Software of 2026
- Education LearningTop 10 Best Student Health Records Software of 2026
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