
GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Patient Chart Software of 2026
Top 10 patient chart software ranking for clinics with side-by-side features, costs, and workflows, including Epic, Cerner, and athenaOne.
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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AthenaOne is the best fit for multi-site ambulatory groups that want one cloud workflow for patient charts plus scheduling and communications, whereas Epic suits large health systems needing strict governance and consistent documentation across sites. If you just need a low-cost entry, RXNT is the practical alternative for templated ambulatory charting.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
athenaOne
athenahealth Clinical Network links participating practices for patient-record retrieval, referral coordination, and cross-organization continuity.
Built for fits when multi-site ambulatory groups need one cloud workflow for charts, billing, scheduling, and patient communications..
eClinicalWorks
Editor pickThe healow ecosystem connects online booking, digital check-in, patient messaging, and virtual visits with the clinical record.
Built for fits when multi-provider ambulatory practices need charting, scheduling, claims, and patient communications in one system..
NextGen Healthcare EHR
Editor pickSpecialty-specific template architecture supports configurable documentation and workflow rules across diverse outpatient practices.
Built for fits when multi-specialty ambulatory groups need configurable templates and linked clinical-administrative workflows..
Comparison Table
athenaOne
SMBCloud EHR and practice management suite with patient charting for ambulatory care groups.
athenahealth Clinical Network links participating practices for patient-record retrieval, referral coordination, and cross-organization continuity.
athenaClinicals supports encounter documentation, medication and allergy review, orders, e-prescribing, and longitudinal chart review. The suite links those records with scheduling, claims workflows, eligibility checks, and patient portal messaging. Published APIs and integration services expose patient, appointment, document, and practice-management data for connected systems.
The broad suite creates more configuration and governance work than a chart-only application. A multi-site ambulatory group can use shared templates, centralized administration, network record exchange, and automated billing queues across locations.
- +Shared cloud charting, scheduling, claims, and patient communications use one operating environment.
- +athenahealth network supports record exchange across participating organizations.
- +Published APIs support patient, appointment, clinical document, and practice-management integrations.
- +Automated claim edits and payer rule checks reduce manual billing work.
- –Cloud dependence makes reliable internet access central to daily charting.
- –Multi-module deployments require configuration and workflow governance across clinical and billing teams.
- –Advanced specialty workflows can require add-on modules or partner integrations.
- –Interface projects may require vendor coordination and implementation effort.
Multi-site ambulatory groups
Unified chart operations
Consistent multi-site operations
Specialty clinics
Referral-heavy care
Fewer information gaps
Show 2 more scenarios
Independent practices
Integrated revenue cycle
More connected billing workflows
athenaCollector links claim preparation, edits, submission, and follow-up to the clinical record.
Healthcare IT teams
Application integration
Broader integration coverage
APIs connect patient, appointment, document, and practice-management data to external applications.
Best for: Fits when multi-site ambulatory groups need one cloud workflow for charts, billing, scheduling, and patient communications.
eClinicalWorks
SMBAmbulatory EHR platform with electronic patient charts, documentation, e-prescribing, and revenue cycle tools.
The healow ecosystem connects online booking, digital check-in, patient messaging, and virtual visits with the clinical record.
Multi-provider ambulatory practices gain shared scheduling, configurable documentation templates, electronic ordering, referral workflows, claims processing, and operational reporting. The healow suite adds online booking, digital check-in, secure messaging, and remote visits without requiring separate patient-facing software. Marketplace connections extend the environment to laboratories, imaging services, and other external systems.
The broad feature set creates denser navigation than focused charting products, and template changes can require administrative review. A growing group practice can use eClinicalWorks to coordinate front-desk work, clinician documentation, billing, and patient communications within one connected workflow.
- +healow connects booking, check-in, messaging, and virtual visits.
- +Integrated practice management links appointments, documentation, and claims workflows.
- +Configurable templates support specialty-specific encounter documentation.
- +Marketplace integrations extend laboratories, imaging, and external services.
- –Interface density increases training time for new staff.
- –Advanced configuration can require vendor assistance and internal governance.
- –Specialty workflows may depend on templates and connected modules.
- –Custom reporting is less accessible than standard operational reports.
Independent medical practices
Consolidated daily operations
Fewer disconnected workflows
Multi-specialty groups
Shared specialty templates
Consistent specialty documentation
Show 2 more scenarios
Community health clinics
Digital patient access
More completed appointments
Patients can book appointments, complete check-in, exchange messages, and attend remote visits through healow.
Specialty follow-up teams
Remote follow-up visits
Faster remote follow-up
Clinicians can conduct virtual follow-ups while preserving visit information in the clinical record.
Best for: Fits when multi-provider ambulatory practices need charting, scheduling, claims, and patient communications in one system.
NextGen Healthcare EHR
SMBElectronic health record software focused on ambulatory patient charting, specialty workflows, and practice management.
Specialty-specific template architecture supports configurable documentation and workflow rules across diverse outpatient practices.
NextGen Healthcare EHR combines clinical documentation with scheduling, eligibility checks, charge capture, claims workflows, and patient communications. Specialty content supports distinct documentation patterns for primary care, behavioral health, cardiology, ophthalmology, and other outpatient settings. The integrated patient portal supports messaging, forms, reminders, and online access.
The main tradeoff is implementation complexity because each specialty may require separate templates, permissions, interfaces, and workflow rules. A multi-location clinic can use shared administrative processes while preserving department-specific charting. Smaller practices may find the configuration depth excessive for a narrow service line.
- +Specialty templates support distinct clinical documentation patterns without forcing one generic note structure.
- +Clinical and practice-management workflows share patient, appointment, charge, and claim context.
- +Patient engagement tools support messaging, forms, reminders, and online access.
- +Configurable workflows accommodate multi-location ambulatory organizations.
- –Template configuration can require substantial implementation work across specialties and locations.
- –Interface design feels dense during high-volume chart review.
- –Advanced interoperability may depend on separately scoped interfaces and implementation services.
- –Smaller practices may not use the full configuration depth.
Multi-specialty clinic networks
Standardize cross-specialty documentation
Consistent cross-specialty charting
Behavioral health groups
Coordinate clinical and administrative workflows
Fewer disconnected workflows
Show 1 more scenario
Growing outpatient practices
Govern multi-location configurations
More consistent administration
Shared configuration supports site-level variation without duplicating every workflow across locations.
Best for: Fits when multi-specialty ambulatory groups need configurable templates and linked clinical-administrative workflows.
Epic
enterpriseEnterprise electronic health record platform with comprehensive patient charting for hospitals and large health systems.
In Epic, build-controlled chart templates and order sets drive standardized documentation and ordering across departments without requiring custom app development.
Epic is a full-suite inpatient and ambulatory EHR used across large health systems, with configuration centered on Epic’s own clinical and billing workflows. Its charting supports structured encounters, reusable documentation templates, order entry, and medication workflows that remain consistent across settings when build standards are enforced.
Epic’s integration model relies on HL7 interfaces and FHIR-based access patterns, which supports data exchange with labs, imaging, and external systems under defined governance. Automation comes through workflow rules, routing, and configurable clinical order sets that reduce manual chart review work when adoption standards are maintained.
- +Highly configurable documentation and order workflows across inpatient and ambulatory care
- +Mature interface ecosystem for labs, radiology, and external systems
- +Strong extensibility for custom workflows through Epic configuration patterns
- +Audit trails tied to chart actions and order changes
- –Best results require structured build standards and ongoing governance discipline
- –Complexity increases with system-wide customization and template sprawl
- –Patient-facing and specialty workflows can require careful role-based training
- –FHIR access needs interface ownership to keep data definitions consistent
Best for: Fits when large multi-site groups need consistent clinical documentation, ordering, and integration under strict governance.
Practice Fusion
SMBWeb-based ambulatory EHR with electronic patient charts, e-prescribing, labs, and clinical documentation.
Built-in encounter charting and chart review flow that keeps note writing and follow-up context in one workspace.
Practice Fusion creates and manages patient charts through encounter note capture, structured documentation templates, and a built-in chart review workflow. It supports core ambulatory functions like problems, medications, and allergies so clinicians can complete visits without switching tools.
Practice Fusion also includes e-prescribing for medication ordering and reconciliation activities inside the chart. Admin controls support role-based access to patient records and audit visibility for chart activity.
- +Structured encounter notes reduce manual chart rework
- +Medication lists and reconciliation steps stay inside the patient chart
- +Chart review supports rapid navigation across prior encounters
- +Role-based access limits who can view or edit records
- –Fewer native enterprise-grade governance controls than some large systems
- –Integration depth depends heavily on external connectivity for specialty workflows
Best for: Fits when a specialty clinic needs fast ambulatory charting with consistent documentation templates.
Tebra EHR
SMBIndependent practice software suite with electronic charting, billing, scheduling, and patient communication tools.
Template-driven encounter documentation that supports structured clinical lists and note sections within the same chart workflow.
Tebra EHR is a charting-focused ambulatory EHR used for day-to-day encounter documentation, order workflows, and patient record management. It supports structured clinical data entry for problem lists, medication lists, and encounter notes with configurable templates that reduce repetitive typing.
The system also includes patient-facing workflows through its patient portal and provides integration hooks for data exchange with external lab, imaging, and practice systems. Admin teams can manage user roles and audit visibility so clinics can control access to clinical documentation and modify configuration with fewer surprises.
- +Configurable templates speed encounter note creation and reduce copy-paste errors
- +Structured lists for problems, medications, and allergies keep chart data consistent
- +Patient portal workflows support appointment and message handling outside the clinic
- +Practice-level user role controls limit who can change clinical documentation
- –Workflow configuration can take time when templates and order sets need redesign
- –Integration coverage depends on partner interfaces for labs and radiology systems
- –Advanced automation requires careful setup to avoid inconsistent ordering behavior
- –Complex specialty documentation may need template work to match clinic standards
Best for: Fits when ambulatory clinics need configurable charting plus patient portal workflows with controlled access to documentation.
RXNT
SMBCloud healthcare software with EHR charting, e-prescribing, scheduling, and billing for ambulatory care.
Behavioral health–oriented chart workflows with structured note capture that aligns documentation fields to clinical processes.
RXNT pairs medical charting with a built-in workflow for behavioral health and similar ambulatory documentation needs. It supports structured note capture, reusable templates, and document management patterns that reduce free-text variability across encounters.
RXNT’s integration surface is shaped around exchanging clinical data for chart continuity, including interoperability artifacts used by external EHR systems. Administration centers on user roles, organization-level settings, and access controls for consistent charting behavior across teams.
- +Structured encounter templates reduce note-format drift across providers
- +Chart workflows support behavioral health documentation patterns
- +Interoperability-oriented data exchange supports continuity with other systems
- +Role-based access helps separate clinical and administrative responsibilities
- –Template configuration takes governance time to keep documentation consistent
- –Advanced automation beyond core charting can require integration work
Best for: Fits when ambulatory teams need templated charting workflows with controlled access for consistent clinical documentation.
WebPT EMR
vertical specialistRehab therapy software with patient charting, documentation, scheduling, and billing for therapy clinics.
WebPT EMR’s therapy visit documentation is built around structured treatment planning and progress milestones rather than generic note entry.
WebPT EMR focuses on physical therapy style encounter documentation with visit structures that support repeated measures across time.
The chart supports therapy-centric artifacts like treatment plan elements and progress notes that are easier to complete during the visit flow.
Operational workflows connect closely to scheduling and performance reporting inside the WebPT system.
- +Therapy-first note templates that match common outpatient visit patterns
- +Treatment plan and progress tracking designed for longitudinal care episodes
- +Documentation-to-ops alignment through tight ties to WebPT scheduling workflows
- +Configurable documentation flows reduce repetitive typing during visits
- –Less suited for inpatient depth like multidisciplinary rounds and inpatient tasking
- –Interface breadth for lab and radiology depends on partner integrations
- –Advanced governance controls like granular RBAC may need more review
- –Clinical automation coverage beyond therapy documentation can feel limited
Best for: Fits when outpatient therapy clinics need fast visit documentation, plan tracking, and therapy-specific workflows.
SimplePractice
vertical specialistPractice management and EHR platform with chart notes, treatment plans, and client records for behavioral health.
Tasking and reminders connect form completion, documentation steps, and follow-ups to each appointment workflow.
SimplePractice records patient intake data, creates and edits appointment-linked clinical notes, and manages treatment planning workflows for outpatient practices. The system supports recurring tasking, custom forms, and document handling that keeps day-to-day chart completion tied to encounters.
It also provides patient-facing messaging and request flows, which shifts parts of chart management to the patient portal side. Integrations and an API surface extend data movement to external tools, but the coverage stays centered on ambulatory specialties rather than full inpatient EHR breadth.
- +Appointment-driven documentation keeps encounter notes and follow-ups in one workflow
- +Custom intake forms and templates reduce repetitive chart entry
- +Patient messaging and request flows support continuous chart updates
- +Document storage supports attaching signed or returned clinical files
- –Order entry and inpatient-style workflows do not match full hospital EHR depth
- –Clinical data interoperability depends heavily on integration configuration
- –Role-based controls and governance controls feel lighter than enterprise EHR suites
- –Advanced automation paths require careful setup across templates and reminders
Best for: Fits when outpatient clinics need structured documentation, patient requests, and integration-first workflows without hospital-scale charting.
CharmHealth EHR
SMBCloud EHR with patient charting, scheduling, billing, and telehealth for outpatient medical practices.
Template-driven visit documentation with built-in prompts for encounter completion and follow-up capture.
CharmHealth EHR is an ambulatory patient chart system focused on structured documentation, recurring clinical workflows, and practice-level administration. Its core chart capabilities include encounter documentation, clinical summaries for chart review, and decision support inputs used during ordering and follow-up.
The product also supports data exchange needs typical for clinic integrations through standards-based messaging options and export formats for interoperability. Administrative controls cover user access management and audit-oriented record handling that supports consistent charting across clinicians.
- +Structured encounter documentation improves consistency during chart review
- +Reusable templates reduce repetitive note entry across similar visit types
- +Integration options support common ambulatory information exchange workflows
- +Practice administration tools support clinician access control for charting
- –Clinical workflow automation depends on configuration rather than built-in orchestration
- –Some integration patterns may require vendor or IT involvement for rollout
- –Advanced analytics for longitudinal charts is limited compared with larger EHR suites
- –Guardrails for documentation quality rely on workflow discipline more than enforcement
Best for: Fits when an ambulatory clinic needs templated charting and manageable integration for day-to-day encounters.
Conclusion
After evaluating 10 healthcare medicine, athenaOne 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 patient chart software
Patient chart software in this guide focuses on how ambulatory and specialty teams create, review, and reuse encounter documentation while keeping orders, clinical lists, and follow-ups connected to the same chart context. Covered tools include athenaOne, eClinicalWorks, NextGen Healthcare EHR, Epic, Practice Fusion, Tebra EHR, RXNT, WebPT EMR, SimplePractice, and CharmHealth EHR.
The clinic workflow differences show up in chart access and record exchange, template configuration effort, and how much orchestration sits inside the core product versus partner integrations. The buyer sections that follow prioritize integration depth, API and automation surface, and admin and governance controls that affect consistent documentation and controlled access.
Patient chart software for creating, reviewing, and governing clinical documentation workflows
Patient chart software is the system where clinicians document encounter notes, manage structured clinical lists like problems, medications, and allergies, and coordinate next steps tied to each visit. It typically connects chart review with scheduling, communications, and follow-up tasks so documentation and operational actions move together for the same patient and appointment.
athenaOne centers on shared cloud charting and record exchange across participating organizations to support cross-organization continuity for multi-site ambulatory groups. NextGen Healthcare EHR uses specialty-specific template architecture so multi-specialty practices can apply configurable documentation and workflow rules across outpatient environments without forcing one generic note structure.
Patient chart software capabilities that affect charting continuity
Patient chart software has to keep encounter notes, structured clinical lists, and next steps aligned to the same patient and visit record so chart review does not require manual reconstruction. The winning tools tie documentation workflows to operational workflows like scheduling, messaging, and follow-up tasks so documentation stays actionable.
Feature depth also shows up in integration behavior across labs, radiology, and external systems. Tools with clearer integration pathways and stronger workflow governance reduce drift in medication lists, problem lists, and order completion across high-volume teams.
Shared charting and record exchange for cross-organization continuity
athenaOne links participating practices for patient-record retrieval, referral coordination, and cross-organization continuity to support multi-site ambulatory record access across the network. Epic supports standardized chart documentation and ordering under strict governance for large multi-site groups that manage change centrally.
Specialty template architecture and configurable workflow rules
NextGen Healthcare EHR uses specialty-specific template architecture that supports configurable documentation and linked clinical-administrative workflows across diverse outpatient practices. eClinicalWorks delivers the healow ecosystem for online booking, digital check-in, patient messaging, and virtual visits with the clinical record tied into that same flow.
Chart-first encounter authoring that reduces rework during review
Practice Fusion keeps encounter charting and chart review inside one workspace so note writing and follow-up context stay together for structured rework reduction. WebPT EMR builds therapy visit documentation around structured treatment planning and progress milestones so longitudinal care episode data follows the visit cadence.
Built-in structured lists and medication and allergy consistency
Tebra EHR uses template-driven encounter documentation with structured lists for problems, medications, and allergies to keep chart data consistent inside the chart workflow. Practice Fusion ties medication lists and reconciliation steps into the patient chart so reconciliation does not split across separate tools.
Governed documentation and standardized ordering without custom app builds
Epic uses build-controlled chart templates and order sets to drive standardized documentation and ordering across departments without requiring custom app development. CharmHealth EHR uses template-driven visit documentation with built-in prompts for encounter completion and follow-up capture, which improves consistency during day-to-day documentation.
Choosing based on workflow orchestration versus configuration effort
Patient chart software choices should start with where orchestration lives: in the core platform workflow engine or in partner integrations and configuration projects. Tools that embed charting with scheduling, communications, and follow-up reduce cross-system handoffs that create chart review gaps.
The second fork is template governance style. Some products push teams toward specialty or structured template designs with heavier implementation work, while others focus on faster encounter completion with manageable configuration.
Select the workflow backbone: chart plus operations or chart as an authoring surface
If a multi-site ambulatory group needs one cloud workflow for charts, scheduling, claims, and patient communications, athenaOne is built around that shared operating environment. If outpatient practices need encounter notes tied tightly to appointment-driven follow-ups and patient requests, SimplePractice connects tasking and reminders to each appointment workflow.
Choose a template governance model that matches implementation capacity
If a multi-specialty ambulatory group requires specialty-specific documentation patterns, NextGen Healthcare EHR provides specialty template architecture that supports configurable documentation and workflow rules across practices. If the clinic can enforce system-wide standards centrally, Epic offers build-controlled chart templates and order sets that standardize documentation and ordering across departments.
Validate how the system handles structured follow-up completion during chart review
If therapy clinics want visit notes organized around treatment planning and progress milestones, WebPT EMR keeps progress tracking designed for longitudinal care episodes. If ambulatory teams need prompts that guide encounter completion and follow-up capture without relying on later cleanup, CharmHealth EHR provides built-in prompts that shape day-to-day documentation.
Decide how much you accept configuration-heavy integration for labs and radiology
If labs and radiology workflows rely on partner integrations, RXNT flags that advanced automation beyond core charting can require integration work, which shifts effort to rollout projects. If the clinic expects healthcare services to run inside a connected practice management workflow, eClinicalWorks pairs integrated practice management with healow booking and messaging to keep documentation and operational context aligned.
Assess governance depth for multi-module deployments and cross-team ownership
If clinical and billing teams must coordinate across multiple modules, athenaOne warns that multi-module deployments require configuration and workflow governance across clinical and billing teams. If governance controls need to be stronger than lightweight administration for a specialty clinic, Practice Fusion notes fewer native enterprise-grade governance controls than some large systems.
Who patient chart software is built for
Patient chart software buyers should map tool design to their chart review reality, including how clinicians document across visits and how the organization handles follow-up completion. The strongest fit often comes from matching documentation structure to the clinic’s specialty workflows and choosing a system that keeps operational context attached to the same chart record.
The product set in this guide includes network-based continuity, specialty template governance, therapy-first visit documentation, and appointment-driven tasking. Each design choice affects how chart review behaves when teams are high volume and multi-provider.
Multi-site ambulatory groups that need cross-organization chart continuity
athenaOne fits because shared cloud charting and scheduling run inside one operating environment and the athenahealth network supports record exchange across participating organizations.
Multi-specialty outpatient practices that require configurable documentation by specialty
NextGen Healthcare EHR fits because specialty templates support distinct clinical documentation patterns without forcing one generic note structure across outpatient specialties.
Specialty clinics that prioritize fast encounter completion with structured follow-ups
CharmHealth EHR fits because template-driven visit documentation includes prompts for encounter completion and follow-up capture so the chart review step does not become a cleanup loop.
Outpatient therapy clinics that need treatment plans and progress milestones embedded in charting
WebPT EMR fits because therapy visit documentation is built around structured treatment planning and progress milestones rather than generic note entry.
Ambulatory practices that want appointment-driven documentation plus tasking and reminders
SimplePractice fits because tasking and reminders connect form completion, documentation steps, and follow-ups to each appointment workflow.
Common buying pitfalls in patient chart software
Buyers often underestimate how much time chart template configuration takes when clinical documentation has to match specialty workflows and organizational standards. Another frequent failure is selecting a system that documents well inside the chart but relies on outside partner integrations for lab and radiology coverage without a clear rollout plan.
A third pitfall is assuming governance exists by default across clinical and billing workflows, even when the product requires disciplined configuration for consistent chart review outcomes.
Selecting a general charting workflow without evaluating how governance standards will be enforced
Epic can standardize documentation and ordering with build-controlled templates and order sets, but best results require structured build standards and ongoing governance discipline.
Treating integration coverage as interchangeable when labs and radiology depend on partner connectivity
Practice Fusion notes that integration depth depends heavily on external connectivity for specialty workflows, and integration coverage limitations can show up during chart review when orders and results do not arrive in the same workflow.
Underestimating the training and configuration effort created by dense interfaces and template rework
eClinicalWorks warns that interface density increases training time for new staff and that advanced configuration can require vendor assistance and internal governance.
Buying therapy-first documentation for a setting that needs inpatient depth and multidisciplinary rounds
WebPT EMR is less suited for inpatient depth like multidisciplinary rounds and inpatient tasking, so inpatient chart review workflows will likely require a different system or added tooling.
How We Selected and Ranked These Tools
We evaluated athenaOne, eClinicalWorks, NextGen Healthcare EHR, Epic, Practice Fusion, Tebra EHR, RXNT, WebPT EMR, SimplePractice, and CharmHealth EHR using feature depth at 40%, ease of daily charting and review at 30%, and value for the required workflow model at 30%. We weighted integration depth and record exchange behaviors because cross-organization continuity and external system connectivity directly affect chart review completion.
We prioritized automation and API surface where the review cards described orchestration inside the core product rather than depending on manual workflow glue. athenaOne separated itself by combining shared cloud charting with scheduling, claims, and patient communications inside one operating environment plus network-supported record exchange across participating organizations.
Frequently Asked Questions About patient chart software
Which platforms support chart access across organizations through a clinical network workflow?
How do athenaOne and Epic handle integration differently when labs and imaging systems need data exchange?
How is SSO and RBAC typically applied for chart access control in Practice Fusion versus Tebra EHR?
What breaks if a clinic needs standards-based interoperability artifacts but only has export formats in CharmHealth EHR?
How do eClinicalWorks and healow-linked workflows change patient communication versus a clinic-only charting model?
When should an ambulatory multi-specialty group choose NextGen Healthcare EHR over a template-driven charting tool like RXNT?
How does data migration usually affect chart template structure in Epic compared with configuration-driven templates in NextGen Healthcare EHR?
Where does WebPT EMR fall short when clinics need broad inpatient-style ordering and department-level workflow automation?
How does chart review and follow-up context differ between Practice Fusion and CharmHealth EHR?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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