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Healthcare MedicineTop 10 Best Pediatric Emr Software of 2026
Ranking of the top 10 pediatric emr software with feature and usability notes for pediatric practices, including Office Ally, ChARM Health, PCC.
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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Office Ally is the best fit for pediatric practices that want integrated encounter charting plus billing execution within a free cloud EHR, whereas Practice Fusion works best as the affordable entry point for a single-site team focused on fast pediatric templates, and PCC is worth choosing when you need a pediatric-only workflow across multiple providers.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
Office Ally
Integrated charge capture tied to the encounter documentation workflow reduces post-visit billing reconciliation work.
Built for fits when pediatric practices want integrated encounter charting plus billing execution with controlled documentation templates..
ChARM Health
Editor pickImmunization workflows that guide due-vaccine reconciliation inside pediatric encounter flows
Built for fits when pediatric clinics need standardized well-child and immunization documentation across providers..
PCC
Editor pickImmunization and well-visit documentation workflows designed for pediatric reconciliation and longitudinal care tracking.
Built for fits when multi-provider pediatric practices need standardized documentation and pediatric workflow automation..
Comparison Table
Office Ally
SMBFree cloud EHR with pediatric charting options.
Integrated charge capture tied to the encounter documentation workflow reduces post-visit billing reconciliation work.
Office Ally is a pediatric EMR used for scheduling, encounter documentation, and charge capture, with charting tools designed for pediatric visits rather than adult-only templates. Clinicians can run recurring documentation like well-visit content and immunization-related workflows from within the encounter flow. The system supports orders and e-prescribing workflows tied to the same chart context so staff can reduce handoffs during a busy clinic day.
A practical tradeoff is that deep customization of encounter workflows can require disciplined configuration and staff training to keep documentation consistent across providers. Office Ally fits practices that want one system to handle pediatric visit documentation plus billing execution, particularly for multi-provider teams managing high visit volumes and frequent documentation reuse.
- +Encounter-first charting supports pediatric visit documentation patterns
- +Orders and e-prescribing flow directly from the patient chart
- +Billing charge capture is integrated into the visit workflow
- +Admin audit trails help track clinical and operational changes
- –Advanced workflow customization takes governance and training discipline
- –Some pediatric-specific automation depends on configured templates and mappings
- –Reporting customization can require technical assistance for complex views
- –Multi-site standardization may need consistent setup before scaling
Pediatric clinic operations managers
Standardize multi-provider visit documentation
Fewer charting and billing mismatches
Pediatric clinicians
Order labs during pediatric visits
Shorter time from visit to orders
Show 2 more scenarios
Medical billing staff
Reduce post-visit charge cleanup
Faster charge resolution
Encounter-linked charge capture helps billing staff reconcile services while context is still fresh.
Multi-site pediatric practices
Scale workflows across locations
More consistent multi-site documentation
Configuration and governance controls support replicating documentation and operational standards between sites.
Best for: Fits when pediatric practices want integrated encounter charting plus billing execution with controlled documentation templates.
ChARM Health
SMBCloud EHR with pediatric care plans and growth tracking.
Immunization workflows that guide due-vaccine reconciliation inside pediatric encounter flows
ChARM Health is built around pediatric visit structure with documentation elements that match how pediatric teams run checkups, updates, and follow-ups. Well-child templates and growth documentation help standardize what gets recorded at each age step, and immunization workflows support reconciliation around what is due. Care team workflows are designed for pediatric throughput, and patient-facing access supports caregiver visibility into visit information.
A key tradeoff is that the pediatric-specific configuration reduces flexibility for practices that run mostly non-pediatric workflows or rely on highly custom encounter structures. ChARM Health fits teams running multi-provider clinics that need consistent documentation and repeatable pediatric visit flows across sites.
- +Well-child templates align documentation with pediatric visit patterns
- +Immunization reconciliation workflows reduce manual vaccine tracking
- +Growth chart capture supports repeatable vitals documentation
- +Interoperability supports external clinical data exchange
- –Pediatric workflow configuration limits fit for non-pediatric templates
- –Deep pediatric automations may require governance to stay consistent
- –Some custom workflow steps depend on configuration rather than built-in constructs
- –Front-end customization for niche documentation can be time-intensive
Pediatric primary care teams
Run standardized well-child documentation
More complete visit capture
Immunization coordinators
Reconcile vaccine records across sources
Fewer missed immunizations
Show 2 more scenarios
Multi-site practice operations
Standardize pediatric visit workflows
Lower inter-site variability
The system’s pediatric encounter structure helps enforce common documentation across locations.
Caregivers with proxy access needs
View pediatric visit records
Reduced admin contact
Caregiver-facing access supports reviewing pediatric visit information without repeated phone calls.
Best for: Fits when pediatric clinics need standardized well-child and immunization documentation across providers.
PCC
vertical specialistEHR built exclusively for pediatric practices.
Immunization and well-visit documentation workflows designed for pediatric reconciliation and longitudinal care tracking.
PCC is geared to pediatric encounters with built-in templates for common visit documentation, including pediatric growth charts and immunization records. It also supports pediatric practice management workflows such as scheduling, patient communications, and ongoing chart maintenance tied to recurring care episodes. Integration options focus on pediatric data exchange scenarios, including laboratory and immunization related connectivity used by clinics that rely on external registries and lab feeds.
A tradeoff appears in the learning curve required to standardize documentation templates and order workflows across providers and locations. PCC tends to fit practices that run high volumes of immunization and well-child documentation where consistent chart structure and operational routing matter for throughput.
- +Pediatric-specific visit templates reduce variation in core encounter documentation
- +Immunization workflows support reconciliation during ongoing care
- +Growth tracking tools keep pediatric measurements organized across visits
- +Practice management tools align scheduling and encounter documentation
- –Template customization can require careful governance for multi-site consistency
- –Reporting depth depends on configuration and field availability
- –Some pediatric workflows may require add-on integration for niche systems
- –Advanced automation setup takes time compared with lighter EMRs
Pediatric practice administrators
Standardize multi-site well-visit charting
Fewer documentation gaps across sites
Pediatric clinicians
Speed routine well-child documentation
Faster chart completion
Show 2 more scenarios
Health information teams
Maintain longitudinal pediatric records
Cleaner immunization history
Health teams manage ongoing chart updates and reconciliation for immunization histories across time.
Practice ops managers
Route care workflows consistently
More predictable clinic throughput
Ops teams coordinate scheduling and encounter workflows that depend on pediatric documentation milestones.
Best for: Fits when multi-provider pediatric practices need standardized documentation and pediatric workflow automation.
Athenahealth
enterpriseCloud-based EMR and practice management for pediatric and multi-specialty clinics.
Athenahealth’s encounter-to-operations workflow model links clinical documentation outcomes to downstream orders and operational status tracking.
Athenahealth is a cloud-based pediatric EMR and practice management system built around high-volume scheduling, documentation, and billing workflows. Care teams get pediatric encounter charting with pediatric-specific visit support and structured immunization capture within routine documentation.
The product also supports interoperability through HL7 messaging and FHIR-based interfaces for clinical data exchange. Automation and integration depend heavily on configuration and external integrations for edge workflows like lab reconciliation and referral coordination.
- +Strong interoperability via HL7 messaging and FHIR-based clinical exchange
- +Good pediatric encounter flow for documentation and visit-level orders
- +Workflow configuration supports multi-site coordination and consistent care delivery
- +Commissioning-style automation reduces manual status chasing across departments
- –Pediatric-specific workflows often require setup and ongoing governance discipline
- –Some pediatric edge cases depend on add-on interfaces or custom configuration
- –Portals and adolescent workflows can demand careful role design for confidentiality
- –Reporting granularity for niche pediatric metrics can require analyst effort
Best for: Fits when multi-site pediatric practices need strong integration surfaces and configurable encounter workflows.
Greenway Health
enterpriseAmbulatory EHR suite with pediatric-specific modules.
Greenway’s documentation reuse within pediatric encounter templates helps carry structured elements into orders and visit summaries.
Greenway Health handles pediatric encounters by combining clinical documentation tools with scheduling and practice workflow. Its core capabilities include electronic prescribing, HL7-based lab and messaging integrations, and configuration of pediatric visit templates such as immunization and well-child flows.
The product also supports patient engagement workflows through a proxy-friendly patient portal and fax-to-record document handling for incoming clinical content. Automation focuses on documentation reuse and structured data capture that carries through orders, referrals, and clinical summaries.
- +HL7 integration options support routine lab and clinical message exchange
- +Pediatric visit documentation can be structured through configurable templates
- +Electronic prescribing and medication reconciliation fit day-to-day pediatric prescribing
- +Patient portal workflows support caregiver access for pediatric cases
- –Template and workflow configuration requires governance to keep pediatric documentation consistent
- –Extensibility often depends on partner or custom integration work for edge workflows
- –Decision support coverage for pediatric dosing varies by how medication data is mapped
- –Multi-site pediatric reporting can require careful standardization of clinical coding
Best for: Fits when multi-clinic practices need structured pediatric visit workflows with HL7-based interoperability.
NextGen Healthcare
enterpriseAmbulatory EHR with pediatric templates and immunization tracking.
Structured immunization reconciliation workflows that align immunization records with pediatric encounter documentation and updates.
NextGen Healthcare is built for multi-specialty outpatient groups, and it supports pediatric workflows through pediatric visit templates, scheduling, and clinical documentation that can be reused across sites. Pediatric-specific needs are handled through structured immunization documentation and child-specific care pathways in the encounter.
The system is used with HL7 messaging for lab and clinical document exchange, plus electronic prescribing for medication orders tied to pediatric dosing checks. Admin control centers on role-based access and audit logging, which is meant for practice governance across locations.
- +Immunization documentation supports reconciliation workflows tied to pediatric visits
- +HL7 messaging supports lab and clinical document exchange for routine orders
- +Role-based access and audit logging support multi-site governance
- +Electronic prescribing integrates medication orders into the pediatric encounter
- –Pediatric-specific dosing decision support depth depends on configuration
- –Complex pediatric forms require careful template design to avoid click-heavy encounters
- –Multi-department setups can increase admin overhead for consistent documentation
- –Some pediatric workflow automation relies on add-on modules or custom builds
Best for: Fits when a multi-site pediatric practice needs structured immunization documentation and HL7 integration.
Practice Fusion
SMBAffordable cloud EHR with pediatric charting templates.
Encounter documentation built around configurable clinical templates for well-child and problem-focused pediatric visits.
Practice Fusion is a cloud-hosted pediatric EMR focused on fast charting and encounter documentation using configurable templates. The pediatric workflow can be built around well-child visit templates, immunization capture, and growth history views that help clinicians review trends during an appointment.
Practice Fusion supports interfaces for electronic prescribing and clinical data exchange using standard healthcare messaging formats. Integration and automation depend heavily on third-party services and extensions rather than a thick native API toolkit for deep pediatric-specific workflows.
- +Template-driven encounter documentation speeds pediatric visits
- +Immunization documentation supports reconciliation workflows
- +Supports electronic prescribing for medication ordering
- +Cloud deployment reduces local infrastructure work
- –Pediatric configuration depth depends on add-ons and administrator setup
- –Limited native pediatric-specific clinical decision support automation
- –Integration depth can lag EHR suites with richer API surfaces
- –Governance tooling for multi-site pediatric operations can be thin
Best for: Fits when a single-site pediatric team prioritizes quick charting with configurable templates.
PrognoCIS
SMBAmbulatory EHR with pediatric specialty templates.
Child-focused encounter templates that keep well-child documentation and growth data entry aligned per visit type.
PrognoCIS targets pediatric practices with an encounter workflow centered on child-specific documentation and visit templates. Its core capabilities focus on well-child visit structure, growth tracking, and age-sensitive clinical documentation for recurring pediatric encounters.
The product also supports immunization workflows that map vaccination status to ongoing care needs across scheduled visits. Admin configuration is designed around practice-specific settings to keep templates and documentation consistent across clinicians.
- +Pediatric encounter templates reduce manual rework during repeat well-child visits
- +Growth chart workflow keeps height and weight documentation tightly coupled to visits
- +Immunization workflows support ongoing reconciliation as vaccination status changes
- +Practice configuration supports consistent documentation across multiple clinicians
- –Depth of integration support for external systems can lag behind higher-ranked EMRs
- –Workflow automation options rely more on template configuration than event-driven rules
- –Advanced reporting needs more hands-on setup than in analytics-forward systems
- –Some pediatric specialties require extra configuration to match local documentation patterns
Best for: Fits when a pediatric team wants structured well-child and growth documentation with consistent template governance.
ChartLogic
SMBAmbulatory EHR with pediatric templates and voice documentation.
Age-sensitive pediatric documentation templates that standardize well-child and growth workflows across repeated visits.
ChartLogic is a pediatric EMR that structures encounters around common child-health workflows such as well-child documentation and growth tracking. ChartLogic focuses on pediatric-specific clinical templates, including age-sensitive forms and dosing support patterns used in routine pediatric visits.
ChartLogic also supports interoperability via industry messaging and exchange mechanisms used for lab results, immunization updates, and clinical document transfer. Admin capability centers on multi-user configuration, standardized template deployment, and governance practices for consistent documentation across pediatric clinicians.
- +Pediatric encounter templates reduce rework during well-child documentation
- +Age-aware growth chart workflows support consistent measurements across visits
- +Integration tooling supports lab and immunization data movement into charts
- +Standardized template rollout supports multi-clinician consistency
- –Advanced automation depends on deeper configuration than basic encounter forms
- –FHIR or HL7 capabilities may require specialist help for complex mappings
- –Granular RBAC and audit log detail is less visible than in enterprise EMRs
- –Workflow changes across sites can require template maintenance discipline
Best for: Fits when a pediatric practice needs structured pediatric visit workflows with chart templates and external-data exchange.
OPUS EHR
vertical specialistEHR designed for pediatric and adolescent medicine.
Immunization reconciliation workflow is designed around pediatric documentation steps during routine encounters.
OPUS EHR targets pediatric clinics that need encounter workflows tied to growth tracking, immunization work, and age-based care documentation. The product supports pediatric visit templates and structured pediatric vitals so clinicians can complete common well-child workflows faster.
OPUS EHR also includes immunization-focused documentation and medication documentation designed for weight-aware pediatric prescribing. Admin controls focus on practice setup, user roles, and auditability of clinical actions across pediatric encounters.
- +Pediatric encounter templates reduce time spent re-documenting routine visits
- +Immunization documentation tools support reconciliation within pediatric workflows
- +Weight-aware medication documentation reduces common pediatric dosing errors
- +Practice configuration and user roles support multi-clinician operations
- –HL7 messaging and FHIR interoperability coverage needs validation for each integration
- –Clinical data capture relies on template discipline to keep documentation consistent
- –Automation depth depends on configuration rather than broad built-in triggers
- –Advanced governance reporting needs tighter setup to support audits
Best for: Fits when pediatric clinics want pediatric visit templates plus immunization and weight-aware medication documentation in one chart.
Conclusion
After evaluating 10 healthcare medicine, Office Ally 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 pediatric emr software
Pediatric EMR software is evaluated here through ten concrete platforms that cover encounter charting, pediatric-specific documentation templates, and immunization reconciliation workflows. This buyer’s guide covers Office Ally, ChARM Health, PCC, Athenahealth, Greenway Health, NextGen Healthcare, Practice Fusion, PrognoCIS, ChartLogic, and OPUS EHR.
The comparison prioritizes integration depth, automation and API surface, and the admin controls needed to keep multi-provider pediatric documentation consistent. The tool-by-tool reviews highlight how each product ties pediatric encounter workflows to downstream orders and operational steps, or how it keeps vaccine records aligned within visit documentation.
Pediatric EMR software for encounter-driven charting, immunization workflows, and pediatric care continuity
Pediatric EMR software organizes pediatric encounter documentation around well-child and problem-focused visit patterns, then carries structured elements into orders, summaries, and longitudinal tracking. Many systems also include immunization reconciliation workflows designed to reduce manual vaccine gap checking during routine care.
Office Ally is positioned around encounter-first charting that drives orders and e-prescribing flow directly from the patient chart, and it includes integrated charge capture tied to encounter documentation. ChARM Health and PCC both focus on well-child template alignment with immunization workflows that guide due-vaccine reconciliation inside pediatric encounter flows, which reduces variation across providers.
Pediatric EMR capabilities that drive encounter-to-care continuity
Pediatric EMR software succeeds when encounter documentation produces downstream artifacts like orders, summaries, and longitudinal tracking without rekeying by staff. Systems that connect visit-level charting to operational steps reduce post-visit work and keep immunization history consistent across repeated care.
Encounter-first charting that flows into orders and e-prescribing
Office Ally ties encounter documentation to orders and e-prescribing flow directly from the patient chart. Athenahealth uses an encounter-to-operations workflow model that links clinical documentation outcomes to downstream operational status tracking.
Immunization reconciliation embedded in pediatric encounter workflows
ChARM Health and PCC both include immunization workflows built for pediatric due-vaccine reconciliation during visit documentation. NextGen Healthcare also provides structured immunization reconciliation tied to pediatric encounter documentation and updates.
Pediatric template governance for well-child and growth documentation
PrognoCIS keeps well-child and growth data entry aligned per visit type using child-focused encounter templates. ChartLogic uses age-sensitive pediatric documentation templates to standardize well-child and growth workflows across repeated visits.
Structured documentation reuse that carries into summaries and orders
Greenway Health supports documentation reuse inside pediatric encounter templates so structured elements carry into orders and visit summaries. Office Ally’s encounter-first charting design also supports pediatric documentation patterns that reduce post-visit reconciliation work.
Interoperability interfaces for labs and clinical record exchange
Athenahealth offers strong interoperability via HL7 messaging and FHIR-based clinical exchange. Greenway Health provides HL7 integration options for routine lab and clinical message exchange.
Choose by workflow control depth and pediatric-specific automation boundaries
Pediatric practices run into failure modes when template-driven charting does not drive consistent downstream actions. The selection framework here separates encounter charting quality from how reliably immunizations, orders, and longitudinal data stay aligned during daily throughput.
Start with the encounter path that must stay error-resistant
If visit documentation must automatically produce orders and e-prescriptions from the chart, Office Ally fits the encounter-first charting model tied to orders and e-prescribing flow. If encounter documentation must drive downstream operational status tracking, Athenahealth fits the encounter-to-operations workflow model.
Map immunization reconciliation to the exact visit types used in pediatrics
If due-vaccine reconciliation must be guided inside well-child encounter flows to reduce manual gap checking, ChARM Health and PCC align with pediatric immunization workflow guidance. If immunization documentation must stay structured for reconciliation during ongoing care, NextGen Healthcare supports immunization reconciliation workflows tied to pediatric visits.
Decide how much pediatric template governance the organization can enforce
If governance discipline for advanced workflow customization is feasible, Office Ally supports encounter charting that depends on configured templates and mappings. If the organization prefers standardized pediatric templates with less customization, Practice Fusion and PrognoCIS emphasize template-driven encounter documentation for well-child and repeat visits.
Validate that pediatric documentation can reuse structured elements without reentry
If structured pediatric documentation reuse needs to carry into orders and visit summaries, Greenway Health supports reusable structured elements through configurable templates. If the clinic expects growth and visit data to stay tightly coupled to the visit template, PrognoCIS keeps growth chart workflows aligned with per-visit entry.
Check interoperability fit for the practice’s lab and document exchange reality
If the practice relies on HL7 messaging plus FHIR-based clinical exchange for clinical record interoperability, Athenahealth is built around that exchange model. If the practice’s lab messaging is largely HL7 based and needs routine exchange for labs and clinical documents, Greenway Health’s HL7 integration options match that pattern.
Who each pediatric EMR approach fits best
Different pediatric EMR products optimize for different operational constraints like multi-provider standardization, encounter throughput, and immunization reconciliation consistency. The best match depends on how templates are governed and how much the chart must automate downstream work.
Multi-provider pediatric practices that require encounter charting to produce orders and e-prescribing reliably
Office Ally’s encounter-first charting supports pediatric visit documentation patterns and pushes orders and e-prescribing flow directly from the patient chart.
Pediatric clinics standardizing well-child and immunization documentation across providers
ChARM Health and PCC both focus on well-child template alignment with immunization reconciliation workflows that reduce manual vaccine tracking.
Multi-site pediatric organizations that need consistent immunization documentation plus interoperability for routine exchange
NextGen Healthcare supports structured immunization documentation tied to pediatric visits alongside HL7 messaging for lab and clinical document exchange.
Teams that can invest in template governance to keep pediatric documentation consistent across complex forms
Athenahealth supports configurable encounter workflows but notes that pediatric-specific workflows require ongoing setup and governance discipline.
Single-site pediatric practices prioritizing fast charting with configurable templates
Practice Fusion is built around configurable clinical templates for well-child and problem-focused pediatric visits with immunization documentation support.
Common pediatric EMR implementation mistakes that break daily throughput
Pediatric EMR deployments fail when immunization and pediatric visit templates are configured without a governance plan. They also fail when encounter documentation customization is treated as a one-time setup instead of an ongoing control process.
Treating pediatric workflow customization as purely local without governance
Office Ally warns that advanced workflow customization requires governance and training discipline so encounter-first documentation stays consistent across providers.
Assuming immunization reconciliation works the same for every template set in pediatric care
ChARM Health and PCC both tie due-vaccine reconciliation to pediatric encounter flows, so pediatric workflow configuration can limit fit for non-pediatric templates.
Underestimating how pediatric-specific forms create click-heavy encounters
NextGen Healthcare flags that complex pediatric forms require careful template design to avoid click-heavy encounters that slow well-child throughput.
Overrelying on template configuration when workflow automation is event-driven in other systems
PrognoCIS and ChartLogic rely more on template configuration than event-driven rules, so automation-heavy workflows may require deeper configuration work than expected.
Buying based on generic interoperability claims without validating each integration mapping
OPUS EHR states that HL7 messaging and FHIR interoperability coverage needs validation for each integration, so each lab and record exchange should be validated against the target integration mappings.
How We Selected and Ranked These Tools
We evaluated each pediatric EMR on features that directly support pediatric encounter charting, immunization reconciliation, and pediatric workflow consistency. Features accounted for 40% of the ranking, and ease and value each accounted for 30% to balance throughput with operational fit.
Office Ally set the top position by combining encounter-first charting with integrated charge capture tied to encounter documentation and by linking encounter documentation outcomes to orders and e-prescribing flow. Office Ally also scored high on encounter-first charting fit for pediatric documentation patterns while limiting post-visit billing reconciliation work.
Frequently Asked Questions About pediatric emr software
How do Office Ally, PCC, and ChARM Health handle well-child visit documentation templates during encounters?
Which pediatric EMR systems provide immunization reconciliation inside the encounter workflow rather than as a standalone report?
When a practice needs lab and clinical document exchange, how do Athenahealth, Greenway Health, and NextGen Healthcare differ in integration approach?
What breaks if a pediatric practice selects Practice Fusion without a deep native API approach for pediatric-specific workflows?
How do multi-site admin controls and audit trails show up in NextGen Healthcare, Athenahealth, and PCC?
How does RBAC and auditability support adolescent confidentiality and caregiver proxy access in pediatric workflows?
How is data migration handled when moving pediatric problem lists, growth history, and immunization records into a new EMR?
What is the tradeoff between template governance and day-to-day charting speed across PrognoCIS, ChartLogic, and Office Ally?
When onboarding a multi-provider pediatric clinic, how do provisioning and configuration differ between Office Ally and Athenahealth?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
- Healthcare MedicineTop 10 Best Pediatric Software of 2026
- Healthcare MedicineTop 10 Best Emr Electronic Medical Records Software of 2026
- Healthcare MedicineTop 10 Best Substance Abuse Emr Software of 2026
- Healthcare MedicineTop 10 Best Plastic Surgery Emr Software of 2026
- Healthcare MedicineTop 10 Best Physical Therapy Emr Software of 2026
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