
GITNUXSOFTWARE ADVICE
Healthcare MedicineTop 10 Best Progress Notes Software of 2026
Top 10 progress notes software ranking for healthcare teams. Reviews compare CentralReach, ChARM EHR, and Jane features for documentation.
How we ranked these tools
Core product claims cross-referenced against official documentation, changelogs, and independent technical reviews.
Analyzed video reviews and hundreds of written evaluations to capture real-world user experiences with each tool.
AI persona simulations modeled how different user types would experience each tool across common use cases and workflows.
Final rankings reviewed and approved by our editorial team with authority to override AI-generated scores based on domain expertise.
Score: Features 40% · Ease 30% · Value 30%
Gitnux may earn a commission through links on this page — this does not influence rankings. Editorial policy
CentralReach is the best fit for therapy organizations that need structured progress notes tied to sessions plus controlled approval and amendment workflows, whereas ChARM EHR is a strong cheaper entry for outpatient and specialty teams standardizing templated documentation, and Jane works well if you want revision history for consistent allied-health notes.
Editor’s top 3 picks
Three quick recommendations before you dive into the full comparison below — each one leads on a different dimension.
CentralReach
Session-linked note workflows that guide review and amendments as part of encounter documentation.
Built for fits when therapy organizations need structured progress notes tied to sessions and controlled approval workflows..
ChARM EHR
Editor pickTemplate-driven progress note building with reusable smart phrasing to standardize narrative sections across encounters.
Built for fits when clinical teams want structured progress notes with reusable templates and consistent documentation standards..
Jane
Editor pickEncounter-specific note revision tracking that preserves a documentation change trail after clinicians amend submitted notes.
Built for fits when outpatient teams need consistent progress note structure with revision history for amendments..
Related reading
Comparison Table
CentralReach
vertical specialistClinical platform for ABA and behavioral health with session note and progress tracking tools.
Session-linked note workflows that guide review and amendments as part of encounter documentation.
CentralReach documentation centers on structured progress notes built from templates and configurable fields, with workflows that keep notes linked to the session or episode context. It supports note editing controls and versioned review steps that help teams manage amendments and approvals without relying on email threads. For encounter-heavy programs, the product reduces repeat data entry by reusing patient and visit context when clinicians author notes.
A key tradeoff is that deep configuration is required to match templates and workflow steps to each program’s documentation rules. CentralReach fits best when teams document many similar therapy encounters and need consistent note structure plus controlled review before notes become final for downstream reporting.
- +Templates with configurable fields keep progress note structure consistent across clinicians
- +Session-linked documentation reduces retyping of patient and encounter context
- +Built-in review and amendment workflow supports controlled signoff
- +Audit-friendly history helps track changes during the note lifecycle
- –Template and workflow setup takes time for multi-program organizations
- –Advanced note customization can require governance to prevent template drift
- –Some complex documentation variations may need process workarounds in templates
- –Implementation effort can be noticeable for sites with highly unique charting rules
Behavioral health clinics
Session progress notes with controlled signoff
Fewer late edits and rework
Multi-clinic therapy networks
Template governance across programs
Consistent documentation standards
Show 1 more scenario
Care coordination teams
Reuse patient context during charting
Faster note completion
CentralReach pulls session context into note entry to reduce repeated manual fields.
Best for: Fits when therapy organizations need structured progress notes tied to sessions and controlled approval workflows.
More related reading
ChARM EHR
SMBCloud EHR platform with progress notes for ambulatory and specialty practices.
Template-driven progress note building with reusable smart phrasing to standardize narrative sections across encounters.
ChARM EHR provides progress note creation from templates with sections that can be reused across encounters, which helps standardize SOAP-style documentation without forcing a single rigid layout. Smart phrasing and content reuse reduce the amount of manual data entry when the same clinical facts recur across visits. Teams that need consistent documentation across multiple clinicians typically benefit from template governance and shared note structure rather than freeform typing.
A practical tradeoff is that higher template standardization usually requires deliberate configuration work so sections and phrasing match how each clinic documents. ChARM EHR works best when the organization can define note standards early and then refine templates based on clinical feedback across real encounters.
- +Configurable progress note templates that standardize encounter documentation
- +Reusable smart phrasing cuts repetitive typing during follow-up visits
- +Template-driven structure supports consistent documentation across clinicians
- +Integration-focused workflow keeps progress notes inside EHR operations
- –Template standardization requires upfront configuration effort
- –Complex documentation variations can increase template maintenance overhead
- –Some note refinement relies on template changes instead of per-note edits
- –Workflow tuning for special cases needs governance discipline
Multi-clinician primary care teams
Standardizing SOAP-style progress notes
More uniform documentation quality
Behavioral health groups
Recurring session documentation
Faster note completion
Show 2 more scenarios
Outpatient specialty clinics
Condition-specific follow-up notes
Reduced rework between visits
Configurable note structures support recurring follow-up documentation patterns per specialty.
EHR implementation teams
Rolling out documentation standards
Cleaner adoption across users
Template governance helps install shared progress note formats across a practice group.
Best for: Fits when clinical teams want structured progress notes with reusable templates and consistent documentation standards.
Jane
SMBClinic management platform with charting and progress notes for allied health providers.
Encounter-specific note revision tracking that preserves a documentation change trail after clinicians amend submitted notes.
Jane’s core documentation experience is built around configurable progress note templates that keep each visit’s sections consistent. Patient context fields can populate note content as clinicians document, which helps reduce manual copy and edit cycles. The software also provides a note update path that preserves an encounter’s documentation trail, which supports later review and amendment workflows.
A key tradeoff is that Jane’s template-driven approach is strongest when documentation structure is standardized across clinicians and sites. Jane fits best for behavioral health and outpatient teams that document recurring progress note types and want dependable section completion during point-of-care charting.
- +Template-guided notes keep section structure consistent across clinicians
- +Patient context auto-fill reduces repeated typing in routine visits
- +Revision history supports note amendment review after edits
- +Fast capture flow reduces friction during point-of-care charting
- –Template standardization is required for best results
- –Complex edge-case documentation may need manual overrides
- –Workflow fit depends on clinic-specific note section design
- –Deep EHR connectivity often requires additional integration planning
Behavioral health clinicians
Repeat visits with consistent sections
Less manual formatting
Clinic documentation leads
Standardize notes across providers
More uniform charting
Show 2 more scenarios
Care team coordinators
Audit-friendly amendment workflow
Cleaner amendment tracking
Revisions stay traceable after note updates, which supports review and correction workflows.
Outpatient operations teams
Point-of-care progress note capture
Faster documentation
Guided capture reduces time spent recreating note scaffolding during the visit.
Best for: Fits when outpatient teams need consistent progress note structure with revision history for amendments.
Epic
enterpriseEnterprise EHR platform with clinical documentation including progress notes for health systems.
Encounter-linked progress note documentation that supports controlled amendments and co-signature steps within the same clinical workflow.
Epic is a progress notes workflow layer inside a full EHR suite, which makes it distinct from standalone note editors. Progress documentation is driven by configurable clinical documentation templates, structured note capture, and encounter-linked documentation flows.
Epic supports documentation review steps such as amendments, co-signature, and controlled note copying behaviors that keep longitudinal notes consistent. Tight EHR-native integration also means patient context and clinical data can be auto-populated into progress notes without separate exports.
- +Clinical documentation templates enforce structured progress note consistency
- +Note amendment and co-signature workflows support compliance-oriented review cycles
- +Copy-forward controls reduce transcription drift across follow-up encounters
- +EHR-native context enables auto-populated data in progress notes
- –Deep configuration requires implementation governance and informatics oversight
- –Mobile and offline documentation patterns depend on specific deployment setup
- –Extending templates and workflows typically relies on Epic-supported customization paths
- –Granular access and logging settings often require careful admin tuning
Best for: Fits when health systems want EHR-native progress notes with structured templates, amendment rules, and audit-ready workflows.
ICANotes
vertical specialistBehavioral health clinical documentation system specializing in narrative progress notes.
Co-signature and note amendment workflow controls that track documentation changes across the note lifecycle.
ICANotes generates and manages clinical progress notes inside a guided documentation workflow. It uses SOAP note templates and structured clinical documentation layouts to keep narrative and fields consistent across visits.
The editor supports configurable templates, smart phrase style inserts, and note management workflows such as co-signature and amendment handling. Patient context can populate into notes to reduce repetitive typing during point-of-care charting.
- +SOAP-style structured templates reduce inconsistent note formatting
- +Note amendment and co-signature workflows fit clinical review processes
- +Smart phrase inserts speed repetitive clinical wording
- +Patient context fields reduce manual data re-entry
- –Requires deliberate template governance to prevent template drift
- –Advanced integrations depend on configuration and external systems
- –Less suited for highly custom documentation layouts without template work
- –Workflow control is stronger for note lifecycle than for granular collaboration
Best for: Fits when behavioral health teams need consistent structured progress notes with co-signature and amendment workflows.
Practice Fusion
SMBCloud-based EHR offering clinical charting and progress notes for ambulatory providers.
SOAP note templates with smart phrase style insertion and patient context auto-fill during drafting.
Practice Fusion targets ambulatory clinics that document progress notes inside a browser-based EHR workflow. It uses charting pages with SOAP note templates and structured fields so clinicians can generate consistent narratives while pulling in patient context.
The note workflow supports encounter-level note drafting, signing, and amendment patterns that fit routine outpatient documentation. Integration focuses on connecting the EHR to external systems through standard health data formats and APIs for encounter and patient data exchange.
- +Structured SOAP templates reduce variability across clinicians
- +Copy-forward style note reuse supports faster progress note drafting
- +Browser-based charting supports point-of-care documentation with fewer context switches
- +External integration supports exchange of patient and clinical data with other systems
- –Note amendment and signing workflow can feel rigid for exception-heavy teams
- –Advanced automation needs configuration work rather than self-serve rules
- –Behavioral health specialty templates are limited compared with specialty-focused note tools
- –Offline charting and sync for mobile users are not the primary workflow focus
Best for: Fits when outpatient teams need fast, template-driven SOAP progress notes inside an existing EHR workflow.
AdvancedMD
SMBAmbulatory EHR and practice management with clinical note templates.
Encounter note amendment and co-signature workflows built into the progress note lifecycle, not added as a separate process.
AdvancedMD focuses on structured progress note workflows tied to clinical documentation, rather than generic note editors. The solution supports narrative charting with templates that can auto-populate patient context to reduce repetitive typing.
It also emphasizes encounter-level documentation behaviors like note amendment and co-signature workflows that align with clinical review. AdvancedMD’s overall fit depends on how tightly the team’s progress notes map to its documentation templates and EHR integration path.
- +Template-driven progress notes reduce copy and re-entry work
- +Note amendment and co-signature workflows support review trails
- +Structured input improves consistency across clinicians
- +Clinical documentation fields map well to common care encounters
- –Advanced setup choices affect downstream documentation speed
- –Behavioral health group note workflows need careful template design
- –External EHR workflows can require IT coordination for best results
- –Some narrative flexibility depends on the template’s field coverage
Best for: Fits when multi-clinician practices want structured progress notes with review and amendment controls.
athenahealth
enterpriseNetwork-enabled EHR with clinical documentation workflows for medical practices.
athenahealth ties progress note completion to its broader clinical operations workflow so documentation status drives downstream steps.
athenahealth is an EHR and documentation system used by ambulatory groups that need progress notes built into day-to-day workflows. Narrative charting tools in athenahealth focus on encounter note creation, task-driven documentation, and structured fields that support clinical context capture.
The documentation experience is tied to athenahealth’s operations layer, which shapes how notes flow through orders, follow-ups, and review steps. For teams evaluating progress note software, the key differentiator is how note authoring and subsequent workflows are governed inside the athenahealth system rather than treated as a standalone editor.
- +Note authoring follows encounter workflow with fewer handoffs
- +Structured fields reduce missing context during narrative charting
- +Operational tasks connect documentation to follow-ups
- +Clinical team review flows support consistent completion of notes
- –Progress-note setup requires adherence to athenahealth workflow conventions
- –Deep template tuning can take time for large specialty variations
- –Advanced customization depends on integration and admin support
- –Mobile and offline charting options are limited compared with standalone note apps
Best for: Fits when ambulatory teams want progress notes governed by EHR workflow steps and review requirements.
NextGen Healthcare
enterpriseAmbulatory EHR with customizable clinical templates for multi-specialty practices.
Encounter-linked progress note workflows that support amendment and co-signature steps within the visit documentation lifecycle.
NextGen Healthcare produces and manages progress notes inside its EHR workflow, with structured note entry and template-driven documentation. The solution supports encounter documentation tied to the clinical visit so notes can be reused, amended, and co-signed under documented workflows.
Integration is centered on connecting the progress note workflow to upstream patient context and downstream clinical records used by billing, referrals, and reporting. Automation features focus on configurable templates, smart-prompt style content, and workflow rules that reduce repeated typing while preserving documentation intent.
- +Template-driven progress note authoring reduces repeated charting fields
- +Note amendment and co-sign workflows support multi-role documentation completion
- +EHR context flows into note entry to reduce manual re-keying
- +Copy-forward style reuse supports consistent documentation across follow-ups
- –Template configuration needs strong governance to avoid documentation drift
- –Mobile or offline editing is limited compared with dedicated point-of-care apps
- –Cross-site note sharing depends on EHR configuration and permission design
- –Advanced automation and integrations require admin setup effort
Best for: Fits when outpatient practices need structured progress notes with workflow-based signoff and amendment control.
WRS Health
SMBWeb-based EHR with clinical documentation for physician practices.
Configurable note templates with controlled amendment and update handling for evolving clinical narratives.
WRS Health targets clinical documentation workflows with progress-note templates, charting fields, and structured note capture for day-to-day use. The software focuses on turning encounters into consistent records through configurable templates, auto-populated patient context, and repeatable note completion steps.
WRS Health also supports update control for ongoing documentation by handling amendment and version behavior as notes evolve across follow-up visits. Built around routine progress documentation, it is best suited for teams that want consistent formatting and fewer manual steps between encounter entry and finalized notes.
- +Structured progress note templates reduce free-text variability across clinicians
- +Patient context can populate note fields to cut repetitive data entry
- +Note editing workflow supports amendments when clinical details change
- +Copy-forward behaviors help maintain continuity across recurring visits
- –Advanced integrations and extensibility options depend on external EHR connectivity
- –Setup requires disciplined template governance to avoid drift over time
- –Complex group documentation workflows can require extra configuration
- –Coding and E/M support is limited compared with documentation-specialized suites
Best for: Fits when behavioral health or outpatient teams need consistent progress-note structure with controlled note updates.
Conclusion
After evaluating 10 healthcare medicine, CentralReach 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 progress notes software
This buyer's guide covers how to choose progress notes software for healthcare teams, with concrete examples from CentralReach, ChARM EHR, Jane, Epic, and ICANotes.
It also compares adjacent ambulatory EHR progress note workflows in Practice Fusion, AdvancedMD, athenahealth, NextGen Healthcare, and WRS Health so documentation, review control, and integration expectations match the tool.
Progress note documentation and review workflows for clinical encounters
Progress notes software is the system that captures clinical progress notes with structured templates and narrative sections, then manages the note lifecycle through signing, amendment, and co-signature workflows. It reduces charting variability by enforcing consistent section layouts and pulling patient and encounter context into the note editor.
Tools like Jane and ICANotes center structured progress note templates with revision tracking, while Epic embeds progress note workflows inside the broader EHR encounter documentation flow. This software is typically used by outpatient clinics, behavioral health teams, and multi-clinician organizations that need repeatable documentation standards and controlled review cycles.
Evaluation criteria for structured progress notes with controlled lifecycle
Progress notes tools succeed when templates reduce free-text drift and the note lifecycle supports amendments without breaking documentation history. The biggest differences across CentralReach, Epic, Jane, and ICANotes show up in how review and update steps are connected to the encounter workflow.
The features below focus on template governance, revision and amendment control, encounter linkage, and the practical workflow shape that determines authoring speed and compliance-oriented change tracking.
Session-linked progress note workflows tied to encounter documentation
CentralReach connects progress note review and amendment steps to session-linked encounter documentation, which reduces retyping when documentation is tied to scheduled therapy sessions. This workflow fit matters most for therapy organizations that need note steps to follow operational session states.
Template-driven progress note building with reusable narrative smart phrasing
ChARM EHR and Practice Fusion emphasize progress note templates plus reusable smart phrase style inserts so clinicians can standardize narrative sections across visits. This design reduces repetitive typing in follow-ups while keeping the structure consistent across clinicians.
Encounter-linked amendment and co-signature workflows
Epic, ICANotes, and NextGen Healthcare support encounter-linked amendment and co-signature steps within the documentation lifecycle. This helps when review requirements must follow a visit workflow rather than acting as a separate after-the-fact process.
Revision history that preserves an amendment change trail after submission
Jane and ICANotes provide revision or note amendment history that supports review of what changed after clinicians amend submitted notes. This matters when audit-style traceability is needed to understand note updates across the note lifecycle.
Copy-forward controls for follow-up continuity
Epic, Practice Fusion, and NextGen Healthcare include copy-forward style reuse or controlled copying behaviors that maintain continuity across follow-up encounters. This reduces transcription drift by carrying forward consistent note content while still supporting amendment workflows.
Governance-friendly template setup to prevent template drift over time
Multiple tools require disciplined template governance to keep structured note standards stable across clinicians and programs. CentralReach, Jane, and ICANotes each note that template setup and ongoing workflow tuning take time, especially for multi-program teams with complex documentation variations.
Pick progress notes tooling based on encounter linkage and review-control needs
Start with the workflow shape, not the editor screen. Progress note systems diverge between encounter-integrated EHR workflows and specialized documentation systems built for clinical note lifecycle control.
The decision steps below force matching authoring flow, amendment workflow behavior, and template governance expectations to the clinical team’s documentation reality.
Map note lifecycle requirements to the tool’s amendment and co-signature workflow
If the care model requires amendment handling plus co-signature steps inside the visit lifecycle, prioritize Epic, ICANotes, or NextGen Healthcare. If therapy sessions drive documentation states and review steps must follow session-linked operations, CentralReach fits the workflow connection.
Choose the template approach that matches how clinicians document across visits
For teams that want structured progress note templates with reusable narrative smart phrases, ChARM EHR and Practice Fusion align with template-driven narrative sections during routine follow-ups. For teams that need consistent structured section layouts with patient context auto-fill plus revision history, Jane provides that guided capture and amendment trail.
Decide where encounter context comes from and how notes are auto-populated
If patient and encounter context must flow directly through an EHR-native workflow, Epic and athenahealth keep progress notes inside broader encounter steps. If the documentation experience needs to be structured and repeatable with patient context fields while still supporting note editing workflows, ICANotes and Jane focus on the note lifecycle experience.
Validate how much template drift risk exists for multi-program or multi-specialty coverage
For multi-program organizations with unique charting rules, CentralReach and ICANotes require investment in template setup and governance to prevent uncontrolled customization. For specialized clinics that can enforce consistent section design, ChARM EHR and Jane reduce edge-case drift by standardizing note structure through template guidance.
Check whether copy-forward behavior matches the team’s continuity and amendment rules
If the team needs controlled carry-forward for follow-up continuity, Epic, Practice Fusion, and NextGen Healthcare support copy-forward style reuse. If the team’s main goal is minimizing re-keying during point-of-care charting while still tracking amendments, Jane and ICANotes provide structured capture plus amendment-focused review trails.
Progress notes tooling fit by clinical workflow and review-control model
Different progress notes tools fit different clinical operating models because they connect note authoring, review steps, and amendment handling in distinct ways. The best match depends on whether progress documentation is session-linked, EHR-native, or specialized for behavioral health narrative note workflows.
The segments below map directly to each tool’s stated best-for fit and highlight the concrete workflow capability that drives the recommendation.
Therapy organizations with session-based documentation and controlled approval workflows
CentralReach fits therapy organizations because it ties progress note documentation steps to session-linked encounter workflows with built-in review and amendment control. This reduces repeated entry of session and encounter context when documentation follows scheduled therapy sessions.
Outpatient and specialty teams standardizing progress notes with reusable narrative building blocks
ChARM EHR fits teams that need progress note templates with reusable smart phrase content to standardize narrative sections across encounters. Practice Fusion also fits ambulatory teams that want SOAP note templates plus smart phrase insertion and patient context auto-fill during drafting.
Clinics that need revision history and amendment change trails after submission
Jane fits outpatient teams because it preserves encounter-specific note revision tracking that supports amendment review after clinicians amend submitted notes. ICANotes also fits behavioral health teams that need co-signature and amendment workflow controls with a structured change trail across the note lifecycle.
Health systems that require EHR-native progress notes with amendment and co-signature steps inside encounter workflows
Epic fits health systems that want progress note documentation built into the EHR suite with controlled amendments, co-signature workflows, and copy-forward controls. NextGen Healthcare and athenahealth also fit ambulatory groups that rely on EHR workflow steps to drive documentation status through downstream review requirements.
Behavioral health and outpatient teams focused on consistent progress note templates and controlled updates
WRS Health fits behavioral health or outpatient teams that want structured progress note templates with patient context auto-population plus amendment and update handling for evolving narratives. AdvancedMD fits multi-clinician practices that need encounter note amendment and co-signature workflows built into the progress note lifecycle.
Pitfalls that cause progress notes systems to fail in daily clinical use
Progress notes tooling often fails when template governance is treated as a one-time setup task or when the amendment workflow does not match the team’s review requirements. Several tools describe setup and workflow tuning as the key friction point, especially for multi-specialty or exception-heavy documentation needs.
The mistakes below map to concrete cons seen across CentralReach, ChARM EHR, Jane, Epic, and the other reviewed tools, with corrective steps that align the tool to the clinical workflow reality.
Overlooking template setup time for multi-program organizations
CentralReach and ICANotes both require time for template and workflow setup to support structured consistency across programs. Assign clinical and governance owners early so advanced template customization does not turn into template drift and exception workarounds.
Assuming complex documentation variations can be handled without governance
ChARM EHR and NextGen Healthcare each point to complex documentation variations increasing template maintenance overhead and drift risk. Use a controlled template update process so special-case workflows do not become ad hoc template edits that break standardization.
Choosing an editor but ignoring how amendments and co-signatures fit the encounter workflow
Epic, ICANotes, and AdvancedMD align review steps with the progress note lifecycle, while teams that pick a less tightly integrated workflow can end up with rigid signing steps for exceptions. Map amendment and co-signature stages to the visit workflow before implementation so clinicians do not bypass review controls.
Relying on copy-forward without checking how note continuity interacts with amendment rules
Epic and Practice Fusion use copy-forward style reuse, which helps continuity but can cause transcription drift if governance is weak. Confirm how the tool preserves amendment boundaries and review trails when copied content changes during follow-ups.
Ignoring mobile or offline charting workflow constraints during selection
Practice Fusion and Epic describe offline charting and mobile patterns as limited or dependent on deployment setup, while athenahealth and NextGen Healthcare also flag mobile or offline editing limitations. Validate clinician point-of-care workflow needs with the expected deployment model before selecting the tool.
How We Selected and Ranked These Tools
We evaluated and scored each progress notes software tool on three criteria that map directly to day-to-day documentation work: features, ease of use, and value. Features carry the most weight at forty percent because progress note templates, smart phrasing support, and amendment or co-signature workflow behaviors determine whether documentation is consistent and reviewable. Ease of use accounts for thirty percent and value accounts for the remaining thirty percent because operational friction and fit with organizational needs affect adoption outcomes.
CentralReach set itself apart because it delivered session-linked note workflows that guide review and amendments as part of encounter documentation, which supports therapy organizations where documentation is tied to scheduled sessions. That workflow linkage contributed most to higher features and ease-of-use scores by reducing retyping of patient and encounter context during structured note capture.
Frequently Asked Questions About progress notes software
How do progress note templates handle SOAP or structured narrative sections in CentralReach, ICANotes, and Jane?
Which tools support encounter-linked revision control after clinicians submit or amend a note?
How does offline charting sync or point-of-care capture work in browser-based workflows like Practice Fusion?
When does note copying matter for longitudinal consistency, and which systems handle controlled copy-forward behaviors?
How do smart phrases and auto-populated patient context reduce repetitive typing in ChARM EHR, NextGen Healthcare, and WRS Health?
What integration and API options matter most for moving progress notes between an EHR and external systems?
How do SSO, RBAC, and audit logging typically show up in progress note workflows?
Where does each tool fall short when documentation needs extend beyond progress notes into behavioral health workflows?
What breaks if note lifecycle workflows are not configured correctly for amendments and co-signature?
Tools reviewed
Primary sources checked during evaluation.
Referenced in the comparison table and product reviews above.
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