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ChARM EHR is absolutely ad-free and full featured, even in its free edition (50 encounters / month). They do not parse your patient data to pop up ads from pharmaceutical companies or medical device manufacturers, based on medical conditions being diagnosed or medications being prescribed. At ChARM, they think that any kind of marketing to physicians who in turn can potentially communicate the information to the patient unintentionally, is a violation of HIPAA privacy rules which prohibit any type of marketing to patients without patient authorization.
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