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Our world continues to be ravaged by a pandemic of epic proportions, as over 40 million people are infected with or dying from HIV/AIDS -- most (up to 95%) are in developing countries. Prevention and treatment of HIV/AIDS on this scale requires efficient information management, which is critical as HIV/AIDS care must increasingly be entrusted to less skilled providers. Whether for lack of time, developers, or money, most HIV/AIDS programs in developing countries manage their information with simple spreadsheets or small, poorly designed databases...if anything at all. To help them, we need to find a way not only to improve management tools, but also to reduce unnecessary, duplicative efforts. As a response to these challenges, OpenMRS formed in 2004 as a open source medical record system framework for developing countries -- a tide which rises all ships. OpenMRS is a multi-institution, nonprofit collaborative led by Regenstrief Institute, Inc. (h