In our organization, using OpenMRS, an individual patient record system used for HIV program. OpenMRS is implementing national-wide. OpenMRS for HIV program becoming successful. It took more than four year trying to customize, validate the data, train the end users and advocate them the benefit of OpenMRS. But there still problem in technical solution and IT problem like data standards and interoperability. OpenMRS was just developed by foreign developers and there was a communication gaps between programs and IT team. After that MOH plan to recruit local developers for cost saving and affective communication. But the problem is no local developers know much about program logics. There is no data standard and strong eHealth policy.