Through the efforts of the FreeMED Software Foundation, many generous donors and help from the Pop-Wuj Spanish Language School, we were able to install an advanced electronic medical record, somewhat customized, for the a clinic in Quezeltenagno, Guatemala. The clinic, on its way to be self sustaining, serves the poor and under-served in the region with outreach to many of the smaller Pueblos. Triumphs and problems are detailed here but the system is up and running.