St. James Infirmary makes use of a custom python web application based on the Django admin interface. Using a custom web application for tracking participant care as opposed to using the cities electronic medical records system allows the organization to further protect it's participants from law enforcement surveillance. The application replicates paper forms that make up a participant chart. My contribution to the application involved upgrading the system to a modern python and Django version, migration from sqlite to MySQL, managing releases and development environments, fixing bugs, and adding features. The organization is planning on migrating the system to OpenEMR.