Chronic disease management is an effective way to improve healthcare outcomes while also reducing healthcare expenditures. The Wallace Medical Concern a Portland-based community clinic was in need of an electronic chronic disease registry for diabetes management to satisfy a grant stipulation. The purpose of this project was to determine the best chronic disease management system for the Wallace Medical Concern and configure the system to best suit their needs. The Chronic Disease Electronic Management System CDEMS developed by the Washington State Diabetes Prevention and Control Program was ultimately chosen. This capstone will examine the CDEMS architecture and how it can be customized to effectively manage diabetic and pre-diabetic patients. It will also describe lessons learned from implementation as well as propose what the chronic disease management system of the future must encompass to meet the new emerging needs of community clinics.