The National Health Policy of India, 2017 emphasizes that at district level there should be electronic database at all health care systems by 2020. Health record of any patient is the most important document which gives information about the patient's health in past and present which helps doctors to give better and faster treatment to the patients. The study was conducted at selected private hospitals in Karnataka to assess the usage and challenges in implementing electronic health management system. Karnataka is the eight largest state in area, geographically in India. It was found that it is easier to use EHR in health centres with lesser number of patients when compared to health centres where large number of patients had to be examined every day. Ina few private hospitals EHR was not implemented and manual record system was in use. Majority of them looked forward to moving to using EHRs, although a small number of them were reluctant to shift from manual system as they were at ease at using the manual system for many years. It was found that some of the respondents who do not use computers often found it difficult to make entries on the system