With roots in Human Centred Software Engineering, and in User Centred Systems Design Asa Cajander has lead research on Patient Accessible Electronic Health Records (PAEHR) for six years. This experience has made her revisit the core values of user centeredness, as the different user groups of PAEHR indeed describe conflicting user needs. In this key note she will present the patients' perspective of the system, and contrast that with the perspectives of physicians and nurses. The conflicting needs of the different user groups will be illustrated by a small role play, and she will relate and discuss the findings in relation to the design and development of eHealth systems.