The paper presents results from a workshop with a group of patients in a Danish General Practice (GP). The workshop facilitated a dialogue on patients' roles and activities in daily health care by using a participatory design inspired method and pointed towards a pluralistic view on patients' participation represented by the terms ‘mixed’, ‘social’ and ‘fluent participation’. The results challenge future research on Information and Communication Technology to support patient participation in health promoting activities by questioning how to embrace pluralistic opportunities for patient participation, which is especially important to GPs treating a broad group of patients.