A new system for handling electronic patient reported outcomes (ePROs) is being implemented in the Danish municipal health centers. The system, called Kommunal PRO (KPRO), is being implemented to provide dialogue support for healthcare professionals (HCPs) in their conversations with citizens, streamline PRO questionnaires nationwide, and enable the sharing of citizens’ responses between municipalities and hospitals. This study examines HPCs’ approaches to and use of KPRO through observations and interviews. Based on the results, we find that the implementation causes changes in work tasks for both HCPs and secretaries. Furthermore, the system may not be applicable to all disease areas within the municipal context. Lastly, the system is incompatible with municipal record systems, leading to duplicated work. To improve the implementation and use of KPRO, these issues must be examined further and considered in future deliberations regarding the system.