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In this paper, we present an observational case study at a major teaching hospital, which both inspired and gave us valuable feedback on the design and development of LWOAD. LWOAD is a denotational language we propose to support users of an electronic document system in declaratively expressing, specifying and implementing computational mechanisms that fulfill coordinative requirements. Our focus addresses (a) the user-friendly and formal expression of local coordinative practices; (b) the agile mocking-up of corresponding functionalities; (c) the full deployment of coordination-oriented and context-aware behaviors into legacy electronic document systems. We give examples of LWOAD mechanisms taken from the case study and discuss their impact for the EUD of coordinative functionalities.