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This paper presents the design philosophy of activity-based computing (ABC), which addresses mobility and cooperation in human work activities. Furthermore, it presents the ABC framework, which is a ubiquitous computing infrastructure supporting ABC. The idea of ABC and the aim of the ABC framework is to: (1) support human activity by managing its collection of work tasks on a computer, (2) support mobility by distributing activities across heterogeneous computing environments, (3) support asynchronous collaboration by allowing several people to participate in an activity, and (4) support synchronous, real-time collaboration by enabling “desktop conferencing” by sharing the activity across several clients. During a period of two years, the ABC framework has been co-designed and evaluated in close cooperation with a range of clinicians in a hospital.