In recent years Building information modelling (BIM) has been considered as ameans for transforming the building and construction industry by introducingsignificant changes in the industry for all stages of the construction process. However,when new technologies are promoted they are almost considered as a magic bulletthat should transform an industry, or an organization to the better. By drawing on theconcepts of institutional logics and sense making, and a case study over 12 years oftelemedicine use in a Swedish county, the objective of the paper is to analyse whatactors in the building and construction industry can learn from other societal sectorsimplementing and using new ICT. It is concluded that the use of technology is heavilyshaped by significant actor groups' sense making of the technology, that is groundedboth an institutional logic and what benefits or disadvantages the group perceive fromtechnology use. What can be learnt from the telemedicine case is the importance ofanalysing underlying reasons to why an application is accepted or not.