Background: Video mediated meetings with patients were introduced in outpatient care at a hospital in Sweden. New behaviours and tasks emerged due to changes of roles, work processes and responsibilities. The study investigates effects of digital transformation, in this case how video visits in outpatient care change work processes and introduces new tasks. Objective: Through real-time, social interactional features of preparing for and conducting video visits, the study examines which patients the clinicians considered as suitable for video visits and why, in order to increase the value of these visits for further improvement of the concept video visits. Methods: Qualitative methods have been used including 14 observations of video visits at two different clinics and 14 follow-up interviews with clinicians. Transcriptions of interviews and field notes were thematically analysed, discussed and synthesised into themes. Results: From the interviews, 25 different arguments for selecting a specific patient/relative for video visits were identified. Analysing interviews and field notes also reviled not expressed reasons that played a part in the selection process. The expressed arguments, as well as the implicit reasons, of why a patient was given the opportunity of video visits, can be understood as selection criteria for helping clinicians in their decision of whom to offer video visits or not. The criteria identified in the collected data were divided into the three categories: The patient has the right conditions, Needs to practically facilitate the treatment, and Enabling the content of the treatment. Conclusions: Not all patients undergoing treatment programs should be offered video visits. When selecting patients it is important to consider if the patient has the right conditions, if there are needs to practically facilitate the treatment, and if there is a need to enable the content of the treatment. A set of criteria to be used in the selection process and a method for how and when to involve the patient in the decision is recommended to be developed.