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Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Balancing Personalisation and Interoperability: An Enterprise Architecture Approach to Person-Centred Digital Health.

Jordi Piera-Jiménez¹, Michael Rigby², Kathrin Cresswell³

¹Catalan Health Service, Barcelona, Spain.

Studies in Health Technology and Informatics

|May 23, 2026

Summary

Digital health solutions must balance personalization for users with standardization for data exchange. This paper proposes an enterprise architecture framework to reconcile these needs for better digital health ecosystems.

Keywords:

customisation digital health enterprise architecture interoperability person-centred care personalisation

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Last Updated: May 24, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

Digital Health
Health Informatics
Enterprise Architecture

Background:

Digital health implementations often struggle to balance user-specific personalization with the need for standardized data exchange (interoperability).
A clear distinction between personalization and person-centered care is crucial for effective digital health strategies.
Existing approaches may not adequately address the inherent tension between tailoring solutions to individuals and enabling seamless data integration.

Purpose of the Study:

To differentiate personalization from person-centered care in the context of digital health.
To explore how enterprise architecture principles can resolve the conflict between personalization and interoperability.
To propose a novel three-layer framework for digital health implementations that balances flexibility and standardization.

Main Methods:

Conceptual analysis of enterprise architecture principles applied to digital health.
Distinction between personalization and person-centered care definitions.
Development of a three-layer architectural framework.

Main Results:

Enterprise architecture provides a viable approach to reconcile personalization and interoperability in digital health.
A three-layer framework is proposed, featuring flexible user interfaces and standardized data infrastructure.
Recognizing standardization and personalization as complementary functions at different architectural layers is key.

Conclusions:

Digital health organizations should adopt ecosystem-aware design principles.
The proposed framework supports both tailored user experiences and efficient data exchange.
Balancing flexibility and standardization through architectural layers is essential for successful digital health implementation.