New care pathways for supporting transitional care from hospitals to home using AI and personalized digital assistance. - Ionut Anghel; Tudor Cioara; Roberta Bevilacqua; Federico Barbarossa; Terje Grimstad; Riitta Hellman; Arnor Solberg; Lars Thomas Boye; Ovidiu Anchidin; Ancuta Nemes; Camilla Gabrielsen (CoRR, 2025)