<![CDATA[IT integration with healthcare, mainly through Internet of Things-based health monitoring systems, is crucial to improving healthcare management in the digital age. However, challenges remain in the design of an integrated IT architecture that can support the sustainability and effectiveness of IoT health monitoring systems, which still need to be addressed. The shortcomings in the literature related to the application of a holistic IT architecture framework to address these challenges indicate a knowledge gap that needs to be filled. Through the application of the TOGAF methodology, this research seeks to design and analyze an integrated IT architecture for IoT-based health monitoring systems in Indonesia, taking a qualitative approach through case studies, in-depth interviews, and document analysis. The main findings show that the application of the TOGAF framework successfully addresses the challenges of interoperability, data security, and system scalability by effectively integrating IoT technologies in the healthcare environment and considering the local social and infrastructural context. The implementation of the IT architecture developed based on the TOGAF methodology demonstrated improved coordination between IoT devices and backend systems, facilitated secure and real-time data flow, and accommodated the scalability and sustainability needs of the system. The findings have significant implications in supporting the development of more efficient and effective health monitoring systems, offering strategic guidance for system developers, policymakers, and IT practitioners within the healthcare sector.]]>
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