However, there is currently little understanding of the front-line use of IT at UK transplant centres. This limits digital transformation strategies, and ?in turn? improvement of care and outcomes. We have undertaken a regional data journey modelling exercise, a national interview study and codesigned a prototype solution. We identified that digital transformation should focus on the need to surface patient data across organisational boundaries and provide speciality-specific views that complement workflow. We conclude how regional interoperability remains the priority to support tertiary services.