Purpose/Significance To design a digital health service technology architecture and pathways for smart elderly care communities, so as to promote the high-quality development of digital health services in smart elderly care communities. Method/Process Based on services needs of the home and community-based care for the elderly, integrating advanced digital health technologies, a digital health service technology architecture for smart elderly care communities is designed, as well as service pathways based on multiple subjects. Result/Conclusion This technology architecture can achieve effective collection, analysis and intelligent services of health data for elderly residents. The roles and responsibilities of multiple subjects in various service pathways around five types of digital health services are defined, namely dietary management, online health consultation, remote health condition monitoring, disease risk prediction, and remote health education.