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Due to the increasing elderly population, healthcare systems able to promote independent living are regarded as an emerging market. Despite the significant advances aiming to support senior citizens, several issues have to be addressed in order to enable older people to live independently and to form living cells of our society. Aiming to contribute to the research of elderly care, this paper reports the open issues that should be taken into consideration in order to provide a technological solution towards Ambient Assistive Living (AAL). After reviewing the most prominent European funded projects, it presents an example of integrated elderly healthcare platform and finally attempts to highlight the future trends which should be employed in order to face with success the social and financial phenomenon of ageing population.