This paper aims to generate new insights to the complex issue of developing dynamic capabilities ( DC) for digital transformation (DT )in healthcare, and addressing the RQ: How are the microfoundations of DCs enabled or constrained in the context of DT initiatives in healthcare? In the findings, three levels of DC are identified: Ad hoc capabilities(AC), Micro-context and Shared DC. Further, the analysis identified enablers and constraints for AC, micro-context DC and shared DC. In some situations, the factors that act as constraints at shared DC level were also identified as enablers for AC and micro-context. This indicates that some of the very things that lay the grounds for microfoundations of DC may also hamper organisationally shared DC. This points to a continuous dynamic between the AC, micro-context and shared DC levels, where calibration at all levels is necessary in order to obtain and maintain DC on all organisational levels