I have been keeping tabs on some of the work in standards groups; most notably HL7’s FHIR and DICOM WG-27’s DICOMweb™ APIs: WADO-RS, QIDO-RS and STOW-RS. I think the ‘awakening’ to REST based Web APIs and the willingness to accept the use of data in new forms (e.g. metadata in JSON vs. traditional DICOM C-FIND RSP), marks a watershed moment in the healthcare IT industry. I spent some time looking at a project focused on image sharing and tried to see what impact these changes might have on how it manages data. Check it out.