In late August, Amazon, Google, IBM, Microsoft, Oracle, and Salesforce, came together to sign a pledge of healthcare data interoperability. Although short on specifics as to the actual schematics of their implementation plan, the statement did make one thing crystal clear. The key to frictionless exchange of data is open standards and open source tools. In late August, Amazon, Google, IBM, Microsoft, Oracle, and Salesforce, came together to sign a pledge of healthcare data interoperability. Although short on specifics as to the actual schematics of their implementation plan, the statement did make one thing crystal clear. The key to frictionless exchange of data is open standards and open source tools.