Having worked with medical software, especially dicom: Where&#x27;s the incentive?<p>I absolutely agree it&#x27;s ridiculous when they don&#x27;t follow the standard, but the appeal of vendor lock-in is just too much. I don&#x27;t know how to change that, unfortunately.<p>The data flows down (Disclaimer: I am not an xray&#x2F;mri&#x2F;hospital tech in any way, and might be wrong): IME, there&#x27;s not much &quot;importing&quot; of patient data into the medical devices, so there&#x27;s no reason for vendors to play along. The data flows from the machine, to the dr&#x2F;patient&#x2F;whoever, so the vendor has the ability to dump it out in any format they want.