Dave Berry of the UK National e-Science Centre (NeSC) writes, "At HC2008 I was introduced to the XDS standard for Cross-Enterprise Document Sharing (not to be confused with several other uses of the XDS acronym). XDS is a profile of the ebXML standards for registries and other related standards to specify a system for sharing medical documents. The important point is that XDS is supported by several major vendors and has been deployed in clinical health systems in several countries. As far as I'm aware, it has not made any impact in the grid world.