Business software systems still largely occupy a world that Oracle built, and those used in the healthcare industry are no different. In this world, there are lots of relational databases that are either transactional or configured as data warehouses. However, the world that artificial intelligence (AI), machine learning, and cognitive computing occupy looks a lot like the infrastructure of the web. In order to make healthcare data more usable in the AI, machine learning, and cognitive computing world, we need to transition to a different infrastructure.