The document discusses new approaches to integration in a cloud computing world. It outlines the evolution of core integration patterns from 1997 to 2011 as data, services, and processes have become more fragmented with the shift to cloud. It emphasizes that integration and the cloud have often been an afterthought, and that successful integration in the cloud starts with understanding business needs, existing systems, and data semantics. It also addresses some of the key technical challenges around semantic mediation, transformation, governance, discovery, and connectivity when extending systems and services to the cloud.