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Marshall Greenleft a comment
Developers looking to add document scanning to their web application should take a look at cScanTWAIN. It is efficient and being actively developed and in use largely in the healthcare sector.
cScanTWAINBrowser based Javascript TWAIN scanning SDK
cScanTWAIN is a browser-based document scanning SDK specifically designed for web applications. A few lines of JavaScript code and a small non-intrusive client-side companion application is all it takes to reliably scan documents right from within the browser.
cScanTWAINBrowser based Javascript TWAIN scanning SDK