Under the leadership of Dr. Nirav Shah, New York State Commission of Health, New York has been a vanguard state in fostering an environment of innovation in health information exchange, the use of health information technology to support delivery system transformation such as State-wide medical home initiatives, and initiating SHINY as part of the New York e Health Collaborative.
Key to the data transformation is the Extensible Stylesheet Language, which provides information to identify what type of device is requesting information and what kind of network it is running on.