ILER: Exposure Data Management for Service Member and Veteran Care

ILER is short for Individual Longitudinal Exposure Record. A web-based application, ILER assists Department of War and Department of Veterans Affairs personnel in managing exposure data and caring for service members and veterans.

By linking service member and veteran data to known exposures, ILER supports individualized health care.

ILER compiles an electronic historical exposure record that documents a service member’s occupational and environmental health exposures over the course of their career. Known exposure events and incidents are linked. ILER includes clinical and environmental information, deployment history context, event-driven incident reports, and research or registry data.

Beyond storage of exposure data, ILER will contribute to preventive health, clinical care, and benefits determinations.

Once development is complete, ILER will enable users to add relevant information that might include deployments, garrison locations, registry information not included in ILER, and other environmental exposures updates.

Intended Users and Applications

ILER provides data to various professionals supporting uniformed service members and veterans.

  • For Clinicians, Claims Adjudicators, and Benefits Advisors:
    ILER provides data to support care delivery, claims adjudication, and benefits advising for service members and veterans. This access helps inform health outcomes and support processes.
  • For Epidemiologists, Researchers, and Policymakers:
    ILER offers awareness and insight into exposure events. It aids in case classification by reducing the number of external information management and information technology systems required to determine exposure impacts, supporting more efficient analysis, research, and policy development.
  • For service members and Veterans:
    ILER brings together OEH exposures information from military service. Access to the records will help individuals see their record and add information.

ILER Capabilities

ILER offers the following capabilities for managing exposure data.

  • Data Consolidation:
    Consolidates multiple, disparate sources of exposure data. Record sources include exposures-related clinical evaluations, health assessments, environmental health registry evaluations, industrial hygiene assessments, occupational and environmental monitoring summaries, environmental health threat assessments, and service records.
  • Health Effect Identification:
    Provides a framework for identifying previously unknown health effects associated with environmental exposures.
  • Report Generation:
    Allows for near real-time report creation using demographic variables.
  • Secure Access:
    Supports Personal Identity Verification and Common Access Card enabled access for user authentication.

Benefits of ILER

ILER offers several benefits that support operations and outcomes.

  • Exposure Summaries:
    Individual unique exposure summaries, providing individualized exposure information.
  • Search Functionality:
    Provides access to search reportable data by individual, location, and exposure type.
  • OEH Standard Application:
    Applies Occupational and Environmental Health standards to filter and report relevant exposure data.
  • Administrative Streamlining:
    Supports the verification of previously documented, potentially harmful exposures, contributing to reduced administrative burden.

Learn More About ILERgoes to Understanding ILER page Current ILER Research Guidelinesgoes to ILER Research Guidelines page