Back to Top Skip to main content

Virtual Lifetime Electronic Record Health Information Exchange Initiative

The Virtual Lifetime Electronic Record Health Information Exchange Initiative (VLER HIE) securely connects health and benefit information systems from the Department of Defense (DoD), Department of Veterans Affairs (VA) and other federal and private sector partners. 

What is VLER HIE?

The VLER HIE is a secure network that shares health information. For decades, the Military Health System (MHS) has operated its own HIE that has shared our health information electronically between providers at military treatment facilities (MTF) and VA facilities. Now, this capability is expanding to our TRICARE network providers. With the VLER HIE, all health providers—whether at an MTF or from the TRICARE network—can access beneficiary records and health information electronically.

View a List of eHealth Exchange Participating Providers

By sharing through the eHealth Exchange, health care providers have a more complete view of a patient’s health record. This can help the health care team make the best decisions. 

VLER HIE Privacy and Security

The VLER HIE allows MHS providers to securely access and share a patient’s health information with authorized health partners. VLER HIE fully complies with the most rigorous privacy and security standards.  

HIE Benefits through VLER

Access to a patient’s medical history is very important to health care providers. By using the eHealth Exchange, DoD health care providers can have a more complete view of a patient’s health record. This allows each patient and their health care team to make informed decisions for their health. 

Through the eHealth Exchange, your health care providers can share information, such as:

  • Prescriptions
  • Allergies
  • Illnesses
  • Lab and radiology results
  • Immunizations
  • Past medical procedures
  • Clinical notes

* To improve your care experience, health information may be shared as permitted by the Health Insurance Portability and Accountability Act (HIPAA) with other authorized organizations who partner with the MHS.  To enhance coordination among care teams, this includes notes written by your clinicians, which could contain information about sexual assault, domestic violence, child/elder abuse, substance abuse, mental health, and sexually transmitted diseases.

Frequently Asked Questions


The VLER HIE benefit is available to all TRICARE beneficiaries. All beneficiaries except active duty service members may choose to opt out of the VLER HIE.

  • TRICARE eligibility and status will not change if a patient chooses not to participate.
  • If a patient chooses to opt out of the VLER HIE, the MHS may not be allowed to electronically share that patient’s health care information through the eHealth Exchange, not even in cases of emergency.
  • Civilian health care providers who participate in the eHealth Exchange may also require patients to complete an opt out or opt in request.

Choosing not to participate won’t affect HIPAA-authorized DoD exchange of healthcare information, or the sharing of paper records with the VA. >>Learn More about how to opt out of the MHS VLER HIE 

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.