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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. 

What information will be shared through the eHealth Exchange?

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

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

What information won't be shared?

Health information marked sensitive including information about treatment for sexual assault, substance abuse, mental health, and sexually transmitted diseases won’t be shared with authorized entities, unless this information is included in clinical notes when MHS GENESIS is deployed at your military hospital or clinic. This information we share through the eHealth Exchange may not be the same as information you can see through the Blue Button feature on the TOL system.

VLER HIE Opt-Out

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 

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DHA-PI 6040.02: Sharing of Beneficiary Health Care Data through the Virtual Lifetime Electronic Record (VLER) Health Information Exchange (HIE) Initiative

Policy

This Defense Health Agency-Procedural Instruction (DHA-PI), based on the authority of References (a) and (b), and in accordance with the guidance of References (c) through (e) and (g): establishes the Defense Health Agency’s (DHA) procedures to implement DoD policy, assigns responsibilities, and provides instructions for extending the VLER HIE Initiative capability to non-active duty beneficiaries of the Military Health System (MHS); establishes the options available to beneficiaries and others who receive care who do not want to share their information through the VLER HIE Initiative with eHealth Exchange or similar partners who are outside the MHS; does not apply to Active Duty Service members, nor to Reserve Component Service members eligible to receive care in MHS facilities. In accordance with Reference (e), the information of beneficiaries in these categories will be included in MHS HIE participation, and they may not opt out; and incorporates, updates, and cancels Reference (f).

Military Health System improving, expanding sharing of electronic health information

Article
5/2/2016
Official TRICARE logo

As part of the Virtual Lifetime Electronic Record Health Information Exchange Initiative, the Military Health System joins the eHealth Exchange enterprise-wide on June 1, 2016

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VLER Health Information Exchange Initiative

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3/3/2016
VLER 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.

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VLER HIE Initiative: Because having the right information is always important

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3/3/2016
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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.

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DHA IPM 15-001: VLER for non-active duty beneficiaries

Policy

Implements DoD policy, assigns responsibilities, and provides instructions for extending the Virtual Lifetime Electronic Record (VLER) health initiative capability to non-active duty beneficiaries of the Military Health System (MHS) and establishes the options available to non-active duty beneficiaries who do not want to share their information through VLER Health with eHealth Exchange partners who are outside the MHS.

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