Name
Individual Longitudinal Exposure Record: Modernizing Exposure Data Collection and Application to Improve Health, Readiness, and Transparency
Content Presented On Behalf Of:
DHA
Moderator
CDR Raban Talvo, NC, USN
Mr. Steve Jones, Director, Deployment and Environmental Policy, OSD Health Affairs
Services/Agencies represented
Defense Health Agency (DHA), Military Health System/Health Affairs (MHS/HA), Veterans Health Administration/Veterans Affairs (VHA/VA)
Session Type
Breakout
Date
Tuesday, March 3, 2026
Start Time
3:45 PM
End Time
4:45 PM
Location
Annapolis 3-4
Focus Areas/Topics
Clinical Care, Technology, Wellbeing, Policy/Management/Administrative, Trending/Hot Topics or Other not listed
Learning Outcomes
1. Explain how ILER’s mission has expanded beyond deployment exposures to capture the full range of occupational and environmental exposures, including exposures occurring during garrison and training activities.
2. Describe recent improvements, including integration of clinical data, health care provider-facing summaries, and expanded Service Member access with a means to provide self-updates and eventual correction of erroneous or missing exposure data.
3. Discuss how ILER supports both clinical care and veterans’ benefits through stronger DoD – VA coordination.
4. Identify upcoming capabilities such as machine learning, public data integration, chatbot features, and exposure-based health alerts.
5. Recognize ILER’s broader role in modernizing data systems to improve transparency, Warfighter readiness, and long-term health outcomes.
CE/CME Session
CE/CME Session
Session Currently Live
Description

The Individual Longitudinal Exposure Record (ILER) is the Department of War enterprise platform for linking and displaying occupational and environmental exposure data across a Service Member’s career. ILER plays a critical role in supporting clinical decision-making, force health protection, health effects research, and veterans’ benefits by making exposure data accessible and useful throughout and beyond military service. ILER was initially designed to focus on deployment-related exposures. In recent years, that mission has grown. The program is now expanding to capture all exposures, including those that occur within the training and installation environments within the continental United States and abroad, in line with new legislative requirements. This panel will bring together policy, program, technical, clinical, and research leaders to discuss ILER’s evolution, recent improvements, and near-term innovations. Panelists will highlight how access to clinical data has expanded to support research and how health care provider summaries are giving clinicians clearer, more actionable information. They will also discuss the “Know Your Exposure History” initiative, which provides Service Members with direct access to their exposure information. These efforts are strengthening DoD – VA coordination, ensuring that exposure data informs both medical care and veterans’ benefits. Looking ahead, panelists will share insights on several upcoming capabilities that will shape the next phase of ILER. These include applying machine learning to connect older scanned records to exposure events, integrating publicly available environmental data (such as Superfund site information) to create a more complete exposure picture, and developing an “Ask ILER” chatbot that allows users to navigate the system through natural language questions. The panelists will also discuss plans to identify potential health concerns based on the Individual Exposure Summary, supporting proactive prevention and clinical follow-up. The session will explore ILER’s evolution not only from a technical perspective but also through the lenses of policy, clinical impact, epidemiological research, operational readiness, and beneficiary empowerment. Attendees will gain a deeper understanding of how ILER is becoming a cornerstone for exposure-informed health assessment, health care and decision-making. Through this panel discussion, participants will hear from those directly involved in ILER’s strategy and implementation, offering practical takeaways on data integration, interagency collaboration, and the use of emerging technologies to modernize federal health systems.