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R1-10.2196/26552. The US Department of Veterans Affairs (VA) seeks to achieve interoperability with other organizations, including non-VA community and regional health information exchanges (HIEs). This study aims to understand the perspectives of leaders involved in implementing information exchange between VA and non-VA providers via a community HIE. We interviewed operational, clinical, and information technology leaders at one VA facility and its community HIE partner. Respondents discussed their experiences with VA-HIE, including bar