Due to the unavailability of logging in to the HL7.org website during our AMS migration, NIBs will need to be documented as Confluence pages.

Please copy this page (using the ellipsis at the top right) to a new form to create a NIB submission for the 2023JAN ballot cycle

Official Document Name
Document/Standard Name:HL7 FHIR® Implementation Guide: Bidirectional Services eReferrals (BSeR), Release 2 - US Realm

Last Document/Standard Code:

if balloted previously, provide prior "Unique Ballot ID"

Backwards Compatibility Status:
Internally/Externally Developed:Internally Developed Document/Standard
Ballot Level
Requested Ballot Level:STU
Work Group Information
Sponsoring Work Group:Public Health
Project Insight Project ID:1423
Confirmation of Work Group Approval:2022-10-20 Public Health Work Group Call Minutes
Primary Work Group Contact:Sarah Gaunt
NIB Form Submitted By:
Publishing Facilitator:Sarah Gaunt
Other Sponsoring Work Groups:Patient Care
Additional Vote Recipients:
Document Description/Changes
Required - Limit of 500 characters
Please provide a description of the proposed document. This description will be used in both the Announcement of Formation of Ballot Pools and Announcement of Ballot Openings documents
The Bidirectional Services eReferrals (BSeR) FHIR IG provides guidance on FHIR Resources and US Core IG profiles for use in exchanging a referral request and specific program data from a clinical provider to a typically extra-clinical program service provider, such as a diabetes prevention program, a smoking quitline, or a hypertension management training program and provides for the return of feedback information from the service program to the referring provider.
Provide a summary of changes of material interest (including all substantive changes) in this document since its last ballot. This description will be used in both the Announcement of Formation of Ballot Pools and Announcement of Ballot Openings documents.
This release addresses pilot implementation and FHIR Connectathon implementer feedback. The major changes are an update to latest version of US Core and re-working of nested Bundle structures.
ANSI-Required Information
The following information is required by ANSI for all ballots.
Project Need - Limit of 500 characters
Briefly explain the reason behind the need for this project. This may be related to legislative requirements, industry need, or similar justifications.
The facilitation of comprehensive health records and the bi-directional connection of EHRs with non-hospital and non-ambulatory service programs is becoming increasingly important. Without common standards for these extra-clinical referrals, they will, individually, make divergent requests to EHR vendors or will not be able to take advantage of electronic information exchange and processable data at all.
Other Referenced Standards
Does this document include text from an ISO or IEC standard? If so, please cite those standards here.

Unit of Measure
As required by ANSI, if measurements are introduced in this standards document, what is the measurement type from the choices available?

Both US and Metric
Not Applicable

Identified stakeholders. For example, pharmaceutical, healthcare, etc.

Vendors: EHR, PHR; Health Care IT; Clinical Decision Support Systems; Providers: Local and State Departments of Health; Healthcare Institutions;

Others: community-based healthcare and lifestyle change service providers. 

Consumer Product Indication
Is this a consumer product?
Ballot Reconciliation Reminder
Intent to Complete Reconciliation Activities:  Yes, reconciliation activities either have been or will be completed by the deadline for this ballot document. If they are not completed, I understand that this document will not be allowed to ballot.

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