Bidirectional Services eReferral (BSeR)
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Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions

Scope and Context


The scope of the BSeR IG is the placement of a service request referral by a referral initiator and the feedback of a service request outcome report by a referral recipient.


The context of the BSeR IG is the placement of a referral by a clinical practitioner to a clinical or extra-clinical practitioner requesting preventive or therapeutic services for a patient with a health related condition requiring intervention. The requested service is typically a care regime or program specifically designed to address the patients condition. The six health related used case conditions within the scope of this specification are depicted in the following diagram:

Additional Referral Use Cases

See the section Adaptation for Additional Referral Use Cases for guidance in reusing or extending the use of the BSeR standard for use in additional referral use cases.