diff --git a/lib/fhir/virtus/coercer.rb b/lib/fhir/virtus/coercer.rb
index 0e8e9ed..c895a47 100644
--- a/lib/fhir/virtus/coercer.rb
+++ b/lib/fhir/virtus/coercer.rb
@@ -16,7 +16,7 @@ def call(value)
         klass.new(value)
       else
         coerced_value = coerce_according_to_types(value)
-        check_type!(coerced_value.class, value)
+        check_type!(coerced_value.class, coerced_value)
         coerced_value
       end
     end
@@ -24,11 +24,17 @@ def call(value)
     private
 
     def virtus_coerce(type, value)
-      method = "to_#{type.name.downcase}"
+      method = "to_#{type.name.demodulize.downcase}"
+
       coercer = Virtus.coercer[value.class]
 
       if coercer.respond_to?(method)
-        coercer.public_send(method, value)
+        begin
+          coercer.public_send(method, value)
+        rescue Coercible::UnsupportedCoercion
+        end
+      elsif is_boolean_type(type, value)
+        value
       end
     end
 
@@ -43,7 +49,7 @@ def coerce_according_to_types(value)
         allowed_types.each do |type|
           result = virtus_coerce(type, value)
 
-          if !result.nil? && result.class <= type
+          if !result.nil? && (result.class <= type || is_boolean_type(type, result))
             break
           end
         end
@@ -57,9 +63,13 @@ def allowed_types
     end
 
     def check_type!(klass, value)
-      if klass != NilClass && !allowed_types.any? { |t| klass <= t }
+      if klass != NilClass && !allowed_types.any? { |t| klass <= t || is_boolean_type(t, value)}
         raise ArgumentError.new("Unexpected value with type #{klass.name}, expected one of: #{allowed_types.inspect}\n#{value.to_yaml}")
       end
     end
+
+    def is_boolean_type(klass, value)
+      klass == Virtus::Attribute::Boolean && [TrueClass, FalseClass].include?(value.class)
+    end
   end
 end
diff --git a/spec/multitype_attribute_spec.rb b/spec/multitype_attribute_spec.rb
index 36cde2a..e873077 100644
--- a/spec/multitype_attribute_spec.rb
+++ b/spec/multitype_attribute_spec.rb
@@ -27,6 +27,11 @@ class Observation
     attribute :values, *Fhir::Collection[Float, Quantity, Coding]
   end
 
+  class Patient
+    include Virtus.model
+    attribute :multiple_birth, *Fhir::Type[Boolean, Integer]
+  end
+
   it "hash in constructor"  do
     obs = Observation.new(name: "BP",
                           value: {
@@ -74,4 +79,22 @@ class Observation
     obs.values.third.class.should == Coding
     obs.values.third.code.should == "34521"
   end
+
+  it "should support multitype arrays that contain Booleans" do
+    pat_bool = Patient.new(multiple_birth: true)
+    pat_bool.multiple_birth.should == true
+    pat_bool.multiple_birth.class.should == TrueClass
+
+    pat_bool.multiple_birth = "false"
+    pat_bool.multiple_birth.should == false
+    pat_bool.multiple_birth.class.should == FalseClass
+
+    pat_int = Patient.new(multiple_birth: 2)
+    pat_int.multiple_birth.should == 2
+    pat_int.multiple_birth.should be_an Integer
+
+    pat_int.multiple_birth = "3"
+    pat_int.multiple_birth.should == 3
+    pat_int.multiple_birth.should be_an Integer
+  end
 end