Attachment Packet Profile

Canonical	../StructureDefinition/nexus-attachment-packet
Status	draft · 1.26.0
Base	List (constraint)
Source	FSH · JSON

An attachment packet: the ordered set of chart items assembled to travel with an outbound artifact -- a letter today, an eReferral next, and forms, emails and chart prints after that.

Examples

Enclosures - Internal Medicine referral letter - Avery Linwood · Enclosures - Respirology referral letter - Avery Linwood

Enclosures - Internal Medicine referral letter - Avery Linwood

List/packet-avery-20250522 — claims conformance to Attachment Packet Profile

{
  "resourceType": "List",
  "id": "packet-avery-20250522",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-attachment-packet"
    ]
  },
  "identifier": [
    {
      "system": "../NamingSystem/nexus-attachment-packet",
      "value": "pkt-8f2c1a90-avery-20250522"
    }
  ],
  "status": "current",
  "mode": "working",
  "title": "Enclosures - Internal Medicine referral letter - Avery Linwood",
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "date": "2025-05-22T09:40:00-06:00",
  "entry": [
    {
      "item": {
        "reference": "DocumentReference/anemia-consult-20250408",
        "display": "Anemia Consult Summary - April 8, 2025"
      }
    },
    {
      "extension": [
        {
          "url": "../StructureDefinition/nexus-attachment-packet-excluded-page",
          "valueInteger": 1
        },
        {
          "url": "../StructureDefinition/nexus-attachment-packet-excluded-page",
          "valueInteger": 4
        }
      ],
      "item": {
        "reference": "DiagnosticReport/anemia-diagnosticreport-20250408",
        "display": "CBC panel with hemoglobin result - April 8, 2025"
      }
    },
    {
      "item": {
        "reference": "DocumentReference/wsib-form-8-filed-avery-linwood",
        "display": "WSIB Form 8 - Avery Linwood - 2026-08-26"
      }
    }
  ],
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p>The enclosures assembled to travel with Avery Linwood's Internal Medicine referral letter, in the order they will appear in the outbound render: the anemia consult summary, the April CBC, and the filed WSIB Form 8.</p><p>The CBC entry carries two excluded-page extensions (pages 1 and 4), which is the assembler recording that those pages were dropped from this send. Those numbers count pages of the CBC's rendered form as it stood at assembly time, and mean nothing against a different render.</p><p>The letter points at this packet from one of its own sections; this List holds no back-reference to the letter. What the recipient received is the merged PDF stored when the letter was sent, not this assembly.</p></div>"
  }
}

Referenced by: Packet Disclosure Audit Entry · Referral - Internal Medicine - Avery Linwood