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 - Respirology referral letter - Avery Linwood

List/packet-avery-20260618-cover — claims conformance to Attachment Packet Profile

{
  "resourceType": "List",
  "id": "packet-avery-20260618-cover",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-attachment-packet"
    ],
    "tag": [
      {
        "system": "../CodeSystem/nexus-send-channel",
        "code": "letter",
        "display": "Clinical or consult letter"
      }
    ]
  },
  "extension": [
    {
      "url": "../StructureDefinition/nexus-packet-cover-page",
      "valueBoolean": true
    }
  ],
  "identifier": [
    {
      "system": "../NamingSystem/nexus-attachment-packet",
      "value": "pkt-3d71c04b-avery-20260618"
    }
  ],
  "status": "current",
  "mode": "working",
  "title": "Enclosures - Respirology referral letter - Avery Linwood",
  "subject": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "date": "2026-06-20T11:05:00-04:00",
  "entry": [
    {
      "item": {
        "reference": "DocumentReference/hrm-discharge-summary-20260618",
        "display": "Discharge Summary - June 18, 2026"
      }
    },
    {
      "item": {
        "reference": "DocumentReference/anemia-consult-20250408",
        "display": "Anemia Consult Summary - April 8, 2025"
      }
    }
  ],
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p>The enclosures assembled to travel with Avery Linwood's respirology referral letter: the June discharge summary and the earlier anemia consult, in that order.</p><p>The packet carries <code>nexus-packet-cover-page</code> with <code>true</code>, so the outbound render leads with a generated cover page. The cover page is not one of the members -- it is produced at render time from what the packet already carries, and <code>entry</code> holds chart items only.</p><p>The value is stated rather than left to a default. A packet that recorded nothing here would not be asserting that a cover page was declined; it would be saying that no choice was recorded, and a reader would fall back to whatever its own send channel defaults to.</p></div>"
  }
}