| Left: | InsurancePlan DE (https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de) |
| Right: | InsurancePlan DE (https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de) |
| Error | StructureDefinition.version | Values for version differ: '0.48.0' vs '0.49.0' |
| Information | StructureDefinition.date | Values for date differ: '2026-05-04T12:37:22+00:00' vs '2026-05-04T13:25:14+00:00' |
| Name | Value | Comments | |
|---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/InsurancePlan | ||
copyright | |||
date | 2026-05-04T12:37:22+00:00 | 2026-05-04T13:25:14+00:00 |
|
description | Profil fuer kassenspezifische und tarifspezifische Leistungsregeln (GKV/PKV) in der deutschen ambulanten Versorgung. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
![]() jurisdiction[0] | urn:iso:std:iso:3166#DE | ||
kind | resource | ||
name | InsurancePlanDE | ||
publisher | cognovis GmbH | ||
purpose | |||
status | active | ||
title | InsurancePlan DE | ||
type | InsurancePlan | ||
url | https://fhir.cognovis.de/praxis/StructureDefinition/insurance-plan-de | ||
version | 0.48.0 | 0.49.0 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]() | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | C | 0..* | InsurancePlan | Details of a Health Insurance product/plan provided by an organization | |||||||||
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
![]() ![]() | SΣC | 0..* | Identifier | Business Identifier for Product | SΣC | 0..* | Identifier | Business Identifier for Product | |||||||||
![]() ![]() | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | ?!SΣ | 1..1 | code | draft | active | retired | unknown Binding: ?? (required): The lifecycle status of an artifact. | |||||||||
![]() ![]() | SΣ | 0..* | CodeableConcept | Kind of product Binding: ?? (example): Used to categorize the product/plan. | SΣ | 0..* | CodeableConcept | Kind of product Binding: ?? (example): Used to categorize the product/plan. | |||||||||
![]() ![]() | SΣC | 0..1 | string | Official name | SΣC | 0..1 | string | Official name | |||||||||
![]() ![]() | 0..* | string | Alternate names | 0..* | string | Alternate names | |||||||||||
![]() ![]() | 0..1 | Period | When the product is available | 0..1 | Period | When the product is available | |||||||||||
![]() ![]() | Σ | 0..1 | Reference(Organization) | Plan issuer | Σ | 0..1 | Reference(Organization) | Plan issuer | |||||||||
![]() ![]() | Σ | 0..1 | Reference(Organization) | Product administrator | Σ | 0..1 | Reference(Organization) | Product administrator | |||||||||
![]() ![]() | SΣ | 0..* | Reference(Location) | Where product applies | SΣ | 0..* | Reference(Location) | Where product applies | |||||||||
![]() ![]() | 0..* | BackboneElement | Contact for the product | 0..* | BackboneElement | Contact for the product | |||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | 0..1 | CodeableConcept | The type of contact Binding: ?? (extensible): The purpose for which you would contact a contact party. | 0..1 | CodeableConcept | The type of contact Binding: ?? (extensible): The purpose for which you would contact a contact party. | |||||||||||
![]() ![]() ![]() | 0..1 | HumanName | A name associated with the contact | 0..1 | HumanName | A name associated with the contact | |||||||||||
![]() ![]() ![]() | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | 0..* | ContactPoint | Contact details (telephone, email, etc.) for a contact | |||||||||||
![]() ![]() ![]() | 0..1 | Address | Visiting or postal addresses for the contact | 0..1 | Address | Visiting or postal addresses for the contact | |||||||||||
![]() ![]() | 0..* | Reference(Endpoint) | Technical endpoint | 0..* | Reference(Endpoint) | Technical endpoint | |||||||||||
![]() ![]() | 0..* | Reference(Organization) | What networks are Included | 0..* | Reference(Organization) | What networks are Included | |||||||||||
![]() ![]() | S | 0..* | BackboneElement | Coverage details | S | 0..* | BackboneElement | Coverage details | |||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | 1..1 | CodeableConcept | Type of coverage | 1..1 | CodeableConcept | Type of coverage | |||||||||||
![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | 0..* | Reference(Organization) | What networks provide coverage | |||||||||||
![]() ![]() ![]() | S | 1..* | BackboneElement | List of benefits | S | 1..* | BackboneElement | List of benefits | |||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of benefit | S | 1..1 | CodeableConcept | Type of benefit | |||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Referral requirements | 0..1 | string | Referral requirements | |||||||||||
![]() ![]() ![]() ![]() | 0..* | BackboneElement | Benefit limits | 0..* | BackboneElement | Benefit limits | |||||||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | Maximum value allowed | 0..1 | Quantity | Maximum value allowed | |||||||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Benefit limit details | 0..1 | CodeableConcept | Benefit limit details | |||||||||||
![]() ![]() | 0..* | BackboneElement | Plan details Slice: Unordered, Open by pattern:type | 0..* | BackboneElement | Plan details Slice: Unordered, Open by pattern:type | |||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() | Σ | 0..* | Identifier | Business Identifier for Product | Σ | 0..* | Identifier | Business Identifier for Product | |||||||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Type of plan | 0..1 | CodeableConcept | Type of plan | |||||||||||
![]() ![]() ![]() | Σ | 0..* | Reference(Location) | Where product applies | Σ | 0..* | Reference(Location) | Where product applies | |||||||||
![]() ![]() ![]() | 0..* | Reference(Organization) | What networks provide coverage | 0..* | Reference(Organization) | What networks provide coverage | |||||||||||
![]() ![]() ![]() | 0..* | BackboneElement | Overall costs | 0..* | BackboneElement | Overall costs | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | Type of cost | 0..1 | CodeableConcept | Type of cost | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | positiveInt | Number of enrollees | 0..1 | positiveInt | Number of enrollees | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | Money | Cost value | 0..1 | Money | Cost value | |||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Additional cost information | 0..1 | string | Additional cost information | |||||||||||
![]() ![]() ![]() | S | 0..* | BackboneElement | Specific costs | S | 0..* | BackboneElement | Specific costs | |||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | General category of benefit | S | 1..1 | CodeableConcept | General category of benefit | |||||||||
![]() ![]() ![]() ![]() | S | 0..* | BackboneElement | Benefits list | S | 0..* | BackboneElement | Benefits list | |||||||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() ![]() | S | 1..1 | CodeableConcept | Type of specific benefit | S | 1..1 | CodeableConcept | Type of specific benefit | |||||||||
![]() ![]() ![]() ![]() ![]() | 0..* | BackboneElement | List of the costs | 0..* | BackboneElement | List of the costs | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 1..1 | CodeableConcept | Type of cost | 1..1 | CodeableConcept | Type of cost | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers. | 0..1 | CodeableConcept | in-network | out-of-network | other Binding: ?? (required): Whether the cost applies to in-network or out-of-network providers. | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..* | CodeableConcept | Additional information about the cost | 0..* | CodeableConcept | Additional information about the cost | |||||||||||
![]() ![]() ![]() ![]() ![]() ![]() | 0..1 | Quantity | The actual cost value | 0..1 | Quantity | The actual cost value | |||||||||||
Documentation for this format | |||||||||||||||||