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De-identified Patient
female
DOB: ••••-••-••
FHIR: Patient
Patient Information
FHIR: Patient
De-identified for demo. Identity fields are masked.
- Full Name
- De-identified
- Date of Birth
- ••••-••-••
- Gender
- female
- Phone
- ••••••••D)
- ••••@••••
- Address
- De-identified location
Quick Actions
8
Conditions
13
Procedures
20
Visits
11
Invoices
0
X-rays
Diagnosed Conditions
Add Condition| Condition | ICD-10-AM | SNOMED CT Ref. | Status | Onset | Notes | FHIR |
|---|---|---|---|---|---|---|
| Malocclusion | — | 6574001 | active | 2024-02-17 | lower debonding done | |
| Dental caries, unspecified | K02.9 | 80967001 | resolved | 2024-02-10 | 43 composite done dr riyaz | |
| Dental pulp necrosis | — | 234946006 | resolved | 2022-10-01 | upper brackets removed & lower retainer repair | |
| Dentofacial anomaly, unspecified | M26.9 | 6574001 | active | 2022-09-23 | wire removed | |
| Dentofacial anomaly, unspecified | M26.9 | 6574001 | active | 2022-09-01 | lower retainer done | |
| Dentofacial anomaly, unspecified | M26.9 | 6574001 | active | 2022-08-25 | upper retainer done | |
| Dentofacial anomaly, unspecified | M26.9 | 6574001 | active | 2022-06-17 | lower 6 to 6 16 niti for anterior open bite | |
| Malocclusion | — | 6574001 | active | 2022-04-02 | upper 16 nitii & lower 43 reengaged |
Dental Procedures
Add Procedure| Procedure | SNOMED CT AU | CDT Code | Tooth | Date | Status | Notes | FHIR |
|---|---|---|---|---|---|---|---|
| Dental procedure (other) | 74964007 | D9999 Unspecified adjunctive procedure, by report | — | 2026-03-02 | completed | Scan done | |
| Dental procedure (other) | 74964007 | D9999 Unspecified adjunctive procedure, by report | — | 2026-02-28 | completed | Advance for scan | |
| Tooth extraction | 424451000 | — | — | 2026-02-03 | completed | pt willing to restart orthodontic treatment as she feels her teeth are protruded/// advised braces @25k or aligners @1LAKH APPROX alongwith either proximal stripping or extn of 4 teeth | |
| Orthodontic treatment | 234952002 | — | — | 2024-02-17 | completed | lower debonding done | |
| Dental filling | 180534004 | D2391 Resin composite - one surface, posterior | ##43 | 2024-02-10 | completed | 43 composite done dr riyaz | |
| Root canal treatment | 234780006 | — | — | 2022-10-01 | completed | upper brackets removed & lower retainer repair | |
| Orthodontic treatment | 234952002 | — | — | 2022-09-23 | completed | wire removed | |
| Orthodontic treatment | 234952002 | — | — | 2022-09-01 | completed | lower retainer done | |
| Orthodontic treatment | 234952002 | — | — | 2022-08-25 | completed | upper retainer done | |
| Orthodontic treatment | 234952002 | — | ##16 | 2022-06-17 | completed | lower 6 to 6 16 niti for anterior open bite | |
| Dental procedure (other) | 74964007 | D9999 Unspecified adjunctive procedure, by report | ##15 | 2022-04-30 | completed | right side elastics given for 15 days | |
| Orthodontic treatment | 234952002 | D8090 Comprehensive orthodontic treatment | ##16, #43 | 2022-04-02 | completed | upper 16 nitii & lower 43 reengaged | |
| Dental procedure (other) | 74964007 | D9999 Unspecified adjunctive procedure, by report | — | 2021-11-27 | completed | dd |
Appointment History
Book Appointment| Date & Time | Status | Clinical Notes | FHIR |
|---|---|---|---|
| 2026-03-02 12:09 | fulfilled | Scan done — Dr Riyaz | |
| 2026-02-28 12:09 | fulfilled | Advance for scan — Dr Riyaz | |
| 2026-02-03 13:45 | fulfilled | pt willing to restart orthodontic treatment as she feels her teeth are protruded/// advised braces @ — Dr Riyaz | |
| 2024-02-17 14:45 | fulfilled | lower debonding done — NULL | |
| 2024-02-10 12:35 | fulfilled | 43 composite done dr riyaz — NULL | |
| 2022-10-01 12:51 | fulfilled | upper brackets removed & lower retainer repair — NULL | |
| 2022-09-23 20:59 | fulfilled | wire removed — NULL | |
| 2022-09-23 20:15 | fulfilled | Dental visit — NULL | |
| 2022-09-01 20:12 | fulfilled | lower retainer done — NULL | |
| 2022-08-25 21:24 | fulfilled | upper retainer done — NULL | |
| 2022-08-16 20:48 | fulfilled | Dental visit — NULL | |
| 2022-07-09 20:32 | fulfilled | Dental visit — NULL | |
| 2022-06-17 14:39 | fulfilled | lower 6 to 6 16 niti for anterior open bite — NULL | |
| 2022-06-13 22:04 | fulfilled | Dental visit — NULL | |
| 2022-04-30 12:46 | fulfilled | right side elastics given for 15 days — NULL | |
| 2022-04-30 12:33 | fulfilled | Dental visit — NULL | |
| 2022-04-02 15:01 | fulfilled | upper 16 nitii & lower 43 reengaged — NULL | |
| 2022-03-12 15:33 | fulfilled | Dental visit — NULL | |
| 2022-01-29 15:33 | fulfilled | Dental visit — NULL | |
| 2021-11-27 15:18 | fulfilled | dd — NULL |
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle₹1,000
Charged
₹27,001
Paid
₹500
Outstanding
| Date | Procedure | Charged (₹) | Paid (₹) | Balance (₹) | Mode | Status | FHIR |
|---|---|---|---|---|---|---|---|
| 2026-03-02 | Dental procedure (other) | 0 | 500 | -500 | Cash | cancelled | |
| 2026-02-28 | Dental procedure (other) | 1,000 | 500 | 500 | Tabassum | issued | |
| 2022-09-23 | Orthodontic treatment | 0 | 4,001 | -4,001 | — | cancelled | |
| 2022-08-25 | Orthodontic treatment | 0 | 3,000 | -3,000 | — | cancelled | |
| 2022-08-16 | Dental procedure | 0 | 3,000 | -3,000 | — | cancelled | |
| 2022-07-09 | Dental procedure | 0 | 2,000 | -2,000 | — | cancelled | |
| 2022-06-13 | Dental procedure | 0 | 2,000 | -2,000 | — | cancelled | |
| 2022-04-30 | Dental procedure (other) | 0 | 2,000 | -2,000 | — | cancelled | |
| 2022-04-02 | Orthodontic treatment | 0 | 3,000 | -3,000 | — | cancelled | |
| 2022-03-12 | Dental procedure | 0 | 2,000 | -2,000 | — | cancelled | |
| 2022-01-29 | Dental procedure | 0 | 5,000 | -5,000 | — | cancelled |