DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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male DOB: ••••-••-•• FHIR: Patient
Patient Information FHIR: Patient
De-identified for demo. Identity fields are masked.
Full Name
De-identified
Date of Birth
••••-••-••
Gender
male
Phone
••••••••79
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental pulp necrosis 234946006 resolved 2026-03-19 obt done with 27
Necrosis of dental pulp K04.1 234946006 resolved 2026-03-14 adv rct with 27
Dental caries, unspecified K02.9 80967001 resolved 2025-05-20 composite 48 3m shade a2, . adv crown when needed. joint with 47 can be done later
Dental pulp necrosis 234946006 resolved 2025-05-14 obt 48 . next visit crown to be done
Dental pulp necrosis 234946006 resolved 2025-05-08 a/o with 48,bmp-mb,ml-20.06,d-25.06
Necrosis of dental pulp K04.1 234946006 resolved 2024-06-27 3m composite class 2 27 - Adv rct if needed
Dental pulp necrosis 234946006 resolved 2024-06-26 adv-rc 27
Dental caries, unspecified K02.9 80967001 resolved 2023-05-03 27 amalgam filling done
Dental caries 80967001 resolved 2023-05-01 27- type ix done
Dental caries 80967001 resolved 2023-01-14 trail done & wax bite taken & shade A3
Dental caries 80967001 resolved 2023-01-12 25 & impression taken
Dental caries 80967001 resolved 2022-10-28 24 & 26 crown cementation done
Dental caries 80967001 resolved 2022-10-22 crown prep 24 zirconia shade a3 & 26 metal & impression taken
Dental pulp necrosis 234946006 resolved 2022-10-18 obt 24
Dental pulp necrosis 234946006 resolved 2022-10-17 re rc a/o 26 paaltal 25-06 hypo done
Dental pulp necrosis 234946006 resolved 2022-10-13 a/o
Dental caries 80967001 resolved 2022-10-13 crown remval 24 & 25 & 26
Dental caries, unspecified K02.9 80967001 resolved 2009-07-15 Type IX interproximal filling 17 & 18
Deposits on teeth K03.6 109606002 resolved 2009-07-15 Scaling Lower anteriors
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Root canal treatment 234780006 ##27 2026-03-19 completed obt done with 27
Root canal treatment 234780006 ##27 2026-03-14 completed adv rct with 27
Root canal treatment 234780006 ##27 2026-03-14 completed a/o 27 buccal 25.04 3.5 stopper pal. 25.06 2.5 stopper
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##48, #47 2025-05-20 completed composite 48 3m shade a2, . adv crown when needed. joint with 47 can be done later
Root canal treatment 234780006 ##48 2025-05-14 completed obt 48 . next visit crown to be done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##48 2025-05-08 completed a/o with 48,bmp-mb,ml-20.06,d-25.06
Root canal treatment 234780006 ##27 2024-06-27 completed 3m composite class 2 27 - Adv rct if needed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-06-27 completed scalng
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##27 2024-06-26 completed adv-rc 27
Dental filling 180534004 D2150 Amalgam - two surfaces ##27 2023-05-03 completed 27 amalgam filling done
Dental filling 180534004 D2940 Protective restoration (GIC) ##27 2023-05-01 completed 27- type ix done
Crown of tooth 424311000 — 2023-01-14 completed trail done & wax bite taken & shade A3
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report ##25 2023-01-12 completed 25 & impression taken
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-10-30 completed imps
Crown of tooth 424311000 ##24, #26 2022-10-28 completed 24 & 26 crown cementation done
Crown of tooth 424311000 D2740 Crown, porcelain/ceramic substrate ##24, #26 2022-10-22 completed crown prep 24 zirconia shade a3 & 26 metal & impression taken
Dental implant placement 234781005 D6010 Surgical placement of implant body ##75, #25 2022-10-20 completed IMPLANT 3-75*10 & t-50ncm -at 25
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##24 2022-10-18 completed obt 24
Root canal treatment 234780006 ##26 2022-10-18 completed obt 26
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-10-18 completed db and palatal done
Root canal treatment 234780006 D3348 Retreatment of previous root canal therapy - molar ##26 2022-10-17 completed re rc a/o 26 paaltal 25-06 hypo done
Dental implant placement 234781005 D6010 Surgical placement of implant body ##25 2022-10-17 completed adv implant @25
Root canal treatment 234780006 — 2022-10-13 completed a/o
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##24, #25, #26 2022-10-13 completed crown remval 24 & 25 & 26
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##18 2021-11-29 completed extn 18
Dental filling 180534004 D2940 Protective restoration (GIC) ##17, #18 2009-07-15 completed Type IX interproximal filling 17 & 18
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##15 2009-07-15 completed Flowable class V filling 15
Dental scaling 52065007 D1110 Prophylaxis - adult — 2009-07-15 completed Scaling Lower anteriors
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-19 20:34 fulfilled Dental visit — Dr Riyaz
2026-03-19 20:18 fulfilled obt done with 27 — Dr Riyaz
2026-03-14 20:08 fulfilled a/o 27 buccal 25.04 3.5 stopper pal. 25.06 2.5 stopper — Dr Riyaz
2026-03-14 13:39 fulfilled adv rct with 27 — Dr Riyaz
2025-05-20 11:41 fulfilled composite 48 3m shade a2, . adv crown when needed. joint with 47 can be done later — Dr Riyaz
2025-05-14 11:36 fulfilled Dental visit — Dr Riyaz
2025-05-14 11:32 fulfilled obt 48 . next visit crown to be done — Dr Riyaz
2025-05-08 19:36 fulfilled a/o with 48,bmp-mb,ml-20.06,d-25.06 — Dr Riyaz
2024-06-27 15:12 fulfilled Dental visit — NULL
2024-06-27 15:12 fulfilled scalng — NULL
2024-06-27 15:12 fulfilled 3m composite class 2 27 - Adv rct if needed — NULL
2024-06-26 13:33 fulfilled adv-rc 27 — NULL
2023-12-12 15:12 fulfilled Dental visit — NULL
2023-05-03 11:26 fulfilled 27 amalgam filling done — NULL
2023-05-01 11:38 fulfilled 27- type ix done — NULL
2023-01-14 11:51 fulfilled trail done & wax bite taken & shade A3 — NULL
2023-01-12 11:52 fulfilled 25 & impression taken — NULL
2022-10-30 15:47 fulfilled imps — NULL
2022-10-28 19:12 fulfilled 24 & 26 crown cementation done — NULL
2022-10-22 12:46 fulfilled crown prep 24 zirconia shade a3 & 26 metal & impression taken — NULL
2022-10-20 12:12 fulfilled Dental visit — NULL
2022-10-20 12:03 fulfilled IMPLANT 3-75*10 & t-50ncm -at 25 — NULL
2022-10-18 12:15 fulfilled Dental visit — NULL
2022-10-18 12:14 fulfilled db and palatal done — NULL
2022-10-18 12:14 fulfilled obt 26 — NULL
2022-10-18 12:05 fulfilled Dental visit — NULL
2022-10-18 11:14 fulfilled obt 24 — NULL
2022-10-17 14:48 fulfilled adv implant @25 — NULL
2022-10-17 14:48 fulfilled re rc a/o 26 paaltal 25-06 hypo done — NULL
2022-10-13 15:26 fulfilled crown remval 24 & 25 & 26 — NULL
2022-10-13 15:21 fulfilled Dental visit — NULL
2022-10-13 14:53 fulfilled a/o — NULL
2021-11-29 12:53 fulfilled Dental visit — NULL
2021-11-29 12:20 fulfilled extn 18 — NULL
2009-07-15 12:09 fulfilled Scaling Lower anteriors — NULL
2009-07-15 12:09 fulfilled Flowable class V filling 15 — NULL
2009-07-15 12:06 fulfilled Type IX interproximal filling 17 & 18 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹54,000
Charged
₹53,500
Paid
₹24,500
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-19 Root canal treatment 0 1,500 -1,500 gpay cancelled
2026-03-14 Root canal treatment 5,000 3,000 2,000 cash issued
2025-05-20 Dental filling 2,000 2,000 0 cash balanced
2025-05-14 Root canal treatment 0 5,000 -5,000 gpay cancelled
2025-05-14 Root canal treatment 5,000 0 5,000 — issued
2024-06-27 Dental procedure (other) 2,000 0 2,000 — issued
2024-06-27 Dental procedure (other) 1,000 0 1,000 — issued
2024-06-27 Dental procedure (other) 0 3,000 -3,000 — cancelled
2023-12-12 Dental procedure 13,500 0 13,500 — issued
2023-05-03 Dental filling 2,000 2,000 0 — balanced
2022-10-30 Dental procedure (other) 0 8,500 -8,500 — cancelled
2022-10-20 Dental implant placement 19,000 19,000 0 — balanced
2022-10-18 Dental procedure (other) 0 3,000 -3,000 — cancelled
2022-10-17 Dental implant placement 0 2,000 -2,000 — cancelled
2022-10-13 Crown of tooth 2,500 2,500 0 — balanced
2022-10-13 Crown of tooth 1,000 0 1,000 — issued
2021-11-29 Tooth extraction 0 1,000 -1,000 — cancelled
2009-07-15 Dental filling 300 300 0 — balanced
2009-07-15 Dental filling 300 300 0 — balanced
2009-07-15 Dental filling 400 400 0 — balanced