DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
Back to Patients

De-identified Patient

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
••••••••D)
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental caries 80967001 resolved 2026-03-09 cementation done with 36
Dental caries 80967001 resolved 2026-03-05 type ix with 38
Dental caries 80967001 resolved 2026-03-03 Impression taken for endo crown with 36 pfm-tousif lab
Dental caries 80967001 resolved 2026-03-02 Advice new pfm endo crown with 36 @3500...temp cement place
Dental caries 80967001 resolved 2024-07-16 type ix 24 distal
Dental caries, unspecified K02.9 80967001 resolved 2024-07-15 composite 26 mesial class 2 and occlusal
Dental pulp necrosis 234946006 resolved 2024-07-13 46 obt done
Dental caries, unspecified K02.9 80967001 resolved 2024-07-13 adv composite 24 & 26 2000each
Necrosis of dental pulp K04.1 234946006 resolved 2024-07-12 a/o 46 & 25-04 all 4 canals till apex hypo done
Dental caries 80967001 resolved 2024-07-12 46 crown prep & impression taken shade
Deposits on teeth K03.6 109606002 resolved 2023-07-20 scaling done
Dental caries 80967001 resolved 2023-07-13 15 crown prep done & impression taken & shade a3
Dental pulp necrosis 234946006 resolved 2023-07-12 15 obt done & dtech done@gpay sahil
Dental pulp necrosis 234946006 resolved 2023-07-11 15 hypo done
Dental caries 80967001 resolved 2023-07-07 36 crown cementation done
Dental pulp necrosis 234946006 resolved 2023-07-03 a/o 15 & bmp 25-06 till apex & hypo done
Dental caries 80967001 resolved 2023-07-03 36 pfm
Dental caries, unspecified K02.9 80967001 resolved 2023-07-01 37 & 35 type ix class 2
Necrosis of dental pulp K04.1 234946006 resolved 2021-05-07 type ix 36- advrct if needed class2
Dental caries, unspecified K02.9 80967001 resolved 2021-05-06 composite 16
Dental caries 80967001 resolved 2019-11-13 type ix 16
Dental caries 80967001 resolved 2019-10-07 crown cem 36
Dental caries 80967001 resolved 2019-09-30 crown prep pfm 36 a3 shade
Necrosis of dental pulp K04.1 234946006 resolved 2019-09-16 obt 36 4 canal f1 all canals
Necrosis of dental pulp K04.1 234946006 resolved 2019-09-10 bmp 36 all canal 20-06 all canal- Distal a bit over instrumented
Necrosis of dental pulp K04.1 234946006 resolved 2019-09-06 a/o 36 all canals 21mm 20-04 bmp done 4 canals
Dental caries 80967001 resolved 2019-09-06 rc with metal crown
Necrosis of dental pulp K04.1 234946006 resolved 2019-09-05 adv re rct
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 ##36 2026-03-09 completed cementation done with 36
Dental filling 180534004 D2940 Protective restoration (GIC) ##38 2026-03-05 completed type ix with 38
Crown of tooth 424311000 ##36 2026-03-05 completed 36 endo crown
Crown of tooth 424311000 ##36 2026-03-03 completed Impression taken for endo crown with 36 pfm-tousif lab
Crown of tooth 424311000 ##36 2026-03-02 completed Advice new pfm endo crown with 36 @3500...temp cement place
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-03-02 completed Advance
Dental filling 180534004 D2940 Protective restoration (GIC) ##24 2024-07-16 completed type ix 24 distal
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-07-16 completed settled
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##26 2024-07-15 completed composite 26 mesial class 2 and occlusal
Root canal treatment 234780006 ##46 2024-07-13 completed 46 obt done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##47 2024-07-13 completed rct 4500+ pfm cap 4500+ type ix filling 47 2000
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##24, #26 2024-07-13 completed adv composite 24 & 26 2000each
Dental filling 180534004 — 2024-07-13 completed type 9 mesial class 2
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2024-07-12 completed a/o 46 & 25-04 all 4 canals till apex hypo done
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##46 2024-07-12 completed 46 crown prep & impression taken shade
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-07-12 completed shade A3
Dental scaling 52065007 D1110 Prophylaxis - adult — 2023-07-20 completed scaling done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-07-17 completed @gpay sahil
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##15 2023-07-13 completed 15 crown prep done & impression taken & shade a3
Dental filling 180534004 D2940 Protective restoration (GIC) ##14 2023-07-13 completed 14 type ix
Root canal treatment 234780006 ##15 2023-07-12 completed 15 obt done & dtech done@gpay sahil
Root canal treatment 234780006 ##15 2023-07-11 completed 15 hypo done
Crown of tooth 424311000 ##36 2023-07-07 completed 36 crown cementation done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-07-04 completed gpay sahil
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##15 2023-07-03 completed a/o 15 & bmp 25-06 till apex & hypo done
Crown of tooth 424311000 ##36 2023-07-03 completed 36 pfm
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##15, #36 2023-07-03 completed 15 rct & 36 pfm cap
Dental filling 180534004 D2940 Protective restoration (GIC) ##37, #35 2023-07-01 completed 37 & 35 type ix class 2
Root canal treatment 234780006 ##36 2021-05-07 completed type ix 36- advrct if needed class2
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##16 2021-05-06 completed composite 16
Dental filling 180534004 D2940 Protective restoration (GIC) ##16 2019-11-13 completed type ix 16
Crown of tooth 424311000 ##36 2019-10-07 completed crown cem 36
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##36 2019-09-30 completed crown prep pfm 36 a3 shade
Root canal treatment 234780006 ##36 2019-09-16 completed obt 36 4 canal f1 all canals
Root canal treatment 234780006 ##36 2019-09-10 completed bmp 36 all canal 20-06 all canal- Distal a bit over instrumented
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2019-09-06 completed a/o 36 all canals 21mm 20-04 bmp done 4 canals
Crown of tooth 424311000 — 2019-09-06 completed rc with metal crown
Root canal treatment 234780006 — 2019-09-05 completed adv re rct
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-09 20:37 fulfilled Dental visit — Dr Riyaz
2026-03-09 20:32 fulfilled cementation done with 36 — Dr Riyaz
2026-03-05 20:34 fulfilled 36 endo crown
2026-03-05 20:33 fulfilled type ix with 38 — Dr Riyaz
2026-03-05 20:32 fulfilled Dental visit — Dr Riyaz
2026-03-03 13:02 fulfilled Impression taken for endo crown with 36 pfm-tousif lab — Dr Riyaz
2026-03-02 20:59 fulfilled Advance
2026-03-02 20:40 fulfilled Advice new pfm endo crown with 36 @3500...temp cement place — Dr Riyaz
2024-07-16 14:24 fulfilled settled — NULL
2024-07-16 14:24 fulfilled Dental visit — NULL
2024-07-16 14:24 fulfilled type ix 24 distal — NULL
2024-07-15 14:46 fulfilled composite 26 mesial class 2 and occlusal — NULL
2024-07-13 14:50 fulfilled Dental visit — NULL
2024-07-13 14:50 fulfilled type 9 mesial class 2 — NULL
2024-07-13 13:45 fulfilled adv composite 24 & 26 2000each — NULL
2024-07-13 13:45 fulfilled rct 4500+ pfm cap 4500+ type ix filling 47 2000 — NULL
2024-07-13 12:47 fulfilled 46 obt done — NULL
2024-07-12 14:27 fulfilled Dental visit — NULL
2024-07-12 14:24 fulfilled shade A3 — NULL
2024-07-12 14:23 fulfilled 46 crown prep & impression taken shade — NULL
2024-07-12 13:04 fulfilled a/o 46 & 25-04 all 4 canals till apex hypo done — NULL
2023-07-20 12:59 fulfilled scaling done — NULL
2023-07-17 12:39 fulfilled @gpay sahil — NULL
2023-07-13 13:38 fulfilled 14 type ix — NULL
2023-07-13 13:35 fulfilled 15 crown prep done & impression taken & shade a3 — NULL
2023-07-12 13:44 fulfilled 15 obt done & dtech done@gpay sahil — NULL
2023-07-11 12:22 fulfilled 15 hypo done — NULL
2023-07-07 13:04 fulfilled Dental visit — NULL
2023-07-07 11:33 fulfilled 36 crown cementation done — NULL
2023-07-04 16:18 fulfilled gpay sahil — NULL
2023-07-04 16:18 fulfilled Dental visit — NULL
2023-07-03 14:07 fulfilled 15 rct & 36 pfm cap — NULL
2023-07-03 14:06 fulfilled 36 pfm — NULL
2023-07-03 14:02 fulfilled a/o 15 & bmp 25-06 till apex & hypo done — NULL
2023-07-01 20:55 fulfilled 37 & 35 type ix class 2 — NULL
2021-05-07 15:04 fulfilled type ix 36- advrct if needed class2 — NULL
2021-05-06 14:34 fulfilled composite 16 — NULL
2019-11-13 14:36 fulfilled type ix 16 — NULL
2019-10-07 11:09 fulfilled crown cem 36 — NULL
2019-09-30 11:38 fulfilled Dental visit — NULL
2019-09-30 11:38 fulfilled Dental visit — NULL
2019-09-30 11:38 fulfilled crown prep pfm 36 a3 shade — NULL
2019-09-16 11:51 fulfilled obt 36 4 canal f1 all canals — NULL
2019-09-16 11:20 fulfilled Dental visit — NULL
2019-09-10 11:57 fulfilled bmp 36 all canal 20-06 all canal- Distal a bit over instrumented — NULL
2019-09-06 12:23 fulfilled rc with metal crown — NULL
2019-09-06 12:23 fulfilled a/o 36 all canals 21mm 20-04 bmp done 4 canals — NULL
2019-09-05 18:53 fulfilled adv re rct — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹41,500
Charged
₹41,000
Paid
₹38,600
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-09 Crown of tooth 0 4,000 -4,000 gpay cancelled
2026-03-05 Crown of tooth 3,500 0 3,500 — issued
2026-03-05 Crown of tooth 1,500 0 1,500 — issued
2026-03-02 Crown of tooth 0 500 -500 — cancelled
2024-07-16 Dental filling 2,000 0 2,000 — issued
2024-07-16 Dental filling -10,500 0 -10,500 — balanced
2024-07-16 Dental filling 0 3,500 -3,500 — cancelled
2024-07-15 Dental filling 2,000 0 2,000 — issued
2024-07-13 Dental filling 10,000 10,000 0 — balanced
2024-07-12 Crown of tooth 9,000 0 9,000 — issued
2023-07-20 Dental scaling 1,000 1,000 0 — balanced
2023-07-17 Dental procedure (other) 0 4,500 -4,500 — cancelled
2023-07-13 Crown of tooth 1,000 0 1,000 — issued
2023-07-13 Crown of tooth 3,500 0 3,500 — issued
2023-07-12 Root canal treatment 0 3,500 -3,500 — cancelled
2023-07-07 Crown of tooth 0 -500 500 — cancelled
2023-07-04 Dental procedure (other) 0 5,000 -5,000 — cancelled
2023-07-03 Crown of tooth 7,000 0 7,000 — issued
2023-07-01 Dental filling 2,000 0 2,000 — issued
2021-05-07 Root canal treatment 700 700 0 — balanced
2021-05-06 Dental filling 0 600 -600 — cancelled
2019-11-13 Dental filling 1,300 700 600 — issued
2019-10-07 Crown of tooth 0 2,500 -2,500 — cancelled
2019-09-30 Crown of tooth 2,000 0 2,000 — issued
2019-09-30 Crown of tooth 0 500 -500 — cancelled
2019-09-16 Root canal treatment 0 1,000 -1,000 — cancelled
2019-09-10 Root canal treatment 0 2,000 -2,000 — cancelled
2019-09-06 Crown of tooth 5,500 1,500 4,000 — issued