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
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-03-17 lower 6-6 echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-05 upper debonding done. . mand 6 to6 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-01 lower echain changed
Dental pulp necrosis 234946006 resolved 2025-12-04 upper 13 retainer repaired and lower 33-36 echain and 42-46 echain
Dental caries, unspecified K02.9 80967001 resolved 2025-11-06 type ix class 1 with 16 17, caries excavation not done completely, adv rct if pain persists
Dental pulp necrosis 234946006 resolved 2025-11-05 lower 18 steel wire engaged, and echain engaged// upper 12 and 13 retainer repaired
Necrosis of dental pulp K04.1 234946006 resolved 2025-10-09 gic restn w.r.t 47 type ix class 1 compound, may need rct if pain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-09 upper fixed retainer done
Malocclusion 6574001 active 2025-10-08 lower 16*22 niti
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-04 33 to 36 echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-07 33 to 36 echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-07-16 lower 3 to6 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-05 lower canine module changed and echain 3 to 6 engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-03-26 ext with 34, bonding with 36, 41, 46. lower 16 niti wire engaged
Malocclusion 6574001 active 2025-03-12 16 molar tube rebonded
Malocclusion 6574001 active 2024-11-20 max 22 enaged & 14 niti for latral alignemnt
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-09-23 upper 18 seel 3-3 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-07-25 lower wire renegaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-06-22 upper both canines bonded & 14 niti wire engaged & 26 molar tube rebonded
Malocclusion 6574001 active 2024-05-16 lower bonding done -14 niti wie placed
Dental caries 80967001 resolved 2024-05-16 dtech pending
Dental caries 80967001 resolved 2024-04-18 dtech done with 36
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-04-17 upper bonding done & 14 nitiwire placed
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Orthodontic treatment 234952002 — 2026-03-17 completed lower 6-6 echain changed
Orthodontic treatment 234952002 — 2026-02-05 completed upper debonding done. . mand 6 to6 echain
Orthodontic treatment 234952002 — 2026-01-01 completed lower echain changed
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##13, #33, #36, #42, #46 2025-12-04 completed upper 13 retainer repaired and lower 33-36 echain and 42-46 echain
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##16, #17 2025-11-06 completed type ix class 1 with 16 17, caries excavation not done completely, adv rct if pain persists
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##18, #12, #13 2025-11-05 completed lower 18 steel wire engaged, and echain engaged// upper 12 and 13 retainer repaired
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##47 2025-10-09 completed gic restn w.r.t 47 type ix class 1 compound, may need rct if pain
Orthodontic treatment 234952002 — 2025-10-09 completed upper fixed retainer done
Orthodontic treatment 234952002 ##16, #22 2025-10-08 completed lower 16*22 niti
Orthodontic treatment 234952002 ##33, #36 2025-09-04 completed 33 to 36 echain changed
Orthodontic treatment 234952002 ##33, #36 2025-08-07 completed 33 to 36 echain changed
Orthodontic treatment 234952002 — 2025-07-16 completed lower 3 to6 echain
Orthodontic treatment 234952002 — 2025-06-05 completed lower canine module changed and echain 3 to 6 engaged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-05-01 completed lower spring activated
Orthodontic treatment 234952002 ##34, #36, #41, #46, #16 2025-03-26 completed ext with 34, bonding with 36, 41, 46. lower 16 niti wire engaged
Orthodontic treatment 234952002 ##16 2025-03-12 completed 16 molar tube rebonded
Tooth extraction 424451000 — 2025-02-20 completed 344 extnd one
Orthodontic treatment 234952002 ##22, #14 2024-11-20 completed max 22 enaged & 14 niti for latral alignemnt
Orthodontic treatment 234952002 ##18 2024-09-23 completed upper 18 seel 3-3 echain
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##14, #12 2024-07-25 completed 14 extracted - 12 enaged on ligature wire
Orthodontic treatment 234952002 — 2024-07-25 completed lower wire renegaged
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##24 2024-07-25 completed next visit 24 to be extyracte
Orthodontic treatment 234952002 ##14, #26 2024-06-22 completed upper both canines bonded & 14 niti wire engaged & 26 molar tube rebonded
Orthodontic treatment 234952002 ##14 2024-05-16 completed lower bonding done -14 niti wie placed
Dental filling 180534004 — 2024-05-16 completed dtech pending
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##36 2024-04-18 completed dtech done with 36
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2024-04-17 completed upper bonding done & 14 nitiwire placed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-04-16 completed nspt done
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-17 14:11 fulfilled lower 6-6 echain changed — Dr Riyaz
2026-02-05 14:34 fulfilled upper debonding done. . mand 6 to6 echain — Dr Riyaz
2026-01-01 20:56 fulfilled lower echain changed — Dr Riyaz
2025-12-04 13:50 fulfilled upper 13 retainer repaired and lower 33-36 echain and 42-46 echain — Dr Hani
2025-12-04 13:30 fulfilled Dental visit — Dr Riyaz
2025-11-06 12:32 fulfilled Dental visit
2025-11-06 12:30 fulfilled type ix class 1 with 16 17, caries excavation not done completely, adv rct if pain persists — Dr Riyaz
2025-11-05 12:27 fulfilled lower 18 steel wire engaged, and echain engaged// upper 12 and 13 retainer repaired — Dr Riyaz
2025-10-09 12:53 fulfilled upper fixed retainer done — Dr Hani
2025-10-09 12:52 fulfilled gic restn w.r.t 47 type ix class 1 compound, may need rct if pain — Dr Riyaz
2025-10-09 11:49 fulfilled Dental visit
2025-10-08 21:19 fulfilled lower 16*22 niti — Dr Riyaz
2025-09-04 21:16 fulfilled 33 to 36 echain changed
2025-08-07 14:24 fulfilled 33 to 36 echain changed
2025-07-16 15:01 fulfilled lower 3 to6 echain
2025-06-05 20:04 fulfilled lower canine module changed and echain 3 to 6 engaged — Dr Riyaz
2025-05-01 19:58 fulfilled Dental visit — Dr Riyaz
2025-05-01 19:58 fulfilled lower spring activated — Dr Riyaz
2025-03-26 21:22 fulfilled Dental visit — Dr Aaliya
2025-03-26 21:22 fulfilled Dental visit — Dr Aaliya
2025-03-26 21:21 fulfilled ext with 34, bonding with 36, 41, 46. lower 16 niti wire engaged
2025-03-12 12:59 fulfilled 16 molar tube rebonded — NULL
2025-02-20 14:14 fulfilled 344 extnd one — NULL
2025-02-20 13:54 fulfilled Dental visit — NULL
2024-12-20 14:23 fulfilled Dental visit — NULL
2024-11-20 13:13 fulfilled max 22 enaged & 14 niti for latral alignemnt — NULL
2024-10-22 13:57 fulfilled Dental visit — NULL
2024-09-23 13:24 fulfilled upper 18 seel 3-3 echain — NULL
2024-09-18 12:55 fulfilled Dental visit — NULL
2024-08-15 12:50 fulfilled Dental visit — NULL
2024-07-25 14:25 fulfilled next visit 24 to be extyracte — NULL
2024-07-25 14:24 fulfilled lower wire renegaged — NULL
2024-07-25 14:22 fulfilled Dental visit — NULL
2024-07-25 14:22 fulfilled 14 extracted - 12 enaged on ligature wire — NULL
2024-06-22 14:54 fulfilled upper both canines bonded & 14 niti wire engaged & 26 molar tube rebonded — NULL
2024-06-22 14:38 fulfilled Dental visit — NULL
2024-05-16 22:05 fulfilled dtech pending — NULL
2024-05-16 20:21 fulfilled lower bonding done -14 niti wie placed — NULL
2024-04-18 14:19 fulfilled Dental visit — NULL
2024-04-18 13:54 fulfilled dtech done with 36 — NULL
2024-04-17 15:20 fulfilled upper bonding done & 14 nitiwire placed — NULL
2024-04-16 13:48 fulfilled nspt done — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹50,500
Charged
₹50,500
Paid
₹45,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2025-12-04 Root canal treatment 0 4,500 -4,500 — cancelled
2025-11-06 Root canal treatment 3,000 0 3,000 — issued
2025-10-09 Orthodontic treatment 1,500 0 1,500 — issued
2025-07-16 Orthodontic treatment 0 2,000 -2,000 — cancelled
2025-05-01 Dental procedure (other) 0 2,000 -2,000 — cancelled
2025-02-20 Tooth extraction 0 4,000 -4,000 — cancelled
2024-12-20 Dental procedure 0 4,000 -4,000 — cancelled
2024-11-20 Orthodontic treatment 0 4,000 -4,000 — cancelled
2024-10-22 Dental procedure 0 4,000 -4,000 — cancelled
2024-09-18 Dental procedure 0 4,000 -4,000 — cancelled
2024-08-15 Dental procedure 0 4,000 -4,000 — cancelled
2024-07-25 Orthodontic treatment 0 4,000 -4,000 — cancelled
2024-06-22 Orthodontic treatment 0 4,000 -4,000 — cancelled
2024-05-16 Dental filling 0 4,000 -4,000 — cancelled
2024-05-16 Dental filling 0 500 -500 — cancelled
2024-04-18 Dental filling 1,000 500 500 — issued
2024-04-16 Dental procedure (other) 45,000 5,000 40,000 — issued