DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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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
••••••••72
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental caries 80967001 resolved 2026-03-14 dtech done with 17, and crown prep done with 18 fpr 2 unit bridge with 17 18
Dental pulp necrosis 234946006 resolved 2025-03-07 obt 18 db and pal. mb yet to be done
Dental pulp necrosis 234946006 resolved 2025-03-05 A/O 18. DB AND PAL 25.04 . MB JUST FOUND
Necrosis of dental pulp K04.1 234946006 resolved 2019-12-14 obt 17 3 canals
Dental pulp necrosis 234946006 resolved 2019-12-10 bmp done- Hypo done
Necrosis of dental pulp K04.1 234946006 resolved 2019-12-03 a/o 2 canals found- Both 20-06 bmp done- Mb not found- 2 canals hypo and rc cal done
Dental caries 80967001 resolved 2015-02-26 crown cem 46
Deposits on teeth K03.6 109606002 resolved 2015-02-26 scaling
Dental caries 80967001 resolved 2015-02-23 crown prep 46
Dental pulp necrosis 234946006 resolved 2015-02-19 bmp 46 f2
Dental pulp necrosis 234946006 resolved 2015-02-16 a/o 46 c f1
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##17, #18 2026-03-14 completed dtech done with 17, and crown prep done with 18 fpr 2 unit bridge with 17 18
Root canal treatment 234780006 ##18 2025-03-07 completed obt 18 db and pal. mb yet to be done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##18 2025-03-05 completed A/O 18. DB AND PAL 25.04 . MB JUST FOUND
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##17 2019-12-14 completed obt 17 3 canals
Root canal treatment 234780006 — 2019-12-10 completed bmp done- Hypo done
Root canal treatment 234780006 — 2019-12-03 completed a/o 2 canals found- Both 20-06 bmp done- Mb not found- 2 canals hypo and rc cal done
Crown of tooth 424311000 ##46 2015-02-26 completed crown cem 46
Dental scaling 52065007 D1110 Prophylaxis - adult — 2015-02-26 completed scaling
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##46 2015-02-23 completed crown prep 46
Root canal treatment 234780006 ##46 2015-02-19 completed bmp 46 f2
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2015-02-16 completed a/o 46 c f1
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-14 12:57 fulfilled dtech done with 17, and crown prep done with 18 fpr 2 unit bridge with 17 18 — Dr Hani
2025-03-11 21:50 fulfilled Dental visit — NULL
2025-03-07 12:58 fulfilled obt 18 db and pal. mb yet to be done — NULL
2025-03-05 15:00 fulfilled A/O 18. DB AND PAL 25.04 . MB JUST FOUND — NULL
2019-12-19 22:06 fulfilled Dental visit — NULL
2019-12-19 12:58 fulfilled Dental visit
2019-12-14 20:52 fulfilled obt 17 3 canals — NULL
2019-12-10 19:20 fulfilled bmp done- Hypo done — NULL
2019-12-03 22:00 fulfilled Dental visit — NULL
2019-12-03 21:03 fulfilled a/o 2 canals found- Both 20-06 bmp done- Mb not found- 2 canals hypo and rc cal done — NULL
2015-02-26 19:31 fulfilled scaling — NULL
2015-02-26 19:31 fulfilled crown cem 46 — NULL
2015-02-23 19:24 fulfilled crown prep 46 — NULL
2015-02-19 19:01 fulfilled bmp 46 f2 — NULL
2015-02-16 19:49 fulfilled a/o 46 c f1 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹15,900
Charged
₹13,800
Paid
₹10,600
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-14 Dental filling 3,600 1,500 2,100 cash issued
2025-03-11 Dental procedure 0 3,000 -3,000 PHONEPE cancelled
2025-03-05 Root canal treatment 4,500 1,500 3,000 — issued
2019-12-19 Dental procedure 4,000 0 4,000 — issued
2019-12-19 Dental procedure 0 1,000 -1,000 — cancelled
2019-12-10 Root canal treatment 0 2,000 -2,000 — cancelled
2019-12-03 Root canal treatment 0 1,000 -1,000 — cancelled
2015-02-26 Crown of tooth 800 800 0 — balanced
2015-02-26 Crown of tooth 0 500 -500 — cancelled
2015-02-23 Crown of tooth 0 500 -500 — cancelled
2015-02-19 Root canal treatment 0 500 -500 — cancelled
2015-02-16 Root canal treatment 3,000 1,500 1,500 — issued