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
••••••••D)
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Chronic periodontitis, unspecified K05.30 109600005 resolved 2026-03-05 mobile fragment extn done with root piece of 36
Deposits on teeth K03.6 109606002 resolved 2023-01-04 scaling done
Deposits on teeth K03.6 109606002 resolved 2018-04-07 curettage done irt 37 adv scaling by dr Daraksha
Dental caries, unspecified K02.9 80967001 resolved 2018-04-02 composite filling 37
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Tooth extraction 424451000 ##36 2026-03-06 completed extn 36 root piece
Tooth extraction 424451000 ##36 2026-03-05 completed mobile fragment extn done with root piece of 36
Dental scaling 52065007 D1110 Prophylaxis - adult — 2023-01-04 completed scaling done
Dental scaling 52065007 D1110 Prophylaxis - adult ##37 2018-04-07 completed curettage done irt 37 adv scaling by dr Daraksha
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##37 2018-04-02 completed composite filling 37
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##37 2018-03-22 completed type ix filling 37- adv composit layer @400 extra
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##36 2017-05-09 completed ext 36 - Root stumps left inside- Told will req removal late if required
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-06 20:47 fulfilled extn 36 root piece — Dr Riyaz
2026-03-05 20:46 fulfilled mobile fragment extn done with root piece of 36 — Dr Hani
2023-01-04 21:04 fulfilled scaling done — NULL
2018-04-07 21:19 fulfilled curettage done irt 37 adv scaling by dr Daraksha — NULL
2018-04-02 21:28 fulfilled composite filling 37 — NULL
2018-03-22 13:49 fulfilled type ix filling 37- adv composit layer @400 extra — NULL
2017-08-26 13:08 fulfilled Dental visit — NULL
2017-05-09 12:25 fulfilled ext 36 - Root stumps left inside- Told will req removal late if required — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹4,200
Charged
₹3,700
Paid
₹500
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-06 Tooth extraction 600 600 0 gpay balanced
2026-03-05 Tooth extraction 400 400 0 cash balanced
2023-01-04 Dental scaling 1,000 500 500 — issued
2018-04-07 Dental scaling 200 200 0 — balanced
2018-04-02 Dental filling 400 400 0 — balanced
2018-03-22 Tooth extraction 800 800 0 — balanced
2017-05-09 Tooth extraction 800 800 0 — balanced