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
••••••••99
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-03-11 Lower echain changed w.r.t 31-33 and upper 13-23 echain engaged. Distal wire cut
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-02 lower echain changed 33-41
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-11-22 lower 18 steel wire engaged, 31-33 echain, 31-46 and 33-36 tight ligature done
Malocclusion 6574001 active 2025-10-15 mand 16 niti
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-07-26 molar tube bonded 36 36, 36-42 ligature & 43-46 ligature
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-28 upper bonding done 5-5, 14 niti wire engaed
Impacted teeth K01.1 109609009 resolved 2025-06-03 adv ortho for lower alignment and prep for implant @ 32 . impacted lateral cannot be retrived,. patient inforned. next visit upper to be bonded
Dental pulp necrosis 234946006 resolved 2025-06-03 paid thru ftcash
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Orthodontic treatment 234952002 ##31, #33, #13, #23 2026-03-11 completed Lower echain changed w.r.t 31-33 and upper 13-23 echain engaged. Distal wire cut
Orthodontic treatment 234952002 ##33, #41 2026-02-02 completed lower echain changed 33-41
Orthodontic treatment 234952002 ##18, #31, #33, #46, #36 2025-11-22 completed lower 18 steel wire engaged, 31-33 echain, 31-46 and 33-36 tight ligature done
Orthodontic treatment 234952002 ##16 2025-10-15 completed mand 16 niti
Dental implant placement 234781005 D6010 Surgical placement of implant body ##16, #33, #32 2025-09-13 completed mx 16 niti. mand 33 reenaged for alignemtn. pt given option to close gap of 32 without implant
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-09-13 completed sd
Orthodontic treatment 234952002 ##36, #42, #43, #46 2025-07-26 completed molar tube bonded 36 36, 36-42 ligature & 43-46 ligature
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2025-06-28 completed upper bonding done 5-5, 14 niti wire engaed
Surgical extraction of tooth 423925004 D7210 Extraction, erupted tooth requiring bone removal ##32 2025-06-03 completed adv ortho for lower alignment and prep for implant @ 32 . impacted lateral cannot be retrived,. patient inforned. next visit upper to be bonded
Crown of tooth 424311000 D2740 Crown, porcelain/ceramic substrate ##32 2025-06-03 completed adv implant @ 32 with zirconia ( 2000 discount given)
Root canal treatment 234780006 — 2025-06-03 completed paid thru ftcash
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-11 20:53 fulfilled Lower echain changed w.r.t 31-33 and upper 13-23 echain engaged. Distal wire cut — Dr Hani
2026-02-02 21:24 fulfilled Dental visit
2026-02-02 21:24 fulfilled lower echain changed 33-41 — Dr Riyaz
2025-11-22 12:56 fulfilled lower 18 steel wire engaged, 31-33 echain, 31-46 and 33-36 tight ligature done — Dr Hani
2025-10-15 22:21 fulfilled mand 16 niti — Dr Riyaz
2025-10-15 21:32 fulfilled Dental visit
2025-09-13 21:00 fulfilled sd — Dr Riyaz
2025-09-13 20:45 fulfilled mx 16 niti. mand 33 reenaged for alignemtn. pt given option to close gap of 32 without im — Dr Riyaz
2025-07-26 12:16 fulfilled molar tube bonded 36 36, 36-42 ligature & 43-46 ligature — Dr Hani
2025-06-28 13:53 fulfilled upper bonding done 5-5, 14 niti wire engaed — Dr Riyaz
2025-06-03 22:19 fulfilled paid thru ftcash — Dr Riyaz
2025-06-03 22:13 fulfilled adv implant @ 32 with zirconia ( 2000 discount given) — Dr Riyaz
2025-06-03 22:12 fulfilled adv ortho for lower alignment and prep for implant @ 32 . impacted lateral cannot be retrived,. pa — Dr Riyaz
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹59,000
Charged
₹23,000
Paid
₹59,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-11 Orthodontic treatment 0 2,500 -2,500 Tabassum cancelled
2026-02-02 Orthodontic treatment 0 2,500 -2,500 — cancelled
2025-11-22 Orthodontic treatment 0 2,500 -2,500 online cancelled
2025-10-15 Orthodontic treatment 0 2,500 -2,500 — cancelled
2025-09-13 Dental implant placement 0 2,500 -2,500 tabassum cancelled
2025-07-26 Orthodontic treatment 0 2,500 -2,500 online cancelled
2025-06-03 Crown of tooth 0 8,000 -8,000 — cancelled
2025-06-03 Crown of tooth 24,000 0 24,000 — issued
2025-06-03 Crown of tooth 35,000 0 35,000 — issued