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
••••••••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 2026-03-13 crown cem 38
Dental caries 80967001 resolved 2025-09-23 recmentation 38. adv new crown if it dislodges within 6 months
Dental caries 80967001 resolved 2025-07-10 recementation with 48, new crown advised if crown dislodges within 6 months
Dental caries 80967001 resolved 2025-01-04 cementation done with 37 metal
Dental caries 80967001 resolved 2024-12-30 new crown advised & cutting modified with 37 & impression taken-
Dental caries 80967001 resolved 2024-11-25 recemtation wih 37 & withi 6 months if cap is disloged
Dental caries 80967001 resolved 2024-10-07 cutting with 37 & metal cap
Dental caries 80967001 resolved 2024-09-05 dtech done
Dental caries, unspecified K02.9 80967001 resolved 2024-09-02 adv- temporary restoration with 37/temp resto with endo crown
Dental pulp necrosis 234946006 resolved 2024-09-02 paid advance
Dental caries 80967001 resolved 2023-03-02 48 recementation done & within 6 months if the cap comes out will make a new cap
Dental caries 80967001 resolved 2023-02-17 crown cem 48
Dental caries 80967001 resolved 2023-02-13 impression taken
Dental caries 80967001 resolved 2023-02-11 48 & crown cutting done(endo crown)
Dental pulp necrosis 234946006 resolved 2023-02-02 obt done 48
Necrosis of dental pulp K04.1 234946006 resolved 2023-01-28 bmp 3 canal disrtal 25-6 & mesial both canal 30-04 hypo done
Necrosis of dental pulp K04.1 234946006 resolved 2023-01-23 48 & bmp 30-04 both canals & hypo done
Necrosis of dental pulp K04.1 234946006 resolved 2023-01-20 a/o 48 & bmp 20k till apex both canals & hypo done
Dental caries 80967001 resolved 2019-10-07 adv extn 38 @4-5 to 5
Dental pulp necrosis 234946006 resolved 2018-06-21 obt 37
Dental pulp necrosis 234946006 resolved 2018-06-15 bmp 37
Dental pulp necrosis 234946006 resolved 2018-06-12 a/o 37
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 ##38 2026-03-13 completed crown cem 38
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##38 2025-09-23 completed recmentation 38. adv new crown if it dislodges within 6 months
Crown of tooth 424311000 ##48 2025-07-10 completed recementation with 48, new crown advised if crown dislodges within 6 months
Crown of tooth 424311000 ##37 2025-01-04 completed cementation done with 37 metal
Crown of tooth 424311000 ##37 2024-12-30 completed new crown advised & cutting modified with 37 & impression taken-
Crown of tooth 424311000 ##37 2024-11-25 completed recemtation wih 37 & withi 6 months if cap is disloged
Crown of tooth 424311000 — 2024-11-25 completed if cap is disloged within 6 months & new cap advised
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##37 2024-10-11 completed cementaiion with 37
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##37 2024-10-07 completed cutting with 37 & metal cap
Dental filling 180534004 — 2024-09-05 completed dtech done
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##37 2024-09-02 completed adv- temporary restoration with 37/temp resto with endo crown
Root canal treatment 234780006 — 2024-09-02 completed paid advance
Crown of tooth 424311000 ##48 2023-03-02 completed 48 recementation done & within 6 months if the cap comes out will make a new cap
Crown of tooth 424311000 ##48 2023-02-17 completed crown cem 48
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report — 2023-02-13 completed impression taken
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##48 2023-02-11 completed 48 & crown cutting done(endo crown)
Root canal treatment 234780006 ##48 2023-02-02 completed obt done 48
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##25 2023-01-28 completed bmp 3 canal disrtal 25-6 & mesial both canal 30-04 hypo done
Root canal treatment 234780006 ##48 2023-01-23 completed 48 & bmp 30-04 both canals & hypo done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##48 2023-01-20 completed a/o 48 & bmp 20k till apex both canals & hypo done
Dental consultation and report 103697008 D0140 Limited oral evaluation ##38 2019-10-07 completed adv extn 38 @4-5 to 5
Root canal treatment 234780006 ##37 2018-06-21 completed obt 37
Root canal treatment 234780006 ##37 2018-06-15 completed bmp 37
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##37 2018-06-12 completed a/o 37
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-13 21:44 fulfilled Dental visit — Dr Riyaz
2026-03-13 21:35 fulfilled crown cem 38
2025-09-23 21:04 fulfilled recmentation 38. adv new crown if it dislodges within 6 months — Dr Hani
2025-07-10 20:16 fulfilled Dental visit — Dr Riyaz
2025-07-10 19:59 fulfilled recementation with 48, new crown advised if crown dislodges within 6 months — Dr Riyaz
2025-01-04 21:49 fulfilled cementation done with 37 metal — NULL
2024-12-30 21:34 fulfilled new crown advised & cutting modified with 37 & impression taken- — NULL
2024-11-25 21:29 fulfilled if cap is disloged within 6 months & new cap advised — NULL
2024-11-25 21:18 fulfilled recemtation wih 37 & withi 6 months if cap is disloged — NULL
2024-10-11 21:51 fulfilled cementaiion with 37 — NULL
2024-10-07 21:56 fulfilled cutting with 37 & metal cap — NULL
2024-09-05 21:55 fulfilled dtech done — NULL
2024-09-02 22:05 fulfilled paid advance — NULL
2024-09-02 21:57 fulfilled adv- temporary restoration with 37/temp resto with endo crown — NULL
2023-03-02 12:09 fulfilled 48 recementation done & within 6 months if the cap comes out will make a new cap — NULL
2023-02-17 22:14 fulfilled crown cem 48 — NULL
2023-02-13 11:42 fulfilled impression taken — NULL
2023-02-11 14:37 fulfilled 48 & crown cutting done(endo crown) — NULL
2023-02-02 15:14 fulfilled Dental visit — NULL
2023-02-02 15:13 fulfilled obt done 48 — NULL
2023-01-28 13:34 fulfilled bmp 3 canal disrtal 25-6 & mesial both canal 30-04 hypo done — NULL
2023-01-23 21:00 fulfilled 48 & bmp 30-04 both canals & hypo done — NULL
2023-01-20 12:16 fulfilled a/o 48 & bmp 20k till apex both canals & hypo done — NULL
2019-10-07 21:48 fulfilled adv extn 38 @4-5 to 5 — NULL
2018-06-21 11:24 fulfilled obt 37 — NULL
2018-06-15 21:51 fulfilled bmp 37 — NULL
2018-06-12 19:00 fulfilled a/o 37 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹11,400
Charged
₹12,200
Paid
₹3,300
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-13 Crown of tooth 300 300 0 cash balanced
2025-09-23 Crown of tooth 400 400 0 online balanced
2025-07-10 Crown of tooth 400 400 0 online balanced
2025-01-04 Crown of tooth 300 300 0 — balanced
2024-10-07 Crown of tooth 1,700 1,700 0 — balanced
2024-09-05 Dental filling 0 300 -300 — cancelled
2024-09-02 Dental filling 0 500 -500 — cancelled
2023-02-17 Crown of tooth 0 800 -800 — cancelled
2023-02-11 Crown of tooth 1,800 1,000 800 — issued
2023-02-02 Root canal treatment 0 1,000 -1,000 — cancelled
2023-01-20 Root canal treatment 4,000 3,000 1,000 — issued
2018-06-21 Root canal treatment 0 500 -500 — cancelled
2018-06-15 Root canal treatment 0 1,000 -1,000 — cancelled
2018-06-12 Root canal treatment 2,500 1,000 1,500 — issued