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
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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 2026-03-03 recementation done with 45 46 47 48
Dental caries 80967001 resolved 2023-05-01 45 & 46 & 47 & 48 permanent cementation done
Dental pulp necrosis 234946006 resolved 2023-03-30 upper n lower ZoE
Dental caries 80967001 resolved 2023-03-22 upper and lower temporary bridge cementatio done
Dental caries 80967001 resolved 2023-03-21 trial done
Dental caries 80967001 resolved 2023-03-18 trial done wax bite recorded
Dental caries 80967001 resolved 2023-03-15 14 & 15 impression taken & metal
Dental pulp necrosis 234946006 resolved 2022-12-19 crown cementation done with ZoE 13 & 14 & 43 & 44
Dental caries 80967001 resolved 2022-12-14 metal cutting done
Dental caries 80967001 resolved 2022-11-23 crown removal done
Dental caries 80967001 resolved 2022-11-15 adv 4 implant with 6 metal caps @72k & bridge cutting 1500
Dental caries, unspecified K02.9 80967001 resolved 2022-09-29 24 & 25 cap cementation done with gic
Dental pulp necrosis 234946006 resolved 2022-08-23 cap cementation 24 & 25 with zoe
Dental caries 80967001 resolved 2012-06-18 old crown recem 15 & 16 & 17
Dental caries 80967001 resolved 2010-12-09 crown cementation 24 & 25 & 26 & 27 & 28
Dental caries 80967001 resolved 2010-12-03 crown prep metal 24 & 25 & & 28 for 5 unit bridge
Dental caries 80967001 resolved 2010-02-19 bridge recementation
Dental caries 80967001 resolved 2009-09-07 crown cem
Necrosis of dental pulp K04.1 234946006 resolved 2009-08-27 obturation 45
Necrosis of dental pulp K04.1 234946006 resolved 2009-08-24 Access Opening 45
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 ##45, #46, #47, #48 2026-03-03 completed recementation done with 45 46 47 48
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##26, #27 2023-10-26 completed hole made in 26 & 27 abnd screw tightened
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##15 2023-10-11 completed recall after 15 days for loose bridge
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##45, #46, #47, #48 2023-05-01 completed 45 & 46 & 47 & 48 permanent cementation done
Root canal treatment 234780006 — 2023-03-30 completed upper n lower ZoE
Dental filling 180534004 — 2023-03-22 completed upper and lower temporary bridge cementatio done
Crown of tooth 424311000 — 2023-03-21 completed trial done
Crown of tooth 424311000 — 2023-03-18 completed trial done wax bite recorded
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##66 2023-03-15 completed gt\66
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report ##14, #15 2023-03-15 completed 14 & 15 impression taken & metal
Dental implant placement 234781005 D6010 Surgical placement of implant body ##44, #45, #47 2023-03-13 completed abutment placed 44 & 45 & 47
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-03-10 completed cheque
Dental implant placement 234781005 D6010 Surgical placement of implant body ##14 2023-03-08 completed two angled abutments in 14 & 15and lower impression taken
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-02-13 completed cheuqe
Dental implant placement 234781005 D6010 Surgical placement of implant body — 2023-02-13 completed 5 healing abutment placed
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##13, #14, #43, #44 2022-12-19 completed crown cementation done with ZoE 13 & 14 & 43 & 44
Crown of tooth 424311000 — 2022-12-14 completed metal cutting done
Dental implant placement 234781005 D6010 Surgical placement of implant body ##44, #45, #47, #75, #11, #14, #15 2022-11-25 completed implant placed & 44 & 45 & 47-3-75*11-5 & t-30 & 14--4-2*10 & 15--3-75*10 & t-10
Crown of tooth 424311000 — 2022-11-23 completed crown removal done
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##11 2022-11-23 completed adv 5 implant & 11 metal cap @95000
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-11-23 completed cheuqe
Crown of tooth 424311000 — 2022-11-15 completed adv 4 implant with 6 metal caps @72k & bridge cutting 1500
Dental filling 180534004 D2940 Protective restoration (GIC) ##24, #25 2022-09-29 completed 24 & 25 cap cementation done with gic
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##24, #25 2022-08-23 completed cap cementation 24 & 25 with zoe
Dental implant placement 234781005 D6010 Surgical placement of implant body — 2022-08-04 completed abutment placed
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##26, #27, #28, #24, #25 2022-05-19 completed 26 & 27 implant placed & 28 ext torque 30 & 24 & 25 zinc phosphate cementation
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##15, #16, #17 2012-06-18 completed old crown recem 15 & 16 & 17
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2010-12-14 completed payment
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##24, #25, #26, #27, #28 2010-12-09 completed crown cementation 24 & 25 & 26 & 27 & 28
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##24, #25, #28 2010-12-03 completed crown prep metal 24 & 25 & & 28 for 5 unit bridge
Crown of tooth 424311000 — 2010-02-19 completed bridge recementation
Crown of tooth 424311000 — 2009-09-07 completed crown cem
Root canal treatment 234780006 ##45 2009-08-27 completed obturation 45
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45 2009-08-24 completed Access Opening 45
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2009-08-21 completed bridge renmoval
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-03 14:00 fulfilled Dental visit — Dr Riyaz
2026-03-03 13:08 fulfilled recementation done with 45 46 47 48 — Dr Riyaz
2023-10-26 14:41 fulfilled hole made in 26 & 27 abnd screw tightened — NULL
2023-10-11 13:53 fulfilled recall after 15 days for loose bridge — NULL
2023-05-01 14:37 fulfilled 45 & 46 & 47 & 48 permanent cementation done — NULL
2023-03-30 13:22 fulfilled upper n lower ZoE — NULL
2023-03-22 12:31 fulfilled upper and lower temporary bridge cementatio done — NULL
2023-03-21 12:51 fulfilled trial done — NULL
2023-03-18 12:54 fulfilled trial done wax bite recorded — NULL
2023-03-15 14:52 fulfilled 14 & 15 impression taken & metal — NULL
2023-03-15 12:56 fulfilled gt\66 — NULL
2023-03-13 13:29 fulfilled abutment placed 44 & 45 & 47 — NULL
2023-03-10 22:11 fulfilled cheque — NULL
2023-03-08 15:09 fulfilled two angled abutments in 14 & 15and lower impression taken — NULL
2023-02-13 15:26 fulfilled 5 healing abutment placed — NULL
2023-02-13 15:26 fulfilled cheuqe — NULL
2022-12-19 13:30 fulfilled crown cementation done with ZoE 13 & 14 & 43 & 44 — NULL
2022-12-14 13:40 fulfilled metal cutting done — NULL
2022-11-25 21:24 fulfilled implant placed & 44 & 45 & 47-3-75*11-5 & t-30 & 14--4-2*10 & 15--3-75*10 & t-10 — NULL
2022-11-23 14:09 fulfilled cheuqe — NULL
2022-11-23 14:08 fulfilled adv 5 implant & 11 metal cap @95000 — NULL
2022-11-23 12:19 fulfilled crown removal done — NULL
2022-11-15 15:02 fulfilled adv 4 implant with 6 metal caps @72k & bridge cutting 1500 — NULL
2022-09-29 14:02 fulfilled 24 & 25 cap cementation done with gic — NULL
2022-08-23 12:33 fulfilled cap cementation 24 & 25 with zoe — NULL
2022-08-20 16:10 fulfilled Dental visit — NULL
2022-08-04 13:39 fulfilled abutment placed — NULL
2022-05-19 11:18 fulfilled 26 & 27 implant placed & 28 ext torque 30 & 24 & 25 zinc phosphate cementation — NULL
2012-06-18 00:00 fulfilled old crown recem 15 & 16 & 17 — NULL
2010-12-14 19:10 fulfilled payment — NULL
2010-12-09 18:53 fulfilled crown cementation 24 & 25 & 26 & 27 & 28 — NULL
2010-12-03 17:51 fulfilled crown prep metal 24 & 25 & & 28 for 5 unit bridge — NULL
2010-02-19 16:50 fulfilled bridge recementation — NULL
2009-09-07 20:57 fulfilled crown cem — NULL
2009-08-27 12:30 fulfilled obturation 45 — NULL
2009-08-24 11:33 fulfilled Access Opening 45 — NULL
2009-08-21 19:28 fulfilled bridge renmoval — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹136,800
Charged
₹132,900
Paid
₹108,700
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-03 Crown of tooth 900 900 0 cash balanced
2023-03-10 Dental procedure (other) 0 10,000 -10,000 — cancelled
2023-02-13 Dental implant placement 0 10,000 -10,000 — cancelled
2022-11-23 Crown of tooth 95,000 0 95,000 — issued
2022-11-23 Crown of tooth 0 75,000 -75,000 — cancelled
2022-08-23 Root canal treatment 0 3,000 -3,000 — cancelled
2022-08-20 Dental procedure 0 2,000 -2,000 — cancelled
2022-08-04 Dental implant placement 0 2,000 -2,000 — cancelled
2022-05-19 Tooth extraction 36,000 25,000 11,000 — issued
2012-06-18 Crown of tooth 0 200 -200 — cancelled
2010-12-14 Dental procedure (other) 0 500 -500 — cancelled
2010-12-09 Crown of tooth 0 1,500 -1,500 — cancelled
2010-12-03 Crown of tooth 3,500 1,500 2,000 — issued
2010-02-19 Crown of tooth 100 100 0 — balanced
2009-09-07 Crown of tooth 0 100 -100 — cancelled
2009-08-27 Root canal treatment 0 500 -500 — cancelled
2009-08-24 Root canal treatment 1,200 500 700 — issued
2009-08-21 Dental procedure (other) 100 100 0 — balanced