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
Dental caries, unspecified K02.9 80967001 resolved 2026-03-19 class 2 composite filling with 18 for food lodgment done. he was not willing for extraction, so this provisional treatment was performed with no guarantee
Dental caries 80967001 resolved 2023-03-09 crown cementation done with 17 & 46
Necrosis of dental pulp K04.1 234946006 resolved 2023-03-06 all metal crown preparation with 17 & 46 and D-tech done with 17 impression recorded & root canal treatment done elsewhere &
Dental caries, unspecified K02.9 80967001 resolved 2011-06-22 type ix filling 38
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental filling 180534004 D2391 Resin composite - one surface, posterior #18 2026-03-19 completed filling done
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##18 2026-03-19 completed class 2 composite filling with 18 for food lodgment done. he was not willing for extraction, so this provisional treatment was performed with no guarantee
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##17, #46 2023-03-09 completed crown cementation done with 17 & 46
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##17, #46 2023-03-06 completed all metal crown preparation with 17 & 46 and D-tech done with 17 impression recorded & root canal treatment done elsewhere &
Dental filling 180534004 D2940 Protective restoration (GIC) ##38 2011-06-22 completed type ix filling 38
Dental filling 180534004 D2940 Protective restoration (GIC) ##38 2011-06-22 completed adv comppsoite over type ix in 38
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-25 19:18 booked Follow-up with Dr Riyaz Quereshi
2026-03-19 21:23 fulfilled class 2 composite filling with 18 for food lodgment done. he was not willing for extraction, so this — Dr Riyaz
2023-03-09 11:39 fulfilled crown cementation done with 17 & 46 — NULL
2023-03-09 11:38 fulfilled Dental visit — NULL
2023-03-06 13:25 fulfilled Dental visit — NULL
2023-03-06 00:00 fulfilled all metal crown preparation with 17 & 46 and D-tech done with 17 impression recorded & root canal tr — NULL
2011-06-22 21:26 fulfilled adv comppsoite over type ix in 38 — NULL
2011-06-22 21:26 fulfilled type ix filling 38 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹8,100
Charged
₹8,100
Paid
₹6,200
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-19 Dental filling 1,500 1,500 0 online balanced
2023-03-09 Crown of tooth 2,200 0 2,200 — issued
2023-03-09 Crown of tooth 0 4,200 -4,200 — cancelled
2023-03-06 Root canal treatment 0 2,000 -2,000 — cancelled
2023-03-06 Root canal treatment 4,000 0 4,000 — issued
2011-06-22 Dental filling 400 400 0 — balanced