DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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female DOB: ••••-••-•• FHIR: Patient
Patient Information FHIR: Patient
De-identified for demo. Identity fields are masked.
Full Name
De-identified
Date of Birth
••••-••-••
Gender
female
Phone
••••••••D)
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Necrosis of dental pulp K04.1 234946006 resolved 2026-03-11 Obturation done with 37
Dental pulp necrosis 234946006 resolved 2026-03-04 Hypo done and calcium hydroxide dressing given
Dental pulp necrosis 234946006 resolved 2026-02-27 bmp mesial 25.04 2stoppe short file buccal cusp. dista jus hypo done
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-23 A/o 37, distal 25.06 till apex WL 2 stopper, mesial canal 20.04 arbitrary WL 2 stopper
Dental caries 80967001 resolved 2025-10-13 cementation with 45 46 47 done
Dental caries 80967001 resolved 2025-10-08 impression taken with 45 47, metal 3 unit bridge
Dental caries 80967001 resolved 2025-10-03 dtech 47,45 . partial prep done 47 ,45 . occlusal reduction pending. imp not taken
Dental pulp necrosis 234946006 resolved 2025-09-26 obt 47,45
Necrosis of dental pulp K04.1 234946006 resolved 2025-09-22 bmp 25.04 increased 2 stopper all 4 canals
Dental pulp necrosis 234946006 resolved 2025-09-19 a/o with 45, bmp 25.06 till apex
Necrosis of dental pulp K04.1 234946006 resolved 2025-09-13 adv 4 rct and 6 metal cap @ 24k with discount in 3rd and 4th quad adv failed rct and instrument in 36
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Root canal treatment 234780006 ##37 2026-03-11 completed Obturation done with 37
Root canal treatment 234780006 — 2026-03-04 completed Hypo done and calcium hydroxide dressing given
Root canal treatment 234780006 ##25 2026-02-27 completed bmp mesial 25.04 2stoppe short file buccal cusp. dista jus hypo done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##37 2026-02-23 completed A/o 37, distal 25.06 till apex WL 2 stopper, mesial canal 20.04 arbitrary WL 2 stopper
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-23 completed New treatment started
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##45, #46, #47 2025-10-13 completed cementation with 45 46 47 done
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report ##45, #47 2025-10-08 completed impression taken with 45 47, metal 3 unit bridge
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##47, #45 2025-10-03 completed dtech 47,45 . partial prep done 47 ,45 . occlusal reduction pending. imp not taken
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##47, #45 2025-09-26 completed obt 47,45
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##25 2025-09-22 completed bmp 25.04 increased 2 stopper all 4 canals
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45 2025-09-19 completed a/o with 45, bmp 25.06 till apex
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##47 2025-09-19 completed a/o 47, bmp 25.04 till apex all 4 canals
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2025-09-13 completed adv 4 rct and 6 metal cap @ 24k with discount in 3rd and 4th quad adv failed rct and instrument in 36
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-11 20:54 fulfilled Obturation done with 37 — Dr Riyaz
2026-03-04 22:27 fulfilled Dental visit
2026-03-04 22:26 fulfilled Dental visit — Dr Riyaz
2026-03-04 22:25 fulfilled Hypo done and calcium hydroxide dressing given — Dr Riyaz
2026-02-27 20:43 fulfilled bmp mesial 25.04 2stoppe short file buccal cusp. dista jus hypo done
2026-02-23 22:30 fulfilled Dental visit — Dr Riyaz
2026-02-23 22:13 fulfilled A/o 37, distal 25.06 till apex WL 2 stopper, mesial canal 20.04 arbitrary WL 2 stopper — Dr Riyaz
2026-02-23 22:10 fulfilled New treatment started
2025-10-13 13:49 fulfilled cementation with 45 46 47 done — Dr Riyaz
2025-10-08 21:13 fulfilled impression taken with 45 47, metal 3 unit bridge — Dr Riyaz
2025-10-03 20:08 fulfilled Dental visit — Dr Riyaz
2025-10-03 20:04 fulfilled dtech 47,45 . partial prep done 47 ,45 . occlusal reduction pending. imp not taken
2025-10-03 20:04 fulfilled Dental visit — Dr Riyaz
2025-09-26 20:13 fulfilled obt 47,45 — Dr Riyaz
2025-09-22 19:59 fulfilled bmp 25.04 increased 2 stopper all 4 canals — Dr Riyaz
2025-09-19 20:16 fulfilled a/o 47, bmp 25.04 till apex all 4 canals
2025-09-19 20:14 fulfilled a/o with 45, bmp 25.06 till apex
2025-09-19 12:01 fulfilled Dental visit — Dr Riyaz
2025-09-18 11:12 fulfilled Dental visit — Dr Riyaz
2025-09-13 21:18 fulfilled adv 4 rct and 6 metal cap @ 24k with discount in 3rd and 4th quad adv failed rct and instrument — Dr Riyaz
2025-09-13 20:16 fulfilled Dental visit
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹28,700
Charged
₹16,700
Paid
₹28,500
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-04 Root canal treatment 0 1,000 -1,000 Cash cancelled
2026-03-04 Root canal treatment 4,500 0 4,500 — issued
2026-03-04 Root canal treatment 0 1,500 -1,500 Tabassum cancelled
2026-02-23 Dental procedure (other) 0 2,000 -2,000 Cash cancelled
2025-10-08 Dental prosthesis construction 0 1,000 -1,000 cash cancelled
2025-10-03 Dental filling 0 3,000 -3,000 tabassum cancelled
2025-10-03 Dental filling 0 1,000 -1,000 cash cancelled
2025-09-26 Root canal treatment 0 2,000 -2,000 cash cancelled
2025-09-22 Root canal treatment 0 2,000 -2,000 tabassum cancelled
2025-09-19 Root canal treatment 0 2,000 -2,000 cash cancelled
2025-09-18 Dental procedure 0 1,000 -1,000 tabassum cancelled
2025-09-13 Root canal treatment 24,000 0 24,000 — issued
2025-09-13 Root canal treatment 200 200 0 cash balanced