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 pulp necrosis 234946006 resolved 2026-03-04 obt 46
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-27 Mesial root obturated, distal root to be obturated in next appointment
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-23 A/o 36, BMP Mesial 25.04 two canals and distal 25.06 one canal///working length mesial short file 2.5 stopper and distal short file 2.5 stopper
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-05 adv rct with 43 44
Dental caries 80967001 resolved 2024-10-03 cementation with 35
Dental caries 80967001 resolved 2024-09-28 cutting with 35 & pfm & a3
Dental pulp necrosis 234946006 resolved 2024-09-19 obt done
Dental pulp necrosis 234946006 resolved 2024-09-17 a/o with 35 & bmp-30-06 & hypo done
Dental caries 80967001 resolved 2023-09-23 45 dtech done & pfm crown cutting & impression taken & shade a3
Dental pulp necrosis 234946006 resolved 2023-09-20 45 obt done
Dental pulp necrosis 234946006 resolved 2023-09-18 bmp 30-06 & hypo done
Dental pulp necrosis 234946006 resolved 2023-09-11 a/o 45
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2026-03-04 completed obt 46
Root canal treatment 234780006 — 2026-02-27 completed Mesial root obturated, distal root to be obturated in next appointment
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2026-02-23 completed A/o 36, BMP Mesial 25.04 two canals and distal 25.06 one canal///working length mesial short file 2.5 stopper and distal short file 2.5 stopper
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##43, #44 2026-02-05 completed adv rct with 43 44
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-05 completed New treatment started
Crown of tooth 424311000 ##35 2024-10-03 completed cementation with 35
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-09-28 completed cuttind
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##35 2024-09-28 completed cutting with 35 & pfm & a3
Root canal treatment 234780006 — 2024-09-19 completed obt done
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##35 2024-09-17 completed a/o with 35 & bmp-30-06 & hypo done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-10-03 completed @gpay noorain
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##45 2023-09-23 completed 45 dtech done & pfm crown cutting & impression taken & shade a3
Root canal treatment 234780006 ##45 2023-09-20 completed 45 obt done
Root canal treatment 234780006 — 2023-09-18 completed bmp 30-06 & hypo done
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45 2023-09-11 completed a/o 45
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-04 20:27 fulfilled obt 46 — Dr Riyaz
2026-03-04 20:27 fulfilled Dental visit
2026-02-27 20:21 fulfilled Mesial root obturated, distal root to be obturated in next appointment — Dr Riyaz
2026-02-23 22:30 fulfilled Dental visit — Dr Riyaz
2026-02-23 21:31 fulfilled A/o 36, BMP Mesial 25.04 two canals and distal 25.06 one canal///working length mesial short file 2. — Dr Riyaz
2026-02-05 21:53 fulfilled adv rct with 43 44
2026-02-05 20:22 fulfilled New treatment started
2024-10-03 22:23 fulfilled cementation with 35 — NULL
2024-09-28 22:04 fulfilled cutting with 35 & pfm & a3 — NULL
2024-09-28 22:03 fulfilled cuttind — NULL
2024-09-19 20:34 fulfilled Dental visit — NULL
2024-09-19 20:34 fulfilled obt done — NULL
2024-09-17 13:03 fulfilled a/o with 35 & bmp-30-06 & hypo done — NULL
2023-10-03 19:05 fulfilled @gpay noorain — NULL
2023-09-23 14:12 fulfilled 45 dtech done & pfm crown cutting & impression taken & shade a3 — NULL
2023-09-20 12:34 fulfilled 45 obt done — NULL
2023-09-18 14:56 fulfilled Dental visit — NULL
2023-09-18 12:33 fulfilled bmp 30-06 & hypo done — NULL
2023-09-11 14:20 fulfilled a/o 45 — NULL
2023-09-11 14:20 fulfilled Dental visit — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹18,500
Charged
₹14,500
Paid
₹14,500
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-04 Root canal treatment 0 1,000 -1,000 cash cancelled
2026-02-27 Root canal treatment 4,500 1,500 3,000 Cash issued
2026-02-23 Root canal treatment 0 1,500 -1,500 Cash cancelled
2024-09-28 Crown of tooth 3,500 0 3,500 — issued
2024-09-19 Root canal treatment 0 2,500 -2,500 — cancelled
2024-09-17 Root canal treatment 3,500 1,000 2,500 — issued
2023-10-03 Dental procedure (other) 0 3,500 -3,500 — cancelled
2023-09-18 Root canal treatment 0 2,000 -2,000 — cancelled
2023-09-11 Root canal treatment 7,000 1,500 5,500 — issued