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
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Patient Information FHIR: Patient
De-identified for demo. Identity fields are masked.
Full Name
De-identified
Date of Birth
••••-••-••
Gender
male
Phone
••••••••23
Email
••••@••••
Address
De-identified location
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Add Condition ICD-10-AM Add Procedure SNOMED CT AU Book Appointment
Condition Bundle Procedure Bundle Invoice Bundle
4
Conditions
6
Procedures
10
Visits
6
Invoices
0
X-rays
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-05 upper 16 niti wire engaged and lower 14 niti wire engaged, all 4 molar tubes engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-07 upper and lower 14 niti wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-22 lower 5-5 bonding done, 42 missing and 43 bracket not bonded
Malocclusion — 6574001 active 2025-12-12 upper 5-5 bonding done
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##16, #26, #36 2026-03-03 completed 16.26.36 molar tube rebonded, upper and lower 16 niti wire next appt extn planned
Orthodontic treatment 234952002 — ##16, #14 2026-02-05 completed upper 16 niti wire engaged and lower 14 niti wire engaged, all 4 molar tubes engaged
Orthodontic treatment 234952002 — ##14 2026-01-07 completed upper and lower 14 niti wire engaged
Orthodontic treatment 234952002 — ##42, #43 2025-12-22 completed lower 5-5 bonding done, 42 missing and 43 bracket not bonded
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment — 2025-12-12 completed upper 5-5 bonding done
Tooth extraction 424451000 — — 2025-11-19 completed adv ortho with 3 or 4 extn, 35k or 58k ocean
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-06 20:10 fulfilled Dental visit — Dr Riyaz
2026-03-03 11:54 fulfilled 16.26.36 molar tube rebonded, upper and lower 16 niti wire next appt extn planned — Dr Hani
2026-02-05 21:48 fulfilled upper 16 niti wire engaged and lower 14 niti wire engaged, all 4 molar tubes engaged — Dr Riyaz
2026-01-08 19:41 fulfilled Dental visit
2026-01-07 21:07 fulfilled upper and lower 14 niti wire engaged — Dr Hani
2025-12-22 19:58 fulfilled lower 5-5 bonding done, 42 missing and 43 bracket not bonded — Dr Hani
2025-12-12 20:30 fulfilled Dental visit — Dr Riyaz
2025-12-12 20:18 fulfilled upper 5-5 bonding done — Dr Hani
2025-12-10 20:11 fulfilled Dental visit — Dr Riyaz
2025-11-19 11:56 fulfilled adv ortho with 3 or 4 extn, 35k or 58k ocean
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹35,100
Charged
₹11,100
Paid
₹34,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-06 Dental procedure 0 2,000 -2,000 tabassum cancelled
2026-02-05 Orthodontic treatment 0 2,000 -2,000 phonepe cancelled
2026-01-08 Dental procedure 0 2,000 -2,000 Gpay cancelled
2025-12-12 Orthodontic treatment 0 4,000 -4,000 tabassum cancelled
2025-12-10 Dental procedure 35,000 1,000 34,000 online issued
2025-11-19 Tooth extraction 100 100 0 — balanced