DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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female DOB: ••••-••-•• FHIR: Patient
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Patient Information FHIR: Patient
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Date of Birth
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Gender
female
Phone
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Add Condition ICD-10-AM Add Procedure SNOMED CT AU Book Appointment
Condition Bundle Procedure Bundle Invoice Bundle
35
Conditions
42
Procedures
49
Visits
17
Invoices
0
X-rays
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-03-14 upper and lowers retainer delevred . retainer followup to be done
Dental caries — 80967001 resolved 2026-03-06 Upper and lower hawleys retainer impression taken
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-01-08 retainer
Dental caries — 80967001 resolved 2024-01-08 type ix 48 & 36
Malocclusion — 6574001 active 2024-01-07 to be debonded before jan 5th 2024
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-12-29 upper brackets removed &
Dental caries — 80967001 resolved 2023-12-29 upper impression taken for hawleys retainer
Dental pulp necrosis — 234946006 resolved 2023-12-26 upper wire removed & lower retainer repaired & lower impression taken for hawleys retainer
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-12-23 upper retainer done
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-12-19 lower brackets removed
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-12-02 lower retainer done by Dr- Khadija
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-10-14 lower 16*22 steel stepm bend for deep bite correction
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-09-18 echain changed
Malocclusion — 6574001 active 2023-08-22 lower 16*22 niti rcs engaged &
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-08-01 lower 16 niti wire engaged & 6-6 ligature wire
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-06-27 upper 17*25 steel wire engaged & 6-6 ligature wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-05-30 lower 16*22 niti step bend for deep bite correction
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-04-25 upper n lower same wire 16*22 wire rcs reengged & 4-4 ligature wire upper n lower
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-03-21 upper 6-6 echain
Malocclusion — 6574001 active 2023-03-04 upper 6-6 e-chain
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-02-06 upper rcs reengaged & lower 16*22 same wire rcs engaged & 4-4 ligature wire both quadrant
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-01-21 upper rcs same wire engaged & lower 16*22 niti wire engaged & 3-3 ligature wire
Malocclusion — 6574001 active 2022-12-20 lower 16 niti engaged 7-7
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-11-23 upper 6-6 ligature wire & lower 47 & 37 bonded & lower 14 niti wire engaged & 3-3 ligature wire
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-10-29 upper 6-6 echain &
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-10-01 upper 16*22 niti wire & 3-6 & 2-2 ligature wire & lower 6-6 echain
Malocclusion — 6574001 active 2022-07-14 upper and lower 2 to 2 engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-05-25 18 upper steel wire & echain 3-6 on both sides
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-02-01 upper and lower bonding done & 14 niti wire engaged
Dental caries, unspecified K02.9 80967001 resolved 2021-11-19 type ix 36-deep composite layer has to be done & 16 type ix
Dental caries — 80967001 resolved 2021-11-18 adv type ix 36 & 16 and scaling
Deposits on teeth K03.6 109606002 resolved 2016-12-24 scaling
Necrosis of dental pulp K04.1 234946006 resolved 2016-04-30 composte 46 - Adv rct with 46 if required
Deposits on teeth K03.6 109606002 resolved 2016-04-30 adv scaling 600 - 800
Dental caries, unspecified K02.9 80967001 resolved 2016-04-29 composite filling 36 & 47
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Orthodontic treatment 234952002 — — 2026-03-14 completed upper and lowers retainer delevred . retainer followup to be done
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report — 2026-03-06 completed Upper and lower hawleys retainer impression taken
Orthodontic treatment 234952002 — — 2024-01-08 completed retainer
Dental filling 180534004 D2940 Protective restoration (GIC) ##48, #36 2024-01-08 completed type ix 48 & 36
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##23 2024-01-08 completed 23 dietema closure done after ortho
Orthodontic treatment 234952002 — — 2024-01-07 completed to be debonded before jan 5th 2024
Orthodontic treatment 234952002 — — 2023-12-29 completed upper brackets removed &
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report — 2023-12-29 completed upper impression taken for hawleys retainer
Root canal treatment 234780006 — — 2023-12-26 completed upper wire removed & lower retainer repaired & lower impression taken for hawleys retainer
Orthodontic treatment 234952002 — — 2023-12-23 completed upper retainer done
Orthodontic treatment 234952002 — — 2023-12-19 completed lower brackets removed
Orthodontic treatment 234952002 — — 2023-12-02 completed lower retainer done by Dr- Khadija
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##16, #22 2023-10-14 completed lower 16*22 steel stepm bend for deep bite correction
Orthodontic treatment 234952002 — — 2023-09-18 completed echain changed
Orthodontic treatment 234952002 — ##16, #22 2023-08-22 completed lower 16*22 niti rcs engaged &
Orthodontic treatment 234952002 — — 2023-08-22 completed upper 6-6 echain
Orthodontic treatment 234952002 — ##16 2023-08-01 completed lower 16 niti wire engaged & 6-6 ligature wire
Orthodontic treatment 234952002 — ##17, #25 2023-06-27 completed upper 17*25 steel wire engaged & 6-6 ligature wire engaged
Orthodontic treatment 234952002 — ##16, #22 2023-05-30 completed lower 16*22 niti step bend for deep bite correction
Orthodontic treatment 234952002 — ##16, #22 2023-04-25 completed upper n lower same wire 16*22 wire rcs reengged & 4-4 ligature wire upper n lower
Orthodontic treatment 234952002 — — 2023-03-21 completed upper 6-6 echain
Orthodontic treatment 234952002 — — 2023-03-04 completed upper 6-6 e-chain
Orthodontic treatment 234952002 — ##16, #22 2023-02-06 completed upper rcs reengaged & lower 16*22 same wire rcs engaged & 4-4 ligature wire both quadrant
Orthodontic treatment 234952002 — ##16, #22 2023-01-21 completed upper rcs same wire engaged & lower 16*22 niti wire engaged & 3-3 ligature wire
Orthodontic treatment 234952002 — ##16 2022-12-20 completed lower 16 niti engaged 7-7
Orthodontic treatment 234952002 — ##47, #37, #14 2022-11-23 completed upper 6-6 ligature wire & lower 47 & 37 bonded & lower 14 niti wire engaged & 3-3 ligature wire
Orthodontic treatment 234952002 — — 2022-10-29 completed upper 6-6 echain &
Orthodontic treatment 234952002 — ##16, #22 2022-10-01 completed upper 16*22 niti wire & 3-6 & 2-2 ligature wire & lower 6-6 echain
Orthodontic treatment 234952002 — — 2022-07-14 completed upper and lower 2 to 2 engaged
Orthodontic treatment 234952002 — — 2022-07-14 completed uppper 3 to 6 echain
Orthodontic treatment 234952002 — ##18 2022-05-25 completed 18 upper steel wire & echain 3-6 on both sides
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-05-19 completed 3 quad ehain
Dental implant placement 234781005 D6010 Surgical placement of implant body ##16 2022-04-12 completed lower 16 niti 6-6 & mini implants in next visit
Tooth extraction 424451000 — — 2022-03-02 completed extraction done upper and lower
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2022-02-01 completed upper and lower bonding done & 14 niti wire engaged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2021-11-22 completed cash returned
Dental filling 180534004 D2940 Protective restoration (GIC) ##36, #16 2021-11-19 completed type ix 36-deep composite layer has to be done & 16 type ix
Dental filling 180534004 D2940 Protective restoration (GIC) ##36, #16 2021-11-18 completed adv type ix 36 & 16 and scaling
Dental scaling 52065007 D1110 Prophylaxis - adult — 2016-12-24 completed scaling
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2016-04-30 completed composte 46 - Adv rct with 46 if required
Dental scaling 52065007 D1110 Prophylaxis - adult — 2016-04-30 completed adv scaling 600 - 800
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##36, #47 2016-04-29 completed composite filling 36 & 47
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-14 20:16 fulfilled upper and lowers retainer delevred . retainer followup to be done — Dr Riyaz
2026-03-14 12:56 fulfilled Dental visit — Dr Riyaz
2026-03-06 22:28 fulfilled Upper and lower hawleys retainer impression taken — Dr Hani
2024-01-08 11:55 fulfilled 23 dietema closure done after ortho — NULL
2024-01-08 11:55 fulfilled type ix 48 & 36 — NULL
2024-01-08 11:55 fulfilled retainer — NULL
2024-01-07 12:27 fulfilled to be debonded before jan 5th 2024 — NULL
2023-12-29 14:19 fulfilled upper impression taken for hawleys retainer — NULL
2023-12-29 14:02 fulfilled upper brackets removed & — NULL
2023-12-26 13:24 fulfilled upper wire removed & lower retainer repaired & lower impression taken for hawleys retainer — NULL
2023-12-23 13:05 fulfilled upper retainer done — NULL
2023-12-19 12:38 fulfilled lower brackets removed — NULL
2023-12-02 14:52 fulfilled lower retainer done by Dr- Khadija — NULL
2023-10-14 13:47 fulfilled lower 16*22 steel stepm bend for deep bite correction — NULL
2023-09-18 11:57 fulfilled echain changed — NULL
2023-08-22 12:53 fulfilled upper 6-6 echain — NULL
2023-08-22 12:41 fulfilled lower 16*22 niti rcs engaged & — NULL
2023-08-01 12:51 fulfilled lower 16 niti wire engaged & 6-6 ligature wire — NULL
2023-06-27 20:22 fulfilled upper 17*25 steel wire engaged & 6-6 ligature wire engaged — NULL
2023-05-30 21:08 fulfilled lower 16*22 niti step bend for deep bite correction — NULL
2023-04-25 19:33 fulfilled upper n lower same wire 16*22 wire rcs reengged & 4-4 ligature wire upper n lower — NULL
2023-03-21 20:18 fulfilled upper 6-6 echain — NULL
2023-03-04 13:21 fulfilled upper 6-6 e-chain — NULL
2023-02-06 13:29 fulfilled upper rcs reengaged & lower 16*22 same wire rcs engaged & 4-4 ligature wire both quadrant — NULL
2023-01-21 13:34 fulfilled upper rcs same wire engaged & lower 16*22 niti wire engaged & 3-3 ligature wire — NULL
2022-12-20 20:54 fulfilled lower 16 niti engaged 7-7 — NULL
2022-11-23 20:58 fulfilled upper 6-6 ligature wire & lower 47 & 37 bonded & lower 14 niti wire engaged & 3-3 ligature wire — NULL
2022-10-29 21:47 fulfilled upper 6-6 echain & — NULL
2022-10-01 15:45 fulfilled upper 16*22 niti wire & 3-6 & 2-2 ligature wire & lower 6-6 echain — NULL
2022-08-04 21:09 fulfilled Dental visit — NULL
2022-07-14 11:27 fulfilled uppper 3 to 6 echain — NULL
2022-07-14 11:19 fulfilled upper and lower 2 to 2 engaged — NULL
2022-05-28 20:58 fulfilled Dental visit — NULL
2022-05-25 13:22 fulfilled 18 upper steel wire & echain 3-6 on both sides — NULL
2022-05-19 15:51 fulfilled 3 quad ehain — NULL
2022-04-12 21:58 fulfilled lower 16 niti 6-6 & mini implants in next visit — NULL
2022-03-23 15:56 fulfilled Dental visit — NULL
2022-03-02 21:21 fulfilled extraction done upper and lower — NULL
2022-03-02 21:06 fulfilled Dental visit — NULL
2022-02-01 21:05 fulfilled upper and lower bonding done & 14 niti wire engaged — NULL
2021-11-22 14:13 fulfilled Dental visit — NULL
2021-11-22 14:13 fulfilled cash returned — NULL
2021-11-19 12:40 fulfilled Dental visit — NULL
2021-11-19 11:36 fulfilled type ix 36-deep composite layer has to be done & 16 type ix — NULL
2021-11-18 12:57 fulfilled adv type ix 36 & 16 and scaling — NULL
2016-12-24 18:22 fulfilled scaling — NULL
2016-04-30 18:58 fulfilled adv scaling 600 - 800 — NULL
2016-04-30 18:58 fulfilled composte 46 - Adv rct with 46 if required — NULL
2016-04-29 18:54 fulfilled composite filling 36 & 47 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹33,300
Charged
₹36,300
Paid
₹22,600
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-14 Orthodontic treatment 0 1,500 -1,500 gpay cancelled
2026-03-06 Dental prosthesis construction 0 1,500 -1,500 Tabassum cancelled
2024-01-08 Dental filling 2,000 2,000 0 — balanced
2024-01-08 Dental filling 0 1,600 -1,600 — cancelled
2023-12-29 Dental prosthesis construction 1,600 0 1,600 — issued
2022-08-04 Dental procedure 0 5,000 -5,000 — cancelled
2022-07-14 Orthodontic treatment 0 5,000 -5,000 — cancelled
2022-05-28 Dental procedure 0 5,000 -5,000 — cancelled
2022-03-23 Dental procedure 0 5,000 -5,000 — cancelled
2022-03-02 Tooth extraction 25,000 5,000 20,000 — issued
2021-11-22 Dental procedure (other) 0 -300 300 — cancelled
2021-11-22 Dental procedure (other) -500 0 -500 — balanced
2021-11-19 Dental filling 500 1,000 -500 — balanced
2021-11-18 Dental filling 2,200 1,500 700 — issued
2016-12-24 Dental scaling 700 700 0 — balanced
2016-04-30 Dental scaling 600 600 0 — balanced
2016-04-29 Dental filling 1,200 1,200 0 — balanced