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
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Full Name
De-identified
Date of Birth
••••-••-••
Gender
female
Phone
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Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental caries 80967001 resolved 2026-03-09 adv extn with 38- omfs
Dental caries 80967001 resolved 2026-03-02 Cementation done with 16 17
Dental caries 80967001 resolved 2026-02-23 Re impression taken
Dental caries 80967001 resolved 2026-02-18 Mta placed on pulpal floor, crown preparation done with 16 17 for metal crown
Dental pulp necrosis 234946006 resolved 2026-02-07 db not found, mb2 and palatal obt done
Dental pulp necrosis 234946006 resolved 2026-02-05 bmp mb2 20.04 and palatal 20.06
Chronic periodontitis, unspecified K05.30 109600005 resolved 2026-02-02 extn done with mobile crown fragment with 17
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-02 adv extn of mobile fragment with 17@500 and re rct with 16@6500 followed by 2 unit bridge metal @3k and pfm @7k
Dental caries 80967001 resolved 2021-10-09 permanent cementation 44 & 45 & & 13 & 14 & 15 & 12 & 11 & 21 & 22 & 23 & 24 & 25
Dental pulp necrosis 234946006 resolved 2021-10-05 obt 45
Dental caries 80967001 resolved 2021-09-29 zinc phosphate cemnetation 9unit- Joyti lab
Dental pulp necrosis 234946006 resolved 2021-09-15 obt 11 & 21 & 22 & 23
Dental pulp necrosis 234946006 resolved 2021-09-11 a/o 11 25-06
Dental pulp necrosis 234946006 resolved 2021-09-10 a/o 21 & 22 & 23 21-20-06 till apex & 22 & 23-25-04 till apex
Dental pulp necrosis 234946006 resolved 2021-09-02 obt 12
Dental pulp necrosis 234946006 resolved 2021-08-30 a/o 12 25-06 - 1mm short of apex-
Dental caries 80967001 resolved 2021-08-27 3 pfm and 3 clp @12k
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental consultation and report 103697008 D0140 Limited oral evaluation ##38 2026-03-09 completed adv extn with 38- omfs
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-03-02 completed 2 unit metal
Crown of tooth 424311000 ##16, #17 2026-03-02 completed Cementation done with 16 17
Dental prosthesis construction 234783000 D9999 Unspecified adjunctive procedure, by report — 2026-02-23 completed Re impression taken
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##16, #17 2026-02-18 completed Mta placed on pulpal floor, crown preparation done with 16 17 for metal crown
Root canal treatment 234780006 — 2026-02-07 completed db not found, mb2 and palatal obt done
Root canal treatment 234780006 — 2026-02-05 completed bmp mb2 20.04 and palatal 20.06
Root canal treatment 234780006 D3348 Retreatment of previous root canal therapy - molar ##17, #16 2026-02-02 completed adv extn of mobile fragment with 17@500 and re rct with 16@6500 followed by 2 unit bridge metal @3k and pfm @7k
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-02 completed New Treatment Started
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-02 completed advance
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##17 2026-02-02 completed extn done with mobile crown fragment with 17
Root canal treatment 234780006 D3348 Retreatment of previous root canal therapy - molar ##16 2026-02-02 completed re rct with 16, bmp palatal 25.04 2 stopper short file
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##44, #45, #13, #14, #15, #12, #11, #21, #22, #23, #24, #25 2021-10-09 completed permanent cementation 44 & 45 & & 13 & 14 & 15 & 12 & 11 & 21 & 22 & 23 & 24 & 25
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45 2021-10-05 completed obt 45
Crown of tooth 424311000 — 2021-09-29 completed zinc phosphate cemnetation 9unit- Joyti lab
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##11, #21, #22, #23 2021-09-15 completed obt 11 & 21 & 22 & 23
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##11 2021-09-11 completed a/o 11 25-06
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##21, #22, #23 2021-09-10 completed a/o 21 & 22 & 23 21-20-06 till apex & 22 & 23-25-04 till apex
Root canal treatment 234780006 ##12 2021-09-02 completed obt 12
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##13, #14, #15 2021-09-02 completed clp 13 & 14 & 15 palatal
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##13, #14, #15 2021-08-30 completed clp 13 & 14 & 15
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##12 2021-08-30 completed a/o 12 25-06 - 1mm short of apex-
Crown of tooth 424311000 — 2021-08-27 completed 3 pfm and 3 clp @12k
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-09 12:49 fulfilled adv extn with 38- omfs — Dr Riyaz
2026-03-02 12:26 fulfilled Cementation done with 16 17 — Dr Riyaz
2026-03-02 12:25 fulfilled 2 unit metal
2026-02-23 12:01 fulfilled Re impression taken — Dr Riyaz
2026-02-23 11:50 fulfilled Dental visit — Dr Riyaz
2026-02-18 14:12 fulfilled Mta placed on pulpal floor, crown preparation done with 16 17 for metal crown — Dr Riyaz
2026-02-08 13:47 fulfilled Dental visit — Dr Riyaz
2026-02-07 13:00 fulfilled db not found, mb2 and palatal obt done — Dr Riyaz
2026-02-05 12:37 fulfilled bmp mb2 20.04 and palatal 20.06 — Dr Riyaz
2026-02-02 21:09 fulfilled Dental visit — Dr Riyaz
2026-02-02 20:51 fulfilled extn done with mobile crown fragment with 17 — Dr Riyaz
2026-02-02 20:51 fulfilled re rct with 16, bmp palatal 25.04 2 stopper short file — Dr Riyaz
2026-02-02 14:46 fulfilled advance — Dr Hani
2026-02-02 12:48 fulfilled adv extn of mobile fragment with 17@500 and re rct with 16@6500 followed by 2 unit bridge metal @3k — Dr Riyaz
2026-02-02 12:39 fulfilled New Treatment Started
2021-10-09 14:38 fulfilled Dental visit — NULL
2021-10-09 14:38 fulfilled permanent cementation 44 & 45 & & 13 & 14 & 15 & 12 & 11 & 21 & 22 & 23 & 24 & 25 — NULL
2021-10-05 15:05 fulfilled obt 45 — NULL
2021-09-29 17:04 fulfilled zinc phosphate cemnetation 9unit- Joyti lab — NULL
2021-09-29 17:04 fulfilled Dental visit — NULL
2021-09-25 17:04 fulfilled Dental visit — NULL
2021-09-15 15:23 fulfilled obt 11 & 21 & 22 & 23 — NULL
2021-09-15 15:21 fulfilled Dental visit — NULL
2021-09-11 14:16 fulfilled a/o 11 25-06 — NULL
2021-09-11 14:16 fulfilled Dental visit — NULL
2021-09-10 12:27 fulfilled Dental visit — NULL
2021-09-10 00:00 fulfilled a/o 21 & 22 & 23 21-20-06 till apex & 22 & 23-25-04 till apex — NULL
2021-09-07 15:15 fulfilled Dental visit — NULL
2021-09-02 15:42 fulfilled Dental visit — NULL
2021-09-02 14:26 fulfilled Dental visit — NULL
2021-09-02 14:26 fulfilled clp 13 & 14 & 15 palatal — NULL
2021-09-02 14:08 fulfilled obt 12 — NULL
2021-08-30 17:04 fulfilled a/o 12 25-06 - 1mm short of apex- — NULL
2021-08-30 17:02 fulfilled clp 13 & 14 & 15 — NULL
2021-08-27 16:06 fulfilled 3 pfm and 3 clp @12k — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹28,000
Charged
₹61,000
Paid
₹27,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-02 Crown of tooth 3,000 0 3,000 — issued
2026-02-23 Dental prosthesis construction 0 3,000 -3,000 Tabassum cancelled
2026-02-08 Dental procedure 0 2,500 -2,500 gpay cancelled
2026-02-05 Root canal treatment 0 2,000 -2,000 tabassum cancelled
2026-02-02 Dental procedure (other) 0 500 -500 tabssum cancelled
2026-02-02 Dental procedure (other) 0 2,000 -2,000 Taba cancelled
2026-02-02 Dental procedure (other) 6,500 0 6,500 — issued
2026-02-02 Dental procedure (other) 500 0 500 — issued
2021-10-09 Crown of tooth 0 3,000 -3,000 — cancelled
2021-10-05 Root canal treatment 0 7,000 -7,000 — cancelled
2021-09-29 Crown of tooth 0 8,000 -8,000 — cancelled
2021-09-25 Dental procedure 0 10,000 -10,000 — cancelled
2021-09-15 Root canal treatment 0 5,000 -5,000 — cancelled
2021-09-11 Root canal treatment 0 5,500 -5,500 — cancelled
2021-09-10 Root canal treatment 0 4,500 -4,500 — cancelled
2021-09-07 Dental procedure 0 2,000 -2,000 — cancelled
2021-09-02 Dental procedure (other) 0 5,000 -5,000 — cancelled
2021-09-02 Dental procedure (other) 6,000 0 6,000 — issued
2021-08-27 Crown of tooth 12,000 1,000 11,000 — issued