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
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 caries 80967001 resolved 2026-03-05 recementation with 38
Periapical abscess without sinus K04.7 234947002 resolved 2025-04-05 gingival abscess with 47 48,
Dental caries 80967001 resolved 2024-10-07 CROWN CEM 25
Dental caries 80967001 resolved 2024-09-28 crown pre metal 25
Dental pulp necrosis 234946006 resolved 2024-09-26 obt 25
Necrosis of dental pulp K04.1 234946006 resolved 2024-09-23 bmp both canal 20-047 - Buccal over insturmented
Dental pulp necrosis 234946006 resolved 2024-09-17 a/o
Dental caries 80967001 resolved 2021-08-31 crown prep metal 38
Dental pulp necrosis 234946006 resolved 2021-06-16 obt 38
Dental pulp necrosis 234946006 resolved 2021-06-12 bmp
Necrosis of dental pulp K04.1 234946006 resolved 2021-06-08 a/o 38 all three canals 25-04 till apex & hypo done
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 ##38 2026-03-05 completed recementation with 38
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-04-05 completed New Treatment Started
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##47, #48 2025-04-05 completed gingival abscess with 47 48,
Crown of tooth 424311000 ##25 2024-10-07 completed CROWN CEM 25
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##25 2024-09-28 completed crown pre metal 25
Root canal treatment 234780006 ##25 2024-09-26 completed obt 25
Root canal treatment 234780006 — 2024-09-23 completed bmp both canal 20-047 - Buccal over insturmented
Root canal treatment 234780006 — 2024-09-17 completed a/o
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##25 2024-09-17 completed a/o 25 20-04 pal canal- Buccal may be there
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##38 2021-08-31 completed crown prep metal 38
Root canal treatment 234780006 ##38 2021-06-16 completed obt 38
Root canal treatment 234780006 — 2021-06-12 completed bmp
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##38 2021-06-08 completed a/o 38 all three canals 25-04 till apex & hypo done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2020-03-07 completed fff
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-05 20:31 fulfilled recementation with 38 — Dr Hani
2025-04-05 12:30 fulfilled New Treatment Started — NULL
2025-04-05 12:30 fulfilled gingival abscess with 47 48,
2024-10-07 13:25 fulfilled CROWN CEM 25 — NULL
2024-09-28 13:02 fulfilled Dental visit — NULL
2024-09-28 13:00 fulfilled crown pre metal 25 — NULL
2024-09-26 13:54 fulfilled obt 25 — NULL
2024-09-23 14:32 fulfilled bmp both canal 20-047 - Buccal over insturmented — NULL
2024-09-23 14:32 fulfilled Dental visit — NULL
2024-09-17 13:43 fulfilled a/o 25 20-04 pal canal- Buccal may be there — NULL
2024-09-17 13:43 fulfilled a/o — NULL
2021-09-10 13:27 fulfilled Dental visit — NULL
2021-08-31 12:51 fulfilled Dental visit — NULL
2021-08-31 12:51 fulfilled crown prep metal 38 — NULL
2021-06-16 11:58 fulfilled obt 38 — NULL
2021-06-12 10:52 fulfilled Dental visit — NULL
2021-06-12 10:51 fulfilled bmp — NULL
2021-06-10 11:38 fulfilled Dental visit — NULL
2021-06-08 12:36 fulfilled Dental visit — NULL
2021-06-08 12:36 fulfilled a/o 38 all three canals 25-04 till apex & hypo done — NULL
2020-03-07 12:59 fulfilled fff — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹11,500
Charged
₹11,500
Paid
₹10,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-05 Crown of tooth 400 400 0 cash balanced
2025-04-05 Dental procedure (other) -400 0 -400 — balanced
2024-10-07 Crown of tooth 0 2,000 -2,000 — cancelled
2024-09-28 Crown of tooth 0 1,000 -1,000 — cancelled
2024-09-26 Root canal treatment 0 1,000 -1,000 — cancelled
2024-09-23 Root canal treatment 0 1,000 -1,000 — cancelled
2024-09-17 Root canal treatment 6,000 1,000 5,000 — issued
2021-09-10 Dental procedure 0 1,500 -1,500 — cancelled
2021-08-31 Crown of tooth 1,000 0 1,000 — issued
2021-06-16 Root canal treatment 0 600 -600 — cancelled
2021-06-12 Root canal treatment 0 1,500 -1,500 — cancelled
2021-06-10 Dental procedure 0 1,000 -1,000 — cancelled
2021-06-08 Root canal treatment 500 0 500 — issued
2021-06-08 Root canal treatment 4,000 500 3,500 — issued