DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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De-identified Patient

female DOB: ••••-••-•• FHIR: Patient
Patient Information FHIR: Patient
De-identified for demo. Identity fields are masked.
Full Name
De-identified
Date of Birth
••••-••-••
Gender
female
Phone
••••••••97
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Malocclusion 6574001 active 2026-03-02 Lower closed coil spring engaged 36-33 42-46
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-09 lower e chain changed 42-46
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-17 lower 42 and 46 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-24 upper and lower 16*22 steel and lower 7-6 echain and upper 5-5 ligature
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-01 14-23 echain, 34rd and 4th quad echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-24 all quad echain. 22 prox stripping done .
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-25 1st 3rd & 4th quadrant e chain changed- 13 and 15 palatal bonding
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-16 Distal wire trimmed in 2nd quadrant
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-30 upper 16*22 niti wire engaged, 7-7 e chain... lower e chain both sides
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-05-30 all qud echain changed. recalled after 20 days
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-12-27 lower both side spring enaged- - Max 21 echain enaged/
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-11-20 all 4quadrants echain changed
Malocclusion 6574001 active 2024-08-20 lower molar tube engagd & lower 16 niti wire
Malocclusion 6574001 active 2024-08-07 upper 16 niti changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-07-22 lower 5-5 bonding 14 niti wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-07-15 upper 7-7 bonding done & 14 niti wire engaged@gpay dr riyaz
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-03-11 completed lower spring activated
Orthodontic treatment 234952002 ##36, #33, #42, #46 2026-03-02 completed Lower closed coil spring engaged 36-33 42-46
Orthodontic treatment 234952002 ##42, #46 2026-02-09 completed lower e chain changed 42-46
Orthodontic treatment 234952002 ##42, #46 2026-01-17 completed lower 42 and 46 echain
Orthodontic treatment 234952002 ##16, #22 2025-12-24 completed upper and lower 16*22 steel and lower 7-6 echain and upper 5-5 ligature
Orthodontic treatment 234952002 ##14, #23 2025-12-01 completed 14-23 echain, 34rd and 4th quad echain changed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-11-01 completed all quad ehcian changed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-11-01 completed e
Orthodontic treatment 234952002 ##22 2025-09-24 completed all quad echain. 22 prox stripping done .
Orthodontic treatment 234952002 ##13, #15 2025-08-25 completed 1st 3rd & 4th quadrant e chain changed- 13 and 15 palatal bonding
Orthodontic treatment 234952002 — 2025-08-16 completed Distal wire trimmed in 2nd quadrant
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-07-29 completed 1st , 3rd and 4th quad ehchain changed.
Orthodontic treatment 234952002 ##16, #22 2025-06-30 completed upper 16*22 niti wire engaged, 7-7 e chain... lower e chain both sides
Orthodontic treatment 234952002 — 2025-05-30 completed all qud echain changed. recalled after 20 days
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##22 2025-04-29 completed 3rd and 4th quadrant echain activated and decided to extract 22 after 6 months
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##13, #25 2025-04-04 completed upper 13 to 25 echain. lower echain changed. adv next month extn
Dental implant placement 234781005 D6010 Surgical placement of implant body ##16 2025-04-04 completed mini implant inserted at 16 buccal
Orthodontic treatment 234952002 ##21 2024-12-27 completed lower both side spring enaged- - Max 21 echain enaged/
Orthodontic treatment 234952002 — 2024-11-20 completed all 4quadrants echain changed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-10-26 completed 1st and 4 th quad spiring enaged- 2nd quad ecain
Dental implant placement 234781005 D6010 Surgical placement of implant body ##22, #27, #16, #35 2024-09-14 completed ehcain 22 to 27 & lower 16*22 niti and 35 to implant ehcain
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##22, #31 2024-08-23 completed decided extn 22 and 31
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##22 2024-08-23 completed 22 distal proximal stripping done
Orthodontic treatment 234952002 ##16 2024-08-20 completed lower molar tube engagd & lower 16 niti wire
Dental implant placement 234781005 D6010 Surgical placement of implant body ##37 2024-08-14 completed mini implant inserter @ 37
Orthodontic treatment 234952002 ##16 2024-08-07 completed upper 16 niti changed
Orthodontic treatment 234952002 ##14 2024-07-22 completed lower 5-5 bonding 14 niti wire engaged
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2024-07-15 completed upper 7-7 bonding done & 14 niti wire engaged@gpay dr riyaz
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-11 20:54 fulfilled lower spring activated — Dr Riyaz
2026-03-11 20:46 fulfilled Dental visit — Dr Riyaz
2026-03-11 20:46 fulfilled Dental visit
2026-03-02 21:23 fulfilled Lower closed coil spring engaged 36-33 42-46 — Dr Riyaz
2026-02-09 21:59 fulfilled lower e chain changed 42-46 — Dr Riyaz
2026-01-17 12:46 fulfilled lower 42 and 46 echain
2025-12-24 21:10 fulfilled upper and lower 16*22 steel and lower 7-6 echain and upper 5-5 ligature — Dr Riyaz
2025-12-01 13:30 fulfilled 14-23 echain, 34rd and 4th quad echain changed — Dr Riyaz
2025-12-01 12:09 fulfilled Dental visit — Dr Riyaz
2025-11-01 21:17 fulfilled all quad ehcian changed
2025-11-01 21:17 fulfilled e
2025-11-01 21:17 fulfilled Dental visit — Dr Riyaz
2025-09-24 20:36 fulfilled Dental visit — Dr Riyaz
2025-09-24 20:11 fulfilled all quad echain. 22 prox stripping done . — Dr Riyaz
2025-08-25 20:59 fulfilled 1st 3rd & 4th quadrant e chain changed- 13 and 15 palatal bonding — Dr Riyaz
2025-08-16 21:49 fulfilled Distal wire trimmed in 2nd quadrant
2025-07-29 13:10 fulfilled 1st , 3rd and 4th quad ehchain changed. — Dr Riyaz
2025-06-30 14:12 fulfilled upper 16*22 niti wire engaged, 7-7 e chain... lower e chain both sides — Dr Riyaz
2025-06-30 14:04 fulfilled Dental visit
2025-05-30 20:51 fulfilled all qud echain changed. recalled after 20 days
2025-04-29 20:28 fulfilled 3rd and 4th quadrant echain activated and decided to extract 22 after 6 months — Dr Riyaz
2025-04-04 19:40 fulfilled mini implant inserted at 16 buccal — Dr Riyaz
2025-04-04 11:06 fulfilled upper 13 to 25 echain. lower echain changed. adv next month extn — Dr Riyaz
2025-01-24 13:55 fulfilled Dental visit — NULL
2024-12-27 21:09 fulfilled lower both side spring enaged- - Max 21 echain enaged/ — NULL
2024-11-20 15:13 fulfilled all 4quadrants echain changed — NULL
2024-10-26 13:22 fulfilled Dental visit — NULL
2024-10-26 13:01 fulfilled 1st and 4 th quad spiring enaged- 2nd quad ecain — NULL
2024-09-14 13:12 fulfilled ehcain 22 to 27 & lower 16*22 niti and 35 to implant ehcain — NULL
2024-08-23 12:54 fulfilled 22 distal proximal stripping done — NULL
2024-08-23 12:54 fulfilled decided extn 22 and 31 — NULL
2024-08-20 15:21 fulfilled lower molar tube engagd & lower 16 niti wire — NULL
2024-08-14 14:48 fulfilled mini implant inserter @ 37 — NULL
2024-08-07 12:45 fulfilled upper 16 niti changed — NULL
2024-07-22 14:42 fulfilled lower 5-5 bonding 14 niti wire engaged — NULL
2024-07-15 13:42 fulfilled upper 7-7 bonding done & 14 niti wire engaged@gpay dr riyaz — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹45,000
Charged
₹34,000
Paid
₹40,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-11 Dental procedure (other) 0 2,000 -2,000 gpay cancelled
2026-01-17 Orthodontic treatment 0 2,000 -2,000 — cancelled
2025-12-01 Orthodontic treatment 0 2,000 -2,000 online cancelled
2025-11-01 Dental procedure (other) 0 2,000 -2,000 online cancelled
2025-09-24 Orthodontic treatment 0 2,000 -2,000 tabassum cancelled
2025-08-25 Orthodontic treatment 0 2,000 -2,000 online cancelled
2025-07-29 Dental procedure (other) 0 2,000 -2,000 moin cancelled
2025-06-30 Orthodontic treatment 0 2,000 -2,000 online cancelled
2025-04-04 Dental implant placement 0 2,000 -2,000 phone cancelled
2025-01-24 Dental procedure 0 2,000 -2,000 — cancelled
2024-12-27 Orthodontic treatment 0 2,000 -2,000 — cancelled
2024-10-26 Dental procedure (other) 0 2,000 -2,000 — cancelled
2024-09-14 Dental implant placement 0 2,000 -2,000 — cancelled
2024-08-07 Orthodontic treatment 0 3,000 -3,000 — cancelled
2024-07-15 Orthodontic treatment 45,000 5,000 40,000 — issued