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
••••••••D)
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-16 13 ligature engaged. Lower bonding post ramadan
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-28 13 ligature wire enaged for erutpion
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-13 16 and 26 molar tube bonded and upper 14 niti wire engaged, ligature wire with 13
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-17 canine exposure, ligature wire
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-03 upper 5-5 bonding done,14 niti wire engaged
Dental caries 80967001 resolved 2024-11-29 type ix with 17
Dental caries 80967001 resolved 2024-06-11 37 type ix
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Orthodontic treatment 234952002 ##13 2026-02-16 completed 13 ligature engaged. Lower bonding post ramadan
Orthodontic treatment 234952002 ##13 2026-01-28 completed 13 ligature wire enaged for erutpion
Orthodontic treatment 234952002 ##16, #26, #14, #13 2026-01-13 completed 16 and 26 molar tube bonded and upper 14 niti wire engaged, ligature wire with 13
Orthodontic treatment 234952002 — 2025-12-17 completed canine exposure, ligature wire
Orthodontic treatment 234952002 — 2025-12-17 completed canine exposure, ligature wire
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2025-12-03 completed upper 5-5 bonding done,14 niti wire engaged
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2025-12-03 completed adv ortho for canine
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-12-01 completed new treatment started
Dental filling 180534004 D2940 Protective restoration (GIC) ##17 2024-11-29 completed type ix with 17
Dental filling 180534004 D2940 Protective restoration (GIC) ##47 2024-10-17 completed type ix with 47
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##13 2024-10-17 completed adv- orthodontic canine extrusion with 13@45k
Dental filling 180534004 D2940 Protective restoration (GIC) ##37 2024-06-11 completed 37 type ix
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##47 2023-10-10 completed 47 temp
Tooth extraction 424451000 — 2023-08-02 completed 5c extraction done
Appointment History
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Date & TimeStatusClinical NotesFHIR
2026-03-07 20:41 fulfilled Dental visit — Dr Riyaz
2026-02-22 06:02 fulfilled Dental visit
2026-02-16 12:04 fulfilled 13 ligature engaged. Lower bonding post ramadan — Dr Hani
2026-01-28 20:29 fulfilled 13 ligature wire enaged for erutpion — Dr Riyaz
2026-01-15 20:15 fulfilled Dental visit — Dr Riyaz
2026-01-13 14:32 fulfilled 16 and 26 molar tube bonded and upper 14 niti wire engaged, ligature wire with 13 — Dr Hani
2025-12-17 22:27 fulfilled canine exposure, ligature wire — Dr Riyaz
2025-12-17 22:27 fulfilled canine exposure, ligature wire — Dr Riyaz
2025-12-03 18:26 fulfilled adv ortho for canine — Dr Riyaz
2025-12-03 13:16 fulfilled upper 5-5 bonding done,14 niti wire engaged — Dr Hani
2025-12-01 18:25 fulfilled new treatment started
2025-09-03 18:25 fulfilled Dental visit
2024-11-29 19:58 fulfilled type ix with 17 — NULL
2024-10-17 20:13 fulfilled adv- orthodontic canine extrusion with 13@45k — NULL
2024-10-17 20:13 fulfilled type ix with 47 — NULL
2024-06-11 14:50 fulfilled Dental visit — NULL
2024-06-11 14:01 fulfilled 37 type ix — NULL
2023-10-10 21:08 fulfilled 47 temp — NULL
2023-10-10 20:26 fulfilled Dental visit — NULL
2023-08-02 21:35 fulfilled 5c extraction done — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹49,500
Charged
₹20,500
Paid
₹41,800
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-07 Dental procedure 0 3,000 -3,000 gpay cancelled
2026-02-22 Dental procedure 0 5,000 -5,000 Gpay cancelled
2026-01-15 Dental procedure 0 3,000 -3,000 gpay cancelled
2025-12-03 Dental consultation and report 45,000 5,000 40,000 cash issued
2025-09-03 Dental procedure 400 0 400 — issued
2024-11-29 Dental filling 1,200 1,000 200 — issued
2024-10-17 Dental filling 1,200 1,500 -300 — balanced
2024-06-11 Dental filling 1,200 0 1,200 — issued
2024-06-11 Dental filling 0 1,000 -1,000 — cancelled
2023-10-10 Dental procedure (other) 0 500 -500 — cancelled
2023-08-02 Tooth extraction 500 500 0 — balanced