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
Dental caries 80967001 resolved 2026-02-16 Cementation done with 46
Dental caries 80967001 resolved 2026-02-11 dtech done and crown prep done for metal crown with 46
Dental pulp necrosis 234946006 resolved 2026-02-07 obt done with 46
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-03 bmp 20k both the canals
Necrosis of dental pulp K04.1 234946006 resolved 2026-01-28 cown retrieval 45 . a/o 46 2 canal till apex done
Necrosis of dental pulp K04.1 234946006 resolved 2026-01-23 adv re rct with 46
Dental caries 80967001 resolved 2022-04-02 ext of lingual coronal part of 36 & adv cap if possible
Dental pulp necrosis 234946006 resolved 2020-10-24 obt 36
Necrosis of dental pulp K04.1 234946006 resolved 2020-10-19 a/o 36- 4 canals 20-04 bmp done full length- 25mm canals
Necrosis of dental pulp K04.1 234946006 resolved 2020-10-17 adv rct 36
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##48 2026-03-06 completed extn 48
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##46 2026-02-16 completed Cementation done with 46
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##46 2026-02-11 completed dtech done and crown prep done for metal crown with 46
Root canal treatment 234780006 ##46 2026-02-07 completed obt done with 46
Root canal treatment 234780006 — 2026-02-03 completed bmp 20k both the canals
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45, #46 2026-01-28 completed cown retrieval 45 . a/o 46 2 canal till apex done
Root canal treatment 234780006 D3348 Retreatment of previous root canal therapy - molar ##46 2026-01-23 completed adv re rct with 46
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##36 2022-04-02 completed ext of lingual coronal part of 36 & adv cap if possible
Root canal treatment 234780006 ##36 2020-10-24 completed obt 36
Root canal treatment 234780006 ##36 2020-10-19 completed a/o 36- 4 canals 20-04 bmp done full length- 25mm canals
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2020-10-17 completed adv rct 36
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2020-01-15 completed nspt done first sitting
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2020-01-13 completed advance for nspt
Appointment History
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Date & TimeStatusClinical NotesFHIR
2026-03-06 21:05 fulfilled extn 48 — Dr Riyaz
2026-02-16 13:32 fulfilled Dental visit — Dr Riyaz
2026-02-16 13:29 fulfilled Cementation done with 46 — Dr Riyaz
2026-02-11 20:31 fulfilled dtech done and crown prep done for metal crown with 46 — Dr Riyaz
2026-02-07 21:50 fulfilled obt done with 46 — Dr Riyaz
2026-02-03 13:43 fulfilled bmp 20k both the canals — Dr Riyaz
2026-02-03 13:38 fulfilled Dental visit
2026-01-28 20:57 fulfilled cown retrieval 45 . a/o 46 2 canal till apex done — Dr Riyaz
2026-01-23 21:53 fulfilled adv re rct with 46 — Dr Riyaz
2022-04-02 14:26 fulfilled ext of lingual coronal part of 36 & adv cap if possible — NULL
2020-10-24 16:19 fulfilled obt 36 — NULL
2020-10-19 16:51 fulfilled a/o 36- 4 canals 20-04 bmp done full length- 25mm canals — NULL
2020-10-17 16:57 fulfilled adv rct 36 — NULL
2020-01-15 21:11 fulfilled nspt done first sitting — NULL
2020-01-13 20:47 fulfilled advance for nspt — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹15,000
Charged
₹16,500
Paid
₹8,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-06 Tooth extraction 2,000 2,000 0 gpay balanced
2026-02-16 Crown of tooth 0 1,500 -1,500 Online cancelled
2026-02-07 Root canal treatment 0 2,500 -2,500 gpay cancelled
2026-02-03 Root canal treatment 0 2,000 -2,000 — cancelled
2026-01-28 Root canal treatment 7,000 2,500 4,500 gpay issued
2022-04-02 Crown of tooth 0 500 -500 — cancelled
2020-10-24 Root canal treatment 0 2,000 -2,000 — cancelled
2020-10-19 Root canal treatment 0 1,000 -1,000 — cancelled
2020-10-17 Root canal treatment 3,500 1,000 2,500 — issued
2020-01-13 Dental procedure (other) 2,500 1,500 1,000 — issued