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
••••••••67
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental pulp necrosis 234946006 resolved 2026-02-09 13 fixed retainer repaired
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-07 brackets debonded
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-29 Wire removed, next visit brackets to be de bonded
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-16 upper fixed retainer rebonded
Dental pulp necrosis 234946006 resolved 2025-09-09 retiner to be repaired
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-01 lower retainer done
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-27 upper fixed retainer done
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-16 upper and lower fixed retainer debonded, pt recalled next week for upper fixed retainer
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-07-23 upper 18 steel wire engaged, tight ligature
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-05-12 5-5 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-04-14 upper 16 niti ,5-5 echain
Malocclusion 6574001 active 2025-03-17 upper 5 to 5 bonding 14 niti wire
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-03-13 adv upper 5 to 5 bonding with new piece of retainer@7k
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-09-05 adv-hawleys retainer and retration of 22@4k
Dentofacial anomaly, unspecified M26.9 6574001 active 2021-12-02 upper wire removed
Dentofacial anomaly, unspecified M26.9 6574001 active 2021-09-20 upper 16-22 nitii wire engaged & ligature wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2021-08-24 echain engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2021-08-12 echain engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2021-07-22 upper 16 steel wire engaged & echain 2-6 2nd quadrant
Dentofacial anomaly, unspecified M26.9 6574001 active 2020-03-07 upper echain changed- 2mm spcae rem between 22 and 23
Dentofacial anomaly, unspecified M26.9 6574001 active 2020-01-11 upper echain changed- 3mm spcae rem between 22 and 23
Dentofacial anomaly, unspecified M26.9 6574001 active 2019-11-07 upper echain changed- 3mm spcae rem between 22 and 23
Dentofacial anomaly, unspecified M26.9 6574001 active 2019-06-08 called for retainer next week- Upper 6 to6 echain changed for space between 23 & 24
Dentofacial anomaly, unspecified M26.9 6574001 active 2019-04-03 upper lower echain 6 to 6 for space closure
Dentofacial anomaly, unspecified M26.9 6574001 active 2019-02-05 lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire
Dentofacial anomaly, unspecified M26.9 6574001 active 2018-11-12 lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire
Dentofacial anomaly, unspecified M26.9 6574001 active 2018-08-16 lower 4 to 5 bonded both sides- Next visit mx echain change and molar bonding required
Malocclusion 6574001 active 2018-08-02 upper 6 to6 6 ehcain engaged-
Dentofacial anomaly, unspecified M26.9 6574001 active 2018-06-26 upper ehcain removed- Module enaged- Recalled after 1 month
Dentofacial anomaly, unspecified M26.9 6574001 active 2018-03-14 distal wire cut
Dentofacial anomaly, unspecified M26.9 6574001 active 2018-03-03 upper 6 to 6 echain engaged
Malocclusion 6574001 active 2018-01-02 lower 2 to 2 engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2017-09-13 uppper 16*22 niti enaged echain engagd from 13 to 14 - And 12 to 22 echain
Deposits on teeth K03.6 109606002 resolved 2017-08-08 upper6 to6 16 niti enaged- Lower scaling done
Malocclusion 6574001 active 2017-07-07 upper 5 to 5 bonding done 16 niti engaged
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2026-03-16 completed ortho follow up, recalled after 6 months
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##13 2026-02-09 completed 13 fixed retainer repaired
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2025-11-29 completed follow up done, recalled after 3 months
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2025-10-21 completed follow up done
Orthodontic treatment 234952002 — 2025-10-07 completed brackets debonded
Orthodontic treatment 234952002 — 2025-09-29 completed Wire removed, next visit brackets to be de bonded
Orthodontic treatment 234952002 — 2025-09-16 completed upper fixed retainer rebonded
Root canal treatment 234780006 — 2025-09-09 completed retiner to be repaired
Orthodontic treatment 234952002 — 2025-09-01 completed lower retainer done
Orthodontic treatment 234952002 — 2025-08-27 completed upper fixed retainer done
Orthodontic treatment 234952002 — 2025-08-16 completed upper and lower fixed retainer debonded, pt recalled next week for upper fixed retainer
Orthodontic treatment 234952002 ##18 2025-07-23 completed upper 18 steel wire engaged, tight ligature
Orthodontic treatment 234952002 — 2025-05-12 completed 5-5 echain
Orthodontic treatment 234952002 ##16 2025-04-14 completed upper 16 niti ,5-5 echain
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-04-14 completed next time ask for 3k payment
Orthodontic treatment 234952002 ##14 2025-03-17 completed upper 5 to 5 bonding 14 niti wire
Orthodontic treatment 234952002 — 2025-03-17 completed adv alignment of upper lateral for 3 to4 month. and one new retainer in the upper jaw
Orthodontic treatment 234952002 — 2025-03-13 completed adv upper 5 to 5 bonding with new piece of retainer@7k
Orthodontic treatment 234952002 ##22 2024-09-05 completed adv-hawleys retainer and retration of 22@4k
Orthodontic treatment 234952002 — 2021-12-02 completed upper wire removed
Orthodontic treatment 234952002 ##16, #22 2021-09-20 completed upper 16-22 nitii wire engaged & ligature wire engaged
Orthodontic treatment 234952002 — 2021-08-24 completed echain engaged
Orthodontic treatment 234952002 — 2021-08-12 completed echain engaged
Orthodontic treatment 234952002 ##16 2021-07-22 completed upper 16 steel wire engaged & echain 2-6 2nd quadrant
Orthodontic treatment 234952002 ##22, #23 2020-03-07 completed upper echain changed- 2mm spcae rem between 22 and 23
Orthodontic treatment 234952002 ##22, #23 2020-01-11 completed upper echain changed- 3mm spcae rem between 22 and 23
Orthodontic treatment 234952002 ##22, #23 2019-11-07 completed upper echain changed- 3mm spcae rem between 22 and 23
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2019-08-13 completed upper exhain changed
Orthodontic treatment 234952002 ##23, #24 2019-06-08 completed called for retainer next week- Upper 6 to6 echain changed for space between 23 & 24
Orthodontic treatment 234952002 — 2019-04-03 completed upper lower echain 6 to 6 for space closure
Orthodontic treatment 234952002 ##16 2019-02-05 completed lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire
Orthodontic treatment 234952002 ##16 2018-11-12 completed lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire
Orthodontic treatment 234952002 — 2018-08-16 completed lower 4 to 5 bonded both sides- Next visit mx echain change and molar bonding required
Orthodontic treatment 234952002 — 2018-08-02 completed upper 6 to6 6 ehcain engaged-
Orthodontic treatment 234952002 — 2018-06-26 completed upper ehcain removed- Module enaged- Recalled after 1 month
Orthodontic treatment 234952002 — 2018-03-14 completed distal wire cut
Orthodontic treatment 234952002 — 2018-03-03 completed upper 6 to 6 echain engaged
Orthodontic treatment 234952002 — 2018-01-02 completed lower 2 to 2 engaged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2017-11-06 completed upper 2 to 2 ehcain changed
Orthodontic treatment 234952002 ##16, #22, #13, #14, #12 2017-09-13 completed uppper 16*22 niti enaged echain engagd from 13 to 14 - And 12 to 22 echain
Dental scaling 52065007 D1110 Prophylaxis - adult ##16 2017-08-08 completed upper6 to6 16 niti enaged- Lower scaling done
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##16 2017-07-07 completed upper 5 to 5 bonding done 16 niti engaged
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-16 20:29 fulfilled ortho follow up, recalled after 6 months — Dr Hani
2026-02-09 21:58 fulfilled 13 fixed retainer repaired — Dr Hani
2025-11-29 20:29 fulfilled follow up done, recalled after 3 months — Dr Hani
2025-10-21 13:14 fulfilled follow up done
2025-10-07 13:58 fulfilled brackets debonded — Dr Hani
2025-09-29 12:42 fulfilled Wire removed, next visit brackets to be de bonded — Dr Hani
2025-09-16 15:02 fulfilled upper fixed retainer rebonded — Dr Hani
2025-09-09 11:49 fulfilled retiner to be repaired — Dr Riyaz
2025-09-01 19:32 fulfilled lower retainer done — Dr Hani
2025-08-27 15:07 fulfilled upper fixed retainer done — Dr Hani
2025-08-16 12:16 fulfilled upper and lower fixed retainer debonded, pt recalled next week for upper fixed retainer — Dr Hani
2025-07-23 12:22 fulfilled Dental visit — Dr Hani
2025-07-23 11:57 fulfilled upper 18 steel wire engaged, tight ligature — Dr Hani
2025-05-12 12:22 fulfilled 5-5 echain — Dr Aaliya
2025-04-14 14:04 fulfilled next time ask for 3k payment — Dr Riyaz
2025-04-14 11:46 fulfilled upper 16 niti ,5-5 echain — Dr Aaliya
2025-03-17 13:53 fulfilled adv alignment of upper lateral for 3 to4 month. and one new retainer in the upper jaw — NULL
2025-03-17 13:51 fulfilled upper 5 to 5 bonding 14 niti wire — NULL
2025-03-13 12:05 fulfilled adv upper 5 to 5 bonding with new piece of retainer@7k — NULL
2024-09-05 20:58 fulfilled adv-hawleys retainer and retration of 22@4k — NULL
2021-12-02 11:33 fulfilled upper wire removed — NULL
2021-09-20 11:41 fulfilled upper 16-22 nitii wire engaged & ligature wire engaged — NULL
2021-08-24 15:02 fulfilled echain engaged — NULL
2021-08-12 14:03 fulfilled echain engaged — NULL
2021-07-22 15:45 fulfilled upper 16 steel wire engaged & echain 2-6 2nd quadrant — NULL
2020-03-07 12:12 fulfilled upper echain changed- 2mm spcae rem between 22 and 23 — NULL
2020-01-11 22:15 fulfilled Dental visit — NULL
2020-01-11 19:28 fulfilled upper echain changed- 3mm spcae rem between 22 and 23 — NULL
2019-11-07 11:48 fulfilled Dental visit — NULL
2019-11-07 11:48 fulfilled upper echain changed- 3mm spcae rem between 22 and 23 — NULL
2019-08-13 20:34 fulfilled upper exhain changed — NULL
2019-06-08 19:32 fulfilled called for retainer next week- Upper 6 to6 echain changed for space between 23 & 24 — NULL
2019-04-03 20:42 fulfilled upper lower echain 6 to 6 for space closure — NULL
2019-02-05 20:32 fulfilled lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire — NULL
2018-11-12 20:01 fulfilled lower 16 niti 6 to 6enaged for deep bite correction- Upper echain changed for space closire — NULL
2018-08-16 18:50 fulfilled lower 4 to 5 bonded both sides- Next visit mx echain change and molar bonding required — NULL
2018-08-02 20:45 fulfilled upper 6 to6 6 ehcain engaged- — NULL
2018-06-26 21:52 fulfilled upper ehcain removed- Module enaged- Recalled after 1 month — NULL
2018-03-14 19:27 fulfilled distal wire cut — NULL
2018-03-03 18:45 fulfilled upper 6 to 6 echain engaged — NULL
2018-01-02 20:06 fulfilled lower 2 to 2 engaged — NULL
2017-11-06 20:16 fulfilled upper 2 to 2 ehcain changed — NULL
2017-09-13 19:00 fulfilled uppper 16*22 niti enaged echain engagd from 13 to 14 - And 12 to 22 echain — NULL
2017-08-08 19:11 fulfilled upper6 to6 16 niti enaged- Lower scaling done — NULL
2017-07-07 11:33 fulfilled upper 5 to 5 bonding done 16 niti engaged — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹29,000
Charged
₹29,000
Paid
₹23,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2025-10-07 Orthodontic treatment 0 1,000 -1,000 — cancelled
2025-08-27 Orthodontic treatment 0 1,000 -1,000 online cancelled
2025-07-23 Orthodontic treatment 0 1,000 -1,000 online cancelled
2025-05-12 Orthodontic treatment 0 2,000 -2,000 gpaysana cancelled
2025-04-14 Dental procedure (other) 0 1,000 -1,000 1000 cancelled
2025-03-17 Orthodontic treatment 7,000 1,000 6,000 cash issued
2020-01-11 Orthodontic treatment 0 500 -500 — cancelled
2019-11-07 Orthodontic treatment 0 500 -500 — cancelled
2019-08-13 Dental procedure (other) 0 500 -500 — cancelled
2019-06-08 Orthodontic treatment 0 500 -500 — cancelled
2019-04-03 Orthodontic treatment 0 500 -500 — cancelled
2019-02-05 Orthodontic treatment 0 500 -500 — cancelled
2018-11-12 Orthodontic treatment 0 1,000 -1,000 — cancelled
2018-08-02 Orthodontic treatment 0 2,000 -2,000 — cancelled
2018-06-26 Orthodontic treatment 0 2,000 -2,000 — cancelled
2018-03-14 Orthodontic treatment 0 1,000 -1,000 — cancelled
2018-03-03 Orthodontic treatment 0 2,000 -2,000 — cancelled
2018-01-02 Orthodontic treatment 0 1,000 -1,000 — cancelled
2017-11-06 Dental procedure (other) 0 2,000 -2,000 — cancelled
2017-09-13 Orthodontic treatment 0 2,000 -2,000 — cancelled
2017-08-08 Dental scaling 0 1,000 -1,000 — cancelled
2017-07-07 Orthodontic treatment 22,000 5,000 17,000 — issued