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male
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FHIR: Patient
De-identified for demo. Identity fields are masked.
- Full Name
- De-identified
- Date of Birth
- ••••-••-••
- Gender
- male
- Phone
- ••••••••67
- ••••@••••
- Address
- De-identified location
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35
Conditions
42
Procedures
45
Visits
22
Invoices
0
X-rays
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 & Time | Status | Clinical Notes | FHIR |
|---|---|---|---|
| 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
| Date | Procedure | Charged (₹) | Paid (₹) | Balance (₹) | Mode | Status | FHIR |
|---|---|---|---|---|---|---|---|
| 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 |