DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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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
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-12 distal wire trimmed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-26 lower echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-01 lower 5-5 echain and 31 rebonded
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-11-05 mand 5 to 5 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-08 lower 18 steel wire, 5-5 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-17 lower 5-5 echain changed, recalled after 20 days
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-20 lower 5-5 e chain engageg
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-07-21 lower 2 to 5 echain. engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-26 lower 5-5 e chain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-05-27 lower 5-5 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-05-02 lower 5-5 echain
Malocclusion 6574001 active 2025-04-05 lower 3 to 3 chain engaged.
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-02-27 lower 5-5 echain & modules chamged- Recalled on 25th march
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-02-05 lower 5-5 echain & modules chamged
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-10-17 braces payment- And 27th sept 300 is also braces payment
Dental caries 80967001 resolved 2024-09-27 type ix with 37
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-09-19 upper 7-7 echain & lower 18 steel wire & 5-5 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-08-27 upper echain 2-6 both sides & lower 2-5 echain both sides
Malocclusion 6574001 active 2024-07-31 u 16*22 niti/- Lower 4th quad ehcain
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-06-27 upper- 16 niti wire & 3-6 echain both sides-lower= 1-1 echain and 2-5 echain engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-05-25 upper n lower same wire 16*22 niti & lower2-6 upper 3--6 echha engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-05-01 uper 16*22 niti placed & lower 3-5 echain & wire disengaged from molar tubes
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-04-01 upper 16 niti 4-6 echain both sides & lower 4-6 echain both sides
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-03-08 upper 16*22 niti wire engaged & 6-6 ligature wire & lower 16*22 niti wir eengaged & 2-2 echain & 3-7 both sides ligature wire @gpay dr riyaz
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-02-13 upper 4-7 echain & lower 4-7 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2024-01-13 upper 4-7 echain 2-2 echain & lower 4-7 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-12-14 upper 18 steel wire 5-7 echain on both sides & lower 4-7 echain on both the sides
Malocclusion 6574001 active 2023-11-11 16 niti upper and lower-both 7 to 7
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-10-02 upper 5-7 echain & lower 4-7 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-09-01 upper 18 steel wire engaged & 5-7 echain bth the sides & lower 5-7 echain changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-08-02 upper 16 *22 niti- Lower 5 to 7 echain both sides
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-06-17 17 & 25 rebonded & upper 16 niti wire reengaged & lower 5-7 echain changed
Malocclusion 6574001 active 2023-06-06 17 rebonded
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-06-03 17 bonded & upper 16 niti wire engaged & lower 18 steel wire engaged & 5-7 & 4-4 echain
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-05-23 5-7 echain engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-05-17 lower 16*22 steel wire engaged & 4-4 echain & 5-7 echain both sides
Dentofacial anomaly, unspecified M26.9 6574001 active 2023-01-26 upper n lower 16 niti wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-12-28 all 4 molar tube bonded Dr Aaliya & upper n lower 14 niti wire engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2022-12-23 upper n lower 5-5 brackets bonded(gpay noori acc)/
Necrosis of dental pulp K04.1 234946006 resolved 2022-12-23 if 46 rct 5k or 7k
Dental pulp necrosis 234946006 resolved 2022-04-18 obt 15
Dental pulp necrosis 234946006 resolved 2022-04-15 a/o 15
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental implant placement 234781005 D6010 Surgical placement of implant body — 2026-03-19 completed mini implants placed in 3rd and 4th quadrant...next appointment for activation
Orthodontic treatment 234952002 — 2026-01-12 completed distal wire trimmed
Orthodontic treatment 234952002 — 2025-12-26 completed lower echain changed
Orthodontic treatment 234952002 ##31 2025-12-01 completed lower 5-5 echain and 31 rebonded
Orthodontic treatment 234952002 — 2025-11-05 completed mand 5 to 5 echain
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-11-05 completed dd
Orthodontic treatment 234952002 ##18 2025-10-08 completed lower 18 steel wire, 5-5 echain
Orthodontic treatment 234952002 — 2025-09-17 completed lower 5-5 echain changed, recalled after 20 days
Orthodontic treatment 234952002 — 2025-08-20 completed lower 5-5 e chain engageg
Orthodontic treatment 234952002 — 2025-07-21 completed lower 2 to 5 echain. engaged
Orthodontic treatment 234952002 — 2025-06-26 completed lower 5-5 e chain changed
Orthodontic treatment 234952002 — 2025-05-27 completed lower 5-5 echain
Orthodontic treatment 234952002 — 2025-05-02 completed lower 5-5 echain
Orthodontic treatment 234952002 — 2025-04-05 completed lower 3 to 3 chain engaged.
Dental implant placement 234781005 D6010 Surgical placement of implant body ##46 2025-04-05 completed mini implant inserted at 46 buccal
Orthodontic treatment 234952002 — 2025-02-27 completed lower 5-5 echain & modules chamged- Recalled on 25th march
Orthodontic treatment 234952002 — 2025-02-05 completed lower 5-5 echain & modules chamged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2024-12-02 completed 4th quad small titanium mini and 3rd quad big mini imlant
Orthodontic treatment 234952002 — 2024-10-17 completed braces payment- And 27th sept 300 is also braces payment
Dental filling 180534004 D2940 Protective restoration (GIC) ##37 2024-09-27 completed type ix with 37
Orthodontic treatment 234952002 ##18 2024-09-19 completed upper 7-7 echain & lower 18 steel wire & 5-5 echain
Orthodontic treatment 234952002 — 2024-08-27 completed upper echain 2-6 both sides & lower 2-5 echain both sides
Orthodontic treatment 234952002 ##16, #22 2024-07-31 completed u 16*22 niti/- Lower 4th quad ehcain
Orthodontic treatment 234952002 ##16 2024-06-27 completed upper- 16 niti wire & 3-6 echain both sides-lower= 1-1 echain and 2-5 echain engaged
Orthodontic treatment 234952002 ##16, #22 2024-05-25 completed upper n lower same wire 16*22 niti & lower2-6 upper 3--6 echha engaged
Orthodontic treatment 234952002 ##16, #22 2024-05-01 completed uper 16*22 niti placed & lower 3-5 echain & wire disengaged from molar tubes
Orthodontic treatment 234952002 ##16 2024-04-01 completed upper 16 niti 4-6 echain both sides & lower 4-6 echain both sides
Orthodontic treatment 234952002 ##16, #22 2024-03-08 completed upper 16*22 niti wire engaged & 6-6 ligature wire & lower 16*22 niti wir eengaged & 2-2 echain & 3-7 both sides ligature wire @gpay dr riyaz
Orthodontic treatment 234952002 — 2024-02-13 completed upper 4-7 echain & lower 4-7 echain
Orthodontic treatment 234952002 — 2024-01-13 completed upper 4-7 echain 2-2 echain & lower 4-7 echain
Orthodontic treatment 234952002 ##18 2023-12-14 completed upper 18 steel wire 5-7 echain on both sides & lower 4-7 echain on both the sides
Orthodontic treatment 234952002 ##16 2023-11-11 completed 16 niti upper and lower-both 7 to 7
Orthodontic treatment 234952002 — 2023-10-02 completed upper 5-7 echain & lower 4-7 echain
Orthodontic treatment 234952002 ##18 2023-09-01 completed upper 18 steel wire engaged & 5-7 echain bth the sides & lower 5-7 echain changed
Orthodontic treatment 234952002 ##16, #22 2023-08-02 completed upper 16 *22 niti- Lower 5 to 7 echain both sides
Orthodontic treatment 234952002 ##17, #25, #16 2023-06-17 completed 17 & 25 rebonded & upper 16 niti wire reengaged & lower 5-7 echain changed
Orthodontic treatment 234952002 ##17 2023-06-06 completed 17 rebonded
Orthodontic treatment 234952002 ##17, #16, #18 2023-06-03 completed 17 bonded & upper 16 niti wire engaged & lower 18 steel wire engaged & 5-7 & 4-4 echain
Orthodontic treatment 234952002 — 2023-05-23 completed 5-7 echain engaged
Orthodontic treatment 234952002 ##16, #22 2023-05-17 completed lower 16*22 steel wire engaged & 4-4 echain & 5-7 echain both sides
Surgical extraction of tooth 423925004 D7210 Extraction, erupted tooth requiring bone removal ##46 2023-05-03 completed extn 46 surgical
Surgical extraction of tooth 423925004 D7210 Extraction, erupted tooth requiring bone removal ##26 2023-03-07 completed extn 26 surgical done with hemisection
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##15 2023-02-24 completed extn 15
Dental consultation and report 103697008 D0140 Limited oral evaluation ##46 2023-02-24 completed adv extn 46
Orthodontic treatment 234952002 ##16 2023-01-26 completed upper n lower 16 niti wire engaged
Orthodontic treatment 234952002 ##14 2022-12-28 completed all 4 molar tube bonded Dr Aaliya & upper n lower 14 niti wire engaged
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment — 2022-12-23 completed upper n lower 5-5 brackets bonded(gpay noori acc)/
Tooth extraction 424451000 — 2022-12-23 completed adv all 4 premolar extn @30000 &
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##26, #46 2022-12-23 completed only extn of 26 & 46 at 2500 without space closure
Tooth extraction 424451000 — 2022-12-23 completed or 2 premolars n 2 molar extn with molar space closure @38000+1500extn & +1500extn
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2022-12-23 completed if 46 rct 5k or 7k
Root canal treatment 234780006 ##15 2022-04-18 completed obt 15
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##15 2022-04-15 completed a/o 15
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-19 21:16 fulfilled mini implants placed in 3rd and 4th quadrant...next appointment for activation — Dr Riyaz
2026-01-12 20:44 fulfilled distal wire trimmed — Dr Hani
2025-12-26 20:30 fulfilled lower echain changed — Dr Riyaz
2025-12-01 21:09 fulfilled lower 5-5 echain and 31 rebonded — Dr Riyaz
2025-11-05 11:15 fulfilled mand 5 to 5 echain
2025-11-05 11:15 fulfilled dd — Dr Riyaz
2025-10-08 20:20 fulfilled lower 18 steel wire, 5-5 echain — Dr Riyaz
2025-09-17 19:57 fulfilled lower 5-5 echain changed, recalled after 20 days — Dr Riyaz
2025-08-20 21:58 fulfilled lower 5-5 e chain engageg — Dr Riyaz
2025-07-21 19:46 fulfilled lower 2 to 5 echain. engaged — Dr Riyaz
2025-06-26 20:44 fulfilled lower 5-5 e chain changed — Dr Riyaz
2025-05-27 20:21 fulfilled lower 5-5 echain — Dr Aaliya
2025-05-02 20:23 fulfilled lower 5-5 echain — Dr Aaliya
2025-04-05 19:39 fulfilled mini implant inserted at 46 buccal
2025-04-05 19:39 fulfilled Dental visit
2025-04-05 19:30 fulfilled lower 3 to 3 chain engaged.
2025-02-27 19:34 fulfilled lower 5-5 echain & modules chamged- Recalled on 25th march — NULL
2025-02-05 20:31 fulfilled lower 5-5 echain & modules chamged — NULL
2024-12-02 20:21 fulfilled 4th quad small titanium mini and 3rd quad big mini imlant — NULL
2024-12-02 20:20 fulfilled Dental visit — NULL
2024-11-11 20:38 fulfilled Dental visit — NULL
2024-10-17 20:15 fulfilled braces payment- And 27th sept 300 is also braces payment — NULL
2024-09-27 21:54 fulfilled Dental visit — NULL
2024-09-27 21:53 fulfilled type ix with 37 — NULL
2024-09-19 20:40 fulfilled upper 7-7 echain & lower 18 steel wire & 5-5 echain — NULL
2024-08-27 13:17 fulfilled upper echain 2-6 both sides & lower 2-5 echain both sides — NULL
2024-07-31 20:58 fulfilled u 16*22 niti/- Lower 4th quad ehcain — NULL
2024-06-27 12:03 fulfilled upper- 16 niti wire & 3-6 echain both sides-lower= 1-1 echain and 2-5 echain engaged — NULL
2024-05-25 13:16 fulfilled upper n lower same wire 16*22 niti & lower2-6 upper 3--6 echha engaged — NULL
2024-05-01 13:01 fulfilled uper 16*22 niti placed & lower 3-5 echain & wire disengaged from molar tubes — NULL
2024-04-01 13:31 fulfilled upper 16 niti 4-6 echain both sides & lower 4-6 echain both sides — NULL
2024-03-08 12:22 fulfilled upper 16*22 niti wire engaged & 6-6 ligature wire & lower 16*22 niti wir eengaged & 2-2 echain & 3-7 — NULL
2024-02-13 15:34 fulfilled upper 4-7 echain & lower 4-7 echain — NULL
2024-01-13 14:03 fulfilled Dental visit — NULL
2024-01-13 14:02 fulfilled upper 4-7 echain 2-2 echain & lower 4-7 echain — NULL
2023-12-14 12:08 fulfilled upper 18 steel wire 5-7 echain on both sides & lower 4-7 echain on both the sides — NULL
2023-11-11 14:31 fulfilled Dental visit — NULL
2023-11-11 14:29 fulfilled 16 niti upper and lower-both 7 to 7 — NULL
2023-10-02 21:19 fulfilled Dental visit — NULL
2023-10-02 21:15 fulfilled upper 5-7 echain & lower 4-7 echain — NULL
2023-09-01 21:12 fulfilled upper 18 steel wire engaged & 5-7 echain bth the sides & lower 5-7 echain changed — NULL
2023-09-01 21:11 fulfilled Dental visit — NULL
2023-08-02 21:17 fulfilled upper 16 *22 niti- Lower 5 to 7 echain both sides — NULL
2023-08-02 21:17 fulfilled Dental visit — NULL
2023-07-08 13:27 fulfilled Dental visit — NULL
2023-07-05 19:05 fulfilled Dental visit — NULL
2023-06-17 13:06 fulfilled 17 & 25 rebonded & upper 16 niti wire reengaged & lower 5-7 echain changed — NULL
2023-06-06 20:52 fulfilled 17 rebonded — NULL
2023-06-03 13:23 fulfilled 17 bonded & upper 16 niti wire engaged & lower 18 steel wire engaged & 5-7 & 4-4 echain — NULL
2023-05-23 21:10 fulfilled 5-7 echain engaged — NULL
2023-05-17 19:36 fulfilled lower 16*22 steel wire engaged & 4-4 echain & 5-7 echain both sides — NULL
2023-05-03 20:07 fulfilled extn 46 surgical — NULL
2023-03-07 20:52 fulfilled extn 26 surgical done with hemisection — NULL
2023-02-24 19:58 fulfilled adv extn 46 — NULL
2023-02-24 19:58 fulfilled Dental visit — NULL
2023-02-24 19:55 fulfilled Dental visit — NULL
2023-02-24 19:37 fulfilled extn 15 — NULL
2023-01-26 13:25 fulfilled Dental visit — NULL
2023-01-26 13:25 fulfilled upper n lower 16 niti wire engaged — NULL
2022-12-28 12:24 fulfilled all 4 molar tube bonded Dr Aaliya & upper n lower 14 niti wire engaged — NULL
2022-12-23 20:56 fulfilled if 46 rct 5k or 7k — NULL
2022-12-23 20:55 fulfilled or 2 premolars n 2 molar extn with molar space closure @38000+1500extn & +1500extn — NULL
2022-12-23 20:55 fulfilled only extn of 26 & 46 at 2500 without space closure — NULL
2022-12-23 20:54 fulfilled adv all 4 premolar extn @30000 & — NULL
2022-12-23 20:39 fulfilled upper n lower 5-5 brackets bonded(gpay noori acc)/ — NULL
2022-04-18 20:35 fulfilled obt 15 — NULL
2022-04-15 20:37 fulfilled a/o 15 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹43,700
Charged
₹42,200
Paid
₹38,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2025-05-27 Orthodontic treatment 0 1,000 -1,000 cash cancelled
2025-04-05 Dental implant placement 0 1,000 -1,000 — cancelled
2025-02-05 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-12-02 Dental procedure (other) 0 1,000 -1,000 — cancelled
2024-11-11 Dental procedure 0 1,000 -1,000 — cancelled
2024-10-17 Orthodontic treatment 0 700 -700 — cancelled
2024-09-27 Dental filling 1,200 1,200 0 — balanced
2024-09-27 Dental filling 0 300 -300 — cancelled
2024-09-19 Orthodontic treatment 0 1,500 -1,500 — cancelled
2024-08-27 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-07-31 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-06-27 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-05-25 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-05-01 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-04-01 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-03-08 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-02-13 Orthodontic treatment 0 1,000 -1,000 — cancelled
2024-01-13 Orthodontic treatment 0 1,500 -1,500 — cancelled
2023-12-14 Orthodontic treatment 0 1,000 -1,000 — cancelled
2023-11-11 Orthodontic treatment 0 1,000 -1,000 — cancelled
2023-10-02 Orthodontic treatment 0 1,000 -1,000 — cancelled
2023-09-01 Orthodontic treatment 0 1,500 -1,500 — cancelled
2023-08-02 Orthodontic treatment 0 1,500 -1,500 — cancelled
2023-07-08 Dental procedure -1,500 0 -1,500 — balanced
2023-07-05 Dental procedure 0 1,500 -1,500 — cancelled
2023-06-03 Orthodontic treatment 0 2,000 -2,000 — cancelled
2023-05-17 Orthodontic treatment 0 1,500 -1,500 — cancelled
2023-05-03 Surgical extraction of tooth 1,500 1,500 0 — balanced
2023-03-07 Surgical extraction of tooth 0 1,500 -1,500 — cancelled
2023-02-24 Dental consultation and report 1,500 0 1,500 — issued
2023-02-24 Dental consultation and report 0 2,000 -2,000 — cancelled
2023-02-24 Dental consultation and report 8,000 0 8,000 — issued
2023-01-26 Orthodontic treatment 0 2,000 -2,000 — cancelled
2022-12-23 Orthodontic treatment 30,000 3,000 27,000 — issued
2022-04-18 Root canal treatment 0 1,500 -1,500 — cancelled
2022-04-15 Root canal treatment 3,000 1,500 1,500 — issued