DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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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
••••••••D)
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dental pulp necrosis 234946006 resolved 2026-02-23 12,13,31 fixed retainer repaired, follow up after 15 days for debonding
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-04 Upper and lower wire removed
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-21 upper fixed retainer done, 23retainer to be rebonded
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-29 lower lingual fixed retainer done
Deposits on teeth K03.6 109606002 resolved 2025-12-26 lower lingual scaling done and flossing done
Deposits on teeth K03.6 109606002 resolved 2025-11-19 lower ligature done, upper lower flossing and scaling done
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-22 lower ligature done
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-09-26 Upper 5-5 ligature and lower 18 steel wire and 5-5 ligature wire
Malocclusion 6574001 active 2025-08-01 upper 16*22 niti enagaged. lower 16 niti engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-30 upper 16 niti wire, lower 41 module changed
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-06-06 upper and lower wire reengaged ,41 repositioned
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-05-08 lower 6-6 bonding done, 14 ni-ti wire engaged
Malocclusion 6574001 active 2025-04-25 upper 6-6 bonding done
Dental caries 80967001 resolved 2025-04-04 crown fabrication given to mehboob lab
Dental caries 80967001 resolved 2025-03-29 cutting with 36,metal cap
Dental caries 80967001 resolved 2025-03-24 crown cem 46
Dental caries 80967001 resolved 2025-03-20 crown prep with 46 and impression taken for metal crown
Dental pulp necrosis 234946006 resolved 2025-03-19 dtech with 36,adv crown if no pain
Dental caries 80967001 resolved 2025-03-19 dtech with 46,36
Dental caries, unspecified K02.9 80967001 resolved 2025-02-19 caries excavation with 46 & dtech done & pt informed if pain persist adv ext because of overextended gp
Dental caries, unspecified K02.9 80967001 resolved 2025-02-14 caries excavation with 14
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2026-03-10 completed follow up done
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##12, #13, #31, #15 2026-02-23 completed 12,13,31 fixed retainer repaired, follow up after 15 days for debonding
Orthodontic treatment 234952002 — 2026-02-04 completed Upper and lower wire removed
Orthodontic treatment 234952002 — 2026-01-21 completed upper fixed retainer done, 23retainer to be rebonded
Orthodontic treatment 234952002 — 2025-12-29 completed lower lingual fixed retainer done
Dental scaling 52065007 D1110 Prophylaxis - adult — 2025-12-26 completed lower lingual scaling done and flossing done
Dental scaling 52065007 D1110 Prophylaxis - adult — 2025-11-19 completed lower ligature done, upper lower flossing and scaling done
Orthodontic treatment 234952002 — 2025-10-22 completed lower ligature done
Orthodontic treatment 234952002 ##18 2025-09-26 completed Upper 5-5 ligature and lower 18 steel wire and 5-5 ligature wire
Orthodontic treatment 234952002 ##16, #22 2025-08-01 completed upper 16*22 niti enagaged. lower 16 niti engaged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-08-01 completed pt will pay in few days, reminder to be given again after 2 days
Orthodontic treatment 234952002 ##16, #41 2025-06-30 completed upper 16 niti wire, lower 41 module changed
Orthodontic treatment 234952002 ##41 2025-06-06 completed upper and lower wire reengaged ,41 repositioned
Orthodontic treatment 234952002 ##14 2025-05-08 completed lower 6-6 bonding done, 14 ni-ti wire engaged
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment — 2025-04-25 completed upper 6-6 bonding done
Crown of tooth 424311000 — 2025-04-04 completed crown fabrication given to mehboob lab
Crown of tooth 424311000 ##36 2025-04-04 completed cementation with 36
Crown of tooth 424311000 ##36 2025-03-29 completed cutting with 36,metal cap
Crown of tooth 424311000 ##46 2025-03-24 completed crown cem 46
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##14 2025-03-24 completed class 2 composite 14
Crown of tooth 424311000 ##46 2025-03-24 completed crown fees 46
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##36 2025-03-24 completed adv crown with 36
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##46 2025-03-20 completed crown prep with 46 and impression taken for metal crown
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2025-03-19 completed dtech with 36,adv crown if no pain
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46, #36 2025-03-19 completed paid for nspt,dtech-46,36
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##46, #36 2025-03-19 completed dtech with 46,36
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##14 2025-03-19 completed caries excavation with 14,to be counted if restoration done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-03-19 completed nspt
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-03-01 completed ortho case started -malignment correction
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2025-03-01 completed nspt
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2025-02-19 completed caries excavation with 46 & dtech done & pt informed if pain persist adv ext because of overextended gp
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##14 2025-02-14 completed caries excavation with 14
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-10 20:20 fulfilled follow up done — Dr Hani
2026-02-23 21:17 fulfilled 12,13,31 fixed retainer repaired, follow up after 15 days for debonding — Dr Hani
2026-02-23 11:40 fulfilled Dental visit — Dr Riyaz
2026-02-04 11:56 fulfilled Upper and lower wire removed — Dr Hani
2026-01-21 15:05 fulfilled Dental visit — Dr Hani
2026-01-21 15:02 fulfilled upper fixed retainer done, 23retainer to be rebonded — Dr Hani
2026-01-21 14:08 fulfilled Dental visit — Dr Hani
2025-12-29 21:01 fulfilled lower lingual fixed retainer done — Dr Hani
2025-12-26 19:53 fulfilled lower lingual scaling done and flossing done — Dr Hani
2025-12-26 19:27 fulfilled Dental visit — Dr Hani
2025-11-19 20:57 fulfilled lower ligature done, upper lower flossing and scaling done — Dr Hani
2025-11-19 19:37 fulfilled Dental visit
2025-10-22 19:22 fulfilled lower ligature done — Dr Hani
2025-09-26 12:16 fulfilled Upper 5-5 ligature and lower 18 steel wire and 5-5 ligature wire — Dr Hani
2025-08-05 20:20 fulfilled Dental visit — Dr Riyaz
2025-08-01 12:57 fulfilled pt will pay in few days, reminder to be given again after 2 days
2025-08-01 12:54 fulfilled upper 16*22 niti enagaged. lower 16 niti engaged
2025-06-30 20:25 fulfilled upper 16 niti wire, lower 41 module changed — Dr Hani
2025-06-30 19:43 fulfilled Dental visit — Dr Riyaz
2025-06-06 12:45 fulfilled upper and lower wire reengaged ,41 repositioned — Dr Aaliya
2025-05-15 13:30 fulfilled Dental visit — Dr Aaliya
2025-05-08 14:45 fulfilled lower 6-6 bonding done, 14 ni-ti wire engaged — Dr Aaliya
2025-04-25 21:52 fulfilled upper 6-6 bonding done — Dr Aaliya
2025-04-04 13:36 fulfilled cementation with 36 — Dr Aaliya
2025-04-04 11:39 fulfilled crown fabrication given to mehboob lab
2025-03-30 13:53 fulfilled Dental visit
2025-03-30 13:37 fulfilled Dental visit — Dr Aaliya
2025-03-29 13:29 fulfilled cutting with 36,metal cap — Dr Aaliya
2025-03-24 22:07 fulfilled adv crown with 36 — NULL
2025-03-24 22:06 fulfilled crown fees 46 — NULL
2025-03-24 22:06 fulfilled Dental visit — NULL
2025-03-24 22:05 fulfilled crown cem 46 — NULL
2025-03-24 22:05 fulfilled class 2 composite 14 — NULL
2025-03-20 21:14 fulfilled crown prep with 46 and impression taken for metal crown — NULL
2025-03-19 20:41 fulfilled nspt — NULL
2025-03-19 20:40 fulfilled caries excavation with 14,to be counted if restoration done — NULL
2025-03-19 20:38 fulfilled dtech with 46,36 — NULL
2025-03-19 13:24 fulfilled paid for nspt,dtech-46,36 — NULL
2025-03-19 13:21 fulfilled dtech with 36,adv crown if no pain — NULL
2025-03-01 13:57 fulfilled nspt — NULL
2025-03-01 13:56 fulfilled ortho case started -malignment correction — NULL
2025-02-19 20:24 fulfilled caries excavation with 46 & dtech done & pt informed if pain persist adv ext because of overextended — NULL
2025-02-14 22:03 fulfilled caries excavation with 14 — NULL
2025-02-14 13:02 fulfilled Dental visit — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹43,500
Charged
₹43,500
Paid
₹38,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-02-23 Root canal treatment 0 5,000 -5,000 tabassum cancelled
2026-01-21 Orthodontic treatment 0 5,500 -5,500 cash cancelled
2025-12-26 Dental scaling 0 5,000 -5,000 cash cancelled
2025-11-19 Dental scaling 0 4,000 -4,000 cash cancelled
2025-10-22 Orthodontic treatment 0 4,000 -4,000 — cancelled
2025-08-05 Dental procedure 0 3,000 -3,000 gpay cancelled
2025-06-30 Orthodontic treatment 0 2,000 -2,000 — cancelled
2025-05-15 Dental procedure 0 3,000 -3,000 gpay cancelled
2025-04-25 Orthodontic treatment 35,000 4,000 31,000 online issued
2025-04-04 Crown of tooth 1,500 1,500 0 gpay balanced
2025-03-30 Dental procedure 0 1,000 -1,000 gpay cancelled
2025-03-30 Dental procedure 0 1,000 -1,000 — cancelled
2025-03-24 Crown of tooth 1,500 0 1,500 — issued
2025-03-24 Crown of tooth 1,500 0 1,500 — issued
2025-03-24 Crown of tooth 1,500 0 1,500 — issued
2025-03-24 Crown of tooth 0 2,000 -2,000 — cancelled
2025-03-19 Dental filling 400 0 400 — issued
2025-03-19 Dental filling 0 1,500 -1,500 — cancelled
2025-03-19 Dental filling 1,600 0 1,600 — issued
2025-03-19 Dental filling 500 0 500 — issued
2025-02-14 Dental procedure (other) 0 1,000 -1,000 — cancelled