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
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Full Name
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Date of Birth
••••-••-••
Gender
female
Phone
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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 2026-03-10 cementation done with 25 26
Dental caries 80967001 resolved 2026-03-05 crown prep and impression taken with 25 26, pfm A2 SHADe- tousif lab
Dental pulp necrosis 234946006 resolved 2026-02-28 obt done with 25
Dental pulp necrosis 234946006 resolved 2026-02-18 dtech done with 25 26, crown prep done with 25 26 for pfm 2 unit, next appt obt of 25 to be done
Dental pulp necrosis 234946006 resolved 2026-02-14 a/o 25 25.04 . 1stopper short file
Dental caries 80967001 resolved 2025-11-18 recementation with 37 38
Dental pulp necrosis 234946006 resolved 2025-07-04 dtech done 26. adv crown if there is not pain
Dental pulp necrosis 234946006 resolved 2025-06-11 obt with 26
Dental pulp necrosis 234946006 resolved 2025-05-31 bmp-mb,db-25.04,p-20.06
Necrosis of dental pulp K04.1 234946006 resolved 2025-05-29 a/o 26 10 k all 3 canal
Dental caries 80967001 resolved 2023-01-13 24 cap cementtaion done
Dental caries 80967001 resolved 2023-01-09 46 cap cementation done & 25 type ix mesially
Dental caries 80967001 resolved 2023-01-04 37 & 38 cap cementation done & 24 & 46 metal crown prep & impression taken 24 shade A2
Dental caries 80967001 resolved 2022-12-31 crown cutting 37 & 38 & impression taken & metal cap
Dental pulp necrosis 234946006 resolved 2022-11-03 38 obt done @gpay
Dental pulp necrosis 234946006 resolved 2022-10-24 37 distal & mesial 30-04 & ml 20-06 & hypo done & obt done
Necrosis of dental pulp K04.1 234946006 resolved 2022-10-21 38 & bmp 25-04 both canals till apex & hypo done
Dental pulp necrosis 234946006 resolved 2022-10-13 bmp 37 mesial & distal 20-06 & ml 10k & hypo done
Dental pulp necrosis 234946006 resolved 2022-10-10 a/o 37 & bmp 20-04 til apex mesial n distal-
Dental pulp necrosis 234946006 resolved 2022-10-05 a/o 38 & bmp 20-04 distal & mesial 30k till apex
Dental caries, unspecified K02.9 80967001 resolved 2021-02-26 type ix 37 class 2 mesial
Dental pulp necrosis 234946006 resolved 2021-02-12 obt 23 - Hexidine and hypo irrigation done
Necrosis of dental pulp K04.1 234946006 resolved 2021-02-03 f2 till apex & hypoand rccal with 24 & obturation with 25
Necrosis of dental pulp K04.1 234946006 resolved 2021-01-28 both canals 25-04 done hypo done
Necrosis of dental pulp K04.1 234946006 resolved 2021-01-14 adv re rct 23 & 24
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 ##25, #26 2026-03-10 completed cementation done with 25 26
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##25, #26 2026-03-05 completed crown prep and impression taken with 25 26, pfm A2 SHADe- tousif lab
Root canal treatment 234780006 ##25 2026-02-28 completed obt done with 25
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##25, #26 2026-02-18 completed dtech done with 25 26, crown prep done with 25 26 for pfm 2 unit, next appt obt of 25 to be done
Root canal treatment 234780006 ##25 2026-02-14 completed a/o 25 25.04 . 1stopper short file
Crown of tooth 424311000 ##37, #38 2025-11-18 completed recementation with 37 38
Root canal treatment 234780006 ##26 2025-07-04 completed dtech done 26. adv crown if there is not pain
Root canal treatment 234780006 ##26 2025-06-11 completed obt with 26
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##25 2025-06-04 completed p-25.06,mb,db-20.06
Root canal treatment 234780006 ##25 2025-05-31 completed bmp-mb,db-25.04,p-20.06
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##26 2025-05-29 completed a/o 26 10 k all 3 canal
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##46 2024-07-31 completed extn 46- told will pay later
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##24 2023-01-13 completed 24 cap cementtaion done
Dental filling 180534004 D2940 Protective restoration (GIC) ##46, #25 2023-01-09 completed 46 cap cementation done & 25 type ix mesially
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##37, #38, #24, #46 2023-01-04 completed 37 & 38 cap cementation done & 24 & 46 metal crown prep & impression taken 24 shade A2
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##37, #38 2022-12-31 completed crown cutting 37 & 38 & impression taken & metal cap
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-11-19 completed d-tech done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-11-14 completed @gpay
Root canal treatment 234780006 ##38 2022-11-03 completed 38 obt done @gpay
Root canal treatment 234780006 ##37 2022-10-24 completed 37 distal & mesial 30-04 & ml 20-06 & hypo done & obt done
Root canal treatment 234780006 ##38 2022-10-21 completed 38 & bmp 25-04 both canals till apex & hypo done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2022-10-14 completed gpay
Root canal treatment 234780006 ##37 2022-10-13 completed bmp 37 mesial & distal 20-06 & ml 10k & hypo done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##37 2022-10-10 completed a/o 37 & bmp 20-04 til apex mesial n distal-
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##38 2022-10-05 completed a/o 38 & bmp 20-04 distal & mesial 30k till apex
Dental filling 180534004 D2940 Protective restoration (GIC) ##37 2021-02-26 completed type ix 37 class 2 mesial
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##23 2021-02-12 completed obt 23 - Hexidine and hypo irrigation done
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##24, #25 2021-02-03 completed f2 till apex & hypoand rccal with 24 & obturation with 25
Root canal treatment 234780006 ##23, #24 2021-02-03 completed 23 bmp and 24 obturation
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##25 2021-01-28 completed both canals 25-04 done hypo done
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2021-01-25 completed both canals gp crossed
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2021-01-18 completed platal canal croesed gp[
Root canal treatment 234780006 D3346 Retreatment of previous root canal therapy - anterior ##23, #24 2021-01-14 completed adv re rct 23 & 24
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-10 12:07 fulfilled Dental visit — Dr Hani
2026-03-10 12:04 fulfilled cementation done with 25 26 — Dr Hani
2026-03-05 11:43 fulfilled crown prep and impression taken with 25 26, pfm A2 SHADe- tousif lab — Dr Hani
2026-02-28 12:44 fulfilled obt done with 25 — Dr Riyaz
2026-02-18 12:09 fulfilled dtech done with 25 26, crown prep done with 25 26 for pfm 2 unit, next appt obt of 25 to be done — Dr Hani
2026-02-14 15:14 fulfilled a/o 25 25.04 . 1stopper short file
2025-11-18 13:57 fulfilled Dental visit — Dr Riyaz
2025-11-18 13:53 fulfilled recementation with 37 38 — Dr Riyaz
2025-07-04 12:16 fulfilled dtech done 26. adv crown if there is not pain
2025-06-11 12:07 fulfilled obt with 26 — Dr Riyaz
2025-06-04 14:57 fulfilled p-25.06,mb,db-20.06
2025-06-04 14:57 fulfilled Dental visit
2025-06-04 13:52 fulfilled Dental visit — Dr Aaliya
2025-05-31 13:56 fulfilled bmp-mb,db-25.04,p-20.06 — Dr Aaliya
2025-05-29 15:08 fulfilled a/o 26 10 k all 3 canal — Dr Aaliya
2025-05-29 12:45 fulfilled Dental visit
2024-07-31 13:16 fulfilled extn 46- told will pay later — NULL
2023-02-11 16:35 fulfilled Dental visit — NULL
2023-01-13 13:27 fulfilled Dental visit — NULL
2023-01-13 13:18 fulfilled 24 cap cementtaion done — NULL
2023-01-09 15:21 fulfilled 46 cap cementation done & 25 type ix mesially — NULL
2023-01-09 12:57 fulfilled Dental visit
2023-01-09 12:49 fulfilled Dental visit — NULL
2023-01-04 12:01 fulfilled 37 & 38 cap cementation done & 24 & 46 metal crown prep & impression taken 24 shade A2 — NULL
2022-12-31 13:29 fulfilled crown cutting 37 & 38 & impression taken & metal cap — NULL
2022-11-19 14:09 fulfilled d-tech done — NULL
2022-11-14 17:46 fulfilled @gpay — NULL
2022-11-03 13:25 fulfilled 38 obt done @gpay — NULL
2022-10-24 13:13 fulfilled 37 distal & mesial 30-04 & ml 20-06 & hypo done & obt done — NULL
2022-10-21 12:55 fulfilled 38 & bmp 25-04 both canals till apex & hypo done — NULL
2022-10-14 13:31 fulfilled gpay — NULL
2022-10-13 18:17 fulfilled bmp 37 mesial & distal 20-06 & ml 10k & hypo done — NULL
2022-10-10 14:11 fulfilled a/o 37 & bmp 20-04 til apex mesial n distal- — NULL
2022-10-05 14:21 fulfilled a/o 38 & bmp 20-04 distal & mesial 30k till apex — NULL
2021-02-26 15:27 fulfilled type ix 37 class 2 mesial — NULL
2021-02-26 14:53 fulfilled Dental visit — NULL
2021-02-26 12:47 fulfilled Dental visit
2021-02-12 15:43 fulfilled obt 23 - Hexidine and hypo irrigation done — NULL
2021-02-12 13:05 fulfilled Dental visit — NULL
2021-02-03 13:15 fulfilled 23 bmp and 24 obturation — NULL
2021-02-03 12:52 fulfilled Dental visit — NULL
2021-02-03 12:50 fulfilled f2 till apex & hypoand rccal with 24 & obturation with 25 — NULL
2021-01-28 15:29 fulfilled both canals 25-04 done hypo done — NULL
2021-01-25 15:45 fulfilled Dental visit — NULL
2021-01-25 13:49 fulfilled both canals gp crossed — NULL
2021-01-18 15:44 fulfilled platal canal croesed gp[ — NULL
2021-01-14 15:56 fulfilled Dental visit — NULL
2021-01-14 15:56 fulfilled adv re rct 23 & 24 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹39,900
Charged
₹37,400
Paid
₹39,900
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-10 Crown of tooth 0 5,000 -5,000 online cancelled
2026-03-05 Crown of tooth 3,500 0 3,500 — issued
2026-02-28 Root canal treatment 0 5,000 -5,000 gpay cancelled
2026-02-14 Root canal treatment 8,000 0 8,000 — issued
2025-11-18 Crown of tooth 0 600 -600 online cancelled
2025-11-18 Crown of tooth 600 0 600 — issued
2025-06-04 Dental procedure (other) 0 4,500 -4,500 phonepe cancelled
2025-05-29 Root canal treatment 4,500 0 4,500 — issued
2024-07-31 Tooth extraction 1,000 0 1,000 — issued
2023-02-11 Dental procedure 0 3,300 -3,300 — cancelled
2023-01-13 Crown of tooth 0 2,000 -2,000 — cancelled
2023-01-09 Dental filling 15,300 0 15,300 — issued
2023-01-09 Dental filling 0 4,000 -4,000 — cancelled
2022-11-14 Dental procedure (other) 0 3,000 -3,000 — cancelled
2022-11-03 Root canal treatment 0 2,000 -2,000 — cancelled
2022-10-14 Dental procedure (other) 0 1,000 -1,000 — cancelled
2021-02-26 Dental filling 0 1,000 -1,000 — cancelled
2021-02-26 Dental filling 7,000 0 7,000 — issued
2021-02-12 Root canal treatment 0 1,000 -1,000 — cancelled
2021-02-03 Root canal treatment 0 1,000 -1,000 — cancelled
2021-01-28 Root canal treatment 0 1,000 -1,000 — cancelled
2021-01-25 Dental procedure (other) 0 1,000 -1,000 — cancelled
2021-01-18 Dental procedure (other) 0 1,000 -1,000 — cancelled
2021-01-14 Root canal treatment 0 1,000 -1,000 — cancelled