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male DOB: ••••-••-•• FHIR: Patient
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Patient Information FHIR: Patient
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Full Name
De-identified
Date of Birth
••••-••-••
Gender
male
Phone
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Email
••••@••••
Address
De-identified location
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Add Condition ICD-10-AM Add Procedure SNOMED CT AU Book Appointment
Condition Bundle Procedure Bundle Invoice Bundle
10
Conditions
15
Procedures
15
Visits
4
Invoices
0
X-rays
Diagnosed Conditions
Add Condition
Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Deposits on teeth K03.6 109606002 resolved 2026-03-07 scaling done
Malocclusion — 6574001 active 2016-11-22 upper 2 to 2 echan engaged- Recalled after 1 month
Malocclusion — 6574001 active 2016-10-20 upper 2 to 2 echan engaged- Recalled after 1 month
Malocclusion — 6574001 active 2016-09-22 prox strpng done beteen upper lateal and central on both sides- Ehcian engaged- Recalled after 1 month
Malocclusion — 6574001 active 2016-08-23 prox strpng done beteen upper canine and lateral on both sides- Ehcian engaged- Recalled after 1 month
Malocclusion — 6574001 active 2016-07-26 prox strpng done beteen upper canine and premolar on both sides- Ehcian engaged- Recalled after 1 month
Dentofacial anomaly, unspecified M26.9 6574001 active 2013-11-28 upper 23 to 25 echain engaged for space closure between 23 and 24
Malocclusion — 6574001 active 2013-10-24 lower 16 niti engaged
Malocclusion — 6574001 active 2013-07-08 upper 16 niti engaged Lower 14 niti re engaged
Malocclusion — 6574001 active 2013-06-12 upper and lowr bonding roth 022 14 niti
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Dental scaling 52065007 D1110 Prophylaxis - adult — 2026-03-07 completed scaling done
Orthodontic treatment 234952002 — — 2016-11-22 completed upper 2 to 2 echan engaged- Recalled after 1 month
Orthodontic treatment 234952002 — — 2016-10-20 completed upper 2 to 2 echan engaged- Recalled after 1 month
Orthodontic treatment 234952002 — — 2016-09-22 completed prox strpng done beteen upper lateal and central on both sides- Ehcian engaged- Recalled after 1 month
Orthodontic treatment 234952002 — — 2016-08-23 completed prox strpng done beteen upper canine and lateral on both sides- Ehcian engaged- Recalled after 1 month
Dental consultation and report 103697008 D0140 Limited oral evaluation — 2016-08-23 completed adv amflor and shy nm
Orthodontic treatment 234952002 — — 2016-07-26 completed prox strpng done beteen upper canine and premolar on both sides- Ehcian engaged- Recalled after 1 month
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2016-06-25 completed reclled after eid- To bond lower and uper proximal stri[ping
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report ##15 2016-06-01 completed upper rectangular njti enaged- Recalled after 15 days for observation only
Surgical extraction of tooth 423925004 D7210 Extraction, erupted tooth requiring bone removal ##27 2014-10-14 completed surgical extraction 27 payment
Orthodontic treatment 234952002 — ##23, #25, #24 2013-11-28 completed upper 23 to 25 echain engaged for space closure between 23 and 24
Orthodontic treatment 234952002 — ##16 2013-10-24 completed lower 16 niti engaged
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2013-10-10 completed pay & ent
Orthodontic treatment 234952002 — ##16, #14 2013-07-08 completed upper 16 niti engaged Lower 14 niti re engaged
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment ##14 2013-06-12 completed upper and lowr bonding roth 022 14 niti
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-07 22:14 fulfilled scaling done — Dr Hani
2016-11-22 11:16 fulfilled upper 2 to 2 echan engaged- Recalled after 1 month — NULL
2016-10-20 18:21 fulfilled upper 2 to 2 echan engaged- Recalled after 1 month — NULL
2016-09-22 11:49 fulfilled prox strpng done beteen upper lateal and central on both sides- Ehcian engaged- Recalled after 1 mon — NULL
2016-08-23 12:10 fulfilled adv amflor and shy nm — NULL
2016-08-23 11:56 fulfilled prox strpng done beteen upper canine and lateral on both sides- Ehcian engaged- Recalled after 1 mon — NULL
2016-07-26 11:38 fulfilled prox strpng done beteen upper canine and premolar on both sides- Ehcian engaged- Recalled after 1 mo — NULL
2016-06-25 11:37 fulfilled reclled after eid- To bond lower and uper proximal stri[ping — NULL
2016-06-01 12:40 fulfilled upper rectangular njti enaged- Recalled after 15 days for observation only — NULL
2014-10-14 14:27 fulfilled surgical extraction 27 payment — NULL
2013-11-28 20:23 fulfilled upper 23 to 25 echain engaged for space closure between 23 and 24 — NULL
2013-10-24 19:58 fulfilled lower 16 niti engaged — NULL
2013-10-10 10:53 fulfilled pay & ent — NULL
2013-07-08 19:33 fulfilled upper 16 niti engaged Lower 14 niti re engaged — NULL
2013-06-12 20:38 fulfilled upper and lowr bonding roth 022 14 niti — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹1,300
Charged
₹11,300
Paid
₹0
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-07 Dental scaling 800 800 0 tabassum balanced
2014-10-14 Surgical extraction of tooth 500 500 0 — balanced
2013-10-10 Dental procedure (other) 0 5,000 -5,000 — cancelled
2013-06-12 Orthodontic treatment 0 5,000 -5,000 — cancelled