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
Necrosis of dental pulp K04.1 234946006 resolved 2026-03-14 1st quadrant 3 rcts followed by 5 pfm crowns
Dental pulp necrosis 234946006 resolved 2023-11-02 bmp done till 20-06 @ 43 & 44 & 45
Dental pulp necrosis 234946006 resolved 2023-10-28 a/o 43 & 44 & 45 20-04 1mm short done
Dental caries 80967001 resolved 2015-11-24 crown cem 25
Dental caries 80967001 resolved 2015-10-30 crown prep pfm 25
Dental pulp necrosis 234946006 resolved 2015-10-24 obt 23 & 25
Dental pulp necrosis 234946006 resolved 2015-10-19 a/o 23 & 25
Dental caries 80967001 resolved 2015-05-02 crown cem 47
Dental caries 80967001 resolved 2015-04-23 crown prep 47
Dental pulp necrosis 234946006 resolved 2015-04-20 obt 47
Dental caries 80967001 resolved 2015-04-20 type ix santacruz 36 & 37
Dental pulp necrosis 234946006 resolved 2015-04-11 a/o 47
Dental caries 80967001 resolved 2009-04-23 crown cementaion 46
Deposits on teeth K03.6 109606002 resolved 2009-04-23 scaling
Dental caries 80967001 resolved 2009-04-21 crown prep 46
Necrosis of dental pulp K04.1 234946006 resolved 2009-04-20 obturation 46
Necrosis of dental pulp K04.1 234946006 resolved 2009-04-18 Access opening 46 mesial two canal 17mm and distal 2 canal 1mm for flutes
Dental Procedures
Add Procedure
Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Root canal treatment 234780006 — 2026-03-14 completed 1st quadrant 3 rcts followed by 5 pfm crowns
Root canal treatment 234780006 — 2026-03-14 completed 2nd quadrant 1 RCT followed by 3 pfm crowns
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-03-14 completed 1ST quadrant @31k // 2nd quadrant @15k
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##37, #38 2026-03-14 completed 3rd quadrant 37 rct followed by 1 pfm crown and extn with 38
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2023-12-07 completed shade A3-5
Root canal treatment 234780006 ##43, #44, #45 2023-11-02 completed bmp done till 20-06 @ 43 & 44 & 45
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##43, #44, #45 2023-10-28 completed a/o 43 & 44 & 45 20-04 1mm short done
Crown of tooth 424311000 ##25 2015-11-24 completed crown cem 25
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##25 2015-10-30 completed crown prep pfm 25
Root canal treatment 234780006 ##23, #25 2015-10-24 completed obt 23 & 25
Root canal treatment 234780006 D3310 Endodontic therapy, anterior tooth ##23, #25 2015-10-19 completed a/o 23 & 25
Crown of tooth 424311000 ##47 2015-05-02 completed crown cem 47
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##47 2015-04-23 completed crown prep 47
Root canal treatment 234780006 ##47 2015-04-20 completed obt 47
Dental filling 180534004 D2940 Protective restoration (GIC) ##36, #37 2015-04-20 completed type ix santacruz 36 & 37
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##47 2015-04-11 completed a/o 47
Crown of tooth 424311000 ##46 2009-04-23 completed crown cementaion 46
Dental scaling 52065007 D1110 Prophylaxis - adult — 2009-04-23 completed scaling
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##46 2009-04-21 completed crown prep 46
Root canal treatment 234780006 ##46 2009-04-20 completed obturation 46
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##46 2009-04-18 completed Access opening 46 mesial two canal 17mm and distal 2 canal 1mm for flutes
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##48 2009-04-18 completed Extraction 48
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-14 14:04 fulfilled 3rd quadrant 37 rct followed by 1 pfm crown and extn with 38 — Dr Riyaz
2026-03-14 14:02 fulfilled 1ST quadrant @31k // 2nd quadrant @15k — Dr Riyaz
2026-03-14 14:00 fulfilled 2nd quadrant 1 RCT followed by 3 pfm crowns — Dr Riyaz
2026-03-14 13:51 fulfilled 1st quadrant 3 rcts followed by 5 pfm crowns
2023-12-07 21:01 fulfilled shade A3-5 — NULL
2023-11-23 20:47 fulfilled Dental visit — NULL
2023-11-06 20:49 fulfilled Dental visit — NULL
2023-11-02 21:18 fulfilled bmp done till 20-06 @ 43 & 44 & 45 — NULL
2023-11-02 20:19 fulfilled Dental visit — NULL
2023-10-28 14:19 fulfilled a/o 43 & 44 & 45 20-04 1mm short done — NULL
2015-11-24 18:49 fulfilled crown cem 25 — NULL
2015-10-30 18:28 fulfilled crown prep pfm 25 — NULL
2015-10-24 12:27 fulfilled obt 23 & 25 — NULL
2015-10-19 22:59 fulfilled a/o 23 & 25 — NULL
2015-05-02 18:15 fulfilled crown cem 47 — NULL
2015-04-23 18:16 fulfilled crown prep 47 — NULL
2015-04-20 19:49 fulfilled type ix santacruz 36 & 37 — NULL
2015-04-20 19:49 fulfilled obt 47 — NULL
2015-04-11 13:30 fulfilled a/o 47 — NULL
2009-04-23 18:09 fulfilled scaling — NULL
2009-04-23 18:09 fulfilled crown cementaion 46 — NULL
2009-04-21 18:30 fulfilled crown prep 46 — NULL
2009-04-20 19:43 fulfilled obturation 46 — NULL
2009-04-18 20:35 fulfilled Extraction 48 — NULL
2009-04-18 20:35 fulfilled Access opening 46 mesial two canal 17mm and distal 2 canal 1mm for flutes — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹17,000
Charged
₹37,500
Paid
₹10,300
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2023-11-06 Dental procedure 0 12,500 -12,500 — cancelled
2023-11-02 Root canal treatment 0 8,000 -8,000 — cancelled
2015-11-24 Crown of tooth 0 300 -300 — cancelled
2015-10-30 Crown of tooth 0 3,000 -3,000 — cancelled
2015-10-24 Root canal treatment 0 2,000 -2,000 — cancelled
2015-10-19 Root canal treatment 7,300 2,000 5,300 — issued
2015-05-02 Crown of tooth 0 1,000 -1,000 — cancelled
2015-04-23 Crown of tooth 0 1,000 -1,000 — cancelled
2015-04-20 Dental filling 1,200 1,200 0 — balanced
2015-04-20 Dental filling 0 1,000 -1,000 — cancelled
2015-04-11 Root canal treatment 4,500 1,500 3,000 — issued
2009-04-23 Crown of tooth 500 1,800 -1,300 — balanced
2009-04-21 Crown of tooth 1,800 500 1,300 — issued
2009-04-20 Root canal treatment 0 700 -700 — cancelled
2009-04-18 Root canal treatment 1,200 1,000 200 — issued
2009-04-18 Root canal treatment 500 0 500 — issued