DentaFHIR HL7 FHIR R4 · Australian Clinical Standards
SNOMED CT AU  ·  ICD-10-AM  ·  ADA CDT
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De-identified Patient

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
••••••••85
Email
••••@••••
Address
De-identified location
Diagnosed Conditions
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Condition ICD-10-AM SNOMED CT Ref. Status Onset Notes FHIR
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-03-05 lower 16 niti and upper 15-13 echain engaged 36 bracket engaged
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-17 25 bracket bonded done lingually, echain placed 22-24
Dental caries, unspecified K02.9 80967001 resolved 2026-02-17 composite button cured on lingually with 25
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-02-14 upper 12-25 tight ligature, next appt lingual bracket bonding with 25
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-21 lower 46 bracket bonded, 14 niti wire engaged
Malocclusion 6574001 active 2026-01-13 lower bonding done
Dentofacial anomaly, unspecified M26.9 6574001 active 2026-01-10 upper 2-2 tight ligature and echain engaged 12-15 &22-25
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-12-15 upper 2-2 tight ligature, echain engaged labially and lingually on both the sides w.r.t 12-14 22-24
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-11-28 echain re engaged with 25-23 lingual button
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-11-22 echain re engaged with 25-23 lingual button
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-11-08 echain changed all 4 quad
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-15 Max 15 to 12 and 25 to 22 echain lingual button
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-10-01 max 15 t o 12 and 25 to 22 echain lingual button
Deposits on teeth K03.6 109606002 resolved 2025-08-13 lower scaling done
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-08-13 ligature wire w.r.t 15 & 24 removed
Malocclusion 6574001 active 2025-08-08 mx 14 niti engaged
Malocclusion 6574001 active 2025-08-05 max 6 to 6 bonding done except 3
Dentofacial anomaly, unspecified M26.9 6574001 active 2025-07-30 metal braces upper and lower @35k and @50k
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Orthodontic treatment 234952002 ##16, #15, #13, #36 2026-03-05 completed lower 16 niti and upper 15-13 echain engaged 36 bracket engaged
Orthodontic treatment 234952002 ##25, #22, #24 2026-02-17 completed 25 bracket bonded done lingually, echain placed 22-24
Dental filling 180534004 D2391 Resin composite - one surface, posterior ##25 2026-02-17 completed composite button cured on lingually with 25
Orthodontic treatment 234952002 ##12, #25 2026-02-14 completed upper 12-25 tight ligature, next appt lingual bracket bonding with 25
Orthodontic treatment 234952002 ##46, #14 2026-01-21 completed lower 46 bracket bonded, 14 niti wire engaged
Orthodontic treatment 234952002 — 2026-01-13 completed lower bonding done
Orthodontic treatment 234952002 ##12, #15, #22, #25 2026-01-10 completed upper 2-2 tight ligature and echain engaged 12-15 &22-25
Orthodontic treatment 234952002 ##12, #14, #22, #24 2025-12-15 completed upper 2-2 tight ligature, echain engaged labially and lingually on both the sides w.r.t 12-14 22-24
Orthodontic treatment 234952002 ##25, #23 2025-11-28 completed echain re engaged with 25-23 lingual button
Orthodontic treatment 234952002 ##25, #23 2025-11-22 completed echain re engaged with 25-23 lingual button
Orthodontic treatment 234952002 — 2025-11-08 completed echain changed all 4 quad
Orthodontic treatment 234952002 ##15, #12, #25, #22 2025-10-15 completed Max 15 to 12 and 25 to 22 echain lingual button
Orthodontic treatment 234952002 ##15, #12, #25, #22 2025-10-01 completed max 15 t o 12 and 25 to 22 echain lingual button
Tooth extraction 424451000 — 2025-09-18 completed mx 1c, 2c extracted
Tooth extraction 424451000 D7140 Extraction, erupted tooth or exposed root ##16 2025-09-04 completed mx 16 niti. engaged. nxt visit extn to be done
Dental scaling 52065007 D1110 Prophylaxis - adult — 2025-08-13 completed lower scaling done
Orthodontic treatment 234952002 ##15, #24 2025-08-13 completed ligature wire w.r.t 15 & 24 removed
Orthodontic treatment 234952002 ##14 2025-08-08 completed mx 14 niti engaged
Orthodontic treatment 234952002 — 2025-08-05 completed max 6 to 6 bonding done except 3
Tooth extraction 424451000 — 2025-08-05 completed ortho rx started for aligned. 2 decidous extn. 2 perm extn ifneeded
Orthodontic treatment 234952002 D8090 Comprehensive orthodontic treatment — 2025-07-30 completed metal braces upper and lower @35k and @50k
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-05 21:56 fulfilled Dental visit — Dr Riyaz
2026-03-05 21:01 fulfilled lower 16 niti and upper 15-13 echain engaged 36 bracket engaged — Dr Riyaz
2026-02-17 20:40 fulfilled composite button cured on lingually with 25 — Dr Riyaz
2026-02-17 14:33 fulfilled 25 bracket bonded done lingually, echain placed 22-24 — Dr Hani
2026-02-14 14:49 fulfilled upper 12-25 tight ligature, next appt lingual bracket bonding with 25 — Dr Hani
2026-01-21 12:19 fulfilled lower 46 bracket bonded, 14 niti wire engaged — Dr Hani
2026-01-13 21:13 fulfilled Dental visit — Dr Riyaz
2026-01-13 20:56 fulfilled Dental visit — Dr Riyaz
2026-01-13 20:55 fulfilled lower bonding done — Dr Hani
2026-01-10 11:10 fulfilled upper 2-2 tight ligature and echain engaged 12-15 &22-25 — Dr Hani
2025-12-15 12:25 fulfilled Dental visit — Dr Riyaz
2025-12-15 12:24 fulfilled upper 2-2 tight ligature, echain engaged labially and lingually on both the sides w.r.t 12-14 22-24 — Dr Hani
2025-11-28 20:25 fulfilled echain re engaged with 25-23 lingual button — Dr Hani
2025-11-22 13:41 fulfilled echain re engaged with 25-23 lingual button
2025-11-08 12:28 fulfilled Dental visit
2025-11-08 12:21 fulfilled echain changed all 4 quad
2025-10-15 11:17 fulfilled Max 15 to 12 and 25 to 22 echain lingual button — Dr Riyaz
2025-10-01 11:49 fulfilled Dental visit — Dr Riyaz
2025-10-01 11:06 fulfilled max 15 t o 12 and 25 to 22 echain lingual button
2025-09-18 11:50 fulfilled mx 1c, 2c extracted — Dr Riyaz
2025-09-04 12:47 fulfilled mx 16 niti. engaged. nxt visit extn to be done — Dr Riyaz
2025-08-13 21:13 fulfilled ligature wire w.r.t 15 & 24 removed — Dr Hani
2025-08-13 12:26 fulfilled lower scaling done — Dr Hani
2025-08-08 19:53 fulfilled mx 14 niti engaged — Dr Riyaz
2025-08-05 21:09 fulfilled ortho rx started for aligned. 2 decidous extn. 2 perm extn ifneeded
2025-08-05 14:00 fulfilled max 6 to 6 bonding done except 3 — Dr Riyaz
2025-07-30 20:25 fulfilled metal braces upper and lower @35k and @50k
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
No radiographs on file for this patient.
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹50,000
Charged
₹30,000
Paid
₹50,000
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-05 Orthodontic treatment 0 2,000 -2,000 Tabassum cancelled
2026-02-17 Dental filling 0 2,000 -2,000 tabassum cancelled
2026-01-13 Orthodontic treatment 0 1,000 -1,000 gpay cancelled
2026-01-13 Orthodontic treatment 0 1,000 -1,000 gpay cancelled
2025-12-15 Orthodontic treatment 0 2,000 -2,000 tabassum cancelled
2025-11-08 Orthodontic treatment 0 2,000 -2,000 — cancelled
2025-10-15 Orthodontic treatment 0 4,000 -4,000 Online cancelled
2025-10-01 Orthodontic treatment 0 4,000 -4,000 tabassum cancelled
2025-09-04 Tooth extraction 0 4,000 -4,000 moin cancelled
2025-08-05 Orthodontic treatment 0 8,000 -8,000 gpay cancelled
2025-08-05 Orthodontic treatment 50,000 0 50,000 — issued