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 caries 80967001 resolved 2026-03-18 cementation done with 36
Dental caries 80967001 resolved 2026-03-04 crown prep and impression with 36 and 45 pfm shade A3-TOUSIF LAB
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-26 obt all 4 canal done
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-23 Obturation done with 36 mesial both the canals
Dental pulp necrosis 234946006 resolved 2026-02-16 dl-- long file 2 stopper from mesiobuccal cusp, db long file 2 stopper from mesiolingual cusp...bmp done 25.04 till apex 2 stopper
Dental pulp necrosis 234946006 resolved 2026-02-13 a/o 36 mesial wl 20.5 mm . orange till apex, 20.04 short of apex, dl 20.04 short of apex 20.05mm, db long file one stopper 20.04 done
Necrosis of dental pulp K04.1 234946006 resolved 2026-02-07 adv rct with 36 @5k-5500 followed by crown pfm @3500 or metal @1500
Dental caries 80967001 resolved 2025-02-05 dtech done
Dental pulp necrosis 234946006 resolved 2025-01-22 obt 45
Dental pulp necrosis 234946006 resolved 2025-01-20 a/o 45 25-06
Necrosis of dental pulp K04.1 234946006 resolved 2024-03-27 a/o 14 both canals 20-06
Dental Procedures
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Procedure SNOMED CT AU CDT Code Tooth Date Status Notes FHIR
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##36 2026-03-18 completed cementation done with 36
Crown of tooth 424311000 D2750 Crown, porcelain fused to high noble metal ##36, #45 2026-03-04 completed crown prep and impression with 36 and 45 pfm shade A3-TOUSIF LAB
Root canal treatment 234780006 — 2026-02-26 completed obt all 4 canal done
Root canal treatment 234780006 ##36 2026-02-23 completed Obturation done with 36 mesial both the canals
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##25 2026-02-16 completed dl-- long file 2 stopper from mesiobuccal cusp, db long file 2 stopper from mesiolingual cusp...bmp done 25.04 till apex 2 stopper
Root canal treatment 234780006 ##36 2026-02-16 completed bmp 36 mb and ml 25.04 1 stopper short file
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-13 completed Advance
Root canal treatment 234780006 ##36 2026-02-13 completed a/o 36 mesial wl 20.5 mm . orange till apex, 20.04 short of apex, dl 20.04 short of apex 20.05mm, db long file one stopper 20.04 done
Root canal treatment 234780006 D3330 Endodontic therapy, molar tooth ##36 2026-02-07 completed adv rct with 36 @5k-5500 followed by crown pfm @3500 or metal @1500
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-07 completed New treatment started
Dental procedure (other) 74964007 D9999 Unspecified adjunctive procedure, by report — 2026-02-07 completed New treatment started
Dental filling 180534004 — 2025-02-05 completed dtech done
Root canal treatment 234780006 ##45 2025-01-22 completed obt 45
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##45 2025-01-20 completed a/o 45 25-06
Root canal treatment 234780006 D3320 Endodontic therapy, premolar tooth ##14 2024-03-27 completed a/o 14 both canals 20-06
Appointment History
Book Appointment
Date & TimeStatusClinical NotesFHIR
2026-03-18 21:54 fulfilled cementation done with 36 — Dr Riyaz
2026-03-12 22:13 fulfilled Dental visit — Dr Riyaz
2026-03-04 21:23 fulfilled crown prep and impression with 36 and 45 pfm shade A3-TOUSIF LAB — Dr Riyaz
2026-02-27 21:30 fulfilled Dental visit
2026-02-26 20:43 fulfilled obt all 4 canal done
2026-02-23 21:19 fulfilled Obturation done with 36 mesial both the canals — Dr Riyaz
2026-02-16 21:59 fulfilled bmp 36 mb and ml 25.04 1 stopper short file — Dr Riyaz
2026-02-16 21:56 fulfilled dl-- long file 2 stopper from mesiobuccal cusp, db long file 2 stopper from mesiolingual cusp...bmp — Dr Riyaz
2026-02-13 22:07 fulfilled a/o 36 mesial wl 20.5 mm . orange till apex, 20.04 short of apex, dl 20.04 short of apex — Dr Riyaz
2026-02-13 18:40 fulfilled Advance
2026-02-07 22:00 fulfilled New treatment started
2026-02-07 22:00 fulfilled New treatment started
2026-02-07 21:54 fulfilled adv rct with 36 @5k-5500 followed by crown pfm @3500 or metal @1500
2025-02-05 13:41 fulfilled Dental visit — NULL
2025-02-05 13:22 fulfilled dtech done — NULL
2025-01-22 13:01 fulfilled obt 45 — NULL
2025-01-20 14:06 fulfilled Dental visit — NULL
2025-01-20 14:06 fulfilled a/o 45 25-06 — NULL
2024-04-01 22:19 fulfilled Dental visit — NULL
2024-03-27 22:01 fulfilled a/o 14 both canals 20-06 — NULL
Dental Radiographs FHIR: DocumentReference · LOINC 24641-7
FHIR Bundle
Invoices FHIR R4 Invoice · INR
FHIR Bundle
⁢₹20,500
Charged
₹20,000
Paid
₹16,500
Outstanding
DateProcedureCharged (₹)Paid (₹)Balance (₹)ModeStatusFHIR
2026-03-12 Dental procedure 0 7,000 -7,000 gpay cancelled
2026-03-04 Crown of tooth 7,000 0 7,000 — issued
2026-02-27 Dental procedure 0 1,000 -1,000 gpay cancelled
2026-02-23 Root canal treatment 0 2,000 -2,000 Gpay cancelled
2026-02-13 Dental procedure (other) 5,500 2,000 3,500 cash issued
2026-02-13 Dental procedure (other) 0 500 -500 — cancelled
2025-02-05 Dental filling 0 2,000 -2,000 — cancelled
2025-01-20 Root canal treatment 0 2,000 -2,000 — cancelled
2025-01-20 Root canal treatment 4,500 0 4,500 — issued
2024-04-01 Dental procedure 0 1,500 -1,500 — cancelled
2024-03-27 Root canal treatment 3,500 2,000 1,500 — issued