Personal Details
Full Name
Jane Elizabeth Morrison
Date of Birth
15/06/1985
Gender
Female
Age
40 years
Medicare No.
3721 48531 2
Medicare Expiry
03/2028
Private Health Fund
Medibank Private
Membership No.
MBP-728431
Contact Information
Address
8 Collins Street
Suburb / State
Melbourne VIC 3000
Mobile
0413 287 654
Email
j.morrison@email.com
Emergency Contact
Robert Morrison (Spouse)
Emergency Mobile
0421 345 789
Regular GP
Dr. Michael Chen
GP Practice
Melbourne Medical Centre
Allergies & Adverse Reactions
Drug Intolerances
NSAIDs (GI upset) — use paracetamol or opioid analgesia only
Medical Conditions
Type 2 Diabetes Mellitus
Hypertension (Controlled)
HbA1c
7.2% — Jan 2026
Blood Pressure
128/82 mmHg
Diabetic Status
Well-controlled
Smoking
Non-smoker
Alcohol
Social (1–2 drinks/week)
BMI
26.4 (Overweight)
Current Medications
Metformin 500mg BD
Ramipril 5mg OD
Atorvastatin 20mg nocte
Vitamin D 1000IU OD
Dental Note
Metformin — no significant dental interactions. Ramipril — monitor for drug-induced gingival changes. Avoid NSAIDs due to Aspirin allergy.
Visit History
5 visits on record| Date | Provider | Chief Complaint | Treatment Provided | Codes | Status |
|---|---|---|---|---|---|
| 15/01/2026 | Dr. R. Sharma | Toothache LL6 | Composite resin restoration (MO, tooth 36) | D2391 K02.1 | Complete |
| 08/10/2025 | Dr. R. Sharma | Routine examination | Comprehensive oral exam + scale & clean | D0150 D1110 | Complete |
| 22/07/2025 | Dr. R. Sharma | Sensitivity LL7 | Periapical X-ray, Tooth Mousse applied | D0220 Z01.20 | Complete |
| 14/03/2025 | Dr. R. Sharma | Cavity UR6 | Composite resin restoration (O, tooth 16) | D2391 K02.1 | Complete |
| 10/09/2024 | Dr. R. Sharma | Routine examination | Comprehensive oral exam + OPG X-ray | D0150 D0330 | Complete |
Existing Restorations & Notes
Tooth 16 (UR6)
Composite resin — occlusal (03/2025)
Tooth 36 (LL6)
Composite resin — mesio-occlusal (01/2026)
Tooth 37 (LL7)
Dentinal sensitivity, Tooth Mousse Rx (07/2025)
Oral Hygiene
Fair — advised improved brushing technique
Periodontal
Mild generalised gingivitis
Occlusion
Class I, no TMD signs
Chief Complaint
Pain and sensitivity in upper left quadrant
Relevant Medical Alerts
⚠ Aspirin allergy (anaphylaxis) — Latex allergy. Use latex-free gloves. Avoid NSAIDs.
Clinical Notes — Enter below and click Detect Codes
Codes Applied to This Visit
SNOMED CT AU
No codes applied yet
ICD-10-AM
No codes applied yet
CDT (ADA)
No codes applied yet
Tooth / Region
No tooth or region recorded
Analysing with AI...
Intra-Oral Examination (Pre-filled)
Soft Tissue
Mild generalised gingival erythema. No ulceration.
Periodontal
Probing depths 2–4mm. BOP present UL quadrant.
Occlusion
Class I molar. No TMD. No bruxism signs.
Radiographic Findings
Periapical X-ray taken tooth 26 — deep caries, proximity to pulp.
Vitality Test
Tooth 26 — EPT negative. Thermal: prolonged response.
Percussion / Palpation
Tooth 26 — tender to percussion. No swelling.