{
    "section": "subjective",
    "templateSet": "Acne",
    "templates": [
        {
            "text": "Reason for visit",
            "template": "Patient presents for {children}.",
            "children": [
                {
                    "text": "new onset symptom evaluation",
                    "template": "evaluation of new onset symptoms"
                },
                {
                    "text": "initial evaluation of acne",
                    "template": "initial evaluation of acne"
                },
                {
                    "text": "follow-up acne evaluation",
                    "template": "follow-up evaluation of acne"
                },
                {
                    "text": "ongoing acne management",
                    "template": "ongoing management of acne"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition {children}.",
            "children": [
                {
                    "text": "acute onset (new condition)",
                    "template": "is reported to have developed acutely"
                },
                {
                    "text": "chronic and ongoing condition",
                    "template": "is chronic and ongoing"
                },
                {
                    "text": "acutely worse (chronic condition)",
                    "template": "severity is reported to have acutely worsened"
                },
                {
                    "text": "progressively worsened",
                    "template": "is reported to have progressively worsened"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "is reported as having been present for {text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "is reported as having been present for {text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "is reported as having been present for {text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "is reported as having been present for {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Location",
            "template": "Patient notes acne on the {children}.",
            "children": [
                {
                    "text": "face (generalized)",
                    "template": "face"
                },
                {
                    "text": "forehead",
                    "template": "forehead"
                },
                {
                    "text": "T-zone",
                    "template": "T-zone"
                },
                {
                    "text": "cheeks",
                    "template": "cheeks"
                },
                {
                    "text": "chin",
                    "template": "chin"
                },
                {
                    "text": "chest",
                    "template": "chest"
                },
                {
                    "text": "back",
                    "template": "back"
                },
                {
                    "text": "other locations (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pregnant (women only)",
            "template": "Patient notes {children}.",
            "children": [
                {
                    "text": "not pregnant",
                    "template": "that she is not pregnant at this time"
                },
                {
                    "text": "she is pregnant",
                    "template": "that she is pregnant"
                },
                {
                    "text": "pregnancy concerns (describe)",
                    "template": "pregnancy concerns include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Menses-associated (women only)",
            "template": "Acne exacerbations {children}.",
            "children": [
                {
                    "text": "not related to her menstrual cycle",
                    "template": "not related to her menstrual cycle"
                },
                {
                    "text": "worsens around the time of her menses",
                    "template": "worsens around the time of her menses"
                },
                {
                    "text": "menses concerns (describe)",
                    "template": "concerns include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Scarring",
            "template": "Patient {children}.",
            "children": [
                {
                    "text": "no",
                    "template": "denies any history of scarring with the acne"
                },
                {
                    "text": "yes, mild",
                    "template": "also states that there had been mild scarring in the past with the acne"
                },
                {
                    "text": "yes, deep",
                    "template": "also states that there had been deep, disfiguring scarring in the past with the acne\n                            "
                },
                {
                    "text": "scarring concerns (describe)",
                    "template": "concerns include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx response\/Side effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "text": "adherent to current tx",
                    "template": "adherent to current tx"
                },
                {
                    "text": "nonadherent to current tx",
                    "template": "nonadherent to current tx"
                },
                {
                    "text": "Reasons for nonadherence",
                    "template": "reasons for nonadherence include {children}",
                    "children": [
                        {
                            "text": "side effects",
                            "template": "side effects"
                        },
                        {
                            "text": "nausea",
                            "template": "nausea"
                        },
                        {
                            "text": "stomach upset",
                            "template": "stomach upset"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea"
                        },
                        {
                            "text": "swallowing difficulty",
                            "template": "difficulty swallowing"
                        },
                        {
                            "text": "cost",
                            "template": "cost"
                        },
                        {
                            "text": "difficulty scheduling",
                            "template": "difficulty scheduling"
                        },
                        {
                            "text": "forgetfulness",
                            "template": "forgetfulness"
                        },
                        {
                            "text": "no perceived need for tx",
                            "template": "no perceived need for treatment"
                        }
                    ]
                },
                {
                    "text": "Nonadherence (describe)",
                    "template": "nonadherent to tx ({text})",
                    "type": "alpha"
                },
                {
                    "text": "Treatment response",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "resolved with treatment",
                            "template": "resolved with treatment"
                        },
                        {
                            "text": "well-controlled on treatment",
                            "template": "well-controlled on treatment"
                        },
                        {
                            "text": "improving on treatment",
                            "template": "improving on treatment"
                        },
                        {
                            "text": "stable on treatment",
                            "template": "stable on treatment"
                        },
                        {
                            "text": "unchanged on treatment",
                            "template": "unchanged on treatment"
                        },
                        {
                            "text": "variable response to treatment",
                            "template": "variable response to treatment"
                        },
                        {
                            "text": "suboptimally-controlled on treatment",
                            "template": "suboptimally-controlled on treatment"
                        },
                        {
                            "text": "poorly-controlled on treatment",
                            "template": "poorly-controlled on treatment"
                        },
                        {
                            "text": "worsening on treatment",
                            "template": "worsening on treatment"
                        },
                        {
                            "text": "exacerbated despite treatment",
                            "template": "exacerbated despite treatment"
                        }
                    ]
                },
                {
                    "text": "Treatment response (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "no side effects noted",
                    "template": "no side effects noted"
                },
                {
                    "text": "Common side effects",
                    "template": "side effects include {children}",
                    "children": [
                        {
                            "text": "burning\/stinging",
                            "template": "burning\/stinging",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pruritis",
                            "template": "pruritis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "skin irritation",
                            "template": "skin irritation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dryness",
                            "template": "dryness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "erythema",
                            "template": "erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rash",
                            "template": "rash",
                            "type": "plus-minus"
                        },
                        {
                            "text": "peeling\/scaling",
                            "template": "peeling\/scaling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "contact dermatitis",
                            "template": "contact dermatitis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "blistering",
                            "template": "blistering",
                            "type": "plus-minus"
                        },
                        {
                            "text": "photosensitivity",
                            "template": "photosensitivity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Previous treatments",
            "template": "Previous treatments include {children}.",
            "children": [
                {
                    "text": "Azelaic acid",
                    "template": "azelaic acid",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Benzoyl peroxide",
                    "template": "benzoyl peroxide",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Chemical peels",
                    "template": "chemical peels",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Contraceptives",
                    "template": "contraceptives",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Facials",
                    "template": "facials",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Oral antibiotics",
                    "template": "oral antibiotics",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Oral retinoids",
                    "template": "oral retinoids",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Salicylic acid",
                    "template": "salicylic acid",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Spironolactone",
                    "template": "spironolactone",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Tea tree oil",
                    "template": "tea tree oil",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Topical retinoids",
                    "template": "topical retinoids",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "Topical antibiotics",
                    "template": "topical antibiotics",
                    "children": [
                        {
                            "text": "not tried",
                            "template": "(not tried)"
                        },
                        {
                            "text": "positive response",
                            "template": "(positive response)"
                        },
                        {
                            "text": "partial response",
                            "template": "(partial response)"
                        },
                        {
                            "text": "no effect",
                            "template": "(no effect)"
                        },
                        {
                            "text": "negative response",
                            "template": "(negative response)"
                        },
                        {
                            "text": "discontinued due to side effects",
                            "template": "(discontinued due to side effects)"
                        }
                    ]
                },
                {
                    "text": "other previous tx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Smoking status",
            "template": "Smoking status: {children}.",
            "children": [
                {
                    "text": "nonsmoker",
                    "template": "nonsmoker"
                },
                {
                    "text": "tobacco abuse",
                    "template": "tobacco abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco dependence",
                    "template": "tobacco dependence",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco products used",
                    "template": "tobacco products used include {children}",
                    "children": [
                        {
                            "text": "cigarettes",
                            "template": "cigarettes"
                        },
                        {
                            "text": "cigars",
                            "template": "cigars"
                        },
                        {
                            "text": "pipes",
                            "template": "pipes"
                        },
                        {
                            "text": "water pipes",
                            "template": "water pipes"
                        },
                        {
                            "text": "chew",
                            "template": "chew"
                        },
                        {
                            "text": "snuff",
                            "template": "snuff"
                        }
                    ]
                },
                {
                    "text": "packs per day (specify)",
                    "template": "{text} packs per day",
                    "type": "number"
                },
                {
                    "text": "age at smoking onset (specify)",
                    "template": "started smoking at age {text}",
                    "type": "number"
                },
                {
                    "text": "smoking duration (months)",
                    "template": "smoking duration is {text} months",
                    "type": "number"
                },
                {
                    "text": "smoking duration (years)",
                    "template": "smoking duration is {text} years",
                    "type": "number"
                },
                {
                    "text": "tobacco withdrawal",
                    "template": "tobacco withdrawal",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco remission",
                    "template": "tobacco remission",
                    "type": "plus-minus"
                },
                {
                    "text": "hx of nicotine dependence (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "second hand smoke type\/exposure (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}