{
    "section": "subjective",
    "templateSet": "COPD",
    "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 COPD",
                    "template": "initial evaluation of COPD"
                },
                {
                    "text": "follow-up COPD evaluation",
                    "template": "follow-up evaluation of COPD"
                },
                {
                    "text": "ongoing COPD management",
                    "template": "ongoing management of COPD"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition onset is {children}.",
            "children": [
                {
                    "text": "acute",
                    "template": "acute"
                },
                {
                    "text": "chronic",
                    "template": "chronic"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Overall sx course",
            "template": "Overall sx course is {children}.",
            "children": [
                {
                    "text": "stable",
                    "template": "stable"
                },
                {
                    "text": "improving",
                    "template": "improving"
                },
                {
                    "text": "worsening",
                    "template": "worsening"
                },
                {
                    "text": "intermittently controlled",
                    "template": "intermittently controlled"
                },
                {
                    "text": "persistent",
                    "template": "persistent"
                },
                {
                    "text": "uncontrolled",
                    "template": "uncontrolled"
                },
                {
                    "text": "currently exacerbated",
                    "template": "currently exacerbated"
                },
                {
                    "text": "recently improving after an exacerbation",
                    "template": "recently improving after an exacerbation"
                },
                {
                    "text": "compliant with treatment plan",
                    "template": "compliant with treatment plan"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms",
            "template": "Symptoms include {children}.",
            "children": [
                {
                    "text": "dyspnea",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "none",
                            "template": "no dyspnea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "with activity",
                            "template": "dyspnea with activity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "with minimal activity",
                            "template": "dyspnea with minimal activity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "at rest",
                            "template": "dyspnea at rest",
                            "type": "plus-minus"
                        },
                        {
                            "text": "worsening dyspnea",
                            "template": "worsening dyspnea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "orthopnea",
                            "template": "orthopnea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "paroxysmal nocturnal dyspnea",
                            "template": "paroxysmal nocturnal dyspnea",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "cough",
                    "template": "cough",
                    "type": "plus-minus"
                },
                {
                    "text": "wheezing",
                    "template": "wheezing",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "leg swelling",
                    "template": "leg swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "sleep disturbance",
                    "template": "sleep disturbance",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "asymptomatic",
                    "template": "asymptomatic"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Sx severity",
            "template": "Symptom severity is {children}.",
            "children": [
                {
                    "text": "mild",
                    "template": "mild"
                },
                {
                    "text": "moderate",
                    "template": "moderate"
                },
                {
                    "text": "severe",
                    "template": "severe"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Cough\/Sputum features",
            "template": "Cough\/sputum is {children}.",
            "children": [
                {
                    "text": "nonproductive",
                    "template": "nonproductive"
                },
                {
                    "text": "minimal sputum",
                    "template": "minimal sputum"
                },
                {
                    "text": "copious sputum",
                    "template": "copious sputum"
                },
                {
                    "text": "thin",
                    "template": "thin"
                },
                {
                    "text": "thick",
                    "template": "thick"
                },
                {
                    "text": "sputum color",
                    "template": "{children} in color",
                    "children": [
                        {
                            "text": "clear",
                            "template": "clear"
                        },
                        {
                            "text": "white",
                            "template": "white"
                        },
                        {
                            "text": "yellow",
                            "template": "yellow"
                        },
                        {
                            "text": "cloudy",
                            "template": "cloudy"
                        },
                        {
                            "text": "green",
                            "template": "green"
                        },
                        {
                            "text": "blood-tinged",
                            "template": "blood-tinged"
                        },
                        {
                            "text": "brown",
                            "template": "brown"
                        }
                    ]
                },
                {
                    "text": "blood-tinged",
                    "template": "blood-tinged",
                    "type": "plus-minus"
                },
                {
                    "text": "plug-shaped",
                    "template": "plug-shaped",
                    "type": "plus-minus"
                },
                {
                    "text": "worse at night",
                    "template": "nighttime worsening",
                    "type": "plus-minus"
                },
                {
                    "text": "worse in the morning",
                    "template": "morning worsening",
                    "type": "plus-minus"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "Exacerbation (days)",
                    "template": "exacerbation of sx: {text} days",
                    "type": "number"
                },
                {
                    "text": "Exacerbation (describe)",
                    "template": "exacerbation sx: {text}",
                    "type": "alpha"
                },
                {
                    "text": "T max (Fahrenheit)",
                    "template": "T max {text} F.",
                    "type": "number"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "chills",
                    "template": "chills",
                    "type": "plus-minus"
                },
                {
                    "text": "increased dyspnea",
                    "template": "increased dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "wheezing",
                    "template": "wheezing",
                    "type": "plus-minus"
                },
                {
                    "text": "change in sputum quality\/color",
                    "template": "change in sputum quality\/color",
                    "type": "plus-minus"
                },
                {
                    "text": "increase in sputum volume",
                    "template": "increase in sputum volume",
                    "type": "plus-minus"
                },
                {
                    "text": "URI symptoms",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "rhinorrhea",
                            "template": "rhinorrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sore throat",
                            "template": "sore throat",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sneezing",
                            "template": "sneezing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "recent URI",
                            "template": "recent URI",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "ill contacts",
                    "template": "ill contacts",
                    "type": "plus-minus"
                },
                {
                    "text": "hemoptysis",
                    "template": "hemoptysis",
                    "type": "plus-minus"
                },
                {
                    "text": "mylagias",
                    "template": "mylagias",
                    "type": "plus-minus"
                },
                {
                    "text": "increased oxygen requirement",
                    "template": "increased oxygen requirement",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "chest pain",
                    "template": "chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "Chest pain features",
                    "template": "chest pain: {children}",
                    "children": [
                        {
                            "text": "diffuse",
                            "template": "diffuse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "left side",
                            "template": "left side",
                            "type": "plus-minus"
                        },
                        {
                            "text": "substernal",
                            "template": "substernal",
                            "type": "plus-minus"
                        },
                        {
                            "text": "right side",
                            "template": "right side",
                            "type": "plus-minus"
                        },
                        {
                            "text": "epigastric",
                            "template": "epigastric",
                            "type": "plus-minus"
                        },
                        {
                            "text": "unable to localize",
                            "template": "unable to localize",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pleuritic",
                            "template": "pleuritic",
                            "type": "plus-minus"
                        },
                        {
                            "text": "worse on coughing",
                            "template": "worse on coughing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sharp",
                            "template": "sharp",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tightness",
                            "template": "tightness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pressure",
                            "template": "pressure",
                            "type": "plus-minus"
                        },
                        {
                            "text": "aching",
                            "template": "aching",
                            "type": "plus-minus"
                        },
                        {
                            "text": "indescribable",
                            "template": "indescribable"
                        }
                    ]
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "weight gain",
                    "template": "weight gain",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "night sweats",
                    "template": "night sweats",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "leg swelling",
                    "template": "leg swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "dizziness",
                    "template": "dizziness",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (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"
                }
            ]
        },
        {
            "text": "Oxygen use",
            "template": "Oxygen use: {children}.",
            "children": [
                {
                    "text": "none",
                    "template": "none"
                },
                {
                    "text": "liters (l\/m)",
                    "template": "{text} L\/min",
                    "type": "number"
                }
            ]
        },
        {
            "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": "difficulty using inhalers",
                            "template": "difficulty using inhalers"
                        },
                        {
                            "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": "tremor",
                            "template": "tremor",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nervousness",
                            "template": "nervousness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rapid heartbeat",
                            "template": "rapid heartbeat",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpitations",
                            "template": "palpitations",
                            "type": "plus-minus"
                        },
                        {
                            "text": "insomnia",
                            "template": "insomnia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dizziness\/vertigo",
                            "template": "dizziness\/vertigo",
                            "type": "plus-minus"
                        },
                        {
                            "text": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nasal congestion",
                            "template": "nasal congestion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dry mouth",
                            "template": "dry mouth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "taste changes",
                            "template": "taste changes",
                            "type": "plus-minus"
                        },
                        {
                            "text": "thrush",
                            "template": "thrush",
                            "type": "plus-minus"
                        },
                        {
                            "text": "throat irritation",
                            "template": "throat irritation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cough",
                            "template": "cough",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "GI upset",
                            "template": "GI upset",
                            "type": "plus-minus"
                        },
                        {
                            "text": "fluid retention",
                            "template": "fluid retention",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Previous history includes {children}.",
            "children": [
                {
                    "text": "emphysema",
                    "template": "emphysema",
                    "type": "plus-minus"
                },
                {
                    "text": "chronic bronchitis",
                    "template": "chronic bronchitis",
                    "type": "plus-minus"
                },
                {
                    "text": "acute lower respiratory infection",
                    "template": "acute lower respiratory infection",
                    "type": "plus-minus"
                },
                {
                    "text": "asthma",
                    "template": "asthma",
                    "type": "plus-minus"
                },
                {
                    "text": "alcoholism",
                    "template": "alcoholism",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes type 1",
                    "template": "diabetes type 1",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes type 2",
                    "template": "diabetes type 2",
                    "type": "plus-minus"
                },
                {
                    "text": "CAD",
                    "template": "CAD",
                    "type": "plus-minus"
                },
                {
                    "text": "CHF",
                    "template": "CHF",
                    "type": "plus-minus"
                },
                {
                    "text": "dementia",
                    "template": "dementia",
                    "type": "plus-minus"
                },
                {
                    "text": "atrial fibrillation",
                    "template": "atrial fibrillation",
                    "type": "plus-minus"
                },
                {
                    "text": "stroke",
                    "template": "stroke",
                    "type": "plus-minus"
                },
                {
                    "text": "cancer (specify site)",
                    "template": "Hx cancer: {text}",
                    "type": "alpha"
                },
                {
                    "text": "recent antibiotic use",
                    "template": "recent antibiotic use",
                    "type": "plus-minus"
                },
                {
                    "text": "recent hospitalization",
                    "template": "recent hospitalization",
                    "type": "plus-minus"
                },
                {
                    "text": "recent surgery\/general anesthesia",
                    "template": "recent surgery\/general anesthesia",
                    "type": "plus-minus"
                },
                {
                    "text": "recent trauma",
                    "template": "recent trauma",
                    "type": "plus-minus"
                },
                {
                    "text": "s\/p pneumonectomy",
                    "template": "s\/p pneumonectomy",
                    "type": "plus-minus"
                },
                {
                    "text": "s\/p splenectomy",
                    "template": "s\/p splenectomy",
                    "type": "plus-minus"
                },
                {
                    "text": "overweight\/obesity",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "overweight",
                            "template": "overweight",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "morbid obesity",
                            "template": "morbid obesity",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "obesity contributing factors (describe)",
                    "template": "obesity contributing factors {text}",
                    "type": "alpha"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "ill contacts",
                    "template": "ill contacts",
                    "type": "plus-minus"
                },
                {
                    "text": "Recent travel (describe)",
                    "template": "recent travel: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Pet\/Animal exposure (describe)",
                    "template": "pet\/animal exposure: {text}",
                    "type": "alpha"
                },
                {
                    "text": "TB exposure",
                    "template": "TB exposure: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Environmental\/Occupational exposure (specify)",
                    "template": "environmental\/occupational exposures: {text}",
                    "type": "alpha"
                },
                {
                    "text": "nursing home resident",
                    "template": "nursing home resident",
                    "type": "plus-minus"
                },
                {
                    "text": "alcohol use",
                    "template": "alcohol use",
                    "type": "plus-minus"
                },
                {
                    "text": "drug use",
                    "template": "drug use",
                    "type": "plus-minus"
                },
                {
                    "text": "other lifestyle\/exposure (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Immunization status",
            "template": "Immunization Hx: {children}.",
            "children": [
                {
                    "text": "flu vaccine received this season",
                    "template": "flu vaccine received this season",
                    "type": "plus-minus"
                },
                {
                    "text": "Pneumococcal vaccine",
                    "template": "pneumococcal vaccine is {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "Pertussis vaccine",
                    "template": "pertussis vaccine is {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "Diphtheria vaccine",
                    "template": "diphtheria vaccine is {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "other immunizations (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}