{
    "section": "exam-resp-focus",
    "templateSet": "COPD",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD, well groomed",
                    "template": "GEN: NAD, well groomed"
                },
                {
                    "text": "HEENT: pharynx w\/o erythema",
                    "template": "HEENT: no pharyngeal erythema"
                },
                {
                    "text": "NECK: no cervical LN",
                    "template": "NECK: no cervical lymphadenopathy"
                },
                {
                    "text": "RESP: clear BL, no wheeze\/rales\/rhonchi",
                    "template": "RESP: clear to auscultation bilaterally, no rales, wheezes, or rhonchi"
                },
                {
                    "text": "CV: RRR, no murmurs",
                    "template": "CV: RRR, no murmurs"
                },
                {
                    "text": "EXT: no C\/C\/E",
                    "template": "EXT: no C\/C\/E"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "{children}",
            "children": [
                {
                    "text": "no C\/C\/E",
                    "template": "EXT: no cyanosis\/clubbing\/edema"
                },
                {
                    "text": "lungs clear to auscultation BL",
                    "template": "RESP: lungs clear to auscultation BL"
                },
                {
                    "text": "General appear\/distress",
                    "template": "GEN: {children}",
                    "children": [
                        {
                            "text": "no respiratory distress",
                            "template": "no respiratory distress"
                        },
                        {
                            "text": "no apparent distress",
                            "template": "no apparent distress"
                        },
                        {
                            "text": "mild respiratory distress",
                            "template": "mild respiratory distress"
                        },
                        {
                            "text": "moderate respiratory distress",
                            "template": "moderate respiratory distress"
                        },
                        {
                            "text": "severe respiratory distress",
                            "template": "severe respiratory distress"
                        },
                        {
                            "text": "overweight",
                            "template": "overweight"
                        },
                        {
                            "text": "obese",
                            "template": "obese"
                        },
                        {
                            "text": "morbidly obese",
                            "template": "morbidly obese"
                        },
                        {
                            "text": "cachectic",
                            "template": "cachectic"
                        },
                        {
                            "text": "awake and alert",
                            "template": "awake and alert"
                        },
                        {
                            "text": "lethargic",
                            "template": "lethargic"
                        },
                        {
                            "text": "confused",
                            "template": "confused"
                        },
                        {
                            "text": "appears chronically ill",
                            "template": "appears chronically ill"
                        },
                        {
                            "text": "appears acutely ill",
                            "template": "appears acutely ill"
                        }
                    ]
                },
                {
                    "text": "Oxygen saturation (room air)",
                    "template": "RESP: O2 sat {text}% on room air",
                    "type": "number"
                },
                {
                    "text": "Abnormal breathing dynamics",
                    "template": "RESP: {children}",
                    "children": [
                        {
                            "text": "prolonged expiratory phase",
                            "template": "prolonged expiratory phase",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tachypnic",
                            "template": "tachypnic",
                            "type": "plus-minus"
                        },
                        {
                            "text": "labored breathing",
                            "template": "labored breathing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pursed lipped breathing",
                            "template": "pursed lipped breathing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tripod position",
                            "template": "tripod position",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rib retractions",
                            "template": "rib retractions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "accessory muscle use",
                            "template": "accessory muscle use",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Rales",
                    "template": "RESP: rales: {children}",
                    "children": [
                        {
                            "text": "none",
                            "template": "none"
                        },
                        {
                            "text": "diffusely",
                            "template": "diffusely"
                        },
                        {
                            "text": "BL lung bases",
                            "template": "lung bases bilaterally",
                            "type": "plus-minus"
                        },
                        {
                            "text": "right lung fields",
                            "template": "right lung fields",
                            "type": "plus-minus"
                        },
                        {
                            "text": "left lung fields",
                            "template": "left lung fields",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Abnormal breath sounds",
                    "template": "RESP: {children}",
                    "children": [
                        {
                            "text": "rhonchi",
                            "template": "rhonchi",
                            "type": "plus-minus"
                        },
                        {
                            "text": "wheezes",
                            "template": "wheezes",
                            "type": "plus-minus"
                        },
                        {
                            "text": "wheeze on forced expiration",
                            "template": "wheeze on forced expiration",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bronchial breath sounds",
                            "template": "bronchial breath sounds",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diminished breath sounds at bases",
                            "template": "diminished breath sounds at bases",
                            "type": "plus-minus"
                        },
                        {
                            "text": "poor air movement",
                            "template": "poor air movement"
                        }
                    ]
                },
                {
                    "text": "Bronchial breath sounds",
                    "template": "RESP: bronchial breath sounds {children}",
                    "children": [
                        {
                            "text": "R upper",
                            "template": "R upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lower",
                            "template": "R lower",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R middle",
                            "template": "R middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L upper",
                            "template": "L upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L middle",
                            "template": "L middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lower",
                            "template": "L lower",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Dullness to percussion",
                    "template": "RESP: dullness to percussion {children}",
                    "children": [
                        {
                            "text": "R upper",
                            "template": "R upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lower",
                            "template": "R lower",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R middle",
                            "template": "R middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L upper",
                            "template": "L upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L middle",
                            "template": "L middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lower",
                            "template": "L lower",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Egophony",
                    "template": "RESP: egophony {children}",
                    "children": [
                        {
                            "text": "R upper",
                            "template": "R upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lower",
                            "template": "R lower",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R middle",
                            "template": "R middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L upper",
                            "template": "L upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L middle",
                            "template": "L middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lower",
                            "template": "L lower",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Fremitus increased",
                    "template": "RESP: increased fremitus {children}",
                    "children": [
                        {
                            "text": "R upper",
                            "template": "R upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lower",
                            "template": "R lower",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R middle",
                            "template": "R middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L upper",
                            "template": "L upper",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L middle",
                            "template": "L middle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lower",
                            "template": "L lower",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Lung finding (describe)",
                    "template": "RESP: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Chest wall, neck findings",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "barrel chest",
                            "template": "RESP: barrel chest",
                            "type": "plus-minus"
                        },
                        {
                            "text": "kyphosis",
                            "template": "RESP: kyphosis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "scoliosis",
                            "template": "RESP: scoliosis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "buffalo hump",
                            "template": "DERM: buffalo hump",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distended neck veins visible",
                            "template": "CV: distended neck veins visible",
                            "type": "plus-minus"
                        },
                        {
                            "text": "neck mass palpable",
                            "template": "NECK: neck mass palpable",
                            "type": "plus-minus"
                        },
                        {
                            "text": "thyromegaly",
                            "template": "NECK: thyromegaly",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Extremities\/Skin findings",
                    "template": "EXT: {children}",
                    "children": [
                        {
                            "text": "clubbing",
                            "template": "clubbing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "peripheral cyanosis",
                            "template": "peripheral cyanosis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "central cyanosis",
                            "template": "central cyanosis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "skin thinning",
                            "template": "skin thinning",
                            "type": "plus-minus"
                        },
                        {
                            "text": "no lower extremity edema",
                            "template": "no lower extremity edema"
                        },
                        {
                            "text": "R lower extremity edema",
                            "template": "R lower extremity edema"
                        },
                        {
                            "text": "L lower extremity edema",
                            "template": "L lower extremity edema"
                        },
                        {
                            "text": "BL lower extremity edema",
                            "template": "bilateral lower extremity edema"
                        }
                    ]
                },
                {
                    "text": "distended neck veins",
                    "template": "CV: distended neck veins visible",
                    "type": "plus-minus"
                },
                {
                    "text": "hepatosplenomegaly",
                    "template": "GI: hepatosplenomegaly",
                    "type": "plus-minus"
                }
            ]
        }
    ]
}