{
    "section": "subjective",
    "templateSet": "Constipation",
    "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 constipation",
                    "template": "initial evaluation of constipation"
                },
                {
                    "text": "follow-up constipation evaluation",
                    "template": "follow-up constipation evaluation"
                },
                {
                    "text": "ongoing constipation management",
                    "template": "ongoing constipation management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time Course",
            "template": "Patient reports {children}.",
            "children": [
                {
                    "text": "symptom onset",
                    "template": "onset of symptoms",
                    "type": "alpha"
                },
                {
                    "text": "gradual onset",
                    "template": "gradual onset of symptoms"
                },
                {
                    "text": "sudden onset",
                    "template": "sudden onset of symptoms"
                },
                {
                    "text": "progressive symptom course",
                    "template": "progressive symptom course"
                },
                {
                    "text": "stable symptom course",
                    "template": "stable symptom course"
                },
                {
                    "text": "improving symptom course",
                    "template": "improving symptom course"
                },
                {
                    "text": "relapsing\/remitting symptom course",
                    "template": "relapsing\/remitting symptom course"
                },
                {
                    "text": "improved since (describe)",
                    "template": "improvement over past",
                    "type": "alpha"
                },
                {
                    "text": "no change since (describe)",
                    "template": "no change over past",
                    "type": "alpha"
                },
                {
                    "text": "worse since (describe)",
                    "template": "worsening over past",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms",
            "template": "Patient complains of {children}.",
            "children": [
                {
                    "text": "hard stools",
                    "template": "hard stools",
                    "type": "plus-minus"
                },
                {
                    "text": "excessive straining",
                    "template": "excessive straining",
                    "type": "plus-minus"
                },
                {
                    "text": "sensation of incomplete evacuation on defecation",
                    "template": "sensation of incomplete evacuation on defecation",
                    "type": "plus-minus"
                },
                {
                    "text": "sensation of anorectal obstruction",
                    "template": "sensation of anorectal obstruction",
                    "type": "plus-minus"
                },
                {
                    "text": "requires manual maneuvers to defecate",
                    "template": "typically requiring manual maneuvers for defecation",
                    "type": "plus-minus"
                },
                {
                    "text": "anorectal pain during defecation",
                    "template": "anorectal pain during defecation",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain that is {children}",
                    "children": [
                        {
                            "text": "constant",
                            "template": "constant"
                        },
                        {
                            "text": "intermittent",
                            "template": "intermittent"
                        },
                        {
                            "text": "sharp",
                            "template": "sharp"
                        },
                        {
                            "text": "crampy",
                            "template": "crampy"
                        },
                        {
                            "text": "dull",
                            "template": "dull"
                        },
                        {
                            "text": "migratory",
                            "template": "migratory"
                        },
                        {
                            "text": "diffuse",
                            "template": "diffuse"
                        },
                        {
                            "text": "upper abdominal",
                            "template": "upper abdominal"
                        },
                        {
                            "text": "lower abdominal",
                            "template": "lower abdominal"
                        }
                    ]
                },
                {
                    "text": "BMs less than 3x\/week",
                    "template": "BMs less than 3x\/week"
                },
                {
                    "text": "decreased frequency of BMs",
                    "template": "decreased frequency of BMs"
                },
                {
                    "text": "other symptoms (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Severity",
            "template": "Symptoms are described as {children}.",
            "children": [
                {
                    "text": "mild",
                    "template": "mild in severity"
                },
                {
                    "text": "moderate",
                    "template": "moderate in severity"
                },
                {
                    "text": "severe",
                    "template": "severe"
                },
                {
                    "text": "Severity scale (0-10)",
                    "template": "out of 10 on pain scale",
                    "children": [
                        {
                            "text": "0 (no pain)",
                            "template": "0 (no pain)"
                        },
                        {
                            "text": "1",
                            "template": "1"
                        },
                        {
                            "text": "2",
                            "template": "2"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "4",
                            "template": "4"
                        },
                        {
                            "text": "5",
                            "template": "5"
                        },
                        {
                            "text": "6",
                            "template": "6"
                        },
                        {
                            "text": "7",
                            "template": "7"
                        },
                        {
                            "text": "8",
                            "template": "8"
                        },
                        {
                            "text": "9",
                            "template": "9"
                        },
                        {
                            "text": "10 (max pain)",
                            "template": "10 (max pain)"
                        }
                    ]
                },
                {
                    "text": "other symptom severity",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Frequency of bowel mvmt",
            "template": "Bowel movements {children}.",
            "children": [
                {
                    "text": "Current BM frequency (times\/day)",
                    "template": "currently occur {text} x\/day",
                    "type": "number"
                },
                {
                    "text": "Current BM frequency (times\/week)",
                    "template": "currently occur {text} x\/wk.",
                    "type": "number"
                },
                {
                    "text": "Current BM frequency (times\/month)",
                    "template": "currently occur {text} x\/mo.",
                    "type": "number"
                },
                {
                    "text": "Other current BM frequency:",
                    "template": "currently occur",
                    "type": "alpha"
                },
                {
                    "text": "Prior BM frequency (times\/day)",
                    "template": "previously occurred {text} x\/day",
                    "type": "number"
                },
                {
                    "text": "Prior BM frequency (times\/week)",
                    "template": "previously occurred {text} x\/wk.",
                    "type": "number"
                },
                {
                    "text": "Prior BM frequency (times\/month)",
                    "template": "previously occurred {text} x\/mo.",
                    "type": "number"
                },
                {
                    "text": "Other prior BM frequency (specify)",
                    "template": "previously occurred",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Stool description",
            "template": "Stools are {children}.",
            "children": [
                {
                    "text": "recent stools normal for pt",
                    "template": "normal for patient"
                },
                {
                    "text": "recent stools not normal for pt",
                    "template": "not normal for patient"
                },
                {
                    "text": "Consistency",
                    "template": "{children} in consistency",
                    "children": [
                        {
                            "text": "hard",
                            "template": "hard"
                        },
                        {
                            "text": "soft",
                            "template": "soft"
                        },
                        {
                            "text": "lumpy",
                            "template": "lumpy"
                        },
                        {
                            "text": "smooth",
                            "template": "smooth"
                        },
                        {
                            "text": "formed",
                            "template": "formed"
                        },
                        {
                            "text": "mushy",
                            "template": "mushy"
                        },
                        {
                            "text": "liquid",
                            "template": "liquid"
                        }
                    ]
                },
                {
                    "text": "Color",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "brown",
                            "template": "brown"
                        },
                        {
                            "text": "black",
                            "template": "black"
                        },
                        {
                            "text": "tarry",
                            "template": "tarry"
                        },
                        {
                            "text": "dark red",
                            "template": "dark red"
                        },
                        {
                            "text": "blood-tinged",
                            "template": "blood-tinged"
                        },
                        {
                            "text": "bloody",
                            "template": "bloody"
                        },
                        {
                            "text": "pale",
                            "template": "pale"
                        }
                    ]
                },
                {
                    "text": "Caliber",
                    "template": "{children} caliber",
                    "children": [
                        {
                            "text": "small caliber",
                            "template": "small"
                        },
                        {
                            "text": "medium caliber",
                            "template": "medium"
                        },
                        {
                            "text": "large caliber",
                            "template": "large"
                        }
                    ]
                },
                {
                    "text": "Volume",
                    "template": "{children} volume",
                    "children": [
                        {
                            "text": "small volume",
                            "template": "small"
                        },
                        {
                            "text": "medium volume",
                            "template": "medium"
                        },
                        {
                            "text": "large volume",
                            "template": "large"
                        }
                    ]
                },
                {
                    "text": "Stool condition (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include: {children}.",
            "children": [
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting",
                    "template": "vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "anorexia",
                    "template": "anorexia",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "hematemesis",
                    "template": "hematemesis",
                    "type": "plus-minus"
                },
                {
                    "text": "hematochezia",
                    "template": "hematochezia",
                    "type": "plus-minus"
                },
                {
                    "text": "melena",
                    "template": "melena",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (describe)",
                    "template": "{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": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abd cramps",
                            "template": "abdominal cramps",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abd bloating",
                            "template": "abd bloating",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea",
                            "template": "nausea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vomiting",
                            "template": "vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "flatulence",
                            "template": "flatulence",
                            "type": "plus-minus"
                        },
                        {
                            "text": "throat irritation",
                            "template": "throat irritation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bronchospasm",
                            "template": "bronchospasm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "esoph obstruction",
                            "template": "esophageal obstruction",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Previous treatments",
            "template": "Previous treatments include {children}.",
            "children": [
                {
                    "text": "Bulk-forming laxatives",
                    "template": "bulk-forming laxatives",
                    "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": "Osmotic laxatives",
                    "template": "osmotic laxatives",
                    "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": "Stimulant laxatives",
                    "template": "stimulant laxatives",
                    "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": "Stool softeners",
                    "template": "stool softeners",
                    "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": "Lubricants",
                    "template": "lubricants",
                    "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": "Enemas",
                    "template": "enemas",
                    "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": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "recent change in meds",
                    "template": "recent change in meds",
                    "type": "plus-minus"
                },
                {
                    "text": "recent change in supplements",
                    "template": "recent change in supplements",
                    "type": "plus-minus"
                },
                {
                    "text": "recent change in diet",
                    "template": "recent change in diet",
                    "type": "plus-minus"
                },
                {
                    "text": "low fiber diet",
                    "template": "low fiber diet",
                    "type": "plus-minus"
                },
                {
                    "text": "adequate water intake",
                    "template": "adequate water intake",
                    "type": "plus-minus"
                },
                {
                    "text": "sedentary lifestyle",
                    "template": "sedentary lifestyle",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal surgery",
                    "template": "abdominal surgery",
                    "type": "plus-minus"
                },
                {
                    "text": "pelvic surgery",
                    "template": "pelvic surgery",
                    "type": "plus-minus"
                },
                {
                    "text": "colonic polyps",
                    "template": "colonic polyps",
                    "type": "plus-minus"
                },
                {
                    "text": "colon cancer",
                    "template": "colon cancer",
                    "type": "plus-minus"
                },
                {
                    "text": "family Hx of colon cancer",
                    "template": "family Hx of colon cancer",
                    "type": "plus-minus"
                },
                {
                    "text": "diverticular disease",
                    "template": "diverticular disease",
                    "type": "plus-minus"
                },
                {
                    "text": "inflammatory bowel disease",
                    "template": "inflammatory bowel disease",
                    "type": "plus-minus"
                },
                {
                    "text": "anemia",
                    "template": "anemia",
                    "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": "peripheral neuropathy",
                    "template": "peripheral neuropathy",
                    "type": "plus-minus"
                },
                {
                    "text": "hypothyroidism",
                    "template": "hypothyroidism",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "stroke",
                    "template": "stroke",
                    "type": "plus-minus"
                },
                {
                    "text": "Parkinson disease",
                    "template": "Parkinson disease",
                    "type": "plus-minus"
                },
                {
                    "text": "multiple sclerosis",
                    "template": "multiple sclerosis",
                    "type": "plus-minus"
                },
                {
                    "text": "spinal cord injury\/lesion",
                    "template": "spinal cord injury\/lesion",
                    "type": "plus-minus"
                },
                {
                    "text": "Hirschsprung disease",
                    "template": "Hirschsprung disease",
                    "type": "plus-minus"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medication Hx",
            "template": "Medication history significant for: {children}.",
            "children": [
                {
                    "text": "antacids w\/ aluminum\/calcium",
                    "template": "antacids with aluminum\/calcium",
                    "type": "plus-minus"
                },
                {
                    "text": "anticholinergics",
                    "template": "anticholinergics",
                    "type": "plus-minus"
                },
                {
                    "text": "antidepressants",
                    "template": "antidepressants",
                    "type": "plus-minus"
                },
                {
                    "text": "antihistamines",
                    "template": "antihistamines",
                    "type": "plus-minus"
                },
                {
                    "text": "antiparkinsonian drugs",
                    "template": "antiparkinsonian drugs",
                    "type": "plus-minus"
                },
                {
                    "text": "calcium channel blockers",
                    "template": "calcium channel blockers",
                    "type": "plus-minus"
                },
                {
                    "text": "calcium supplements",
                    "template": "calcium supplements",
                    "type": "plus-minus"
                },
                {
                    "text": "diuretics",
                    "template": "diuretics",
                    "type": "plus-minus"
                },
                {
                    "text": "iron supplements",
                    "template": "iron supplements",
                    "type": "plus-minus"
                },
                {
                    "text": "NSAIDs",
                    "template": "NSAIDs",
                    "type": "plus-minus"
                },
                {
                    "text": "opiates",
                    "template": "opiates",
                    "type": "plus-minus"
                },
                {
                    "text": "psychotropics",
                    "template": "psychotropics",
                    "type": "plus-minus"
                },
                {
                    "text": "sympathomimetics",
                    "template": "sympathomimetics",
                    "type": "plus-minus"
                },
                {
                    "text": "other medication Hx (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Last colonoscopy",
            "template": "Last colonoscopy: {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"
                }
            ]
        }
    ]
}