{
    "section": "kct-mp",
    "templateSet": "Colposcopy Note",
    "templates": [
        {
            "text": "Procedure (title)",
            "template": "Procedure: {text}",
            "type": "alpha"
        },
        {
            "text": "Pre proced consent\/risks\/benfits\/altern",
            "template": "Pre procedural written and verbal consent obtained, risks, benefits and alternatives\n                        have been explained. All questions have been answered and patient wishes to proceed.\n                    "
        },
        {
            "text": "Pre medications",
            "template": "Pre medications: {children}",
            "children": [
                {
                    "text": "none",
                    "template": "none"
                },
                {
                    "text": "ibuprofen 800mg",
                    "template": "ibuprofen 800mg"
                },
                {
                    "text": "alprazolam 0.5mg",
                    "template": "alprazolam 0.5mg"
                },
                {
                    "text": "other medication (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Cervix prepped with normal saline",
            "template": "Cervix prepped with normal saline."
        },
        {
            "text": "Vulva",
            "template": "Vulva: {children}",
            "children": [
                {
                    "text": "NL appearance",
                    "template": "NL appearance"
                },
                {
                    "text": "changes in texture",
                    "template": "changes in texture",
                    "type": "plus-minus"
                },
                {
                    "text": "condyloma",
                    "template": "condyloma",
                    "type": "plus-minus"
                },
                {
                    "text": "excoriation",
                    "template": "excoriation",
                    "type": "plus-minus"
                },
                {
                    "text": "lesions",
                    "template": "lesions",
                    "type": "plus-minus"
                },
                {
                    "text": "lichenification",
                    "template": "lichenification",
                    "type": "plus-minus"
                },
                {
                    "text": "lumps",
                    "template": "lumps",
                    "type": "plus-minus"
                },
                {
                    "text": "swelling",
                    "template": "swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "tender",
                    "template": "tender",
                    "type": "plus-minus"
                },
                {
                    "text": "whitening",
                    "template": "whitening",
                    "type": "plus-minus"
                },
                {
                    "text": "other vulva findings",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Cervix",
            "template": "Cervix: {children}",
            "children": [
                {
                    "text": "NL appearance",
                    "template": "NL appearance"
                },
                {
                    "text": "deviated from midline",
                    "template": "deviated from midline"
                },
                {
                    "text": "cervical motion tenderness",
                    "template": "cervical motion tenderness",
                    "type": "plus-minus"
                },
                {
                    "text": "retroversion",
                    "template": "retroversion",
                    "type": "plus-minus"
                },
                {
                    "text": "anteversion",
                    "template": "anteversion",
                    "type": "plus-minus"
                },
                {
                    "text": "lesions",
                    "template": "lesions",
                    "type": "plus-minus"
                },
                {
                    "text": "inflammation",
                    "template": "inflammation",
                    "type": "plus-minus"
                },
                {
                    "text": "bleeding",
                    "template": "bleeding",
                    "type": "plus-minus"
                },
                {
                    "text": "discharge",
                    "template": "discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "other cervix findings",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Application of Acetic acid\/Lugols",
            "template": "{children} acetic acid applied to cervix and assessed. Diluted Lugol's iodine solution was\n                        then applied to cervix and assessed.\n                    ",
            "children": [
                {
                    "text": "3% Acetic acid",
                    "template": "3%"
                },
                {
                    "text": "4% Acetic acid",
                    "template": "4%"
                },
                {
                    "text": "5% Acetic acid",
                    "template": "5%"
                }
            ]
        },
        {
            "text": "Transformation Zone",
            "template": "Colposcopic ExaminationTransformation Zone: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "fully visualized",
                    "template": "fully visualized",
                    "type": "plus-minus"
                },
                {
                    "text": "zone\/visualization (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Acetowhite Epith",
            "template": "Acetowhite Epithelium: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Atypical Vessels",
            "template": "Atypical Vessels: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Erosion",
            "template": "Erosion: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Iodine-Negative Epith",
            "template": "Iodine-Negative Epithelium: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Punctuation",
            "template": "Punctuation: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Mosaic",
            "template": "Mosaic: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Leukoplakia",
            "template": "Leukoplakia: {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "specify zone",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Additional Examination Findings",
            "template": "Additional Examination Findings: {children}",
            "children": [
                {
                    "text": "non-acetowhite micropap surface",
                    "template": "non-acetowhite micropap surface",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "exophytic condyloma",
                    "template": "exophytic condyloma",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "inflammation",
                    "template": "inflammation",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "ulcer",
                    "template": "ulcer",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "polyp",
                    "template": "polyp",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "Nabothian cyst",
                    "template": "Nabothian cyst",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "new squamocolumnar junction",
                    "template": "new squamocolumnar junction",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "immature squamous metaplasia",
                    "template": "immature squamous metaplasia",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "decreased Lugol\u2019s uptake",
                    "template": "decreased Lugol\u2019s uptake",
                    "children": [
                        {
                            "text": "1 o'clock",
                            "template": "1 o'clock"
                        },
                        {
                            "text": "2 o'clock",
                            "template": "2 o'clock"
                        },
                        {
                            "text": "3 o'clock",
                            "template": "3 o'clock"
                        },
                        {
                            "text": "4 o'clock",
                            "template": "4 o'clock"
                        },
                        {
                            "text": "5 o'clock",
                            "template": "5 o'clock"
                        },
                        {
                            "text": "6 o'clock",
                            "template": "6 o'clock"
                        },
                        {
                            "text": "7 o'clock",
                            "template": "7 o'clock"
                        },
                        {
                            "text": "8 o'clock",
                            "template": "8 o'clock"
                        },
                        {
                            "text": "9 o'clock",
                            "template": "9 o'clock"
                        },
                        {
                            "text": "10 o'clock",
                            "template": "10 o'clock"
                        },
                        {
                            "text": "11 o'clock",
                            "template": "11 o'clock"
                        },
                        {
                            "text": "12 o'clock",
                            "template": "12 o'clock"
                        }
                    ]
                },
                {
                    "text": "other findings (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "#1. Biopsy",
            "template": "Pathology SpecimensBiopsy via cervical punch#1. {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "additional comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "#2. Biopsy",
            "template": "#2. {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "additional comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "#3. Biopsy",
            "template": "#3. {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "additional comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "#4. Biopsy",
            "template": "#4. {children}",
            "children": [
                {
                    "text": "1 o'clock",
                    "template": "1 o'clock"
                },
                {
                    "text": "2 o'clock",
                    "template": "2 o'clock"
                },
                {
                    "text": "3 o'clock",
                    "template": "3 o'clock"
                },
                {
                    "text": "4 o'clock",
                    "template": "4 o'clock"
                },
                {
                    "text": "5 o'clock",
                    "template": "5 o'clock"
                },
                {
                    "text": "6 o'clock",
                    "template": "6 o'clock"
                },
                {
                    "text": "7 o'clock",
                    "template": "7 o'clock"
                },
                {
                    "text": "8 o'clock",
                    "template": "8 o'clock"
                },
                {
                    "text": "9 o'clock",
                    "template": "9 o'clock"
                },
                {
                    "text": "10 o'clock",
                    "template": "10 o'clock"
                },
                {
                    "text": "11 o'clock",
                    "template": "11 o'clock"
                },
                {
                    "text": "12 o'clock",
                    "template": "12 o'clock"
                },
                {
                    "text": "additional comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "ECC",
            "template": "ECC: {children}",
            "children": [
                {
                    "text": "not done",
                    "template": "not done"
                },
                {
                    "text": "yes, sampled by curettage",
                    "template": "yes, sampled by curettage"
                },
                {
                    "text": "yes, sampled by cytobrush",
                    "template": "yes, sampled by cytobrush"
                }
            ]
        },
        {
            "text": "Reid Score",
            "template": "Reid Score: {children}",
            "children": [
                {
                    "text": "Ried Score (#)",
                    "template": "{text}",
                    "type": "number"
                },
                {
                    "text": "Ried score comments (describe)",
                    "template": "comments:",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Hemostasis\/pt status\/peri pad\/instructions",
            "template": "Hemostasis was achieve by {children}. All instruments were removed. Patient tolerated the\n                        procedure well. Peri pad and post procedure instructions given to patient.\n                    ",
            "children": [
                {
                    "text": "direct pressure",
                    "template": "direct pressure"
                },
                {
                    "text": "silver nitrate stick(s)",
                    "template": "silver nitrate stick(s)"
                },
                {
                    "text": "Monsel's solution",
                    "template": "Monsel's solution"
                }
            ]
        },
        {
            "text": "Complications",
            "template": "Complications: {children}",
            "children": [
                {
                    "text": "none",
                    "template": "none"
                },
                {
                    "text": "complications (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "EBL",
            "template": "EBL: {children}",
            "children": [
                {
                    "text": "none",
                    "template": "none"
                },
                {
                    "text": "minimal",
                    "template": "minimal"
                },
                {
                    "text": ">25 ml",
                    "template": ">25 ml"
                },
                {
                    "text": ">50 ml",
                    "template": ">50 ml"
                },
                {
                    "text": ">100 ml",
                    "template": ">100 ml"
                },
                {
                    "text": "estimate of blood loss (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Impression (specify)",
            "template": "Impression: {text}",
            "type": "alpha"
        }
    ]
}