{
    "section": "subjective",
    "templateSet": "Sprain\/Strain, Shoulder",
    "templates": [
        {
            "text": "Reason for visit",
            "template": "Patient presents for {children}.",
            "children": [
                {
                    "text": "New onset of shoulder pain",
                    "template": "new onset of pain in {children}",
                    "children": [
                        {
                            "text": "left shoulder",
                            "template": "left shoulder"
                        },
                        {
                            "text": "right shoulder",
                            "template": "right shoulder"
                        },
                        {
                            "text": "both shoulders",
                            "template": "both shoulders"
                        }
                    ]
                },
                {
                    "text": "Initial evaluation of shoulder pain",
                    "template": "initial evaluation of pain in {children}",
                    "children": [
                        {
                            "text": "left shoulder",
                            "template": "left shoulder"
                        },
                        {
                            "text": "right shoulder",
                            "template": "right shoulder"
                        },
                        {
                            "text": "both shoulders",
                            "template": "both shoulders"
                        }
                    ]
                },
                {
                    "text": "Follow up of shoulder pain",
                    "template": "follow up of pain in {children}",
                    "children": [
                        {
                            "text": "left shoulder",
                            "template": "left shoulder"
                        },
                        {
                            "text": "right shoulder",
                            "template": "right shoulder"
                        },
                        {
                            "text": "both shoulders",
                            "template": "both shoulders"
                        }
                    ]
                },
                {
                    "text": "Ongoing management of shoulder pain",
                    "template": "ongoing management of pain in {children}",
                    "children": [
                        {
                            "text": "left shoulder",
                            "template": "left shoulder"
                        },
                        {
                            "text": "right shoulder",
                            "template": "right shoulder"
                        },
                        {
                            "text": "both shoulders",
                            "template": "both shoulders"
                        }
                    ]
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Activity type",
            "template": "Symptom onset: {children}.",
            "children": [
                {
                    "text": "unknown precipitant",
                    "template": "unknown precipitant"
                },
                {
                    "text": "Activity-associated onset",
                    "template": "activity-associated: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Trauma-associated onset",
                    "template": "trauma-associated: {text}",
                    "type": "alpha"
                },
                {
                    "text": "acute onset",
                    "template": "acute onset"
                },
                {
                    "text": "gradual onset",
                    "template": "gradual onset"
                },
                {
                    "text": "recurrent",
                    "template": "recurrent condition"
                },
                {
                    "text": "chronic",
                    "template": "chronic condition"
                },
                {
                    "text": "Sports-related (specify)",
                    "template": "Sports-related (specify)",
                    "type": "alpha"
                },
                {
                    "text": "fall-related",
                    "template": "fall-related",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to shoulder",
                    "template": "direct blow to shoulder",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to anterior shoulder",
                    "template": "direct blow to anterior shoulder",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to posterior shoulder",
                    "template": "direct blow to posterior shoulder",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to lateral shoulder",
                    "template": "direct blow to lateral shoulder",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to AC joint",
                    "template": "direct blow to AC joint",
                    "type": "plus-minus"
                },
                {
                    "text": "laceration to area",
                    "template": "laceration to area",
                    "type": "plus-minus"
                },
                {
                    "text": "puncture wound to area",
                    "template": "puncture wound to area",
                    "type": "plus-minus"
                },
                {
                    "text": "motor vehicle injury",
                    "template": "motor vehicle injury",
                    "type": "plus-minus"
                },
                {
                    "text": "work-related onset",
                    "template": "work-related onset",
                    "type": "plus-minus"
                },
                {
                    "text": "Other onset\/activity (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Duration of symptoms",
            "template": "Symptom duration is {children}.",
            "children": [
                {
                    "text": "Duration (hours)",
                    "template": "{text} hours",
                    "type": "number"
                },
                {
                    "text": "Duration (days)",
                    "template": "{text} days",
                    "type": "number"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "{text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "{text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "{text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms",
            "template": "Patient reports the presence\/absence of the following shoulder symptoms related to\n                        the current visit: {children}.\n                    ",
            "children": [
                {
                    "text": "mild pain",
                    "template": "mild pain",
                    "type": "plus-minus"
                },
                {
                    "text": "moderate pain",
                    "template": "moderate pain",
                    "type": "plus-minus"
                },
                {
                    "text": "severe pain",
                    "template": "severe pain",
                    "type": "plus-minus"
                },
                {
                    "text": "anterior pain",
                    "template": "anterior pain",
                    "type": "plus-minus"
                },
                {
                    "text": "posterior pain",
                    "template": "posterior pain",
                    "type": "plus-minus"
                },
                {
                    "text": "deltoid pain",
                    "template": "deltoid pain",
                    "type": "plus-minus"
                },
                {
                    "text": "medial pain",
                    "template": "medial pain",
                    "type": "plus-minus"
                },
                {
                    "text": "diffuse pain",
                    "template": "diffuse pain",
                    "type": "plus-minus"
                },
                {
                    "text": "pain, unable to localize",
                    "template": "(+)pain but unable to localize"
                },
                {
                    "text": "FROM",
                    "template": "FROM",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "Other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative sx include: {children}.",
            "children": [
                {
                    "text": "audible pop at sx onset",
                    "template": "audible pop at sx onset",
                    "type": "plus-minus"
                },
                {
                    "text": "popping\/clicking sensation",
                    "template": "popping\/clicking sensation",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of function",
                    "template": "loss of function",
                    "type": "plus-minus"
                },
                {
                    "text": "pain at night",
                    "template": "pain at night",
                    "type": "plus-minus"
                },
                {
                    "text": "arm heaviness",
                    "template": "arm heaviness",
                    "type": "plus-minus"
                },
                {
                    "text": "numbness",
                    "template": "numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "paresthesias",
                    "template": "paresthesias",
                    "type": "plus-minus"
                },
                {
                    "text": "pain radiating below elbow",
                    "template": "pain radiating below elbow",
                    "type": "plus-minus"
                },
                {
                    "text": "swelling",
                    "template": "swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "stiffness",
                    "template": "stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "erythema",
                    "template": "erythema",
                    "type": "plus-minus"
                },
                {
                    "text": "break in skin",
                    "template": "break in skin",
                    "type": "plus-minus"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "chills",
                    "template": "chills",
                    "type": "plus-minus"
                },
                {
                    "text": "neck pain",
                    "template": "neck pain",
                    "type": "plus-minus"
                },
                {
                    "text": "clunking sound w\/ overhead motion",
                    "template": "clunking sound with overhead motion",
                    "type": "plus-minus"
                },
                {
                    "text": "Other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Rest",
                    "template": "rest {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Ice",
                    "template": "ice {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "Touch\/massage",
                    "template": "touch\/massage {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "Movement",
                    "template": "shoulder movement {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Overhead motion",
                    "template": "overhead motion {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Flexion",
                    "template": "flexion of the shoulder {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Rotation",
                    "template": "rotation of the shoulder {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Palpation",
                    "template": "palpation of the shoulder {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Sports",
                    "template": "sports {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "Changes in weather",
                    "template": "changes in weather {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "have an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Rising in morning",
                    "template": "rising in morning {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "OTC medications",
                    "template": "OTC medications {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "Prescription medications",
                    "template": "prescription medications {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "Other contributing factors (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx response\/Side effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "text": "not on treatment",
                    "template": "not on treatment"
                },
                {
                    "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 due to {text}",
                    "type": "alpha"
                },
                {
                    "text": "Treatment response",
                    "template": "condition {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": "with 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": "Common side effects",
                    "children": [
                        {
                            "text": "dyspepsia",
                            "template": "dyspepsia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "constipation",
                            "template": "constipation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lightheadedness\/dizziness",
                            "template": "lightheadedness\/dizziness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "drowsiness",
                            "template": "drowsiness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sedation\/somnolence",
                            "template": "sedation\/somnolence",
                            "type": "plus-minus"
                        },
                        {
                            "text": "psychomotor impairment",
                            "template": "psychomotor impairment",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rash",
                            "template": "rash",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pruritus",
                            "template": "pruritus",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical Hx specific to visit includes: {children}.",
            "children": [
                {
                    "text": "Hx prior shoulder surgery",
                    "template": "Hx prior shoulder surgery",
                    "type": "plus-minus"
                },
                {
                    "text": "Hx prior shoulder injury",
                    "template": "Hx prior shoulder injury",
                    "type": "plus-minus"
                },
                {
                    "text": "arthritis",
                    "template": "arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "osteoarthritis\/DJD",
                    "template": "osteoarthritis\/DJD",
                    "type": "plus-minus"
                },
                {
                    "text": "osteoporosis",
                    "template": "osteoporosis",
                    "type": "plus-minus"
                },
                {
                    "text": "steroid use",
                    "template": "steroid use",
                    "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": "immunosuppression",
                    "template": "immunosuppression",
                    "type": "plus-minus"
                },
                {
                    "text": "Hx cancer (specify type)",
                    "template": "cancer ({text})",
                    "type": "alpha"
                },
                {
                    "text": "family Hx inflammatory arthritis",
                    "template": "family Hx inflammatory arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "Other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include: {children}.",
            "children": [
                {
                    "text": "right hand dominance",
                    "template": "right hand dominance",
                    "type": "plus-minus"
                },
                {
                    "text": "left hand dominance",
                    "template": "left hand dominance",
                    "type": "plus-minus"
                },
                {
                    "text": "Occupation related to injury (specify)",
                    "template": "occupation related to injury: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Other lifestyle\/exposure (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Smoking status",
            "template": "Smoking status: {children}.",
            "children": [
                {
                    "text": "nonsmoker",
                    "template": "nonsmoker"
                },
                {
                    "text": "tobacco abuse",
                    "template": "tobacco abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco dependence",
                    "template": "tobacco dependence",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco products used",
                    "template": "tobacco products used include {children}",
                    "children": [
                        {
                            "text": "cigarettes",
                            "template": "cigarettes"
                        },
                        {
                            "text": "cigars",
                            "template": "cigars"
                        },
                        {
                            "text": "pipes",
                            "template": "pipes"
                        },
                        {
                            "text": "water pipes",
                            "template": "water pipes"
                        },
                        {
                            "text": "chew",
                            "template": "chew"
                        },
                        {
                            "text": "snuff",
                            "template": "snuff"
                        }
                    ]
                },
                {
                    "text": "packs per day (specify)",
                    "template": "{text} packs per day",
                    "type": "number"
                },
                {
                    "text": "age at smoking onset (specify)",
                    "template": "started smoking at age {text}",
                    "type": "number"
                },
                {
                    "text": "smoking duration (months)",
                    "template": "smoking duration is {text} months",
                    "type": "number"
                },
                {
                    "text": "smoking duration (years)",
                    "template": "smoking duration is {text} years",
                    "type": "number"
                },
                {
                    "text": "tobacco withdrawal",
                    "template": "tobacco withdrawal",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco remission",
                    "template": "tobacco remission",
                    "type": "plus-minus"
                },
                {
                    "text": "hx of nicotine dependence (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "second hand smoke type\/exposure (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}