{
    "section": "ros",
    "templateSet": "Chiropractic Initial Visit",
    "templates": [
        {
            "text": "Musc\/Skel",
            "template": "Musculoskeletal: {children}",
            "children": [
                {
                    "text": "back pain",
                    "template": "back pain",
                    "type": "plus-minus"
                },
                {
                    "text": "decrease muscle strength",
                    "template": "decrease muscle strength",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty walking",
                    "template": "difficulty walking",
                    "type": "plus-minus"
                },
                {
                    "text": "joint pain",
                    "template": "joint pain",
                    "type": "plus-minus"
                },
                {
                    "text": "limb paralysis",
                    "template": "limb paralysis",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle cramps",
                    "template": "muscle cramps",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle pain",
                    "template": "muscle pain",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle weakness",
                    "template": "muscle weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "tender points",
                    "template": "tender points",
                    "type": "plus-minus"
                },
                {
                    "text": "other musc\/skel sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Neck",
            "template": "Neck: {children}",
            "children": [
                {
                    "text": "FROM",
                    "template": "FROM",
                    "type": "plus-minus"
                },
                {
                    "text": "neck pain",
                    "template": "neck pain",
                    "type": "plus-minus"
                },
                {
                    "text": "neck swelling",
                    "template": "neck swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "stiffness with ROM",
                    "template": "stiffness with ROM",
                    "type": "plus-minus"
                },
                {
                    "text": "other neck sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Neurological",
            "template": "Neurological: {children}",
            "children": [
                {
                    "text": "loss of balance",
                    "template": "loss of balance",
                    "type": "plus-minus"
                },
                {
                    "text": "memory loss",
                    "template": "memory loss",
                    "type": "plus-minus"
                },
                {
                    "text": "numbness",
                    "template": "numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "paresthesia",
                    "template": "paresthesia",
                    "type": "plus-minus"
                },
                {
                    "text": "tingling",
                    "template": "tingling",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "other neuro sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "GEN",
            "template": "Gen: {children}",
            "children": [
                {
                    "text": "anorexia",
                    "template": "anorexia",
                    "type": "plus-minus"
                },
                {
                    "text": "changes in activity",
                    "template": "changes in activity",
                    "type": "plus-minus"
                },
                {
                    "text": "chills",
                    "template": "chills",
                    "type": "plus-minus"
                },
                {
                    "text": "cold intolerance",
                    "template": "cold intolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "confusion",
                    "template": "confusion",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "night sweats",
                    "template": "night sweats",
                    "type": "plus-minus"
                },
                {
                    "text": "polyphagia",
                    "template": "polyphagia",
                    "type": "plus-minus"
                },
                {
                    "text": "polydipsia",
                    "template": "polydipsia",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "weight gain",
                    "template": "weight gain",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "other general sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Head",
            "template": "Head: {children}",
            "children": [
                {
                    "text": "dizziness",
                    "template": "dizziness",
                    "type": "plus-minus"
                },
                {
                    "text": "fainting",
                    "template": "fainting",
                    "type": "plus-minus"
                },
                {
                    "text": "headaches",
                    "template": "headaches",
                    "type": "plus-minus"
                },
                {
                    "text": "light headedness",
                    "template": "light headedness",
                    "type": "plus-minus"
                },
                {
                    "text": "trauma",
                    "template": "trauma",
                    "type": "plus-minus"
                },
                {
                    "text": "other findings (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Eyes",
            "template": "Eyes: {children}",
            "children": [
                {
                    "text": "blurred vision",
                    "template": "blurred vision",
                    "type": "plus-minus"
                },
                {
                    "text": "change in vision",
                    "template": "change in vision",
                    "type": "plus-minus"
                },
                {
                    "text": "diplopia",
                    "template": "diplopia",
                    "type": "plus-minus"
                },
                {
                    "text": "discharge",
                    "template": "discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "excessive lacrimation",
                    "template": "excessive lacrimation",
                    "type": "plus-minus"
                },
                {
                    "text": "eye redness",
                    "template": "eye redness",
                    "type": "plus-minus"
                },
                {
                    "text": "eye pain",
                    "template": "eye pain",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of vision",
                    "template": "loss of vision",
                    "type": "plus-minus"
                },
                {
                    "text": "purulent discharge",
                    "template": "purulent discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "other eye sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Ears",
            "template": "Ears: {children}",
            "children": [
                {
                    "text": "ear drainage",
                    "template": "ear drainage",
                    "type": "plus-minus"
                },
                {
                    "text": "ear pain\/ear ache",
                    "template": "ear pain\/ear ache",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty hearing",
                    "template": "difficulty hearing",
                    "type": "plus-minus"
                },
                {
                    "text": "hearing loss",
                    "template": "hearing loss",
                    "type": "plus-minus"
                },
                {
                    "text": "tinnitus",
                    "template": "tinnitus",
                    "type": "plus-minus"
                },
                {
                    "text": "other ear sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Nose",
            "template": "Nose: {children}",
            "children": [
                {
                    "text": "airway obstruction",
                    "template": "airway obstruction",
                    "type": "plus-minus"
                },
                {
                    "text": "allergies",
                    "template": "allergies",
                    "type": "plus-minus"
                },
                {
                    "text": "epistaxis",
                    "template": "epistaxis",
                    "type": "plus-minus"
                },
                {
                    "text": "nasal congestion",
                    "template": "nasal congestion",
                    "type": "plus-minus"
                },
                {
                    "text": "nasal discharge",
                    "template": "nasal discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "nose bleeds",
                    "template": "nose bleeds",
                    "type": "plus-minus"
                },
                {
                    "text": "rhinorrhea",
                    "template": "rhinorrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "sneezing",
                    "template": "sneezing",
                    "type": "plus-minus"
                },
                {
                    "text": "snoring",
                    "template": "snoring",
                    "type": "plus-minus"
                },
                {
                    "text": "other nasal sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Throat\/Mouth",
            "template": "Throat\/Mouth: {children}",
            "children": [
                {
                    "text": "change in voice quality",
                    "template": "change in voice quality",
                    "type": "plus-minus"
                },
                {
                    "text": "dental problems",
                    "template": "dental problems",
                    "type": "plus-minus"
                },
                {
                    "text": "gum bleeding",
                    "template": "gum bleeding",
                    "type": "plus-minus"
                },
                {
                    "text": "dysphagia",
                    "template": "dysphagia",
                    "type": "plus-minus"
                },
                {
                    "text": "hoarse voice",
                    "template": "hoarse voice",
                    "type": "plus-minus"
                },
                {
                    "text": "lip sores",
                    "template": "lip sores",
                    "type": "plus-minus"
                },
                {
                    "text": "mouth sores",
                    "template": "mouth sores",
                    "type": "plus-minus"
                },
                {
                    "text": "odynophagia",
                    "template": "odynophagia",
                    "type": "plus-minus"
                },
                {
                    "text": "sore throat",
                    "template": "sore throat",
                    "type": "plus-minus"
                },
                {
                    "text": "tongue sores",
                    "template": "tongue sores",
                    "type": "plus-minus"
                },
                {
                    "text": "other thorat\/mouth sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lungs",
            "template": "Lungs: {children}",
            "children": [
                {
                    "text": "dyspnea",
                    "template": "dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "hemoptysis",
                    "template": "hemoptysis",
                    "type": "plus-minus"
                },
                {
                    "text": "night sweats",
                    "template": "night sweats",
                    "type": "plus-minus"
                },
                {
                    "text": "nonproductive cough",
                    "template": "nonproductive cough",
                    "type": "plus-minus"
                },
                {
                    "text": "pain with respiration",
                    "template": "pain with respiration",
                    "type": "plus-minus"
                },
                {
                    "text": "productive cough",
                    "template": "productive cough",
                    "type": "plus-minus"
                },
                {
                    "text": "wheezing",
                    "template": "wheezing",
                    "type": "plus-minus"
                },
                {
                    "text": "other lung sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "CV",
            "template": "CV: {children}",
            "children": [
                {
                    "text": "ankle swelling",
                    "template": "ankle swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "chest pain",
                    "template": "chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspnea with activity",
                    "template": "dyspnea with activity",
                    "type": "plus-minus"
                },
                {
                    "text": "orthopnea",
                    "template": "orthopnea",
                    "type": "plus-minus"
                },
                {
                    "text": "pacemaker",
                    "template": "pacemaker",
                    "type": "plus-minus"
                },
                {
                    "text": "palpitations",
                    "template": "palpitations",
                    "type": "plus-minus"
                },
                {
                    "text": "paroxysmal nocturnal dyspnea",
                    "template": "paroxysmal nocturnal dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "syncope",
                    "template": "syncope",
                    "type": "plus-minus"
                },
                {
                    "text": "varicosities",
                    "template": "varicosities",
                    "type": "plus-minus"
                },
                {
                    "text": "other cardio sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "GI",
            "template": "GI: {children}",
            "children": [
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "change in bowel habits",
                    "template": "change in bowel habits",
                    "type": "plus-minus"
                },
                {
                    "text": "constipation",
                    "template": "constipation",
                    "type": "plus-minus"
                },
                {
                    "text": "cramps",
                    "template": "cramps",
                    "type": "plus-minus"
                },
                {
                    "text": "diarrhea",
                    "template": "diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "hematemesis",
                    "template": "hematemesis",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "rectal pain",
                    "template": "rectal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "stool changes",
                    "template": "stool changes",
                    "type": "plus-minus"
                },
                {
                    "text": "other GI sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "GU",
            "template": "GU: {children}",
            "children": [
                {
                    "text": "dysuria",
                    "template": "dysuria",
                    "type": "plus-minus"
                },
                {
                    "text": "hematuria",
                    "template": "hematuria",
                    "type": "plus-minus"
                },
                {
                    "text": "hesitancy",
                    "template": "hesitancy",
                    "type": "plus-minus"
                },
                {
                    "text": "incontinence",
                    "template": "incontinence",
                    "type": "plus-minus"
                },
                {
                    "text": "nocturia",
                    "template": "nocturia",
                    "type": "plus-minus"
                },
                {
                    "text": "oliguria",
                    "template": "oliguria",
                    "type": "plus-minus"
                },
                {
                    "text": "polyuria",
                    "template": "polyuria",
                    "type": "plus-minus"
                },
                {
                    "text": "urgency",
                    "template": "urgency",
                    "type": "plus-minus"
                },
                {
                    "text": "urine color changes",
                    "template": "urine color changes",
                    "type": "plus-minus"
                },
                {
                    "text": "other GU sx (describe)",
                    "template": "{children}"
                }
            ]
        },
        {
            "text": "Derm\/Breast",
            "template": "Derm\/Breast: {children}",
            "children": [
                {
                    "text": "breast lump (past or present)",
                    "template": "breast lump (past or present)",
                    "type": "plus-minus"
                },
                {
                    "text": "breast pain",
                    "template": "breast pain",
                    "type": "plus-minus"
                },
                {
                    "text": "bruising",
                    "template": "bruising",
                    "type": "plus-minus"
                },
                {
                    "text": "change in nail appearance",
                    "template": "change in nail appearance",
                    "type": "plus-minus"
                },
                {
                    "text": "dry skin",
                    "template": "dry skin",
                    "type": "plus-minus"
                },
                {
                    "text": "itching",
                    "template": "itching",
                    "type": "plus-minus"
                },
                {
                    "text": "jaundice",
                    "template": "jaundice",
                    "type": "plus-minus"
                },
                {
                    "text": "nipple discharge",
                    "template": "nipple discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "rash",
                    "template": "rash",
                    "type": "plus-minus"
                },
                {
                    "text": "skin lumps",
                    "template": "skin lumps",
                    "type": "plus-minus"
                },
                {
                    "text": "skin sores",
                    "template": "skin sores",
                    "type": "plus-minus"
                },
                {
                    "text": "other derm\/breast sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Reproductive",
            "template": "Reproductive: {children}",
            "children": [
                {
                    "text": "amenorrhea",
                    "template": "amenorrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "erectile dysfunction",
                    "template": "erectile dysfunction",
                    "type": "plus-minus"
                },
                {
                    "text": "dysmenorrhea",
                    "template": "dysmenorrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "last menstrual period",
                    "template": "last menstrual period",
                    "type": "date"
                },
                {
                    "text": "menstruation",
                    "template": "menstruation",
                    "type": "plus-minus"
                },
                {
                    "text": "PMS",
                    "template": "PMS",
                    "type": "plus-minus"
                },
                {
                    "text": "other reproductive sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Psychological",
            "template": "Psychological: {children}",
            "children": [
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "insomnia",
                    "template": "insomnia",
                    "type": "plus-minus"
                },
                {
                    "text": "mood swings",
                    "template": "mood swings",
                    "type": "plus-minus"
                },
                {
                    "text": "phobias",
                    "template": "phobias",
                    "type": "plus-minus"
                },
                {
                    "text": "other psych sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Hematologic\/Lymphatic",
            "template": "Hematologic\/Lymphatic: {children}",
            "children": [
                {
                    "text": "easy bruising",
                    "template": "easy bruising",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty in stopping blood flow",
                    "template": "difficulty in stopping blood flow",
                    "type": "plus-minus"
                },
                {
                    "text": "lymph node enlargement",
                    "template": "lymph node enlargement",
                    "type": "plus-minus"
                },
                {
                    "text": "lymph node tenderness",
                    "template": "lymph node tenderness",
                    "type": "plus-minus"
                },
                {
                    "text": "other hem\/lymph sx",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Allergic\/Immunologic",
            "template": "Allergic\/Immunologic: {children}",
            "children": [
                {
                    "text": "frequent wheezing",
                    "template": "frequent wheezing",
                    "type": "plus-minus"
                },
                {
                    "text": "hives",
                    "template": "hives",
                    "type": "plus-minus"
                },
                {
                    "text": "itching",
                    "template": "itching",
                    "type": "plus-minus"
                },
                {
                    "text": "runny nose",
                    "template": "runny nose",
                    "type": "plus-minus"
                },
                {
                    "text": "sinus pressure",
                    "template": "sinus pressure",
                    "type": "plus-minus"
                },
                {
                    "text": "other allergic\/immunologic sx",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "All Other Systems: negative",
            "template": "All Other Systems: negative"
        }
    ]
}