{
    "section": "exam-gi-detail",
    "templateSet": "Irritable Bowel Syndrome",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: NAD"
                },
                {
                    "text": "RESP: CTA BL, no rales\/wheezes\/rhonchi",
                    "template": "RESP: CTA BL, no rales\/wheezes\/rhonchi"
                },
                {
                    "text": "CV: RRR, NL S1, S2 no m\/r\/g",
                    "template": "CV: regular rate and rhythm, NL S1, S2 no murmurs, rubs or gallops"
                },
                {
                    "text": "GI: +BS, no bruits",
                    "template": "GI: +BS, no bruits"
                },
                {
                    "text": "GI: NT to palp, no masses\/no HSM",
                    "template": "GI: nontender to palpation, no masses, no hepatosplenomegaly"
                },
                {
                    "text": "BLADDER: nondistended, no masses",
                    "template": "GU\/RECTAL: bladder nondistended, no masses"
                },
                {
                    "text": "RECTAL: NL tone, FOB negative",
                    "template": "GU\/RECTAL: NL tone, negative for fecal occult blood"
                },
                {
                    "text": "BACK: no CVA tenderness",
                    "template": "MUSC\/SKEL: no CVA tenderness"
                },
                {
                    "text": "EXT: no peripheral edema",
                    "template": "EXT: no peripheral edema"
                },
                {
                    "text": "MUSC: strength intact BL U and LE",
                    "template": "MUSC\/SKEL: strength intact BL upper and lower extremities"
                },
                {
                    "text": "NEURO: distal sensation intact BL",
                    "template": "NEURO: distal sensation intact BL"
                },
                {
                    "text": "NEURO: AO x3, NL mood and affect",
                    "template": "NEURO: AO x3, NL mood and affect"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "{children}",
            "children": [
                {
                    "text": "Gen",
                    "template": "GEN: {children}",
                    "children": [
                        {
                            "text": "overweight",
                            "template": "overweight",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "morbidly obese",
                            "template": "morbidly obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "emaciated",
                            "template": "emaciated",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Respiratory",
                    "template": "RESP: {children}",
                    "children": [
                        {
                            "text": "lungs CTA BL",
                            "template": "lungs CTA BL",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lung, NL ausc and perc",
                            "template": "NL auscultation\/percussion R lung",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lung, NL ausc and perc",
                            "template": "NL auscultation\/percussion L lung",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rales",
                            "template": "rales",
                            "type": "plus-minus"
                        },
                        {
                            "text": "wheezes",
                            "template": "wheezes",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rhonchi",
                            "template": "rhonchi",
                            "type": "plus-minus"
                        },
                        {
                            "text": "decreased respiratory effort",
                            "template": "decreased respiratory effort",
                            "type": "plus-minus"
                        },
                        {
                            "text": "use of acc mm of respiration",
                            "template": "use of acc mm of respiration",
                            "type": "plus-minus"
                        },
                        {
                            "text": "labored breathing",
                            "template": "labored breathing",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Cardiovascular",
                    "template": "CV: {children}",
                    "children": [
                        {
                            "text": "regular rhythm",
                            "template": "regular rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "irregularly irregular rhythm",
                            "template": "irregularly irregular rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distant heart sounds",
                            "template": "distant heart sounds",
                            "type": "plus-minus"
                        },
                        {
                            "text": "murmur",
                            "template": "murmur",
                            "type": "plus-minus"
                        },
                        {
                            "text": "gallop",
                            "template": "gallop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cardiac rub",
                            "template": "cardiac rub",
                            "type": "plus-minus"
                        },
                        {
                            "text": "carotid bruit, R",
                            "template": "carotid bruit, R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "carotid bruit, L",
                            "template": "carotid bruit, L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal aorta enlarged",
                            "template": "abdominal aorta enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal aortic bruit",
                            "template": "abdominal aortic bruit",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Abdomen",
                    "template": "GI: abdominal exam: {children}",
                    "children": [
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "flat",
                            "template": "flat",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds intact",
                            "template": "bowel sounds intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds diminished",
                            "template": "bowel sounds diminished",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds absent",
                            "template": "bowel sounds absent",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged abdominal aorta",
                            "template": "enlarged abdominal aorta",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal aortic bruit",
                            "template": "abdominal aortic bruit",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mass",
                            "template": "mass",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rebound",
                            "template": "rebound",
                            "type": "plus-minus"
                        },
                        {
                            "text": "guarding",
                            "template": "guarding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rigidity",
                            "template": "rigidity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hepatomegaly",
                            "template": "hepatomegaly",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Abdominal tenderness",
                    "template": "GI: abdominal tenderness: {children}",
                    "children": [
                        {
                            "text": "no tenderness noted on exam",
                            "template": "(+) no tenderness noted on exam"
                        },
                        {
                            "text": "tenderness at rest",
                            "template": "tenderness present at rest",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tenderness with palpation",
                            "template": "tenderness with palpation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tenderness with movement",
                            "template": "tenderness with movement",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tenderness throughout",
                            "template": "tenderness throughout",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rebound",
                            "template": "rebound",
                            "type": "plus-minus"
                        },
                        {
                            "text": "voluntary guarding",
                            "template": "voluntary guarding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "involuntary guarding",
                            "template": "involuntary guarding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rigidity",
                            "template": "rigidity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "midepigastric tenderness",
                            "template": "midepigastric tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hypogastric tenderness",
                            "template": "hypogastric tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "periumbilical tenderness",
                            "template": "periumbilical tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "right sided tenderness",
                            "template": "right sided tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "left sided tenderness",
                            "template": "left sided tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "RUQ tenderness",
                            "template": "RUQ tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LUQ tenderness",
                            "template": "LUQ tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "RLQ tenderness",
                            "template": "RLQ tenderness present",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LLQ tenderness",
                            "template": "LLQ tenderness present",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Bladder",
                    "template": "GU\/RECTAL: bladder: {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "(+) normal"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cystocele",
                            "template": "cystocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "suprapubic tenderness",
                            "template": "suprapubic tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder stress test",
                            "template": "bladder stress test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder distended",
                            "template": "bladder distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, supine",
                            "template": "leak with Valsalva, supine",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, upright",
                            "template": "leak with Valsalva, upright",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Urethra",
                    "template": "GU\/RECTAL: urethra: {children}",
                    "children": [
                        {
                            "text": "Q tip test",
                            "template": "Q tip test",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Vagina",
                    "template": "GU\/RECTAL: vagina: {children}",
                    "children": [
                        {
                            "text": "NL appearance",
                            "template": "NL appearance"
                        },
                        {
                            "text": "NL pelvic support",
                            "template": "NL pelvic support"
                        },
                        {
                            "text": "vaginal tone decreased",
                            "template": "vaginal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vaginal prolapse",
                            "template": "vaginal prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pale vaginal mucosa",
                            "template": "pale vaginal mucosa",
                            "type": "plus-minus"
                        },
                        {
                            "text": "atrophy",
                            "template": "atrophy",
                            "type": "plus-minus"
                        },
                        {
                            "text": "discharge",
                            "template": "discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lesions",
                            "template": "lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding",
                            "template": "bleeding",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Uterus",
                    "template": "GU\/RECTAL: uterus: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL position",
                            "template": "NL position"
                        },
                        {
                            "text": "NL mobility",
                            "template": "NL mobility"
                        },
                        {
                            "text": "NL contour",
                            "template": "NL contour"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "prolapse",
                            "template": "prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p hysterectomy",
                            "template": "s\/p hysterectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexa, R",
                    "template": "GU\/RECTAL: Adnexa, R: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexa, L",
                    "template": "GU\/RECTAL: Adnexa, L: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexae, BL",
                    "template": "GU\/RECTAL: Adnexae, BL: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Anorectal area",
                    "template": "GU\/RECTAL: anus\/rectum: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL tone",
                            "template": "NL tone"
                        },
                        {
                            "text": "rectal tone decreased",
                            "template": "rectal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hard stool in vault",
                            "template": "hard stool in vault",
                            "type": "plus-minus"
                        },
                        {
                            "text": "perianal lesions",
                            "template": "perianal lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "external hemorrhoids",
                            "template": "external hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "internal hemorrhoids",
                            "template": "internal hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rectocele",
                            "template": "rectocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stool positive for occult blood",
                            "template": "stool positive for occult blood"
                        },
                        {
                            "text": "stool negative for occult blood",
                            "template": "stool negative for occult blood"
                        },
                        {
                            "text": "gross blood noted on DRE",
                            "template": "gross blood noted on DRE"
                        }
                    ]
                },
                {
                    "text": "Neuro, R",
                    "template": "NEURO: R {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, L",
                    "template": "NEURO: L {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, BL",
                    "template": "NEURO: BL {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "decreased LE sensation",
                            "template": "decreased LE sensation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Other findings (describe)",
                    "template": "Other findings: {text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}