{
    "section": "subjective",
    "templateSet": "Sprain\/Strain, Ankle",
    "templates": [
        {
            "text": "Reason for visit",
            "template": "Patient presents for {children}.",
            "children": [
                {
                    "text": "new onset symptom evaluation",
                    "template": "evaluation of new onset symptoms"
                },
                {
                    "text": "initial evaluation of ankle symptoms",
                    "template": "initial evaluation of ankle symptoms"
                },
                {
                    "text": "follow-up evaluation of ankle symptoms",
                    "template": "follow-up evaluation of ankle symptoms"
                },
                {
                    "text": "ongoing management of ankle symptoms",
                    "template": "ongoing management of ankle symptoms"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Activity type",
            "template": "Symptom onset: {children}.",
            "children": [
                {
                    "text": "Activity-associated onset",
                    "template": "activity-associated: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Trauma-associated onset",
                    "template": "trauma-associated: {text}",
                    "type": "alpha"
                },
                {
                    "text": "abrupt",
                    "template": "abrupt"
                },
                {
                    "text": "gradual",
                    "template": "gradual"
                },
                {
                    "text": "insidious",
                    "template": "insidious"
                },
                {
                    "text": "at rest",
                    "template": "while at rest"
                },
                {
                    "text": "sports-related",
                    "template": "sports-related",
                    "type": "plus-minus"
                },
                {
                    "text": "running-related",
                    "template": "running-related",
                    "type": "plus-minus"
                },
                {
                    "text": "fall-related",
                    "template": "fall-related",
                    "type": "plus-minus"
                },
                {
                    "text": "jumping-related",
                    "template": "jumping-related",
                    "type": "plus-minus"
                },
                {
                    "text": "twisting motion",
                    "template": "twisting-related",
                    "type": "plus-minus"
                },
                {
                    "text": "pivoting motion",
                    "template": "pivoting-related",
                    "type": "plus-minus"
                },
                {
                    "text": "trampolining-related",
                    "template": "trampolining-related",
                    "type": "plus-minus"
                },
                {
                    "text": "following hyperextension",
                    "template": "following hyperextension",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to LE",
                    "template": "direct blow to lower extremity",
                    "type": "plus-minus"
                },
                {
                    "text": "laceration LE",
                    "template": "lower extremity laceration",
                    "type": "plus-minus"
                },
                {
                    "text": "puncture wound LE",
                    "template": "lower extremity puncture wound",
                    "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 (years)",
                    "template": "{text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Affected ankles",
            "template": "Patient complains of symptoms in {children}.",
            "children": [
                {
                    "text": "R ankle",
                    "template": "the right ankle"
                },
                {
                    "text": "L ankle",
                    "template": "the left ankle"
                },
                {
                    "text": "both ankles",
                    "template": "both ankles"
                },
                {
                    "text": "R >L ankle",
                    "template": "the right ankle more than the left"
                },
                {
                    "text": "L >R ankle",
                    "template": "the left ankle more than the right"
                }
            ]
        },
        {
            "text": "Pain location\/type",
            "template": "Pain features: {children}",
            "children": [
                {
                    "text": "Severity scale (0 to 10)",
                    "template": "severity {text}\/10",
                    "type": "number"
                },
                {
                    "text": "anterior",
                    "template": "anterior"
                },
                {
                    "text": "posterior",
                    "template": "posterior"
                },
                {
                    "text": "lateral",
                    "template": "lateral"
                },
                {
                    "text": "medial",
                    "template": "medial"
                },
                {
                    "text": "Achilles",
                    "template": "Achilles"
                },
                {
                    "text": "diffuse",
                    "template": "diffuse"
                },
                {
                    "text": "sharp",
                    "template": "sharp"
                },
                {
                    "text": "dull",
                    "template": "dull"
                },
                {
                    "text": "aching",
                    "template": "aching"
                },
                {
                    "text": "intermittent",
                    "template": "intermittent"
                },
                {
                    "text": "constant",
                    "template": "constant"
                },
                {
                    "text": "Other pain features (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Weight bearing ability",
            "template": "Weight bearing: {children}.",
            "children": [
                {
                    "text": "normal",
                    "template": "normal"
                },
                {
                    "text": "with slight difficulty",
                    "template": "with slight difficulty"
                },
                {
                    "text": "with moderate difficulty",
                    "template": "with moderate difficulty"
                },
                {
                    "text": "with extreme difficulty",
                    "template": "with extreme difficulty"
                },
                {
                    "text": "favors affected side",
                    "template": "favors affected side"
                },
                {
                    "text": "uses cane",
                    "template": "uses cane"
                },
                {
                    "text": "uses crutches",
                    "template": "uses crutches"
                },
                {
                    "text": "unable to ambulate",
                    "template": "unable to ambulate"
                },
                {
                    "text": "Weight-bearing factors (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "audible pop at onset",
                    "template": "audible pop at onset",
                    "type": "plus-minus"
                },
                {
                    "text": "clicking sensation when moving",
                    "template": "clicking sensation during movement",
                    "type": "plus-minus"
                },
                {
                    "text": "immediate swelling",
                    "template": "immediate swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "delayed swelling",
                    "template": "delayed swelling",
                    "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": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "giving way sensation",
                    "template": "giving way sensation",
                    "type": "plus-minus"
                },
                {
                    "text": "instability",
                    "template": "instability",
                    "type": "plus-minus"
                },
                {
                    "text": "numbness",
                    "template": "numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "paresthesias",
                    "template": "paresthesias",
                    "type": "plus-minus"
                },
                {
                    "text": "catching sensation",
                    "template": "catching sensation",
                    "type": "plus-minus"
                },
                {
                    "text": "foot pain\/stiffness",
                    "template": "foot pain\/stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "knee pain\/stiffness",
                    "template": "knee pain\/stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "hand pain\/stiffness",
                    "template": "hand pain\/stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "wrist pain\/stiffness",
                    "template": "wrist pain\/stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "morning stiffness",
                    "template": "morning stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "Other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Weight bearing",
                    "template": "weight bearing {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 observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Flexion",
                    "template": "flexion of the ankle {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "has no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "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": "Movement",
                    "template": "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": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Running",
                    "template": "running {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": "Climbing stairs",
                    "template": "climbing stairs {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 observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Extension",
                    "template": "extension of the ankle {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 observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Standing on toes",
                    "template": "standing on toes {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 observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Wearing high heels",
                    "template": "wearing high heels {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": "Palpation",
                    "template": "palpation of the ankle {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 observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "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": "have not been observed to affect condition",
                            "template": "have not been observed to affect condition"
                        }
                    ]
                },
                {
                    "text": "Rising in morning",
                    "template": "rising in the 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": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "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": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "OTC pain relievers {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 pain relievers",
                    "template": "prescription pain relievers {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": "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": "Other contributing factors (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "Hx ankle injury\/surgery",
                    "template": "previous ankle Hx: {text}",
                    "type": "alpha"
                },
                {
                    "text": "previous ankle injury",
                    "template": "previous ankle injury",
                    "type": "plus-minus"
                },
                {
                    "text": "arthritis",
                    "template": "arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "osteoarthritis\/DJD",
                    "template": "osteoarthritis\/DJD",
                    "type": "plus-minus"
                },
                {
                    "text": "gout",
                    "template": "gout",
                    "type": "plus-minus"
                },
                {
                    "text": "rheumatoid arthritis",
                    "template": "rheumatoid arthritis",
                    "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": "recent STD",
                    "template": "recent STD",
                    "type": "plus-minus"
                },
                {
                    "text": "family Hx inflammatory arthritis",
                    "template": "family Hx inflammatory arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "Other medical Hx (describe)",
                    "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"
                }
            ]
        }
    ]
}