{
    "section": "subjective",
    "templateSet": "ADHD, Child",
    "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 ADHD symptoms",
                    "template": "initial evaluation of ADHD symptoms"
                },
                {
                    "text": "follow-up ADHD evaluation",
                    "template": "follow-up ADHD evaluation"
                },
                {
                    "text": "ongoing ADHD management",
                    "template": "ongoing ADHD management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition {children}.",
            "children": [
                {
                    "text": "acute onset (new condition)",
                    "template": "is reported to have developed acutely"
                },
                {
                    "text": "chronic and ongoing condition",
                    "template": "is chronic and ongoing"
                },
                {
                    "text": "acutely worse (chronic condition)",
                    "template": "severity is reported to have acutely worsened"
                },
                {
                    "text": "progressively worsened",
                    "template": "is reported to have progressively worsened"
                },
                {
                    "text": "intermittent presence of symptoms",
                    "template": "symptoms are described as intermittently present"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "is reported as having been present for {text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "is reported as having been present for {text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "is reported as having been present for {text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "is reported as having been present for {text}",
                    "type": "alpha"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "is reported as having been present for {text} weeks",
                    "type": "number"
                }
            ]
        },
        {
            "text": "Symptoms\/Functional impact",
            "template": "Patient's caregiver reports the presence\/absence of the following Hx\/sx related to\n                        the current visit: {children}.\n                    ",
            "children": [
                {
                    "text": "no complaints",
                    "template": "Patient has no complaints."
                },
                {
                    "text": "ablility to pay close attention",
                    "template": "ablility to pay close attention",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty sustaining task attention",
                    "template": "difficulty sustaining task attention",
                    "type": "plus-minus"
                },
                {
                    "text": "does not seem to listen",
                    "template": "does not seem to listen"
                },
                {
                    "text": "lack of follow through",
                    "template": "lack of follow through",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty organizing",
                    "template": "difficulty organizing",
                    "type": "plus-minus"
                },
                {
                    "text": "avoids tasks req sustained attention",
                    "template": "avoids tasks req sustained attention",
                    "type": "plus-minus"
                },
                {
                    "text": "loses things nec to complete tasks",
                    "template": "loses things nec to complete tasks",
                    "type": "plus-minus"
                },
                {
                    "text": "easily distracted",
                    "template": "easily distracted",
                    "type": "plus-minus"
                },
                {
                    "text": "loses things nec to complete tasks",
                    "template": "loses things necessary to complete tasks"
                },
                {
                    "text": "fidgets, squirms in seat",
                    "template": "fidgets, squirms in seat",
                    "type": "plus-minus"
                },
                {
                    "text": "ablility to remain seated when needed",
                    "template": "ablility to remain seated when needed",
                    "type": "plus-minus"
                },
                {
                    "text": "runs about\/climbs excessively",
                    "template": "runs about\/climbs excessively",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty engaging in quiet activities",
                    "template": "difficulty engaging in quiet activities",
                    "type": "plus-minus"
                },
                {
                    "text": "doesn't stay seated when supposed to",
                    "template": "doesn't stay seated when supposed to",
                    "type": "plus-minus"
                },
                {
                    "text": "\"on the go\", \"driven by a motor\"",
                    "template": "\"on the go\", \"driven by a motor\"",
                    "type": "plus-minus"
                },
                {
                    "text": "talks excessively",
                    "template": "talks excessively",
                    "type": "plus-minus"
                },
                {
                    "text": "blurts out answers",
                    "template": "blurts out answers",
                    "type": "plus-minus"
                },
                {
                    "text": "often interrupts others",
                    "template": "often interrupts others",
                    "type": "plus-minus"
                },
                {
                    "text": "Functional impact",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "no limitation of function",
                            "template": "no limitation of function"
                        },
                        {
                            "text": "slight limitation of function",
                            "template": "slight limitation of function"
                        },
                        {
                            "text": "marked limitation of function",
                            "template": "marked limitation of function"
                        },
                        {
                            "text": "impaired function at school",
                            "template": "impaired function at school"
                        },
                        {
                            "text": "impaired relationships with peers",
                            "template": "impaired relationships with peers"
                        },
                        {
                            "text": "impaired relationships with family",
                            "template": "impaired relationships with family"
                        },
                        {
                            "text": "able to carry out usual activities",
                            "template": "able to carry out usual activities"
                        },
                        {
                            "text": "unable to carry out usual activities",
                            "template": "unable to carry out usual activities"
                        }
                    ]
                },
                {
                    "text": "Functional impact",
                    "template": "impaired functional status, described as {text}",
                    "type": "alpha"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "insomnia",
                    "template": "insomnia",
                    "type": "plus-minus"
                },
                {
                    "text": "hypersomnia",
                    "template": "hypersomnia",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "weight gain",
                    "template": "weight gain",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased appetite",
                    "template": "decreased appetite",
                    "type": "plus-minus"
                },
                {
                    "text": "increased appetite",
                    "template": "increased appetite",
                    "type": "plus-minus"
                },
                {
                    "text": "chest pain",
                    "template": "chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "palpitations",
                    "template": "palpitations",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspnea",
                    "template": "dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptom type",
            "template": "Symptoms are {children}.",
            "children": [
                {
                    "text": "predominantly inattentive",
                    "template": "predominantly inattentive"
                },
                {
                    "text": "predominantly hyperactive",
                    "template": "predominantly hyperactive"
                },
                {
                    "text": "hyperactive and inattentive (combined)",
                    "template": "hyperactive and inattentive (combined)"
                }
            ]
        },
        {
            "text": "Symptom severity",
            "template": "Symptom severity is {children}.",
            "children": [
                {
                    "text": "mild",
                    "template": "mild"
                },
                {
                    "text": "moderate",
                    "template": "moderate"
                },
                {
                    "text": "severe",
                    "template": "severe"
                },
                {
                    "text": "number score (score)",
                    "template": "{text}",
                    "type": "number"
                },
                {
                    "text": "other (describe)",
                    "template": "other (describe)",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient's caregiver reports that {children}.",
            "children": [
                {
                    "text": "Stress",
                    "template": "stress {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Trauma",
                    "template": "trauma {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Bullying",
                    "template": "bullying {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Abuse",
                    "template": "abuse {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Antihistimines",
                    "template": "antihistimines {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": "Decongestants",
                    "template": "decongestants {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": "Bronchodilators",
                    "template": "bronchodilators {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": "Beta agonists",
                    "template": "beta agonists {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": "Corticosteroids",
                    "template": "corticosteroids {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": "Antipsychotics",
                    "template": "antipsychotics {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": "Anticonvulsants",
                    "template": "anticonvulsants {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": "Exercise",
                    "template": "exercise {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": "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": "Caffeine",
                    "template": "caffeine {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": "Prescription stimulant medications",
                    "template": "prescription stimulant medications {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "other contributing factors (describe)",
                    "template": "contributing factors include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx response\/Side effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "text": "adherent to current tx",
                    "template": "adherent to current tx"
                },
                {
                    "text": "nonadherent to current tx",
                    "template": "nonadherent to current tx"
                },
                {
                    "text": "Reasons for nonadherence",
                    "template": "reasons for nonadherence include {children}",
                    "children": [
                        {
                            "text": "side effects",
                            "template": "side effects"
                        },
                        {
                            "text": "nausea",
                            "template": "nausea"
                        },
                        {
                            "text": "stomach upset",
                            "template": "stomach upset"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea"
                        },
                        {
                            "text": "swallowing difficulty",
                            "template": "difficulty swallowing"
                        },
                        {
                            "text": "cost",
                            "template": "cost"
                        },
                        {
                            "text": "difficulty scheduling",
                            "template": "difficulty scheduling"
                        },
                        {
                            "text": "forgetfulness",
                            "template": "forgetfulness"
                        },
                        {
                            "text": "no perceived need for tx",
                            "template": "no perceived need for treatment"
                        }
                    ]
                },
                {
                    "text": "Nonadherence (describe)",
                    "template": "nonadherent to tx ({text})",
                    "type": "alpha"
                },
                {
                    "text": "Treatment response",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "resolved with treatment",
                            "template": "resolved with treatment"
                        },
                        {
                            "text": "well-controlled on treatment",
                            "template": "well-controlled on treatment"
                        },
                        {
                            "text": "improving on treatment",
                            "template": "improving on treatment"
                        },
                        {
                            "text": "stable on treatment",
                            "template": "stable on treatment"
                        },
                        {
                            "text": "unchanged on treatment",
                            "template": "unchanged on treatment"
                        },
                        {
                            "text": "variable response to treatment",
                            "template": "variable response to treatment"
                        },
                        {
                            "text": "suboptimally-controlled on treatment",
                            "template": "suboptimally-controlled on treatment"
                        },
                        {
                            "text": "poorly-controlled on treatment",
                            "template": "poorly-controlled on treatment"
                        },
                        {
                            "text": "worsening on treatment",
                            "template": "worsening on treatment"
                        },
                        {
                            "text": "exacerbated despite treatment",
                            "template": "exacerbated despite treatment"
                        }
                    ]
                },
                {
                    "text": "Treatment response (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "no side effects noted",
                    "template": "no side effects noted"
                },
                {
                    "text": "Common side effects",
                    "template": "side effects include {children}",
                    "children": [
                        {
                            "text": "anorexia",
                            "template": "anorexia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "weight loss",
                            "template": "weight loss",
                            "type": "plus-minus"
                        },
                        {
                            "text": "motor tics",
                            "template": "motor tics",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sleep disturbance\/insomnia",
                            "template": "sleep disturbance\/insomnia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nervousness\/anxiety",
                            "template": "nervousness\/anxiety",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dizziness",
                            "template": "dizziness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "irritability",
                            "template": "irritability",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpitations",
                            "template": "palpitations",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tachycardia",
                            "template": "tachycardia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dry mouth",
                            "template": "dry mouth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dyspepsia",
                            "template": "dyspepsia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical Hx includes {children}.",
            "children": [
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "bipolar disorder",
                    "template": "bipolar disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "oppositional defiant disorder",
                    "template": "oppositional defiant disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "austim",
                    "template": "austim",
                    "type": "plus-minus"
                },
                {
                    "text": "Asperger",
                    "template": "Asperger",
                    "type": "plus-minus"
                },
                {
                    "text": "tic disorder",
                    "template": "tic disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "thyroid disorder",
                    "template": "thyroid disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "liver disease",
                    "template": "liver disease",
                    "type": "plus-minus"
                },
                {
                    "text": "seizure disorder",
                    "template": "seizure disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "obstructive sleep apnea",
                    "template": "obstructive sleep apnea",
                    "type": "plus-minus"
                },
                {
                    "text": "traumatic brain injury",
                    "template": "traumatic brain injury",
                    "type": "plus-minus"
                },
                {
                    "text": "lead toxicity",
                    "template": "lead toxicity",
                    "type": "plus-minus"
                },
                {
                    "text": "other medical Hx (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "victim of bullying",
                    "template": "victim of bullying",
                    "type": "plus-minus"
                },
                {
                    "text": "physical abuse",
                    "template": "physical abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "sexual abuse",
                    "template": "sexual abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "parental neglect",
                    "template": "parental neglect",
                    "type": "plus-minus"
                },
                {
                    "text": "regular exercise",
                    "template": "regular exercise",
                    "type": "plus-minus"
                },
                {
                    "text": "sedentary lifestyle",
                    "template": "sedentary lifestyle",
                    "type": "plus-minus"
                },
                {
                    "text": "cocaine use",
                    "template": "cocaine use",
                    "type": "plus-minus"
                },
                {
                    "text": "alcohol use",
                    "template": "alcohol use",
                    "type": "plus-minus"
                },
                {
                    "text": "substance abuse",
                    "template": "substance abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "other lifestyle\/exposure (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Smoking status",
            "template": "Smoking status: {children}.",
            "children": [
                {
                    "text": "nonsmoker",
                    "template": "nonsmoker"
                },
                {
                    "text": "tobacco abuse",
                    "template": "tobacco abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco dependence",
                    "template": "tobacco dependence",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco products used",
                    "template": "tobacco products used include {children}",
                    "children": [
                        {
                            "text": "cigarettes",
                            "template": "cigarettes"
                        },
                        {
                            "text": "cigars",
                            "template": "cigars"
                        },
                        {
                            "text": "pipes",
                            "template": "pipes"
                        },
                        {
                            "text": "water pipes",
                            "template": "water pipes"
                        },
                        {
                            "text": "chew",
                            "template": "chew"
                        },
                        {
                            "text": "snuff",
                            "template": "snuff"
                        }
                    ]
                },
                {
                    "text": "packs per day (specify)",
                    "template": "{text} packs per day",
                    "type": "number"
                },
                {
                    "text": "age at smoking onset (specify)",
                    "template": "started smoking at age {text}",
                    "type": "number"
                },
                {
                    "text": "smoking duration (months)",
                    "template": "smoking duration is {text} months",
                    "type": "number"
                },
                {
                    "text": "smoking duration (years)",
                    "template": "smoking duration is {text} years",
                    "type": "number"
                },
                {
                    "text": "tobacco withdrawal",
                    "template": "tobacco withdrawal",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco remission",
                    "template": "tobacco remission",
                    "type": "plus-minus"
                },
                {
                    "text": "hx of nicotine dependence (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "second hand smoke type\/exposure (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Family Hx specific to visit",
            "template": "Family history includes {children}.",
            "children": [
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "alcoholism",
                    "template": "alcoholism",
                    "type": "plus-minus"
                },
                {
                    "text": "bipolar disorder",
                    "template": "bipolar disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "other family Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}