{
    "section": "subjective",
    "templateSet": "Default",
    "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",
                    "template": "initial evaluation"
                },
                {
                    "text": "follow-up evaluation",
                    "template": "follow-up evaluation"
                },
                {
                    "text": "ongoing management",
                    "template": "ongoing management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Duration",
            "template": "Symptom duration: {children}.",
            "children": [
                {
                    "text": "Long history",
                    "template": "is longstanding"
                },
                {
                    "text": "Duration (hours)",
                    "template": "{text} hour(s)",
                    "type": "number"
                },
                {
                    "text": "Duration (days)",
                    "template": "{text} day(s)",
                    "type": "number"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "{text} week(s)",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "{text} month(s)",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "{text} year(s)",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset",
            "template": "Symptom onset: {children}.",
            "children": [
                {
                    "text": "Onset during (describe)",
                    "template": "during {text}",
                    "type": "alpha"
                },
                {
                    "text": "abrupt",
                    "template": "abrupt"
                },
                {
                    "text": "gradual",
                    "template": "gradual"
                },
                {
                    "text": "insidious",
                    "template": "insidious"
                },
                {
                    "text": "at rest",
                    "template": "while at rest"
                },
                {
                    "text": "following exposure to ill person",
                    "template": "following exposure to ill person"
                },
                {
                    "text": "following infection",
                    "template": "following infection"
                },
                {
                    "text": "exertion-related",
                    "template": "exertion-related"
                },
                {
                    "text": "sports-related",
                    "template": "sports-related"
                },
                {
                    "text": "work-related",
                    "template": "work-related"
                },
                {
                    "text": "trauma-related",
                    "template": "trauma-related"
                },
                {
                    "text": "motor vehicle injury",
                    "template": "motor vehicle injury"
                }
            ]
        },
        {
            "text": "Severity\/Course",
            "template": "Symptoms {children}.",
            "children": [
                {
                    "text": "Symptom course after onset",
                    "template": "{children} over time",
                    "children": [
                        {
                            "text": "progressively improved",
                            "template": "progressively improved"
                        },
                        {
                            "text": "worsened then improved",
                            "template": "worsened then improved"
                        },
                        {
                            "text": "became intermittent",
                            "template": "became intermittent"
                        },
                        {
                            "text": "were variable",
                            "template": "were variable"
                        },
                        {
                            "text": "waxed and waned",
                            "template": "waxed and waned"
                        },
                        {
                            "text": "improved and then worsened",
                            "template": "improved and then worsened"
                        },
                        {
                            "text": "remained constant",
                            "template": "remained constant"
                        },
                        {
                            "text": "progressively worsened",
                            "template": "progressively worsened"
                        },
                        {
                            "text": "escalated significantly",
                            "template": "escalated significantly"
                        }
                    ]
                },
                {
                    "text": "Status of current symptoms",
                    "template": "are currently {children}",
                    "children": [
                        {
                            "text": "completely resolved",
                            "template": "completely resolved"
                        },
                        {
                            "text": "nearly resolved",
                            "template": "nearly resolved"
                        },
                        {
                            "text": "much improved",
                            "template": "much improved"
                        },
                        {
                            "text": "somewhat improved",
                            "template": "somewhat improved"
                        },
                        {
                            "text": "stable in severity",
                            "template": "stable in severity"
                        },
                        {
                            "text": "somewhat worse",
                            "template": "somewhat worse"
                        },
                        {
                            "text": "significantly worse",
                            "template": "significantly worse"
                        },
                        {
                            "text": "at maximal severity",
                            "template": "at maximal severity"
                        }
                    ]
                },
                {
                    "text": "Current sx severity (0 -10)",
                    "template": "are currently {text}\/10 in severity",
                    "type": "number"
                },
                {
                    "text": "Sx course details (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms",
            "template": "Patient reports the presence\/absence of the following Hx\/sx related to the current\n                        visit: {children}.\n                    ",
            "children": [
                {
                    "text": "Other sx (describe)",
                    "template": "also reports {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "weight gain",
                    "template": "weight gain",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "lightheadedness",
                    "template": "lightheadedness",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased exercise tolerance",
                    "template": "decreased exercise tolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting",
                    "template": "vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "diarrhea",
                    "template": "diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "constipation",
                    "template": "constipation",
                    "type": "plus-minus"
                },
                {
                    "text": "change in stool firmness",
                    "template": "change in stool firmness",
                    "type": "plus-minus"
                },
                {
                    "text": "change in stool color",
                    "template": "change in stool color",
                    "type": "plus-minus"
                },
                {
                    "text": "change in stool size",
                    "template": "change in stool size",
                    "type": "plus-minus"
                },
                {
                    "text": "breast lump\/mass",
                    "template": "breast lump\/mass",
                    "type": "plus-minus"
                },
                {
                    "text": "bleeding between menstrual periods",
                    "template": "bleeding between menstrual periods",
                    "type": "plus-minus"
                },
                {
                    "text": "excessive pain with menses",
                    "template": "excessive pain with menses",
                    "type": "plus-minus"
                },
                {
                    "text": "urinary incontinence",
                    "template": "urinary incontinence",
                    "type": "plus-minus"
                },
                {
                    "text": "nocturia",
                    "template": "nocturia",
                    "type": "plus-minus"
                },
                {
                    "text": "back pain",
                    "template": "back pain",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of interest in sex",
                    "template": "loss of interest in sex",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of sexual pleasure",
                    "template": "loss of sexual pleasure",
                    "type": "plus-minus"
                },
                {
                    "text": "lower extremity edema",
                    "template": "lower extremity edema",
                    "type": "plus-minus"
                },
                {
                    "text": "paresthesias",
                    "template": "paresthesias",
                    "type": "plus-minus"
                },
                {
                    "text": "focal extremity weakness",
                    "template": "focal extremity weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "focal extremity numbness",
                    "template": "focal extremity numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of pleasure in usual activities",
                    "template": "loss of pleasure in usual activities",
                    "type": "plus-minus"
                },
                {
                    "text": "feeling hopeless",
                    "template": "feeling hopeless",
                    "type": "plus-minus"
                },
                {
                    "text": "Other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports {children}.",
            "children": [
                {
                    "text": "Exacerbating factors",
                    "template": "exacerbating factors: {children}",
                    "children": [
                        {
                            "text": "none identified",
                            "template": "none identified"
                        }
                    ]
                },
                {
                    "text": "Exacerbating factors (describe)",
                    "template": "exacerbating factors: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Alleviating factors",
                    "template": "alleviating factors: {children}",
                    "children": [
                        {
                            "text": "none identified",
                            "template": "none identified"
                        }
                    ]
                },
                {
                    "text": "Alleviating factors (describe)",
                    "template": "alleviating factors: {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": "nausea",
                            "template": "nausea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "fatigue",
                            "template": "fatigue",
                            "type": "plus-minus"
                        },
                        {
                            "text": "weight gain",
                            "template": "weight gain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dizziness\/lightheadedness",
                            "template": "dizziness\/lightheadedness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "constipation",
                            "template": "constipation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shortness of breath",
                            "template": "shortness of breath",
                            "type": "plus-minus"
                        },
                        {
                            "text": "urinary frequency",
                            "template": "urinary frequency",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cough",
                            "template": "cough",
                            "type": "plus-minus"
                        },
                        {
                            "text": "peripheral edema",
                            "template": "peripheral edema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "muscle cramps",
                            "template": "muscle cramps",
                            "type": "plus-minus"
                        },
                        {
                            "text": "depression",
                            "template": "depression",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sexual dysfxn",
                            "template": "sexual dysfunction",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rash",
                            "template": "rash",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical history includes: {children}.",
            "children": [
                {
                    "text": "Previous medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "Lifestyle\/exposure (specify)",
                    "template": "(+) {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Family Hx specific to visit",
            "template": "Family history includes {children}.",
            "children": [
                {
                    "text": "Family Hx (describe)",
                    "template": "(+) {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Immunization status",
            "template": "Immunization Hx: {children}",
            "children": [
                {
                    "text": "flu vaccine received this season",
                    "template": "flu vaccine received this season",
                    "type": "plus-minus"
                },
                {
                    "text": "pneumococcal vaccine Hx",
                    "template": "pneumococcal vaccine Hx",
                    "type": "plus-minus"
                },
                {
                    "text": "meningococcal vaccine Hx",
                    "template": "meningococcal vaccine Hx",
                    "type": "plus-minus"
                },
                {
                    "text": "Other immunizations (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}