{
    "section": "subjective",
    "templateSet": "Pharyngitis, Pedi",
    "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 pharyngitis symptoms",
                    "template": "initial evaluation of pharyngitis symptoms"
                },
                {
                    "text": "follow-up evaluation of pharyngitis",
                    "template": "follow-up evaluation of pharyngitis"
                },
                {
                    "text": "ongoing management of pharyngitis",
                    "template": "ongoing management of pharyngitis"
                },
                {
                    "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": "Duration (days)",
                    "template": "is reported as having been present for {text} days",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "is reported as having been present for {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "T max (Fahrenheit)",
            "template": "T max: {text} F.",
            "type": "number"
        },
        {
            "text": "Symptoms",
            "template": "Patient's caregiver reports the presence\/absence of the following Hx\/sx related to\n                        the current visit: {children}.\n                    ",
            "children": [
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "cough",
                    "template": "cough",
                    "type": "plus-minus"
                },
                {
                    "text": "nasal congestion\/rhinorrhea",
                    "template": "nasal congestion\/rhinorrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "conjunctival sx",
                    "template": "conjunctival sx",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea\/vomiting",
                    "template": "nausea\/vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "painful swallowing",
                    "template": "painful swallowing",
                    "type": "plus-minus"
                },
                {
                    "text": "swollen glands",
                    "template": "swollen glands",
                    "type": "plus-minus"
                },
                {
                    "text": "sudden onset",
                    "template": "sudden onset",
                    "type": "plus-minus"
                },
                {
                    "text": "exposure to ill patient",
                    "template": "exposure to ill patient",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "nonproductive cough",
                    "template": "nonproductive cough",
                    "type": "plus-minus"
                },
                {
                    "text": "purulent sputum",
                    "template": "purulent sputum",
                    "type": "plus-minus"
                },
                {
                    "text": "purulent nasal discharge",
                    "template": "purulent nasal discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "clear nasal discharge",
                    "template": "clear nasal discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "halitosis",
                    "template": "halitosis",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty swallowing",
                    "template": "difficulty swallowing",
                    "type": "plus-minus"
                },
                {
                    "text": "R facial pain",
                    "template": "R facial pain",
                    "type": "plus-minus"
                },
                {
                    "text": "L facial pain",
                    "template": "L facial pain",
                    "type": "plus-minus"
                },
                {
                    "text": "hoarseness",
                    "template": "hoarseness",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspnea\/SOB",
                    "template": "dyspnea\/shortness of breath",
                    "type": "plus-minus"
                },
                {
                    "text": "pleuritic chest pain",
                    "template": "pleuritic chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "diarrhea",
                    "template": "diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "myalgia",
                    "template": "myalgia",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue\/malaise",
                    "template": "fatigue\/malaise",
                    "type": "plus-minus"
                },
                {
                    "text": "rash",
                    "template": "rash",
                    "type": "plus-minus"
                },
                {
                    "text": "rash on taking amoxicillin",
                    "template": "rash on taking amoxicillin",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "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": "has not tried OTC products",
                    "template": "has not tried OTC products"
                },
                {
                    "text": "Prescription antibiotics",
                    "template": "prescription antibiotics {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": "Multi-symptom cough\/cold products",
                    "template": "multi-symptom cough\/cold products {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": "Oral decongestants",
                    "template": "oral 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": "Nasal decongestants",
                    "template": "nasal 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": "Cough suppressants",
                    "template": "cough suppressants {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": "Expectorants",
                    "template": "expectorants {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": "Analgesics",
                    "template": "analgesics {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": "Antihistamines",
                    "template": "antihistamines {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": "Saline gargle",
                    "template": "saline gargle {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": "Saline nasal spray",
                    "template": "saline nasal spray {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": "treatment response (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "recent upper resp. infection",
                    "template": "recent upper resp. infection",
                    "type": "plus-minus"
                },
                {
                    "text": "asthma\/reactive airways dz",
                    "template": "asthma\/reactive airways dz",
                    "type": "plus-minus"
                },
                {
                    "text": "hayfever\/resp. allergies",
                    "template": "hayfever\/resp. allergies",
                    "type": "plus-minus"
                },
                {
                    "text": "exposed to cigarette smoke",
                    "template": "exposed to cigarette smoke",
                    "type": "plus-minus"
                },
                {
                    "text": "hospitalized w\/in past year",
                    "template": "Hx hospitalization within the past year",
                    "type": "plus-minus"
                },
                {
                    "text": "HIV",
                    "template": "HIV",
                    "type": "plus-minus"
                },
                {
                    "text": "immunosuppressive agent use",
                    "template": "immunosuppressive agent use",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes mellitus",
                    "template": "diabetes mellitus",
                    "type": "plus-minus"
                },
                {
                    "text": "s\/p splenectomy",
                    "template": "s\/p splenectomy",
                    "type": "plus-minus"
                },
                {
                    "text": "Recent travel (describe)",
                    "template": "recent travel: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Household contact (describe)",
                    "template": "household contact: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Close contact (describe)",
                    "template": "close contact: {text}",
                    "type": "alpha"
                },
                {
                    "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"
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "immunizations: {children}.",
            "children": [
                {
                    "text": "up to date",
                    "template": "immunizations up to date"
                },
                {
                    "text": "see record for vaccine hx",
                    "template": "see immunization record for vaccine history"
                },
                {
                    "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": "Pertussis vaccine",
                    "template": "pertussis vaccine: {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "Diphtheria vaccine",
                    "template": "diphtheria vaccine: {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "other immunizations (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}