{
    "section": "subjective",
    "templateSet": "Cough",
    "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 cough",
                    "template": "initial evaluation of cough"
                },
                {
                    "text": "follow-up cough evaluation",
                    "template": "follow-up cough evaluation"
                },
                {
                    "text": "ongoing cough management",
                    "template": "ongoing cough management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Cough {children}.",
            "children": [
                {
                    "text": "acute onset (new condition)",
                    "template": "is reported to have developed acutely"
                },
                {
                    "text": "acutely worse (chronic condition)",
                    "template": "severity is reported to have acutely worsened"
                },
                {
                    "text": "chronic and ongoing condition",
                    "template": "is chronic and ongoing"
                },
                {
                    "text": "progressively worsened",
                    "template": "is reported to have progressively worsened"
                },
                {
                    "text": "Duration (days)",
                    "template": "has been present for {text} days",
                    "type": "number"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "has been present for {text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "has been been present for {text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "has been present for {text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "has been present for {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Sx severity",
            "template": "Symptom severity is {children}.",
            "children": [
                {
                    "text": "mild",
                    "template": "mild"
                },
                {
                    "text": "moderate",
                    "template": "moderate"
                },
                {
                    "text": "severe",
                    "template": "severe"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "T max (Fahrenheit)",
            "template": "T max: {text} F.",
            "type": "number"
        },
        {
            "text": "Sputum features",
            "template": "Sputum is {children}.",
            "children": [
                {
                    "text": "none",
                    "template": "not present"
                },
                {
                    "text": "minimal",
                    "template": "minimal"
                },
                {
                    "text": "copious",
                    "template": "copious"
                },
                {
                    "text": "clear",
                    "template": "clear"
                },
                {
                    "text": "white",
                    "template": "white"
                },
                {
                    "text": "yellow",
                    "template": "yellow"
                },
                {
                    "text": "green",
                    "template": "green"
                },
                {
                    "text": "blood-tinged",
                    "template": "blood-tinged"
                },
                {
                    "text": "bloody",
                    "template": "bloody"
                },
                {
                    "text": "plug-shaped",
                    "template": "plug-shaped"
                },
                {
                    "text": "other sputum features (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Cough features",
            "template": "Cough is reported to be {children}.",
            "children": [
                {
                    "text": "hacking",
                    "template": "hacking",
                    "type": "plus-minus"
                },
                {
                    "text": "barking\/whoop sound",
                    "template": "a barking\/whoop sound",
                    "type": "plus-minus"
                },
                {
                    "text": "paroxysmal",
                    "template": "paroxysmal",
                    "type": "plus-minus"
                },
                {
                    "text": "worse at night",
                    "template": "worse at night",
                    "type": "plus-minus"
                },
                {
                    "text": "worse in morning",
                    "template": "worse in morning",
                    "type": "plus-minus"
                },
                {
                    "text": "triggered by food\/drink",
                    "template": "triggered by food\/drink",
                    "type": "plus-minus"
                },
                {
                    "text": "post-tussive emesis",
                    "template": "post-tussive emesis",
                    "type": "plus-minus"
                },
                {
                    "text": "pleuritic chest pain",
                    "template": "associated pleuritic chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include: {children}.",
            "children": [
                {
                    "text": "T max (degrees F)",
                    "template": "T max: {text} F",
                    "type": "number"
                },
                {
                    "text": "URI symptoms",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "fever",
                            "template": "fever",
                            "type": "plus-minus"
                        },
                        {
                            "text": "chills",
                            "template": "chills",
                            "type": "plus-minus"
                        },
                        {
                            "text": "conjunctival sx",
                            "template": "conjunctival sx",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sneezing",
                            "template": "sneezing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "clear nasal discharge",
                            "template": "clear nasal discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "purulent nasal discharge",
                            "template": "purulent nasal discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nasal congestion",
                            "template": "nasal congestion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hoarseness",
                            "template": "hoarseness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "halitosis",
                            "template": "halitosis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "myalgias",
                            "template": "myalgias",
                            "type": "plus-minus"
                        },
                        {
                            "text": "retrobulbar pain",
                            "template": "retrobulbar pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "malaise",
                            "template": "malaise",
                            "type": "plus-minus"
                        },
                        {
                            "text": "expsoure to ill contact",
                            "template": "expsoure to ill contact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "swollen glands",
                            "template": "swollen glands",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Sinus symptoms",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "R facial pain",
                            "template": "R facial pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L facial pain",
                            "template": "L facial pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "BL facial pain",
                            "template": "BL facial pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "halitosis",
                            "template": "halitosis",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "GI symptoms",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "post-tussive emesis",
                            "template": "post-tussive emesis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "reflux sx",
                            "template": "reflux sx",
                            "type": "plus-minus"
                        },
                        {
                            "text": "heartburn sx",
                            "template": "heartburn sx",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea",
                            "template": "nausea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vomiting",
                            "template": "vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "shortness of breath",
                    "template": "shortness of breath",
                    "type": "plus-minus"
                },
                {
                    "text": "pleuritic chest pain",
                    "template": "pleuritic chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty swallowing",
                    "template": "difficulty swallowing",
                    "type": "plus-minus"
                },
                {
                    "text": "significant weight loss",
                    "template": "significant weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "night sweats",
                    "template": "night sweats",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "rash",
                    "template": "rash",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (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": "Medical Hx specific to visit",
            "template": "Previous history includes {children}.",
            "children": [
                {
                    "text": "allergy\/hayfever",
                    "template": "allergy\/hayfever",
                    "type": "plus-minus"
                },
                {
                    "text": "asthma",
                    "template": "asthma",
                    "type": "plus-minus"
                },
                {
                    "text": "COPD",
                    "template": "COPD",
                    "type": "plus-minus"
                },
                {
                    "text": "chronic bronchitis",
                    "template": "chronic bronchitis",
                    "type": "plus-minus"
                },
                {
                    "text": "ACE inhibitor use",
                    "template": "ACE inhibitor use",
                    "type": "plus-minus"
                },
                {
                    "text": "beta-blocker drug use",
                    "template": "beta-blocker drug use",
                    "type": "plus-minus"
                },
                {
                    "text": "GE reflux",
                    "template": "GE reflux",
                    "type": "plus-minus"
                },
                {
                    "text": "reflux surgery",
                    "template": "reflux surgery",
                    "type": "plus-minus"
                },
                {
                    "text": "heart failure",
                    "template": "heart failure",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes type 1",
                    "template": "diabetes type 1",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes type 2",
                    "template": "diabetes type 2",
                    "type": "plus-minus"
                },
                {
                    "text": "recent immunosuppressant use",
                    "template": "recent immunosuppressant use",
                    "type": "plus-minus"
                },
                {
                    "text": "malignancy",
                    "template": "malignancy",
                    "type": "plus-minus"
                },
                {
                    "text": "neuromuscular disease",
                    "template": "Hx neuromuscular disease",
                    "type": "plus-minus"
                },
                {
                    "text": "immunodeficiency",
                    "template": "Hx {text}",
                    "type": "alpha"
                },
                {
                    "text": "Environment\/occupation exposure",
                    "template": "exposures: {text}",
                    "type": "alpha"
                },
                {
                    "text": "exposed to TB case",
                    "template": "exposed to TB case",
                    "type": "plus-minus"
                },
                {
                    "text": "travel\/residence in TB area",
                    "template": "travel\/residence in TB-endemic area",
                    "type": "plus-minus"
                },
                {
                    "text": "travel\/residence in fungi area",
                    "template": "travel\/residence in fungi-endemic area",
                    "type": "plus-minus"
                },
                {
                    "text": "travel\/residence in parasite area",
                    "template": "travel\/residence in parasite-endemic area",
                    "type": "plus-minus"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "Immunization Hx: {children}.",
            "children": [
                {
                    "text": "flu vax received this season",
                    "template": "flu vax 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 is {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 is {children}",
                    "children": [
                        {
                            "text": "up to date",
                            "template": "up to date"
                        },
                        {
                            "text": "not up to date",
                            "template": "not up to date"
                        }
                    ]
                },
                {
                    "text": "other immunizations (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}