{
    "section": "subjective",
    "templateSet": "Depression, Adult",
    "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 depression symptoms",
                    "template": "initial evaluation of depression symptoms"
                },
                {
                    "text": "follow-up depression evaluation",
                    "template": "follow-up depression evaluation"
                },
                {
                    "text": "ongoing depression management",
                    "template": "ongoing depression management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition {children}.",
            "children": [
                {
                    "text": "single in episode",
                    "template": "is reported to be single in episode"
                },
                {
                    "text": "recurrent",
                    "template": "is recurrent"
                },
                {
                    "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": "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": "number score (# score)",
                    "type": "number"
                },
                {
                    "text": "symptom severity (describe)",
                    "template": "symptom severity (describe)",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms\/Functional impact",
            "template": "Patient reports the presence\/absence of the following Hx\/sx related to the current\n                        visit: {children}.\n                    ",
            "children": [
                {
                    "text": "no complaints",
                    "template": "Patient has no complaints."
                },
                {
                    "text": "sleep disturbance",
                    "template": "sleep disturbance",
                    "type": "plus-minus"
                },
                {
                    "text": "loss of interest in usual activities",
                    "template": "loss of interest in usual activities",
                    "type": "plus-minus"
                },
                {
                    "text": "feelings of guilt and worthlessness",
                    "template": "feelings of guilt and worthlessness",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased energy",
                    "template": "decreased energy",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased ability to concentrate",
                    "template": "decreased ability to concentrate",
                    "type": "plus-minus"
                },
                {
                    "text": "restless motor movements",
                    "template": "restless motor movements",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased motor movements",
                    "template": "decreased motor movements",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "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": "unable to carry out any activity",
                            "template": "unable to carry out any activity without discomfort"
                        },
                        {
                            "text": "able to work",
                            "template": "able to work"
                        },
                        {
                            "text": "unable to work",
                            "template": "unable to work"
                        },
                        {
                            "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": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include: {children}.",
            "children": [
                {
                    "text": "heat intolerance",
                    "template": "heat intolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "cold intolerance",
                    "template": "cold intolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "increased appetite",
                    "template": "increased appetite",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased appetite",
                    "template": "decreased appetite",
                    "type": "plus-minus"
                },
                {
                    "text": "globus",
                    "template": "globus",
                    "type": "plus-minus"
                },
                {
                    "text": "dry skin",
                    "template": "dry skin",
                    "type": "plus-minus"
                },
                {
                    "text": "dry hair",
                    "template": "dry hair",
                    "type": "plus-minus"
                },
                {
                    "text": "paroxysmal nocturnal dyspnea",
                    "template": "paroxysmal nocturnal dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting",
                    "template": "vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "myalgias",
                    "template": "myalgias",
                    "type": "plus-minus"
                },
                {
                    "text": "claudication",
                    "template": "claudication",
                    "type": "plus-minus"
                },
                {
                    "text": "lower extremity edema",
                    "template": "lower extremity edema",
                    "type": "plus-minus"
                },
                {
                    "text": "lightheadedness",
                    "template": "lightheadedness",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "presyncope",
                    "template": "presyncope",
                    "type": "plus-minus"
                },
                {
                    "text": "syncope",
                    "template": "syncope",
                    "type": "plus-minus"
                },
                {
                    "text": "dizziness",
                    "template": "dizziness",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased sensation in extremities",
                    "template": "decreased sensation in extremities",
                    "type": "plus-minus"
                },
                {
                    "text": "dysarthria",
                    "template": "dysarthria",
                    "type": "plus-minus"
                },
                {
                    "text": "focal numbness",
                    "template": "focal numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "focal weakness",
                    "template": "focal weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Stress",
                    "template": "stress {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": "Limited exposure to sunlight",
                    "template": "limited exposure to sunlight {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": "Major medical illness",
                    "template": "a major medical illness {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": "Beta blockers",
                    "template": "beta blockers {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": "H2 blockers",
                    "template": "H2 blockers {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": "Benzodiazepines",
                    "template": "benzodiazepines {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": "Hormonal contraceptives",
                    "template": "hormonal contraceptives {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": "NSAIDS",
                    "template": "NSAIDS {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": "have not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "Medical therapy",
                    "template": "medical therapy {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": "Talk therapy",
                    "template": "talk therapy {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": "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": "Yoga",
                    "template": "yoga {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "other contributing factors (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "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": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dizziness\/LH",
                            "template": "dizziness or lightheadedness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "somnolence",
                            "template": "somnolence",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nervousness\/anxiety",
                            "template": "nervousness\/anxiety",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpitations",
                            "template": "palpitations",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sweating",
                            "template": "sweating",
                            "type": "plus-minus"
                        },
                        {
                            "text": "insomnia",
                            "template": "insomnia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dry mouth",
                            "template": "dry mouth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "constipation",
                            "template": "constipation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "appetite incr\/decr",
                            "template": "appetite incr\/decr",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sexual dysfunction",
                            "template": "sexual dysfunction",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Risk of Harm, Self",
            "template": "Risk of Harm to Self: {children}.",
            "children": [
                {
                    "text": "no evidence of past attempts",
                    "template": "no evidence of past attempts"
                },
                {
                    "text": "past suicidal attempts",
                    "template": "past suicidal attempts"
                },
                {
                    "text": "verbalizes \"wish\" to be dead but no plan",
                    "template": "verbalizes \"wish\" to be dead but no plan"
                },
                {
                    "text": "admits to thoughts about self-harm, but no plan",
                    "template": "admits to thoughts about self-harm, but no plan"
                },
                {
                    "text": "makes threats to harm self and has a plan",
                    "template": "makes threats to harm self and has a plan"
                },
                {
                    "text": "access to arms\/weapons",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "no",
                            "template": "patient does not have access to arms\/weapons"
                        },
                        {
                            "text": "yes",
                            "template": "patient has access to arms\/weapons"
                        }
                    ]
                },
                {
                    "text": "plan (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "risk assessment",
                    "template": "risk assessment:",
                    "children": [
                        {
                            "text": "remote",
                            "template": "remote"
                        },
                        {
                            "text": "low",
                            "template": "low"
                        },
                        {
                            "text": "moderate",
                            "template": "moderate"
                        },
                        {
                            "text": "high",
                            "template": "high"
                        }
                    ]
                },
                {
                    "text": "other (comments)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Risk of Harm, Others",
            "template": "Risk of Harm to Others: {children}.",
            "children": [
                {
                    "text": "no evidence of past history",
                    "template": "no evidence of past history"
                },
                {
                    "text": "history of expressing anger\/frustration",
                    "template": "history of expressing anger\/frustration"
                },
                {
                    "text": "verbally abusive towards others",
                    "template": "verbally abusive towards others"
                },
                {
                    "text": "threatens to harm others, but no attempts",
                    "template": "threatens to harm others, but no attempts"
                },
                {
                    "text": "tried to harm or harmed someone",
                    "template": "tried to harm or harmed someone"
                },
                {
                    "text": "access to arms\/weapons",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "no",
                            "template": "patient does not have access to arms\/weapons"
                        },
                        {
                            "text": "yes",
                            "template": "patient has access to arms\/weapons"
                        }
                    ]
                },
                {
                    "text": "plan (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "risk assessment",
                    "template": "risk assessment:",
                    "children": [
                        {
                            "text": "remote",
                            "template": "remote"
                        },
                        {
                            "text": "low",
                            "template": "low"
                        },
                        {
                            "text": "moderate",
                            "template": "moderate"
                        },
                        {
                            "text": "high",
                            "template": "high"
                        }
                    ]
                },
                {
                    "text": "other (comments)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "prior episode of major depression",
                    "template": "prior episode of major depression",
                    "type": "plus-minus"
                },
                {
                    "text": "bipolar disorder",
                    "template": "bipolar disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "substance abuse",
                    "template": "substance abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "eating disorder",
                    "template": "eating disorder",
                    "type": "plus-minus"
                },
                {
                    "text": "dementia",
                    "template": "dementia",
                    "type": "plus-minus"
                },
                {
                    "text": "history of previous suicide attempt",
                    "template": "history of previous suicide attempt",
                    "type": "plus-minus"
                },
                {
                    "text": "hypothyroidism",
                    "template": "hypothyroidism",
                    "type": "plus-minus"
                },
                {
                    "text": "myocardial infarction",
                    "template": "myocardial infarction",
                    "type": "plus-minus"
                },
                {
                    "text": "migraine",
                    "template": "migraine",
                    "type": "plus-minus"
                },
                {
                    "text": "stroke",
                    "template": "stroke",
                    "type": "plus-minus"
                },
                {
                    "text": "cancer",
                    "template": "cancer",
                    "type": "plus-minus"
                },
                {
                    "text": "chronic pain",
                    "template": "chronic pain",
                    "type": "plus-minus"
                },
                {
                    "text": "perinatal period",
                    "template": "perinatal period"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Prev_episodes\/severity",
            "template": "Previous episodes of depression have been {children}.",
            "children": [
                {
                    "text": "interspersed",
                    "template": "interspersed"
                },
                {
                    "text": "mild",
                    "template": "mild"
                },
                {
                    "text": "moderate",
                    "template": "moderate"
                },
                {
                    "text": "severe",
                    "template": "severe"
                },
                {
                    "text": "Duration, days",
                    "template": "have lasted {children} days",
                    "children": [
                        {
                            "text": "2",
                            "template": "2"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "4",
                            "template": "4"
                        },
                        {
                            "text": "5",
                            "template": "5"
                        },
                        {
                            "text": "6",
                            "template": "6"
                        },
                        {
                            "text": "7",
                            "template": "7"
                        }
                    ]
                },
                {
                    "text": "Duration, weeks",
                    "template": "have lasted {children} weeks",
                    "children": [
                        {
                            "text": "2",
                            "template": "2"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "4",
                            "template": "4"
                        }
                    ]
                },
                {
                    "text": "Duration, months",
                    "template": "have lasted {children} months",
                    "children": [
                        {
                            "text": "2",
                            "template": "2"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "4",
                            "template": "4"
                        },
                        {
                            "text": "5",
                            "template": "5"
                        },
                        {
                            "text": "6",
                            "template": "6"
                        },
                        {
                            "text": "7",
                            "template": "7"
                        },
                        {
                            "text": "8",
                            "template": "8"
                        },
                        {
                            "text": "9",
                            "template": "9"
                        },
                        {
                            "text": "10",
                            "template": "10"
                        },
                        {
                            "text": "11",
                            "template": "11"
                        },
                        {
                            "text": "12",
                            "template": "12"
                        }
                    ]
                },
                {
                    "text": "Duration (# years)",
                    "template": "have lasted {text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Remission",
            "template": "{children}.",
            "children": [
                {
                    "text": "full interepisode recovery",
                    "template": "Full remission has occurred between the two most recent depressive episodes"
                },
                {
                    "text": "partial remission",
                    "template": "During the past 2 months, mood symptoms are present but full criteria for a mood\n                                disorder is not met\n                            "
                },
                {
                    "text": "full remission",
                    "template": "During the past 2 months, no significant mood symptoms are present"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "alcohol use (describe)",
                    "template": "(+) alcohol use, {text}",
                    "type": "alpha"
                },
                {
                    "text": "substance use (describe)",
                    "template": "(+) substance use",
                    "type": "alpha"
                },
                {
                    "text": "sedentary lifestyle",
                    "template": "sedentary lifestyle",
                    "type": "plus-minus"
                },
                {
                    "text": "high fat diet",
                    "template": "high fat diet",
                    "type": "plus-minus"
                },
                {
                    "text": "high salt diet",
                    "template": "high salt diet",
                    "type": "plus-minus"
                },
                {
                    "text": "high sugar diet",
                    "template": "high sugar diet",
                    "type": "plus-minus"
                },
                {
                    "text": "support system",
                    "template": "{children} social support network",
                    "children": [
                        {
                            "text": "nonexistent",
                            "template": "nonexistent"
                        },
                        {
                            "text": "minimal",
                            "template": "minimal"
                        },
                        {
                            "text": "good",
                            "template": "good"
                        },
                        {
                            "text": "strong",
                            "template": "strong"
                        }
                    ]
                },
                {
                    "text": "other (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": "suicide",
                    "template": "suicide",
                    "type": "plus-minus"
                },
                {
                    "text": "other family Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}