{
    "section": "subjective",
    "templateSet": "Neck pain",
    "templates": [
        {
            "text": "Reason for visit",
            "template": "Patient presents for {children}.",
            "children": [
                {
                    "text": "new onset neck pain evaluation",
                    "template": "new onset neck pain evaluation"
                },
                {
                    "text": "initial evaluation of neck pain",
                    "template": "initial evaluation of neck pain"
                },
                {
                    "text": "follow-up of neck pain",
                    "template": "follow-up of neck pain"
                },
                {
                    "text": "ongoing neck pain management",
                    "template": "ongoing neck pain management"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Activity type",
            "template": "Symptom onset description: {children}.",
            "children": [
                {
                    "text": "acute onset",
                    "template": "acute onset"
                },
                {
                    "text": "gradual onset",
                    "template": "gradual onset"
                },
                {
                    "text": "recurrent",
                    "template": "recurrent condition"
                },
                {
                    "text": "chronic",
                    "template": "chronic condition"
                },
                {
                    "text": "Activity-associated onset",
                    "template": "activity-associated onset: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Trauma-associated onset",
                    "template": "trauma-associated onset: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Motor vehicle injury",
                    "template": "motor vehicle injury: {children}",
                    "children": [
                        {
                            "text": "restrained",
                            "template": "restrained",
                            "type": "plus-minus"
                        },
                        {
                            "text": "driver",
                            "template": "driver",
                            "type": "plus-minus"
                        },
                        {
                            "text": "front passenger",
                            "template": "front passenger",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rear passenger",
                            "template": "rear passenger",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rear-end collision",
                            "template": "rear-end collision",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rollover",
                            "template": "rollover",
                            "type": "plus-minus"
                        },
                        {
                            "text": "airbag deployment",
                            "template": "airbag deployment",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "sports-related",
                    "template": "sports-related",
                    "type": "plus-minus"
                },
                {
                    "text": "work-related",
                    "template": "work-related",
                    "type": "plus-minus"
                },
                {
                    "text": "fall-related",
                    "template": "fall-related",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to neck",
                    "template": "direct blow to neck",
                    "type": "plus-minus"
                },
                {
                    "text": "direct blow to head",
                    "template": "direct blow to head",
                    "type": "plus-minus"
                },
                {
                    "text": "laceration to area",
                    "template": "laceration to area",
                    "type": "plus-minus"
                },
                {
                    "text": "puncture wound to area",
                    "template": "puncture wound to area",
                    "type": "plus-minus"
                },
                {
                    "text": "Other onset\/activity (describe)",
                    "template": "other onset\/activity factor: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Duration of symptoms",
            "template": "Symptom duration is {children}.",
            "children": [
                {
                    "text": "Duration (hours)",
                    "template": "{text} hours",
                    "type": "number"
                },
                {
                    "text": "Duration (days)",
                    "template": "{text} days",
                    "type": "number"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "{text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "{text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "{text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms (neck)",
            "template": "Patient reports the presence\/absence of the following neck symptoms related to the\n                        current visit: {children}.\n                    ",
            "children": [
                {
                    "text": "mild pain",
                    "template": "mild pain"
                },
                {
                    "text": "moderate pain",
                    "template": "moderate pain"
                },
                {
                    "text": "severe pain",
                    "template": "severe pain"
                },
                {
                    "text": "right-sided pain",
                    "template": "right-sided pain"
                },
                {
                    "text": "left-sided pain",
                    "template": "left-sided pain"
                },
                {
                    "text": "midline pain",
                    "template": "midline pain"
                },
                {
                    "text": "diffuse pain",
                    "template": "diffuse pain"
                },
                {
                    "text": "pain, unable to localize",
                    "template": "pain but unable to localize"
                },
                {
                    "text": "achy pain",
                    "template": "achy pain"
                },
                {
                    "text": "sharp pain",
                    "template": "sharp pain"
                },
                {
                    "text": "shooting pain",
                    "template": "shooting pain"
                },
                {
                    "text": "dull pain",
                    "template": "dull pain"
                },
                {
                    "text": "electric sensation",
                    "template": "electric sensation"
                },
                {
                    "text": "limited ROM",
                    "template": "limited ROM"
                },
                {
                    "text": "neck pressure",
                    "template": "neck pressure",
                    "type": "plus-minus"
                },
                {
                    "text": "neck weakness",
                    "template": "neck weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "neck stiffness",
                    "template": "neck stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "Other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include: {children}.",
            "children": [
                {
                    "text": "radiation",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "no radiation",
                            "template": "no radiation"
                        },
                        {
                            "text": "R shoulder",
                            "template": "radiation to right shoulder"
                        },
                        {
                            "text": "L shoulder",
                            "template": "radiation to left shoulder"
                        },
                        {
                            "text": "R arm",
                            "template": "radiation to right arm"
                        },
                        {
                            "text": "L arm",
                            "template": "radiation to left arm"
                        },
                        {
                            "text": "back",
                            "template": "radiation to back"
                        },
                        {
                            "text": "head",
                            "template": "radiation to head"
                        }
                    ]
                },
                {
                    "text": "neck swelling",
                    "template": "neck swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "shock sensation w\/ neck flexion (Lhermitte phenomenon)",
                    "template": "shock sensation with neck flexion (Lhermitte phenomenon)",
                    "type": "plus-minus"
                },
                {
                    "text": "arm numbness",
                    "template": "arm numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "arm swelling",
                    "template": "arm swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "arm clumsiness",
                    "template": "arm clumsiness",
                    "type": "plus-minus"
                },
                {
                    "text": "arm weakness",
                    "template": "arm weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "pain at night",
                    "template": "pain at night",
                    "type": "plus-minus"
                },
                {
                    "text": "break in skin",
                    "template": "break in skin",
                    "type": "plus-minus"
                },
                {
                    "text": "rash",
                    "template": "rash",
                    "type": "plus-minus"
                },
                {
                    "text": "hip pain",
                    "template": "hip pain",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle spasms",
                    "template": "muscle spasms",
                    "type": "plus-minus"
                },
                {
                    "text": "headaches",
                    "template": "headaches",
                    "type": "plus-minus"
                },
                {
                    "text": "vision changes",
                    "template": "vision changes",
                    "type": "plus-minus"
                },
                {
                    "text": "gait difficulty",
                    "template": "gait difficulty",
                    "type": "plus-minus"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "chills",
                    "template": "chills",
                    "type": "plus-minus"
                },
                {
                    "text": "unexplained weight loss",
                    "template": "unexplained weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "bowel dysfunction",
                    "template": "bowel dysfunction",
                    "type": "plus-minus"
                },
                {
                    "text": "bladder dysfunction",
                    "template": "bladder dysfunction",
                    "type": "plus-minus"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Neck movement",
                    "template": "neck movement {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": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Rotation",
                    "template": "rotation of the neck {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": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Flexion",
                    "template": "flexion of the neck {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "neck flexion improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "neck flexion worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Touch\/massage",
                    "template": "touch\/massage {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": "Palpation",
                    "template": "palpation {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "Rest",
                    "template": "rest {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Ice",
                    "template": "ice {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": "Warm compresses",
                    "template": "warm compresses {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": "Driving",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Reading",
                    "template": "reading {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "Computer work",
                    "template": "computer work {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "unknown effect on sx",
                            "template": "has an unknown effect on sx"
                        }
                    ]
                },
                {
                    "text": "OTC medications",
                    "template": "OTC medications {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "Prescription medications",
                    "template": "prescription medications {children}",
                    "children": [
                        {
                            "text": "improve sx",
                            "template": "improve sx"
                        },
                        {
                            "text": "worsen sx",
                            "template": "worsen sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "have no effect on sx"
                        },
                        {
                            "text": "have not been tried",
                            "template": "have not been tried"
                        }
                    ]
                },
                {
                    "text": "Other contributing factors (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx response\/Side effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "text": "not on treatment",
                    "template": "not on treatment"
                },
                {
                    "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": "constipation",
                            "template": "constipation"
                        },
                        {
                            "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 due to {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": "pt describes tx response as {text}",
                    "type": "alpha"
                },
                {
                    "text": "no side effects noted",
                    "template": "no side effects noted"
                },
                {
                    "text": "Common side effects",
                    "template": "Common side effects",
                    "children": [
                        {
                            "text": "dyspepsia",
                            "template": "dyspepsia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "constipation",
                            "template": "constipation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "headache",
                            "template": "headache",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lightheadedness\/dizziness",
                            "template": "lightheadedness\/dizziness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "drowsiness",
                            "template": "drowsiness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sedation\/somnolence",
                            "template": "sedation\/somnolence",
                            "type": "plus-minus"
                        },
                        {
                            "text": "psychomotor impairment",
                            "template": "psychomotor impairment",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rash",
                            "template": "rash",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pruritis",
                            "template": "pruritis",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical Hx specific to visit includes: {children}.",
            "children": [
                {
                    "text": "Hx prior neck injury",
                    "template": "Hx prior neck injury",
                    "type": "plus-minus"
                },
                {
                    "text": "Hx prior neck surgery",
                    "template": "Hx prior neck surgery",
                    "type": "plus-minus"
                },
                {
                    "text": "arthritis",
                    "template": "arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "osteoarthritis\/DJD",
                    "template": "osteoarthritis\/DJD",
                    "type": "plus-minus"
                },
                {
                    "text": "osteoporosis",
                    "template": "osteoporosis",
                    "type": "plus-minus"
                },
                {
                    "text": "osteomyelitis",
                    "template": "osteomyelitis",
                    "type": "plus-minus"
                },
                {
                    "text": "immunosuppression",
                    "template": "immunosuppression",
                    "type": "plus-minus"
                },
                {
                    "text": "chronic steroid use",
                    "template": "chronic steroid use",
                    "type": "plus-minus"
                },
                {
                    "text": "Hx of cancer (specify type)",
                    "template": "cancer ({text})",
                    "type": "alpha"
                },
                {
                    "text": "family Hx inflammatory arthritis",
                    "template": "family Hx inflammatory arthritis",
                    "type": "plus-minus"
                },
                {
                    "text": "overweight\/obesity",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "overweight",
                            "template": "overweight",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "morbid obesity",
                            "template": "morbid obesity",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "obesity contributing factors (describe)",
                    "template": "obesity contributing factors {text}",
                    "type": "alpha"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environmental factors: {children}.",
            "children": [
                {
                    "text": "IVDU",
                    "template": "IVDU",
                    "type": "plus-minus"
                },
                {
                    "text": "Occupation (specify)",
                    "template": "occupation is {text}",
                    "type": "alpha"
                },
                {
                    "text": "Other lifestyle\/exposure (specify)",
                    "template": "(+) {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Smoking status",
            "template": "Smoking status: {children}.",
            "children": [
                {
                    "text": "nonsmoker",
                    "template": "nonsmoker"
                },
                {
                    "text": "tobacco abuse",
                    "template": "tobacco abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco dependence",
                    "template": "tobacco dependence",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco products used",
                    "template": "tobacco products used include {children}",
                    "children": [
                        {
                            "text": "cigarettes",
                            "template": "cigarettes"
                        },
                        {
                            "text": "cigars",
                            "template": "cigars"
                        },
                        {
                            "text": "pipes",
                            "template": "pipes"
                        },
                        {
                            "text": "water pipes",
                            "template": "water pipes"
                        },
                        {
                            "text": "chew",
                            "template": "chew"
                        },
                        {
                            "text": "snuff",
                            "template": "snuff"
                        }
                    ]
                },
                {
                    "text": "packs per day (specify)",
                    "template": "{text} packs per day",
                    "type": "number"
                },
                {
                    "text": "age at smoking onset (specify)",
                    "template": "started smoking at age {text}",
                    "type": "number"
                },
                {
                    "text": "smoking duration (months)",
                    "template": "smoking duration is {text} months",
                    "type": "number"
                },
                {
                    "text": "smoking duration (years)",
                    "template": "smoking duration is {text} years",
                    "type": "number"
                },
                {
                    "text": "tobacco withdrawal",
                    "template": "tobacco withdrawal",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco remission",
                    "template": "tobacco remission",
                    "type": "plus-minus"
                },
                {
                    "text": "hx of nicotine dependence (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "second hand smoke type\/exposure (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}