{
    "section": "subjective",
    "templateSet": "Postpartum Visit",
    "templates": [
        {
            "text": "Postpartum Visit\/Concerns",
            "template": "Patient presents for postpartum visit {children}.",
            "children": [
                {
                    "text": "# days or weeks postpartum (specify)",
                    "template": "she is currently {text} postpartum",
                    "type": "alpha"
                },
                {
                    "text": "no acute concerns reported",
                    "template": "no acute concerns reported"
                },
                {
                    "text": "concerns (specify)",
                    "template": "with the following concerns: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Recent Delivery History",
            "template": "Recent Delivery History: {children}.",
            "children": [
                {
                    "text": "date (month\/year)",
                    "template": "{text}",
                    "type": "date"
                },
                {
                    "text": "GA weeks",
                    "template": "gestational age at birth {text} weeks",
                    "type": "number"
                },
                {
                    "text": "length of labor",
                    "template": "length of labor was {text}",
                    "type": "alpha"
                },
                {
                    "text": "baby's birth weight (specify)",
                    "template": "baby's weight at birth {text}",
                    "type": "alpha"
                },
                {
                    "text": "sex",
                    "template": "sex:",
                    "children": [
                        {
                            "text": "female",
                            "template": "female"
                        },
                        {
                            "text": "male",
                            "template": "male"
                        }
                    ]
                },
                {
                    "text": "type of delivery",
                    "template": "{children} delivery",
                    "children": [
                        {
                            "text": "spontaneous vaginal",
                            "template": "spontaneous vaginal"
                        },
                        {
                            "text": "assisted vaginal",
                            "template": "assisted vaginal"
                        },
                        {
                            "text": "cesarean section",
                            "template": "cesarean section"
                        },
                        {
                            "text": "vaginal birth after cesarean (VBAC)",
                            "template": "vaginal birth after cesarean (VBAC)"
                        }
                    ]
                },
                {
                    "text": "lacerations",
                    "template": "lacerations",
                    "type": "plus-minus"
                },
                {
                    "text": "episiotomy",
                    "template": "episiotomy",
                    "children": [
                        {
                            "text": "no episiotomy",
                            "template": "no episiotomy"
                        },
                        {
                            "text": "midline",
                            "template": "midline episiotomy",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mediolateral",
                            "template": "mediolateral episiotomy",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "anesthesia",
                    "template": "anesthesia type:",
                    "children": [
                        {
                            "text": "epidural",
                            "template": "epidural"
                        },
                        {
                            "text": "spinal",
                            "template": "spinal"
                        },
                        {
                            "text": "local",
                            "template": "local"
                        },
                        {
                            "text": "Pudendal block",
                            "template": "Pudendal block"
                        },
                        {
                            "text": "sedation",
                            "template": "sedation"
                        },
                        {
                            "text": "general",
                            "template": "general"
                        },
                        {
                            "text": "none",
                            "template": "none"
                        }
                    ]
                },
                {
                    "text": "place of delivery (list)",
                    "template": "delivered at {text}",
                    "type": "alpha"
                },
                {
                    "text": "preterm labor",
                    "template": "preterm labor",
                    "type": "plus-minus"
                },
                {
                    "text": "comments\/complications (describe)",
                    "template": "additional comments\/complications: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms includes {children}.",
            "children": [
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "cramping",
                    "template": "cramping",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "dizziness",
                    "template": "dizziness",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "feeling hopeless",
                    "template": "feeling hopeless",
                    "type": "plus-minus"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "headache",
                    "template": "headache",
                    "type": "plus-minus"
                },
                {
                    "text": "lightheadedness",
                    "template": "lightheadedness",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "pain",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "abdominal pain",
                            "template": "abdominal pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "back pain",
                            "template": "back pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "incisional pain",
                            "template": "incisional pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "coccyx\/tailbone pain",
                            "template": "coccyx\/tailbone pain",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "shortness of breath",
                    "template": "shortness of breath",
                    "type": "plus-minus"
                },
                {
                    "text": "increased vaginal discharge",
                    "template": "increased vaginal discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Feeding Method\/Breast",
            "template": "Feeding Method: {children}.",
            "children": [
                {
                    "text": "breast feeding",
                    "template": "breast feeding",
                    "type": "plus-minus"
                },
                {
                    "text": "bottle feeding",
                    "template": "bottle feeding",
                    "type": "plus-minus"
                },
                {
                    "text": "pumping",
                    "template": "pumping",
                    "type": "plus-minus"
                },
                {
                    "text": "breast pain",
                    "template": "breast pain",
                    "type": "plus-minus"
                },
                {
                    "text": "engorgement",
                    "template": "engorgement",
                    "type": "plus-minus"
                },
                {
                    "text": "nipple pain",
                    "template": "nipple pain",
                    "type": "plus-minus"
                },
                {
                    "text": "using lanolin (nipple) cream",
                    "template": "using lanolin (nipple) cream",
                    "type": "plus-minus"
                },
                {
                    "text": "latching\/breastfeeding concerns",
                    "template": "latching\/breastfeeding concerns",
                    "type": "plus-minus"
                },
                {
                    "text": "other feeding\/breast (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Bladder\/Bowel",
            "template": "Bladder\/Bowel: {children}.",
            "children": [
                {
                    "text": "normal urination",
                    "template": "normal urination"
                },
                {
                    "text": "normal BM's\/stool",
                    "template": "normal BM's\/stool"
                },
                {
                    "text": "hematuria",
                    "template": "hematuria",
                    "type": "plus-minus"
                },
                {
                    "text": "dysuria",
                    "template": "dysuria",
                    "type": "plus-minus"
                },
                {
                    "text": "diuresis",
                    "template": "diuresis",
                    "type": "plus-minus"
                },
                {
                    "text": "passing gas",
                    "template": "passing gas",
                    "type": "plus-minus"
                },
                {
                    "text": "constipation",
                    "template": "constipation",
                    "type": "plus-minus"
                },
                {
                    "text": "hemorrhoids",
                    "template": "hemorrhoids",
                    "type": "plus-minus"
                },
                {
                    "text": "using topical sprays",
                    "template": "using topical sprays"
                },
                {
                    "text": "using peri-bottle with warm water",
                    "template": "using peri-bottle with warm water"
                },
                {
                    "text": "other bladder\/blowel (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Bleeding",
            "template": "Bleeding: {children}.",
            "children": [
                {
                    "text": "amount",
                    "template": "amount",
                    "children": [
                        {
                            "text": "scant",
                            "template": "scant"
                        },
                        {
                            "text": "small",
                            "template": "small"
                        },
                        {
                            "text": "moderate",
                            "template": "moderate"
                        },
                        {
                            "text": "heavy",
                            "template": "heavy"
                        },
                        {
                            "text": "excessive",
                            "template": "excessive"
                        },
                        {
                            "text": "with clots",
                            "template": "with clots"
                        }
                    ]
                },
                {
                    "text": "color",
                    "template": "{children} in color",
                    "children": [
                        {
                            "text": "lochia rubra",
                            "template": "lochia rubra"
                        },
                        {
                            "text": "lochia serosa",
                            "template": "lochia serosa"
                        },
                        {
                            "text": "lochia alba",
                            "template": "lochia alba"
                        }
                    ]
                },
                {
                    "text": "odor",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "non offensive odor",
                            "template": "with non offensive odor"
                        },
                        {
                            "text": "offensive odor",
                            "template": "with offensive odor"
                        }
                    ]
                },
                {
                    "text": "pad count (describe)",
                    "template": "pad count:",
                    "type": "alpha"
                },
                {
                    "text": "bleeding has stopped",
                    "template": "bleeding has stopped"
                },
                {
                    "text": "menses returned (date)",
                    "template": "menses returned on",
                    "type": "date"
                },
                {
                    "text": "other bleeding concerns",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Sexual Activity\/Contraceptive Method",
            "template": "Sexual Activity\/Contraceptive Method: {children}.",
            "children": [
                {
                    "text": "sexual activity",
                    "template": "sexual activity:",
                    "children": [
                        {
                            "text": "resumed intercourse",
                            "template": "resumed intercourse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "has not resumed intercourse",
                            "template": "has not resumed intercourse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain",
                            "template": "pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vaginal dryness",
                            "template": "vaginal dryness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ intercourse",
                            "template": "pain w\/ intercourse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding after intercourse",
                            "template": "bleeding after intercourse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "loss of interest in sex",
                            "template": "loss of interest in sex",
                            "type": "plus-minus"
                        },
                        {
                            "text": "loss of sexual pleasure",
                            "template": "loss of sexual pleasure",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "not currently on contraception\/hormones",
                    "template": "patient not currently on contraception\/hormones"
                },
                {
                    "text": "birth control type",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "oral contraceptives",
                            "template": "oral contraceptives"
                        },
                        {
                            "text": "monophasic oral contraceptives",
                            "template": "monophasic oral contraceptives"
                        },
                        {
                            "text": "biphasic oral contraceptives",
                            "template": "biphasic oral contraceptives"
                        },
                        {
                            "text": "triphasic oral contraceptives",
                            "template": "triphasic oral contraceptives"
                        },
                        {
                            "text": "extended cycle oral contraceptives",
                            "template": "extended cycle oral contraceptives"
                        },
                        {
                            "text": "progestin-only oral contraceptives",
                            "template": "progestin-only oral contraceptives"
                        },
                        {
                            "text": "hormonal patch",
                            "template": "hormonal patch"
                        },
                        {
                            "text": "depot medroxyprogesterone",
                            "template": "depot medroxyprogesterone"
                        },
                        {
                            "text": "intradermal implant",
                            "template": "intradermal implant"
                        },
                        {
                            "text": "monthly injection",
                            "template": "monthly injection"
                        },
                        {
                            "text": "male condom",
                            "template": "male condom"
                        },
                        {
                            "text": "female condom",
                            "template": "female condom"
                        },
                        {
                            "text": "diaphragm",
                            "template": "diaphragm"
                        },
                        {
                            "text": "spermicide",
                            "template": "spermicide"
                        },
                        {
                            "text": "vaginal ring",
                            "template": "vaginal ring"
                        },
                        {
                            "text": "cervical cap",
                            "template": "cervical cap"
                        },
                        {
                            "text": "contraceptive sponge",
                            "template": "contraceptive sponge"
                        },
                        {
                            "text": "IUD",
                            "template": "IUD"
                        },
                        {
                            "text": "rhythm method\/fertility awareness",
                            "template": "rhythm method\/fertility awareness"
                        },
                        {
                            "text": "partner is sterilized",
                            "template": "partner is sterilized"
                        }
                    ]
                },
                {
                    "text": "birth control type (specify)",
                    "template": "type of birth control: {text}",
                    "type": "alpha"
                },
                {
                    "text": "medications dispensed",
                    "template": "medications dispensed"
                },
                {
                    "text": "other contraceptive (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Last Pap Test (date\/result)",
            "template": "Last Pap Test: {text}.",
            "type": "alpha"
        },
        {
            "text": "Postpartum Depression\/Attachment\/Bonding",
            "template": "Postpartum Depression\/Attachment\/Bonding: {children}.",
            "children": [
                {
                    "text": "depression sx",
                    "template": "patient reports feeling",
                    "children": [
                        {
                            "text": "anxious",
                            "template": "anxious",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sad",
                            "template": "sad",
                            "type": "plus-minus"
                        },
                        {
                            "text": "poor concentration",
                            "template": "poor concentration",
                            "type": "plus-minus"
                        },
                        {
                            "text": "irritability",
                            "template": "irritability",
                            "type": "plus-minus"
                        },
                        {
                            "text": "feelings of despair",
                            "template": "feelings of despair",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crying",
                            "template": "crying",
                            "type": "plus-minus"
                        },
                        {
                            "text": "suicidal ideation",
                            "template": "suicidal ideation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "feeling rested",
                            "template": "feeling rested",
                            "type": "plus-minus"
                        },
                        {
                            "text": "adequate sleep",
                            "template": "adequate sleep",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "EPDS results",
                    "template": "EPDS results:",
                    "children": [
                        {
                            "text": "0-9",
                            "template": "0-9"
                        },
                        {
                            "text": "10-12",
                            "template": "10-12"
                        },
                        {
                            "text": "13 +",
                            "template": "13 +"
                        }
                    ]
                },
                {
                    "text": "depression screen not completed",
                    "template": "depression screen not completed"
                },
                {
                    "text": "support\/system (list)",
                    "template": "support system includes",
                    "type": "alpha"
                },
                {
                    "text": "support system\/bonding\/attachment",
                    "template": "mother reports",
                    "children": [
                        {
                            "text": "mother reports normal bonding\/attachment",
                            "template": "mother reports normal bonding and attachment"
                        },
                        {
                            "text": "help at home",
                            "template": "help at home",
                            "type": "plus-minus"
                        },
                        {
                            "text": "primary support",
                            "template": "primary support",
                            "type": "plus-minus"
                        },
                        {
                            "text": "father helpful and involved",
                            "template": "father helpful and involved",
                            "type": "plus-minus"
                        },
                        {
                            "text": "talks\/laughs\/plays with baby",
                            "template": "talks\/laughs\/plays with baby",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mother sleeping\/eating adequately",
                            "template": "mother sleeping\/eating adequately",
                            "type": "plus-minus"
                        },
                        {
                            "text": "newborn has a routine",
                            "template": "newborn has a routine",
                            "type": "plus-minus"
                        },
                        {
                            "text": "siblings acting out",
                            "template": "siblings acting out"
                        },
                        {
                            "text": "siblings aggressive\/violent",
                            "template": "siblings aggressive\/violent"
                        },
                        {
                            "text": "siblings regressing in potty training\/bedwetting",
                            "template": "siblings regressing in potty training\/bedwetting"
                        }
                    ]
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Partner Violence Screening",
            "template": "Partner Violence Screening: {children}.",
            "children": [
                {
                    "text": "completed",
                    "template": "completed"
                },
                {
                    "text": "not completed",
                    "template": "not completed"
                },
                {
                    "text": "results\/comments (describe)",
                    "template": "results\/comments: {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"
                }
            ]
        }
    ]
}