{
    "section": "subjective",
    "templateSet": "Onychomycosis",
    "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 nail symptoms",
                    "template": "initial evaluation of nail symptoms"
                },
                {
                    "text": "follow-up onychomycosis evaluation",
                    "template": "follow-up evaluation of onychomycosis"
                },
                {
                    "text": "ongoing onychomycosis management",
                    "template": "ongoing management of onychomycosis"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition {children}.",
            "children": [
                {
                    "text": "acute onset (new condition)",
                    "template": "is reported to have developed acutely"
                },
                {
                    "text": "chronic and ongoing condition",
                    "template": "is chronic and ongoing"
                },
                {
                    "text": "acutely worse (chronic condition)",
                    "template": "severity is reported to have acutely worsened"
                },
                {
                    "text": "progressively worsened",
                    "template": "is reported to have progressively worsened"
                },
                {
                    "text": "intermittent presence of symptoms",
                    "template": "symptoms are described as intermittently present"
                },
                {
                    "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": "Symptoms",
            "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": "nails involved (specify)",
                    "template": "{text} nails are involved",
                    "type": "alpha"
                },
                {
                    "text": "nail thickening",
                    "template": "nail thickening",
                    "type": "plus-minus"
                },
                {
                    "text": "nail crumbling",
                    "template": "nail crumbling",
                    "type": "plus-minus"
                },
                {
                    "text": "nail spliting",
                    "template": "nail spliting",
                    "type": "plus-minus"
                },
                {
                    "text": "change in nail shape",
                    "template": "change in nail shape",
                    "type": "plus-minus"
                },
                {
                    "text": "white spots on nails",
                    "template": "white spots on nails",
                    "type": "plus-minus"
                },
                {
                    "text": "yellow streaks on nails",
                    "template": "yellow streaks on nails",
                    "type": "plus-minus"
                },
                {
                    "text": "diffuse yellowing of nails",
                    "template": "diffuse yellowing of nails",
                    "type": "plus-minus"
                },
                {
                    "text": "diffuse whitening of nails",
                    "template": "diffuse whitening of nails",
                    "type": "plus-minus"
                },
                {
                    "text": "whitening of proximal nail fold",
                    "template": "whitening of proximal nail fold",
                    "type": "plus-minus"
                },
                {
                    "text": "green discoloration of nails",
                    "template": "green discoloration of nails",
                    "type": "plus-minus"
                },
                {
                    "text": "painful nails",
                    "template": "painful nails",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty trimming nails",
                    "template": "difficulty trimming nails",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "redness of skin surrounding nail",
                    "template": "redness of skin surrounding nail",
                    "type": "plus-minus"
                },
                {
                    "text": "swelilng of skin surrounding nail",
                    "template": "swelilng of skin surrounding nail",
                    "type": "plus-minus"
                },
                {
                    "text": "pain of skin surrounding nail",
                    "template": "pain of skin surrounding nail",
                    "type": "plus-minus"
                },
                {
                    "text": "warmth of skin surrounding nail",
                    "template": "warmth of skin surrounding nail",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Infection",
                    "template": "an infection {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": "Pedicure",
                    "template": "a pedicure {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "has improved sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been tried",
                            "template": "has not been tried"
                        }
                    ]
                },
                {
                    "text": "Exposure to water",
                    "template": "exposure to water {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "has improved sx"
                        },
                        {
                            "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": "Antifungal medications",
                    "template": "antifungal 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": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "diabetes type 1",
                    "template": "diabetes type 1",
                    "type": "plus-minus"
                },
                {
                    "text": "diabetes type 2",
                    "template": "diabetes type 2",
                    "type": "plus-minus"
                },
                {
                    "text": "peripheral vascular disease",
                    "template": "peripheral vascular disease",
                    "type": "plus-minus"
                },
                {
                    "text": "HIV positive",
                    "template": "HIV positive",
                    "type": "plus-minus"
                },
                {
                    "text": "psoriasis",
                    "template": "psoriasis",
                    "type": "plus-minus"
                },
                {
                    "text": "tinea pedis",
                    "template": "tinea pedis",
                    "type": "plus-minus"
                },
                {
                    "text": "Raynaud phenomenon",
                    "template": "Raynaud phenomenon",
                    "type": "plus-minus"
                },
                {
                    "text": "Down syndrome",
                    "template": "Down syndrome",
                    "type": "plus-minus"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "use of public bathing facilities",
                    "template": "use of public bathing facilities",
                    "type": "plus-minus"
                },
                {
                    "text": "user of locker room",
                    "template": "user of locker room",
                    "type": "plus-minus"
                },
                {
                    "text": "ill-fitting shoes",
                    "template": "ill-fitting shoes",
                    "type": "plus-minus"
                },
                {
                    "text": "alcohol use",
                    "template": "alcohol use",
                    "type": "plus-minus"
                },
                {
                    "text": "drug use",
                    "template": "drug use",
                    "type": "plus-minus"
                },
                {
                    "text": "water exposure (describe)",
                    "template": "water exposure: {text}",
                    "type": "alpha"
                },
                {
                    "text": "occupation (describe)",
                    "template": "occupation: {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"
                }
            ]
        },
        {
            "text": "Family Hx specific to visit",
            "template": "Family history includes {children}.",
            "children": [
                {
                    "text": "onychomycosis",
                    "template": "onychomycosis",
                    "type": "plus-minus"
                },
                {
                    "text": "other family Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}