{
    "section": "exam-gu-rectal-detail",
    "templateSet": "Enlarged Uterus",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: NAD"
                },
                {
                    "text": "RESP: clear auscul\/- rales\/rhonchi\/wheezes",
                    "template": "RESP: clear to auscultation anteriorly and posteriorly without rales, rhonchi or\n                                wheezes\n                            "
                },
                {
                    "text": "CV: reg rate\/rhythm, no murmur\/gallop\/rub",
                    "template": "CV: regular rate and rhythm, no murmurs, gallops, or rubs"
                },
                {
                    "text": "GI: flat\/+bs,nondistend, -t\/r\/g\/m, no HSM",
                    "template": "GI: abdomen flat, nondistended, with normoactive bowel sounds, no hepatosplenomegaly,\n                                tenderness, rebound or guarding; no palpable masses noted\n                            "
                },
                {
                    "text": "BACK: no CVA tenderness",
                    "template": "MUSC\/SKEL: no CVA tenderness"
                },
                {
                    "text": "BLADDER: nondistended, no masses",
                    "template": "GU\/RECTAL: bladder nondistended, no bladder masses"
                },
                {
                    "text": "GU: no suprapubic tenderness",
                    "template": "GU\/RECTAL: no suprapubic tenderness"
                },
                {
                    "text": "GU: no urethral discharge",
                    "template": "GU\/RECTAL: no urethral discharge"
                },
                {
                    "text": "PELVIC: no vaginal mucosa atrophy",
                    "template": "GU\/RECTAL: no atrophy of the vaginal mucosa"
                },
                {
                    "text": "PELVIC: NL vaginal tone, no prolapse",
                    "template": "GU\/RECTAL: NL vaginal tone, no prolapse"
                },
                {
                    "text": "PELVIC: cervix midline, no CMT",
                    "template": "GU\/RECTAL: cervix midline, no CMT"
                },
                {
                    "text": "RECTAL: normal tone, no masses",
                    "template": "GU\/RECTAL: normal rectal tone, no rectal masses"
                },
                {
                    "text": "MUSC: strength intact BL U and LE",
                    "template": "MUSC\/SKEL: strength intact BL upper and lower extremities"
                },
                {
                    "text": "NEURO: patellar\/ankle DTRs NL BL",
                    "template": "NEURO: patellar\/ankle DTRs NL BL"
                },
                {
                    "text": "NEURO: distal sensation intact BL",
                    "template": "NEURO: distal sensation intact BL"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "{children}",
            "children": [
                {
                    "text": "Gen",
                    "template": "GEN: {children}",
                    "children": [
                        {
                            "text": "WDWN",
                            "template": "WDWN"
                        },
                        {
                            "text": "NAD",
                            "template": "NAD"
                        },
                        {
                            "text": "overweight",
                            "template": "overweight",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "morbidly obese",
                            "template": "morbidly obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mildly distressed",
                            "template": "mildly distressed"
                        },
                        {
                            "text": "moderately distressed",
                            "template": "moderately distressed"
                        }
                    ]
                },
                {
                    "text": "HEENT",
                    "template": "HEENT: {children}",
                    "children": [
                        {
                            "text": "head atraumatic",
                            "template": "head atraumatic"
                        },
                        {
                            "text": "hearing grossly intact",
                            "template": "hearing grossly intact"
                        },
                        {
                            "text": "EOMI",
                            "template": "EOMI",
                            "type": "plus-minus"
                        },
                        {
                            "text": "scleral icterus",
                            "template": "scleral icterus",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tongue lesions",
                            "template": "tongue lesions",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neck",
                    "template": "NECK: {children}",
                    "children": [
                        {
                            "text": "supple, soft, nontender to palpation",
                            "template": "supple, soft, nontender to palpation"
                        },
                        {
                            "text": "no thyromegaly",
                            "template": "no thyromegaly"
                        },
                        {
                            "text": "no cervical lymphadenopathy appreciated",
                            "template": "no cervical lymphadenopathy appreciated"
                        },
                        {
                            "text": "symmetric thyromegaly",
                            "template": "symmetric thyromegaly is noted"
                        },
                        {
                            "text": "L thyroid mass\/enlargement",
                            "template": "left thyroid mass\/enlargement"
                        },
                        {
                            "text": "R thyroid mass\/enlargement",
                            "template": "right thyroid mass\/enlargement"
                        },
                        {
                            "text": "nodular goiter",
                            "template": "nodular goiter"
                        },
                        {
                            "text": "shotty lymph nodes are palpable",
                            "template": "shotty lymph nodes are palpable"
                        },
                        {
                            "text": "R lymphadenopathy",
                            "template": "right lymphadenopathy is noted"
                        },
                        {
                            "text": "L lymphadenopathy",
                            "template": "left lymphadenopathy is noted"
                        }
                    ]
                },
                {
                    "text": "Respiratory",
                    "template": "RESP: {children}",
                    "children": [
                        {
                            "text": "lungs clear to auscultation bilaterally",
                            "template": "lungs clear to auscultation bilaterally"
                        },
                        {
                            "text": "scattered wheezes",
                            "template": "scattered wheezes are noted"
                        },
                        {
                            "text": "rales at bases bilateral",
                            "template": "rales are noted at bases bilaterally"
                        },
                        {
                            "text": "rales along R lung field",
                            "template": "rales noted along right lung field"
                        },
                        {
                            "text": "rales along L lung field",
                            "template": "rales noted along left lung field"
                        },
                        {
                            "text": "E to A changes in lung field",
                            "template": "E to A changes are noted in lung field"
                        },
                        {
                            "text": "rhonchi",
                            "template": "rhonchi",
                            "type": "plus-minus"
                        },
                        {
                            "text": "labored breathing",
                            "template": "labored breathing",
                            "type": "plus-minus"
                        },
                        {
                            "text": "accessory muscle use",
                            "template": "accessory muscle use",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rib retractions",
                            "template": "rib retractions",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Cardiovascular",
                    "template": "CV: {children}",
                    "children": [
                        {
                            "text": "regular rate and rhythm",
                            "template": "regular rate and rhythm"
                        },
                        {
                            "text": "no murmurs, gallops, or rubs",
                            "template": "no murmurs, gallops, or rubs"
                        },
                        {
                            "text": "regularly irregular rhythm",
                            "template": "regularly irregular rhythm"
                        },
                        {
                            "text": "irregularly irregular rhythm",
                            "template": "irregularly irregular rhythm"
                        },
                        {
                            "text": "S3 gallop",
                            "template": "S3 gallop is noted"
                        },
                        {
                            "text": "S4 gallop",
                            "template": "S4 gallop is noted"
                        },
                        {
                            "text": "systolic murmur",
                            "template": "systolic murmur",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diastolic murmur",
                            "template": "diastolic murmur",
                            "type": "plus-minus"
                        },
                        {
                            "text": "friction rub",
                            "template": "friction rub",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Abdomen",
                    "template": "GI: abdominal exam: {children}",
                    "children": [
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "flat",
                            "template": "flat",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds intact",
                            "template": "bowel sounds intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds diminished",
                            "template": "bowel sounds diminished",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds absent",
                            "template": "bowel sounds absent",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged abdominal aorta",
                            "template": "enlarged abdominal aorta",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal aortic bruit",
                            "template": "abdominal aortic bruit",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tenderness with palpation",
                            "template": "tenderness with palpation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rebound",
                            "template": "rebound",
                            "type": "plus-minus"
                        },
                        {
                            "text": "guarding",
                            "template": "guarding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rigidity",
                            "template": "rigidity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mass",
                            "template": "mass",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hepatomegaly",
                            "template": "hepatomegaly",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Back",
                    "template": "MUSC\/SKEL: back: {children}",
                    "children": [
                        {
                            "text": "R CVA tenderness",
                            "template": "R CVA tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L CVA tenderness",
                            "template": "L CVA tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "BL CVA tenderness",
                            "template": "BL CVA tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Bladder",
                    "template": "GU\/RECTAL: bladder: {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "(+) normal"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cystocele",
                            "template": "cystocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "suprapubic tenderness",
                            "template": "suprapubic tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder stress test",
                            "template": "bladder stress test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder distended",
                            "template": "bladder distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, supine",
                            "template": "leak with Valsalva, supine",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, upright",
                            "template": "leak with Valsalva, upright",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Urethra",
                    "template": "GU\/RECTAL: urethra: {children}",
                    "children": [
                        {
                            "text": "hypermobility",
                            "template": "hypermobility",
                            "type": "plus-minus"
                        },
                        {
                            "text": "supine leak test",
                            "template": "supine leak test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "meatal caruncle",
                            "template": "meatal caruncle",
                            "type": "plus-minus"
                        },
                        {
                            "text": "prolapsed mucosa",
                            "template": "prolapsed mucosa",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Vulva",
                    "template": "GU\/RECTAL: vulva {children}",
                    "children": [
                        {
                            "text": "normal appearance w\/o rash\/lesions\/ulcer",
                            "template": "normal in appearance without rashes, lesions or ulcerations"
                        },
                        {
                            "text": "condyloma",
                            "template": "condyloma",
                            "type": "plus-minus"
                        },
                        {
                            "text": "white lesions",
                            "template": "white lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pigmented lesions",
                            "template": "pigmented lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "loss of pigmentation",
                            "template": "loss of pigmentation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ulcerations",
                            "template": "ulcerations",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cracking",
                            "template": "cracking",
                            "type": "plus-minus"
                        },
                        {
                            "text": "atrophy",
                            "template": "atrophy",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Vagina",
                    "template": "GU\/RECTAL: vagina: {children}",
                    "children": [
                        {
                            "text": "NL appearance",
                            "template": "NL appearance"
                        },
                        {
                            "text": "NL pelvic support",
                            "template": "NL pelvic support"
                        },
                        {
                            "text": "vaginal tone decreased",
                            "template": "vaginal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vaginal prolapse",
                            "template": "vaginal prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pale vaginal mucosa",
                            "template": "pale vaginal mucosa",
                            "type": "plus-minus"
                        },
                        {
                            "text": "atrophy",
                            "template": "atrophy",
                            "type": "plus-minus"
                        },
                        {
                            "text": "discharge",
                            "template": "discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lesions",
                            "template": "lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding",
                            "template": "bleeding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stenosis present",
                            "template": "stenosis present"
                        }
                    ]
                },
                {
                    "text": "Cervix",
                    "template": "GU\/RECTAL: cervix: {children}",
                    "children": [
                        {
                            "text": "NL appearance",
                            "template": "NL appearance"
                        },
                        {
                            "text": "midline",
                            "template": "midline"
                        },
                        {
                            "text": "lesions",
                            "template": "lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "discharge",
                            "template": "discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding",
                            "template": "bleeding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "specimens obtained for smear",
                            "template": "specimens obtained for smear",
                            "type": "plus-minus"
                        },
                        {
                            "text": "specimens obtained for culture",
                            "template": "specimens obtained for culture",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p surgical removal",
                            "template": "s\/p surgical removal"
                        }
                    ]
                },
                {
                    "text": "Uterus",
                    "template": "GU\/RECTAL: uterus: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL position",
                            "template": "NL position"
                        },
                        {
                            "text": "NL mobility",
                            "template": "NL mobility"
                        },
                        {
                            "text": "NL contour",
                            "template": "NL contour"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "prolapse",
                            "template": "prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "surgically absent",
                            "template": "surgically absent"
                        },
                        {
                            "text": "irregular contour",
                            "template": "irregular contour"
                        },
                        {
                            "text": "reduced mobility",
                            "template": "reduced mobility"
                        },
                        {
                            "text": "enlarged consistent with fibroids",
                            "template": "enlarged consistent with fibroids"
                        },
                        {
                            "text": "size consistent with 12-14 weeks",
                            "template": "size consistent with 12-14 weeks"
                        },
                        {
                            "text": "size consistent with 16-18 weeks",
                            "template": "size consistent with 16-18 weeks"
                        },
                        {
                            "text": "size consistent with 20-22 weeks",
                            "template": "size consistent with 20-22 weeks"
                        },
                        {
                            "text": "size greater than 22 weeks",
                            "template": "size greater than 22 weeks"
                        }
                    ]
                },
                {
                    "text": "Adnexa, R",
                    "template": "GU\/RECTAL: adnexa R: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        },
                        {
                            "text": "s\/p oophorectomy",
                            "template": "s\/p oophorectomy"
                        },
                        {
                            "text": "s\/p salpingo-oophorectomy",
                            "template": "s\/p salpingo-oophorectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexa, L",
                    "template": "GU\/RECTAL: adnexa L: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        },
                        {
                            "text": "s\/p oophorectomy",
                            "template": "s\/p oophorectomy"
                        },
                        {
                            "text": "s\/p salpingo-oophorectomy",
                            "template": "s\/p salpingo-oophorectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexae BL",
                    "template": "GU\/RECTAL: adnexae BL: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        },
                        {
                            "text": "s\/p oophorectomy",
                            "template": "s\/p oophorectomy"
                        },
                        {
                            "text": "s\/p salpingo-oophorectomy",
                            "template": "s\/p salpingo-oophorectomy"
                        }
                    ]
                },
                {
                    "text": "Anorectal area",
                    "template": "GU\/RECTAL: anus\/rectum: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL tone",
                            "template": "NL tone"
                        },
                        {
                            "text": "rectal tone decreased",
                            "template": "rectal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hard stool in vault",
                            "template": "hard stool in vault",
                            "type": "plus-minus"
                        },
                        {
                            "text": "perianal lesions",
                            "template": "perianal lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "external hemorrhoids",
                            "template": "external hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "internal hemorrhoids",
                            "template": "internal hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rectocele",
                            "template": "rectocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stool positive for occult blood",
                            "template": "stool positive for occult blood"
                        },
                        {
                            "text": "stool negative for occult blood",
                            "template": "stool negative for occult blood"
                        },
                        {
                            "text": "gross blood noted on DRE",
                            "template": "gross blood noted on DRE"
                        },
                        {
                            "text": "rectal mucosal prolapse",
                            "template": "rectal mucosal prolapse"
                        }
                    ]
                },
                {
                    "text": "Vagina: Point Aa",
                    "template": "GU\/RECTAL: vagina point Aa: {children}",
                    "children": [
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "text": "+2",
                            "template": "+2"
                        },
                        {
                            "text": "+3",
                            "template": "+3"
                        }
                    ]
                },
                {
                    "text": "Vagina: Point Ba",
                    "template": "GU\/RECTAL: vagina point Ba: {children}",
                    "children": [
                        {
                            "text": "-8",
                            "template": "-8"
                        },
                        {
                            "text": "-7",
                            "template": "-7"
                        },
                        {
                            "text": "-6",
                            "template": "-6"
                        },
                        {
                            "text": "-5",
                            "template": "-5"
                        },
                        {
                            "text": "-4",
                            "template": "-4"
                        },
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "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": "Vagina: Point C",
                    "template": "GU\/RECTAL: vagina point C: {children}",
                    "children": [
                        {
                            "text": "-8",
                            "template": "-8"
                        },
                        {
                            "text": "-7",
                            "template": "-7"
                        },
                        {
                            "text": "-6",
                            "template": "-6"
                        },
                        {
                            "text": "-5",
                            "template": "-5"
                        },
                        {
                            "text": "-4",
                            "template": "-4"
                        },
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "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": "Vagina: Point D",
                    "template": "GU\/RECTAL: vagina point D: {children}",
                    "children": [
                        {
                            "text": "absent",
                            "template": "absent"
                        },
                        {
                            "text": "-9",
                            "template": "-9"
                        },
                        {
                            "text": "-8",
                            "template": "-8"
                        },
                        {
                            "text": "-7",
                            "template": "-7"
                        },
                        {
                            "text": "-6",
                            "template": "-6"
                        },
                        {
                            "text": "-5",
                            "template": "-5"
                        },
                        {
                            "text": "-4",
                            "template": "-4"
                        },
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "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": "Vagina: Point Ap",
                    "template": "GU\/RECTAL: vagina point Ap: {children}",
                    "children": [
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "text": "+2",
                            "template": "+2"
                        },
                        {
                            "text": "+3",
                            "template": "+3"
                        }
                    ]
                },
                {
                    "text": "Vagina: Point Bp",
                    "template": "GU\/RECTAL: vagina point Bp: {children}",
                    "children": [
                        {
                            "text": "-6",
                            "template": "-6"
                        },
                        {
                            "text": "-5",
                            "template": "-5"
                        },
                        {
                            "text": "-4",
                            "template": "-4"
                        },
                        {
                            "text": "-3",
                            "template": "-3"
                        },
                        {
                            "text": "-2",
                            "template": "-2"
                        },
                        {
                            "text": "-1",
                            "template": "-1"
                        },
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "+1",
                            "template": "+1"
                        },
                        {
                            "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": "Vagina: GH",
                    "template": "GU\/RECTAL: vagina GH: {children}",
                    "children": [
                        {
                            "text": "0.5",
                            "template": "0.5"
                        },
                        {
                            "text": "1",
                            "template": "1"
                        },
                        {
                            "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": "Vagina: PB",
                    "template": "GU\/RECTAL: vagina PB: {children}",
                    "children": [
                        {
                            "text": "0",
                            "template": "0"
                        },
                        {
                            "text": "1",
                            "template": "1"
                        },
                        {
                            "text": "2",
                            "template": "2"
                        },
                        {
                            "text": "3",
                            "template": "3"
                        },
                        {
                            "text": "4",
                            "template": "4"
                        },
                        {
                            "text": "5",
                            "template": "5"
                        }
                    ]
                },
                {
                    "text": "Vagina: TVL",
                    "template": "GU\/RECTAL: vagina TVL: {children}",
                    "children": [
                        {
                            "text": "0.5",
                            "template": "0.5"
                        },
                        {
                            "text": "1",
                            "template": "1"
                        },
                        {
                            "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": "Extremities",
                    "template": "EXT: {children}",
                    "children": [
                        {
                            "text": "nontender with no edema, erythema or cords",
                            "template": "nontender with no edema, erythema or cords"
                        },
                        {
                            "text": "pitting edema in lower extremities",
                            "template": "pitting edema in lower extremities",
                            "type": "plus-minus"
                        },
                        {
                            "text": "RLE pitting edema",
                            "template": "RLE pitting edema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LLE pitting edema",
                            "template": "LLE pitting edema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "normal strength and tone",
                            "template": "normal strength and tone"
                        },
                        {
                            "text": "muscle wasting",
                            "template": "muscle wasting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "peripheral pulses intact",
                            "template": "peripheral pulses intact"
                        },
                        {
                            "text": "peripheral pulses decreased",
                            "template": "peripheral pulses decreased"
                        },
                        {
                            "text": "peripheral pulses not palpable",
                            "template": "peripheral pulses not palpable"
                        }
                    ]
                },
                {
                    "text": "Abdominal musculoskeletal tenderness",
                    "template": "MUSC\/SKEL: abdominal musculoskeletal tenderness: {children}",
                    "children": [
                        {
                            "text": "no tenderness noted",
                            "template": "no tenderness of abdominal wall musculature noted"
                        },
                        {
                            "text": "iliopsoas tenderness R",
                            "template": "iliopsoas tenderness R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "iliopsoas tenderness L",
                            "template": "iliopsoas tenderness L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rectus abdominis tenderness R",
                            "template": "rectus abdominis tenderness right",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rectus abdominis tenderness L",
                            "template": "rectus abdominis tenderness left",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lateral oblique tenderness",
                            "template": "left lateral oblique tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lateral oblique tenderness",
                            "template": "right lateral oblique tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Pelvic floor muscle spasm",
                    "template": "MUSC\/SKEL: pelvic floor muscle spasm {children}",
                    "children": [
                        {
                            "text": "puborectalis muscle R",
                            "template": "puborectalis muscle R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "puborectalis muscle L",
                            "template": "puborectalis muscle L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pubococcygeus muscle R",
                            "template": "pubococcygeus muscle R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pubococcygeus muscle L",
                            "template": "pubococcygeus muscle L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obturator internus muscle R",
                            "template": "obturator internus muscle R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obturator internus muscle L",
                            "template": "obturator internus muscle L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "coccygeus muscle R",
                            "template": "coccygeus muscle R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "coccygeus muscle L",
                            "template": "coccygeus muscle L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bulbocavernosus\/perineal muscle R",
                            "template": "bulbocavernosus\/perineal muscle R",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bulbocavernosus\/perineal muscle L",
                            "template": "bulbocavernosus\/perineal muscle L",
                            "type": "plus-minus"
                        },
                        {
                            "text": "no pelvic floor musculoskeletal tenderness",
                            "template": "no musculoskeletal tenderness is identified in the pelvic floor"
                        }
                    ]
                },
                {
                    "text": "Strength, RLE",
                    "template": "MUSC\/SKEL: RLE {children}",
                    "children": [
                        {
                            "text": "weakness",
                            "template": "weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Strength, LLE",
                    "template": "MUSC\/SKEL: LLE {children}",
                    "children": [
                        {
                            "text": "weakness",
                            "template": "weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Strength, BL LE",
                    "template": "MUSC\/SKEL: BL LE {children}",
                    "children": [
                        {
                            "text": "LE weakness",
                            "template": "LE weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Neuro: General",
                    "template": "NEURO: {children}",
                    "children": [
                        {
                            "text": "alert and oriented to time, place and person",
                            "template": "alert and oriented to time, place and person"
                        },
                        {
                            "text": "appears disoriented",
                            "template": "appears disoriented"
                        },
                        {
                            "text": "cognitive impairment is noted",
                            "template": "cognitive impairment is noted"
                        }
                    ]
                },
                {
                    "text": "Neuro, R",
                    "template": "NEURO: R {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, L",
                    "template": "NEURO: L {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, BL",
                    "template": "NEURO: BL {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "decreased LE sensation",
                            "template": "decreased LE sensation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro: vulvar sensation",
                    "template": "NEURO: vulvar sensation {children}",
                    "children": [
                        {
                            "text": "intact over vulva and inner thighs",
                            "template": "intact over vulva and inner thighs"
                        },
                        {
                            "text": "decreased over L anterior vulva",
                            "template": "decreased over left anterior vulva"
                        },
                        {
                            "text": "decreased over R anterior vulva",
                            "template": "decreased over right anterior vulva"
                        },
                        {
                            "text": "decreased over L inner thigh",
                            "template": "decreased over left inner thigh"
                        },
                        {
                            "text": "decreased over R inner thigh",
                            "template": "decreased over right inner thigh"
                        },
                        {
                            "text": "decreased over L perineum\/perianal skin",
                            "template": "decreased over left perineum\/perianal skin"
                        },
                        {
                            "text": "decreased over R perineum\/perianal skin",
                            "template": "decreased over right perineum\/perianal skin"
                        }
                    ]
                },
                {
                    "text": "Neuro: Bulbocavernosus reflex",
                    "template": "NEURO: Bulbocavernosus reflex {children}",
                    "children": [
                        {
                            "text": "present and normal",
                            "template": "present and normal"
                        },
                        {
                            "text": "present and prolonged",
                            "template": "present and prolonged"
                        },
                        {
                            "text": "absent",
                            "template": "absent"
                        }
                    ]
                },
                {
                    "text": "Neuro: anal wink reflex",
                    "template": "NEURO: anal wink reflex",
                    "type": "plus-minus"
                },
                {
                    "text": "Psych",
                    "template": "PSYCH: {children}",
                    "children": [
                        {
                            "text": "mood is appropriate to situation",
                            "template": "mood is appropriate to situation"
                        },
                        {
                            "text": "normal affect",
                            "template": "normal affect"
                        },
                        {
                            "text": "affect is depressed",
                            "template": "affect is depressed"
                        },
                        {
                            "text": "affect is agitated",
                            "template": "affect is agitated"
                        }
                    ]
                }
            ]
        }
    ]
}