{
    "section": "ros",
    "templateSet": "Gynecology Annual Visit",
    "templates": [
        {
            "text": "Constitutional",
            "template": "Constitutional: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "night sweats",
                    "template": "night sweats",
                    "type": "plus-minus"
                },
                {
                    "text": "chills",
                    "template": "chills",
                    "type": "plus-minus"
                },
                {
                    "text": "cold intolerance",
                    "template": "cold intolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "fatigue",
                    "template": "fatigue",
                    "type": "plus-minus"
                },
                {
                    "text": "daytime somnolence",
                    "template": "daytime somnolence",
                    "type": "plus-minus"
                },
                {
                    "text": "weight gain",
                    "template": "weight gain",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "polydipsia",
                    "template": "polydipsia",
                    "type": "plus-minus"
                },
                {
                    "text": "polyphagia",
                    "template": "polyphagia",
                    "type": "plus-minus"
                },
                {
                    "text": "anorexia",
                    "template": "anorexia",
                    "type": "plus-minus"
                },
                {
                    "text": "other constitutional sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Eyes",
            "template": "Eyes: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "vision change",
                    "template": "vision change",
                    "type": "plus-minus"
                },
                {
                    "text": "blurred vision",
                    "template": "blurred vision",
                    "type": "plus-minus"
                },
                {
                    "text": "diplopia",
                    "template": "diplopia",
                    "type": "plus-minus"
                },
                {
                    "text": "eye redness",
                    "template": "eye redness",
                    "type": "plus-minus"
                },
                {
                    "text": "eye pain",
                    "template": "eye pain",
                    "type": "plus-minus"
                },
                {
                    "text": "tearing",
                    "template": "tearing",
                    "type": "plus-minus"
                },
                {
                    "text": "other eye sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Ears",
            "template": "Ears: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "difficulty hearing",
                    "template": "difficulty hearing",
                    "type": "plus-minus"
                },
                {
                    "text": "hearing loss",
                    "template": "hearing loss",
                    "type": "plus-minus"
                },
                {
                    "text": "ear pain\/ear ache",
                    "template": "ear pain\/ear ache",
                    "type": "plus-minus"
                },
                {
                    "text": "tinnitus",
                    "template": "tinnitus",
                    "type": "plus-minus"
                },
                {
                    "text": "other ear sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Nose",
            "template": "Nose: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "nasal congestion",
                    "template": "nasal congestion",
                    "type": "plus-minus"
                },
                {
                    "text": "nasal discharge",
                    "template": "nasal discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "epistaxis",
                    "template": "epistaxis",
                    "type": "plus-minus"
                },
                {
                    "text": "sneezing",
                    "template": "sneezing",
                    "type": "plus-minus"
                },
                {
                    "text": "snoring",
                    "template": "snoring",
                    "type": "plus-minus"
                },
                {
                    "text": "other nasal sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Mouth, Throat and Voice",
            "template": "Mouth, Throat and Voice: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "lip sores",
                    "template": "lip sores",
                    "type": "plus-minus"
                },
                {
                    "text": "mouth sores",
                    "template": "mouth sores",
                    "type": "plus-minus"
                },
                {
                    "text": "tongue sores",
                    "template": "tongue sores",
                    "type": "plus-minus"
                },
                {
                    "text": "sore throat",
                    "template": "sore throat",
                    "type": "plus-minus"
                },
                {
                    "text": "dysphagia",
                    "template": "dysphagia",
                    "type": "plus-minus"
                },
                {
                    "text": "odynophagia",
                    "template": "odynophagia",
                    "type": "plus-minus"
                },
                {
                    "text": "gum bleeding",
                    "template": "gum bleeding",
                    "type": "plus-minus"
                },
                {
                    "text": "dental problems",
                    "template": "dental problems",
                    "type": "plus-minus"
                },
                {
                    "text": "hoarse voice",
                    "template": "hoarse voice",
                    "type": "plus-minus"
                },
                {
                    "text": "change in voice quality",
                    "template": "change in voice quality",
                    "type": "plus-minus"
                },
                {
                    "text": "other conditions (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Neck",
            "template": "Neck: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "neck pain",
                    "template": "neck pain",
                    "type": "plus-minus"
                },
                {
                    "text": "neck stiffness",
                    "template": "neck stiffness",
                    "type": "plus-minus"
                },
                {
                    "text": "neck lumps",
                    "template": "neck lumps",
                    "type": "plus-minus"
                },
                {
                    "text": "neck swelling",
                    "template": "neck swelling",
                    "type": "plus-minus"
                },
                {
                    "text": "other neck sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Respiratory",
            "template": "Respiratory: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "dyspnea",
                    "template": "dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "cough",
                    "template": "cough",
                    "type": "plus-minus"
                },
                {
                    "text": "hemoptysis",
                    "template": "hemoptysis",
                    "type": "plus-minus"
                },
                {
                    "text": "cough productive of sputum",
                    "template": "cough productive of sputum",
                    "type": "plus-minus"
                },
                {
                    "text": "wheezing",
                    "template": "wheezing",
                    "type": "plus-minus"
                },
                {
                    "text": "other respiratory symptoms (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Cardiovascular",
            "template": "Cardiovascular: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "chest pain",
                    "template": "chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "palpitations",
                    "template": "palpitations",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspnea at rest",
                    "template": "dyspnea at rest",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspnea with activity",
                    "template": "dyspnea with activity",
                    "type": "plus-minus"
                },
                {
                    "text": "orthopnea",
                    "template": "orthopnea",
                    "type": "plus-minus"
                },
                {
                    "text": "paroxysmal nocturnal dyspnea",
                    "template": "paroxysmal nocturnal dyspnea",
                    "type": "plus-minus"
                },
                {
                    "text": "lower extremity edema",
                    "template": "lower extremity edema",
                    "type": "plus-minus"
                },
                {
                    "text": "varicosities",
                    "template": "varicosities",
                    "type": "plus-minus"
                },
                {
                    "text": "other cardiovascular sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Breast",
            "template": "Breast: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "breast lump (past or present)",
                    "template": "breast lump (past or present)",
                    "type": "plus-minus"
                },
                {
                    "text": "breast pain",
                    "template": "breast pain",
                    "type": "plus-minus"
                },
                {
                    "text": "nipple discharge",
                    "template": "nipple discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "other breast sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Gastrointestinal",
            "template": "Gastrointestinal: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "rectal pain",
                    "template": "rectal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting",
                    "template": "vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting blood",
                    "template": "vomiting blood",
                    "type": "plus-minus"
                },
                {
                    "text": "flatulence",
                    "template": "flatulence",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased frequency of BMs",
                    "template": "decreased frequency of BMs",
                    "type": "plus-minus"
                },
                {
                    "text": "constipation",
                    "template": "constipation",
                    "type": "plus-minus"
                },
                {
                    "text": "diarrhea",
                    "template": "diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "fecal incontinence",
                    "template": "fecal incontinence",
                    "type": "plus-minus"
                },
                {
                    "text": "clay-colored stools",
                    "template": "clay-colored stools",
                    "type": "plus-minus"
                },
                {
                    "text": "greasy stools",
                    "template": "greasy stools",
                    "type": "plus-minus"
                },
                {
                    "text": "tarry stools",
                    "template": "tarry stools",
                    "type": "plus-minus"
                },
                {
                    "text": "blood in stool",
                    "template": "blood in stool",
                    "type": "plus-minus"
                },
                {
                    "text": "foul smelling stool",
                    "template": "foul smelling stool",
                    "type": "plus-minus"
                },
                {
                    "text": "other gastrointestinal sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Urinary",
            "template": "Urinary: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "dysuria",
                    "template": "dysuria",
                    "type": "plus-minus"
                },
                {
                    "text": "hematuria",
                    "template": "hematuria",
                    "type": "plus-minus"
                },
                {
                    "text": "urinary hesitancy",
                    "template": "urinary hesitancy",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty initiating urine stream",
                    "template": "difficulty initiating urine stream",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty maintaining urine stream",
                    "template": "difficulty maintaining urine stream",
                    "type": "plus-minus"
                },
                {
                    "text": "urine dribbling",
                    "template": "urine dribbling",
                    "type": "plus-minus"
                },
                {
                    "text": "increased urinary frequency",
                    "template": "increased urinary frequency",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased urinary frequency",
                    "template": "decreased urinary frequency",
                    "type": "plus-minus"
                },
                {
                    "text": "polyuria",
                    "template": "polyuria",
                    "type": "plus-minus"
                },
                {
                    "text": "oliguria",
                    "template": "oliguria",
                    "type": "plus-minus"
                },
                {
                    "text": "increased nighttime urination",
                    "template": "increased nighttime urination",
                    "type": "plus-minus"
                },
                {
                    "text": "urge symptoms",
                    "template": "urge symptoms",
                    "type": "plus-minus"
                },
                {
                    "text": "urinary incontinence",
                    "template": "urinary incontinence",
                    "type": "plus-minus"
                },
                {
                    "text": "urinary incontinence with cough",
                    "template": "urinary incontinence with cough",
                    "type": "plus-minus"
                },
                {
                    "text": "other urinary sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Genital\/Reproductive",
            "template": "Genital\/Reproductive: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "change in libido",
                    "template": "change in libido",
                    "type": "plus-minus"
                },
                {
                    "text": "problems with sexual function",
                    "template": "problems with sexual function",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspareunia",
                    "template": "dyspareunia",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty achieving erection",
                    "template": "difficulty achieving erection",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty maintaining erection",
                    "template": "difficulty maintaining erection",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty\/inability reaching orgasm",
                    "template": "difficulty\/inability reaching orgasm",
                    "type": "plus-minus"
                },
                {
                    "text": "currently having menstrual cycles",
                    "template": "currently having menstrual cycles",
                    "type": "plus-minus"
                },
                {
                    "text": "menorrhagia",
                    "template": "menorrhagia",
                    "type": "plus-minus"
                },
                {
                    "text": "bleeding between periods",
                    "template": "bleeding between menstrual periods",
                    "type": "plus-minus"
                },
                {
                    "text": "excess pain with menses",
                    "template": "excess pain with menses",
                    "type": "plus-minus"
                },
                {
                    "text": "irregular menses",
                    "template": "irregular menses",
                    "type": "plus-minus"
                },
                {
                    "text": "last menstrual period",
                    "template": "last menstrual period",
                    "type": "date"
                },
                {
                    "text": "postmenopausal",
                    "template": "postmenopausal",
                    "type": "plus-minus"
                },
                {
                    "text": "postmenopausal w\/ vaginal bleeding",
                    "template": "postmenopausal w\/ vaginal bleeding",
                    "type": "plus-minus"
                },
                {
                    "text": "hot flushes",
                    "template": "hot flushes",
                    "type": "plus-minus"
                },
                {
                    "text": "genital discharge",
                    "template": "genital discharge",
                    "type": "plus-minus"
                },
                {
                    "text": "other genital\/reproductive sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Dermatologic\/Integumentary",
            "template": "Dermatologic\/Integumentary: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "change in hair texture",
                    "template": "change in hair texture",
                    "type": "plus-minus"
                },
                {
                    "text": "change in skin texture",
                    "template": "change in skin texture",
                    "type": "plus-minus"
                },
                {
                    "text": "change in nail appearance",
                    "template": "change in nail appearance",
                    "type": "plus-minus"
                },
                {
                    "text": "dry hair",
                    "template": "dry hair",
                    "type": "plus-minus"
                },
                {
                    "text": "brittle hair",
                    "template": "brittle hair",
                    "type": "plus-minus"
                },
                {
                    "text": "hair loss",
                    "template": "hair loss",
                    "type": "plus-minus"
                },
                {
                    "text": "dry skin",
                    "template": "dry skin",
                    "type": "plus-minus"
                },
                {
                    "text": "itching",
                    "template": "itching",
                    "type": "plus-minus"
                },
                {
                    "text": "hives",
                    "template": "hives",
                    "type": "plus-minus"
                },
                {
                    "text": "rash",
                    "template": "rash",
                    "type": "plus-minus"
                },
                {
                    "text": "bruising",
                    "template": "bruising",
                    "type": "plus-minus"
                },
                {
                    "text": "new mole(s)",
                    "template": "new mole(s)",
                    "type": "plus-minus"
                },
                {
                    "text": "skin sores",
                    "template": "skin sores",
                    "type": "plus-minus"
                },
                {
                    "text": "skin lumps",
                    "template": "skin lumps",
                    "type": "plus-minus"
                },
                {
                    "text": "other derm\/integumentary sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Musculoskeletal",
            "template": "Musculoskeletal: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "muscle pain",
                    "template": "muscle pain",
                    "type": "plus-minus"
                },
                {
                    "text": "back pain",
                    "template": "back pain",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle weakness",
                    "template": "muscle weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "tender points",
                    "template": "tender points",
                    "type": "plus-minus"
                },
                {
                    "text": "muscle cramps",
                    "template": "muscle cramps",
                    "type": "plus-minus"
                },
                {
                    "text": "decrease muscle strength",
                    "template": "decrease muscle strength",
                    "type": "plus-minus"
                },
                {
                    "text": "limb paralysis",
                    "template": "limb paralysis",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty walking",
                    "template": "difficulty walking",
                    "type": "plus-minus"
                },
                {
                    "text": "limp",
                    "template": "limp",
                    "type": "plus-minus"
                },
                {
                    "text": "other musculoskeletal sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Neurological",
            "template": "Neurological: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "headaches",
                    "template": "headaches",
                    "type": "plus-minus"
                },
                {
                    "text": "vertigo",
                    "template": "vertigo",
                    "type": "plus-minus"
                },
                {
                    "text": "lightheadedness",
                    "template": "lightheadedness",
                    "type": "plus-minus"
                },
                {
                    "text": "fainting",
                    "template": "fainting",
                    "type": "plus-minus"
                },
                {
                    "text": "blackout(s)",
                    "template": "blackout(s)",
                    "type": "plus-minus"
                },
                {
                    "text": "numbness",
                    "template": "numbness",
                    "type": "plus-minus"
                },
                {
                    "text": "tingling",
                    "template": "tingling",
                    "type": "plus-minus"
                },
                {
                    "text": "tremor",
                    "template": "tremor",
                    "type": "plus-minus"
                },
                {
                    "text": "weakness",
                    "template": "weakness",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty speaking",
                    "template": "difficulty speaking",
                    "type": "plus-minus"
                },
                {
                    "text": "memory loss",
                    "template": "memory loss",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty concentrating",
                    "template": "difficulty concentrating",
                    "type": "plus-minus"
                },
                {
                    "text": "other conditions (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Psychiatric",
            "template": "Psychiatric: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "change in mood",
                    "template": "change in mood",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "sadness interfering with function",
                    "template": "sadness interfering with function",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "nervousness",
                    "template": "nervousness",
                    "type": "plus-minus"
                },
                {
                    "text": "sleep disturbance",
                    "template": "sleep disturbance",
                    "type": "plus-minus"
                },
                {
                    "text": "suicidal ideation",
                    "template": "suicidal ideation",
                    "type": "plus-minus"
                },
                {
                    "text": "hopelessness",
                    "template": "hopelessness",
                    "type": "plus-minus"
                },
                {
                    "text": "worthlessness",
                    "template": "worthlessness",
                    "type": "plus-minus"
                },
                {
                    "text": "delusions",
                    "template": "delusions",
                    "type": "plus-minus"
                },
                {
                    "text": "hallucinations",
                    "template": "hallucinations",
                    "type": "plus-minus"
                },
                {
                    "text": "other psychiatric sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Hematologic\/Lymphatic",
            "template": "Hematologic\/Lymphatic: {children}",
            "children": [
                {
                    "text": "negative",
                    "template": "negative"
                },
                {
                    "text": "easy brusing",
                    "template": "easy brusing",
                    "type": "plus-minus"
                },
                {
                    "text": "difficulty stopping blood flow",
                    "template": "difficulty stopping blood flow",
                    "type": "plus-minus"
                },
                {
                    "text": "lymph node enlargement",
                    "template": "lymph node enlargement",
                    "type": "plus-minus"
                },
                {
                    "text": "lymph node tenderness",
                    "template": "lymph node tenderness",
                    "type": "plus-minus"
                },
                {
                    "text": "other heme\/lymphatic sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}