{
    "section": "subjective",
    "templateSet": "Irritable Bowel Syndrome",
    "templates": [
        {
            "text": "Reason for visit",
            "template": "Patient presents for {children}.",
            "children": [
                {
                    "text": "new onset symptom evaluation",
                    "template": "evaluation of new onset symptoms"
                },
                {
                    "text": "initial evaluation of GI symptoms",
                    "template": "initial evaluation of GI symptoms"
                },
                {
                    "text": "follow-up IBS evaluation",
                    "template": "follow-up evaluation of IBS"
                },
                {
                    "text": "ongoing IBS management",
                    "template": "ongoing management of IBS"
                },
                {
                    "text": "Visit reason (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Onset\/Time course",
            "template": "Condition {children}.",
            "children": [
                {
                    "text": "acute onset (new condition)",
                    "template": "is reported to have developed acutely"
                },
                {
                    "text": "chronic and ongoing condition",
                    "template": "is chronic and ongoing"
                },
                {
                    "text": "acutely worse (chronic condition)",
                    "template": "severity is reported to have acutely worsened"
                },
                {
                    "text": "progressively worsened",
                    "template": "is reported to have progressively worsened"
                },
                {
                    "text": "intermittent presence of symptoms",
                    "template": "symptoms are described as intermittently present"
                },
                {
                    "text": "Duration (weeks)",
                    "template": "is reported as having been present for {text} weeks",
                    "type": "number"
                },
                {
                    "text": "Duration (months)",
                    "template": "is reported as having been present for {text} months",
                    "type": "number"
                },
                {
                    "text": "Duration (years)",
                    "template": "is reported as having been present for {text} years",
                    "type": "number"
                },
                {
                    "text": "Duration (describe)",
                    "template": "is reported as having been present for {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Symptoms",
            "template": "Patient reports the presence\/absence of the following Hx\/sx related to the current\n                        visit: {children}.\n                    ",
            "children": [
                {
                    "text": "no complaints",
                    "template": "Patient has no complaints."
                },
                {
                    "text": "bloating",
                    "template": "bloating",
                    "type": "plus-minus"
                },
                {
                    "text": "nausea",
                    "template": "nausea",
                    "type": "plus-minus"
                },
                {
                    "text": "diarrhea",
                    "template": "diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "constipation",
                    "template": "constipation",
                    "type": "plus-minus"
                },
                {
                    "text": "alternating constipation\/diarrhea",
                    "template": "alternating constipation\/diarrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "increased stool frequency",
                    "template": "increased stool frequency",
                    "type": "plus-minus"
                },
                {
                    "text": "watery stools",
                    "template": "watery stools",
                    "type": "plus-minus"
                },
                {
                    "text": "blood in stools",
                    "template": "blood in stools",
                    "type": "plus-minus"
                },
                {
                    "text": "mucous in stool",
                    "template": "mucous in stool",
                    "type": "plus-minus"
                },
                {
                    "text": "decreased stool frequency",
                    "template": "decreased stool frequency",
                    "type": "plus-minus"
                },
                {
                    "text": "straining at stool",
                    "template": "straining at stool",
                    "type": "plus-minus"
                },
                {
                    "text": "fewer than 3 BMs per week",
                    "template": "fewer than 3 BMs per week",
                    "type": "plus-minus"
                },
                {
                    "text": "sensation of incomplete evacuation",
                    "template": "sensation of incomplete evacuation",
                    "type": "plus-minus"
                },
                {
                    "text": "back pain",
                    "template": "back pain",
                    "type": "plus-minus"
                },
                {
                    "text": "abdominal pain",
                    "template": "abdominal pain",
                    "type": "plus-minus"
                },
                {
                    "text": "other sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Abdominal pain detail",
            "template": "Abdominal pain is present and described as {children}.",
            "children": [
                {
                    "text": "Localization",
                    "template": "affecting {children}",
                    "children": [
                        {
                            "text": "RUQ",
                            "template": "the RUQ of the abdomen"
                        },
                        {
                            "text": "LUQ",
                            "template": "the LUQ of the abdomen"
                        },
                        {
                            "text": "midepigastric area",
                            "template": "the midepigastric area"
                        },
                        {
                            "text": "periumbilical area",
                            "template": "the periumbilical area"
                        },
                        {
                            "text": "R flank",
                            "template": "the R flank"
                        },
                        {
                            "text": "L flank",
                            "template": "the L flank"
                        },
                        {
                            "text": "RLQ",
                            "template": "the RLQ of the abdomen"
                        },
                        {
                            "text": "LLQ",
                            "template": "the LLQ of the abdomen"
                        },
                        {
                            "text": "suprapubic area",
                            "template": "the suprapubic area"
                        },
                        {
                            "text": "diffuse",
                            "template": "the abdomen diffusely"
                        },
                        {
                            "text": "no specific area of the abdomen",
                            "template": "no specific area of the abdomen"
                        }
                    ]
                },
                {
                    "text": "Quality",
                    "template": "having {children} quality",
                    "children": [
                        {
                            "text": "pressure",
                            "template": "a pressure-like"
                        },
                        {
                            "text": "sharp",
                            "template": "a sharp"
                        },
                        {
                            "text": "dull",
                            "template": "a dull"
                        },
                        {
                            "text": "aching",
                            "template": "an aching"
                        },
                        {
                            "text": "cramping",
                            "template": "a cramping"
                        },
                        {
                            "text": "spasm",
                            "template": "a spasm-like"
                        }
                    ]
                },
                {
                    "text": "Radiation",
                    "template": "radiating {children}",
                    "children": [
                        {
                            "text": "nonradiating",
                            "template": "pattern is not present"
                        },
                        {
                            "text": "L arm",
                            "template": "to the left arm"
                        },
                        {
                            "text": "R arm",
                            "template": "to the right arm"
                        },
                        {
                            "text": "back",
                            "template": "to the back"
                        },
                        {
                            "text": "R scapula",
                            "template": "to the right scapula"
                        },
                        {
                            "text": "L scapula",
                            "template": "to the left scapula"
                        },
                        {
                            "text": "R groin",
                            "template": "to the R groin"
                        },
                        {
                            "text": "L groin",
                            "template": "to the L groin"
                        }
                    ]
                },
                {
                    "text": "Severity (0-10, 10=worst)",
                    "template": "having a severity rated as {children}",
                    "children": [
                        {
                            "text": "mild",
                            "template": "mild"
                        },
                        {
                            "text": "moderate",
                            "template": "moderate"
                        },
                        {
                            "text": "severe",
                            "template": "severe"
                        },
                        {
                            "text": "0\/10 (no pain)",
                            "template": "0\/10 (no pain)"
                        },
                        {
                            "text": "+1\/10",
                            "template": "+1\/10 (10=worst)"
                        },
                        {
                            "text": "+2\/10",
                            "template": "+2\/10 (10=worst)"
                        },
                        {
                            "text": "+3\/10",
                            "template": "+3\/10 (10=worst)"
                        },
                        {
                            "text": "+4\/10",
                            "template": "+4\/10 (10=worst)"
                        },
                        {
                            "text": "+5\/10",
                            "template": "+5\/10 (10=worst)"
                        },
                        {
                            "text": "+6\/10",
                            "template": "+6\/10 (10=worst)"
                        },
                        {
                            "text": "+7\/10",
                            "template": "+7\/10 (10=worst)"
                        },
                        {
                            "text": "+8\/10",
                            "template": "+8\/10 (10=worst)"
                        },
                        {
                            "text": "+9\/10",
                            "template": "+9\/10 (10=worst)"
                        },
                        {
                            "text": "+10\/10",
                            "template": "+10\/10 (10=worst)"
                        }
                    ]
                },
                {
                    "text": "Timing: constant, intermittent",
                    "template": "being {children}",
                    "children": [
                        {
                            "text": "constantly present",
                            "template": "constantly present"
                        },
                        {
                            "text": "intermittently present",
                            "template": "intermittently present"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Pertinent positives\/negatives",
            "template": "Pertinent positive\/negative symptoms include {children}.",
            "children": [
                {
                    "text": "fever",
                    "template": "fever",
                    "type": "plus-minus"
                },
                {
                    "text": "anorexia",
                    "template": "anorexia",
                    "type": "plus-minus"
                },
                {
                    "text": "weight loss",
                    "template": "weight loss",
                    "type": "plus-minus"
                },
                {
                    "text": "lethargy",
                    "template": "lethargy",
                    "type": "plus-minus"
                },
                {
                    "text": "flatulence",
                    "template": "flatulence",
                    "type": "plus-minus"
                },
                {
                    "text": "vomiting",
                    "template": "vomiting",
                    "type": "plus-minus"
                },
                {
                    "text": "reflux",
                    "template": "reflux",
                    "type": "plus-minus"
                },
                {
                    "text": "chest pain",
                    "template": "chest pain",
                    "type": "plus-minus"
                },
                {
                    "text": "dysuria",
                    "template": "dysuria",
                    "type": "plus-minus"
                },
                {
                    "text": "urinary frequency",
                    "template": "urinary frequency",
                    "type": "plus-minus"
                },
                {
                    "text": "pelvic pain",
                    "template": "pelvic pain",
                    "type": "plus-minus"
                },
                {
                    "text": "dysmenorrhea",
                    "template": "dysmenorrhea",
                    "type": "plus-minus"
                },
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "suicidal ideation",
                    "template": "suicidal ideation",
                    "type": "plus-minus"
                },
                {
                    "text": "other pertinent sx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Exacerbating\/Alleviating factors",
            "template": "Patient reports that {children}.",
            "children": [
                {
                    "text": "Antibiotic use",
                    "template": "antibiotic use {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "has improved sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Enteric infection",
                    "template": "an enteric infection {children}",
                    "children": [
                        {
                            "text": "worsens sx",
                            "template": "has worsened sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has had no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Stress",
                    "template": "stress {children}",
                    "children": [
                        {
                            "text": "improves sx",
                            "template": "improves sx"
                        },
                        {
                            "text": "worsens sx",
                            "template": "worsens sx"
                        },
                        {
                            "text": "no effect on sx",
                            "template": "has no effect on sx"
                        },
                        {
                            "text": "has not been observed",
                            "template": "has not been observed"
                        }
                    ]
                },
                {
                    "text": "Other contributing factors (describe)",
                    "template": "contributing factors include {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Tx response\/Side effects",
            "template": "Treatment effects: {children}.",
            "children": [
                {
                    "text": "adherent to current tx",
                    "template": "adherent to current tx"
                },
                {
                    "text": "nonadherent to current tx",
                    "template": "nonadherent to current tx"
                },
                {
                    "text": "Reasons for nonadherence",
                    "template": "reasons for nonadherence include {children}",
                    "children": [
                        {
                            "text": "side effects",
                            "template": "side effects"
                        },
                        {
                            "text": "nausea",
                            "template": "nausea"
                        },
                        {
                            "text": "stomach upset",
                            "template": "stomach upset"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea"
                        },
                        {
                            "text": "swallowing difficulty",
                            "template": "difficulty swallowing"
                        },
                        {
                            "text": "cost",
                            "template": "cost"
                        },
                        {
                            "text": "difficulty scheduling",
                            "template": "difficulty scheduling"
                        },
                        {
                            "text": "forgetfulness",
                            "template": "forgetfulness"
                        },
                        {
                            "text": "no perceived need for tx",
                            "template": "no perceived need for treatment"
                        }
                    ]
                },
                {
                    "text": "Nonadherence (describe)",
                    "template": "nonadherent to tx ({text})",
                    "type": "alpha"
                },
                {
                    "text": "Treatment response",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "resolved with treatment",
                            "template": "resolved with treatment"
                        },
                        {
                            "text": "well-controlled on treatment",
                            "template": "well-controlled on treatment"
                        },
                        {
                            "text": "improving on treatment",
                            "template": "improving on treatment"
                        },
                        {
                            "text": "stable on treatment",
                            "template": "stable on treatment"
                        },
                        {
                            "text": "unchanged on treatment",
                            "template": "unchanged on treatment"
                        },
                        {
                            "text": "variable response to treatment",
                            "template": "variable response to treatment"
                        },
                        {
                            "text": "suboptimally-controlled on treatment",
                            "template": "suboptimally-controlled on treatment"
                        },
                        {
                            "text": "poorly-controlled on treatment",
                            "template": "poorly-controlled on treatment"
                        },
                        {
                            "text": "worsening on treatment",
                            "template": "worsening on treatment"
                        },
                        {
                            "text": "exacerbated despite treatment",
                            "template": "exacerbated despite treatment"
                        }
                    ]
                },
                {
                    "text": "Treatment response (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "no side effects noted",
                    "template": "no side effects noted"
                },
                {
                    "text": "Common side effects",
                    "template": "Common side effects",
                    "children": [
                        {
                            "text": "dry eyes",
                            "template": "dry eyes",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dry mouth",
                            "template": "dry mouth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpitations",
                            "template": "palpitations",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tachycardia",
                            "template": "tachycardia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "excitement\/nervousness",
                            "template": "excitement\/nervousness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "insomnia",
                            "template": "insomnia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "drowsiness",
                            "template": "drowsiness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dizziness",
                            "template": "dizziness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "confusion",
                            "template": "confusion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nausea\/vomiting",
                            "template": "nausea\/vomiting",
                            "type": "plus-minus"
                        },
                        {
                            "text": "diarrhea",
                            "template": "diarrhea",
                            "type": "plus-minus"
                        },
                        {
                            "text": "constipation",
                            "template": "constipation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal cramps",
                            "template": "abdominal cramps",
                            "type": "plus-minus"
                        },
                        {
                            "text": "urinary retention",
                            "template": "urinary retention",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Side effects (describe)",
                    "template": "side effects: {text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Medical Hx specific to visit",
            "template": "Medical history includes {children}.",
            "children": [
                {
                    "text": "depression",
                    "template": "depression",
                    "type": "plus-minus"
                },
                {
                    "text": "anxiety",
                    "template": "anxiety",
                    "type": "plus-minus"
                },
                {
                    "text": "migraine",
                    "template": "migraine",
                    "type": "plus-minus"
                },
                {
                    "text": "insomnia",
                    "template": "insomnia",
                    "type": "plus-minus"
                },
                {
                    "text": "fibromyalgia",
                    "template": "fibromyalgia",
                    "type": "plus-minus"
                },
                {
                    "text": "back pain",
                    "template": "back pain",
                    "type": "plus-minus"
                },
                {
                    "text": "coronary artery disease",
                    "template": "coronary artery disease",
                    "type": "plus-minus"
                },
                {
                    "text": "lactose intolerance",
                    "template": "lactose intolerance",
                    "type": "plus-minus"
                },
                {
                    "text": "GERD",
                    "template": "GERD",
                    "type": "plus-minus"
                },
                {
                    "text": "dyspepsia",
                    "template": "dyspepsia",
                    "type": "plus-minus"
                },
                {
                    "text": "inflammatory bowel disease",
                    "template": "inflammatory bowel disease",
                    "type": "plus-minus"
                },
                {
                    "text": "C difficile infection",
                    "template": "C difficile infection",
                    "type": "plus-minus"
                },
                {
                    "text": "small bowel obstruction",
                    "template": "small bowel obstruction",
                    "type": "plus-minus"
                },
                {
                    "text": "s\/p appendectomy",
                    "template": "s\/p appendectomy",
                    "type": "plus-minus"
                },
                {
                    "text": "s\/p cholecystectomy",
                    "template": "s\/p cholecystectomy",
                    "type": "plus-minus"
                },
                {
                    "text": "cancer (specify site)",
                    "template": "(+) cancer, {text}",
                    "type": "alpha"
                },
                {
                    "text": "other medical Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Lifestyle\/Environment factors",
            "template": "Lifestyle\/Environment factors include {children}.",
            "children": [
                {
                    "text": "tobacco use",
                    "template": "tobacco use",
                    "type": "plus-minus"
                },
                {
                    "text": "alcohol use",
                    "template": "alcohol use",
                    "type": "plus-minus"
                },
                {
                    "text": "illicit drug use",
                    "template": "illicit drug use",
                    "type": "plus-minus"
                },
                {
                    "text": "sexually active",
                    "template": "sexually active",
                    "type": "plus-minus"
                },
                {
                    "text": "sexual abuse",
                    "template": "sexual abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "physical abuse",
                    "template": "physical abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "childhood trauma",
                    "template": "childhood trauma",
                    "type": "plus-minus"
                },
                {
                    "text": "recent travel (specify)",
                    "template": "recent travel: {text}",
                    "type": "alpha"
                },
                {
                    "text": "pet\/animal exposure (describe)",
                    "template": "pet\/animal exposure: {text}",
                    "type": "alpha"
                },
                {
                    "text": "ill contacts (describe)",
                    "template": "ill contacts: {text}",
                    "type": "alpha"
                },
                {
                    "text": "suspect food ingestion (specify)",
                    "template": "suspect food ingestion: {text}",
                    "type": "alpha"
                },
                {
                    "text": "social stressors (describe)",
                    "template": "social stressors: {text}",
                    "type": "alpha"
                },
                {
                    "text": "other lifestyle\/exposure (specify)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Smoking status",
            "template": "Smoking status: {children}.",
            "children": [
                {
                    "text": "nonsmoker",
                    "template": "nonsmoker"
                },
                {
                    "text": "tobacco abuse",
                    "template": "tobacco abuse",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco dependence",
                    "template": "tobacco dependence",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco products used",
                    "template": "tobacco products used include {children}",
                    "children": [
                        {
                            "text": "cigarettes",
                            "template": "cigarettes"
                        },
                        {
                            "text": "cigars",
                            "template": "cigars"
                        },
                        {
                            "text": "pipes",
                            "template": "pipes"
                        },
                        {
                            "text": "water pipes",
                            "template": "water pipes"
                        },
                        {
                            "text": "chew",
                            "template": "chew"
                        },
                        {
                            "text": "snuff",
                            "template": "snuff"
                        }
                    ]
                },
                {
                    "text": "packs per day (specify)",
                    "template": "{text} packs per day",
                    "type": "number"
                },
                {
                    "text": "age at smoking onset (specify)",
                    "template": "started smoking at age {text}",
                    "type": "number"
                },
                {
                    "text": "smoking duration (months)",
                    "template": "smoking duration is {text} months",
                    "type": "number"
                },
                {
                    "text": "smoking duration (years)",
                    "template": "smoking duration is {text} years",
                    "type": "number"
                },
                {
                    "text": "tobacco withdrawal",
                    "template": "tobacco withdrawal",
                    "type": "plus-minus"
                },
                {
                    "text": "tobacco remission",
                    "template": "tobacco remission",
                    "type": "plus-minus"
                },
                {
                    "text": "hx of nicotine dependence (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "second hand smoke type\/exposure (describe)",
                    "template": "{text}",
                    "type": "alpha"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Family Hx specific to visit",
            "template": "Family history specific to visit includes {children}.",
            "children": [
                {
                    "text": "inflammatory bowel disease",
                    "template": "inflammatory bowel disease",
                    "type": "plus-minus"
                },
                {
                    "text": "colon cancer",
                    "template": "colon cancer",
                    "type": "plus-minus"
                },
                {
                    "text": "ovarian cancer",
                    "template": "ovarian cancer",
                    "type": "plus-minus"
                },
                {
                    "text": "celiac disease",
                    "template": "celiac disease",
                    "type": "plus-minus"
                },
                {
                    "text": "other family Hx (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}