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@@ -1,1060 +0,0 @@
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-{
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- "section": "Subjective",
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- "templateSet": "Abdominal Pain, Adult",
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- "templates": [
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- {
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- "text": "Reason for visit",
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- "template": "Patient presents for {children}.",
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- "children": [
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- {
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- "text": "new onset symptom evaluation",
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- "template": "evaluation of new onset symptoms"
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- },
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- {
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- "text": "initial evaluation of abdominal pain",
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- "template": "initial evaluation of abdominal pain"
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- },
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- {
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- "text": "follow-up abdominal pain evaluation",
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- "template": "follow-up abdominal pain evaluation"
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- },
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- {
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- "text": "ongoing abdominal pain management",
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- "template": "ongoing abdominal pain management"
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- },
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- {
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- "text": "Visit reason (describe)",
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- "template": "{text}",
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- "type": "alpha"
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- }
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- ]
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- },
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- {
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- "text": "Onset\/Time course",
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- "template": "Condition {children}.",
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- "children": [
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- {
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- "text": "acute onset (new condition)",
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- "template": "is reported to have developed acutely"
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- },
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- {
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- "text": "chronic and ongoing condition",
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- "template": "is chronic and ongoing"
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- },
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- {
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- "text": "acutely worse (chronic condition)",
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- "template": "severity is reported to have acutely worsened"
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- },
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- {
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- "text": "progressively worsened",
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- "template": "is reported to have progressively worsened"
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- },
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- {
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- "text": "intermittent presence of symptoms",
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- "template": "symptoms are described as intermittently present"
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- },
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- {
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- "text": "Duration (minutes)",
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- "template": "is reported as having been present for {text} minutes",
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- "type": "number"
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- },
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- {
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- "text": "Duration (hours)",
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- "template": "is reported as having been present for {text} hours",
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- "type": "number"
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- },
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- {
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- "text": "Duration (days)",
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- "template": "is reported as having been present for {text} days",
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- "type": "number"
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- },
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- {
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- "text": "Duration (weeks)",
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- "template": "is reported as having been present for {text} weeks",
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- "type": "number"
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- },
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- {
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- "text": "Duration (months)",
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- "template": "is reported as having been present for {text} months",
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- "type": "number"
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- },
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- {
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- "text": "Duration (years)",
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- "template": "is reported as having been present for {text} years",
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- "type": "number"
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- },
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- {
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- "text": "Duration (describe)",
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- "template": "is reported as having been present for {text}",
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- "type": "alpha"
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- }
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- ]
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- },
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- {
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- "text": "Abdominal pain detail",
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- "template": "Abdominal pain is present and described as {children}.",
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- "children": [
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- {
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- "text": "Localization",
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- "template": "affecting {children}",
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- "children": [
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- {
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- "text": "RUQ",
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- "template": "the RUQ of the abdomen"
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- },
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- {
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- "text": "LUQ",
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- "template": "the LUQ of the abdomen"
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- },
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- {
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- "text": "upper abdomen",
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- "template": "upper abdomen"
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- },
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- {
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- "text": "midepigastric area",
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- "template": "the midepigastric area"
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- },
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- {
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- "text": "periumbilical area",
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- "template": "the periumbilical area"
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- },
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- {
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- "text": "R flank",
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- "template": "the R flank"
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- },
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- {
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- "text": "L flank",
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- "template": "the L flank"
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- },
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- {
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- "text": "RLQ",
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- "template": "the RLQ of the abdomen"
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- },
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- {
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- "text": "LLQ",
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- "template": "the LLQ of the abdomen"
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- },
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- {
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- "text": "lower abdomen",
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- "template": "lower abdomen"
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- },
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- {
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- "text": "suprapubic area",
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- "template": "the suprapubic area"
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- },
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- {
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- "text": "no specific area of the abdomen",
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- "template": "no specific area of the abdomen"
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- }
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- ]
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- },
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- {
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- "text": "Quality",
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- "template": "having {children} quality",
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- "children": [
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- {
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- "text": "pressure",
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- "template": "a pressure-like"
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- },
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- {
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- "text": "sharp",
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- "template": "a sharp"
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- },
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- {
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- "text": "dull",
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- "template": "a dull"
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- },
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- {
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- "text": "aching",
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- "template": "an aching"
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- },
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- {
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- "text": "cramping",
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- "template": "a cramping"
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- },
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- {
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- "text": "spasm",
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- "template": "a spasm-like"
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- }
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- ]
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- },
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- {
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- "text": "Radiation",
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- "template": "radiating {children}",
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- "children": [
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- {
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- "text": "nonradiating",
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- "template": "pattern is not present"
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- },
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- {
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- "text": "L arm",
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- "template": "to the left arm"
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- },
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- {
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- "text": "R arm",
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- "template": "to the right arm"
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- },
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- {
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- "text": "back",
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- "template": "to the back"
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- },
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- {
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- "text": "R scapula",
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- "template": "to the right scapula"
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- },
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- {
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- "text": "L scapula",
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- "template": "to the left scapula"
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- },
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- {
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- "text": "R groin",
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- "template": "to the R groin"
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- },
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- {
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- "text": "L groin",
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- "template": "to the L groin"
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- }
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- ]
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- },
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- {
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- "text": "Severity (0-10, 10=worst)",
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- "template": "having a severity rated as {children}",
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- "children": [
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- {
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- "text": "mild",
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- "template": "mild"
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- },
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- {
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- "text": "moderate",
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- "template": "moderate"
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- },
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- {
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- "text": "severe",
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- "template": "severe"
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- },
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- {
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- "text": "0\/10 (no pain)",
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- "template": "0\/10 (no pain)"
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- },
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- {
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- "text": "+1\/10",
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- "template": "+1\/10 (10=worst)"
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- },
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- {
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- "text": "+2\/10",
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- "template": "+2\/10 (10=worst)"
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- },
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- {
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- "text": "+3\/10",
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- "template": "+3\/10 (10=worst)"
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- },
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- {
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- "text": "+4\/10",
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- "template": "+4\/10 (10=worst)"
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- },
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- {
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- "text": "+5\/10",
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- "template": "+5\/10 (10=worst)"
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- },
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- {
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- "text": "+6\/10",
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- "template": "+6\/10 (10=worst)"
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- },
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- {
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- "text": "+7\/10",
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- "template": "+7\/10 (10=worst)"
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- },
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- {
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- "text": "+8\/10",
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- "template": "+8\/10 (10=worst)"
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- },
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- {
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- "text": "+9\/10",
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- "template": "+9\/10 (10=worst)"
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- },
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- {
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- "text": "+10\/10",
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- "template": "+10\/10 (10=worst)"
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- }
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- ]
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- },
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- {
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- "text": "Timing: constant, intermittent",
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- "template": "being {children}",
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- "children": [
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- {
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- "text": "constantly present",
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- "template": "constantly present"
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- },
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- {
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- "text": "intermittently present",
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- "template": "intermittently present"
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- }
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- ]
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- }
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- ]
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- },
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- {
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- "text": "Pertinent positives\/negatives",
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- "template": "Pertinent positive\/negative symptoms include {children}.",
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- "children": [
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- {
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- "text": "able to tolerate fluids",
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- "template": "able to tolerate fluids",
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- "type": "plus-minus"
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- },
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- {
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- "text": "able to tolerate food",
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- "template": "able to tolerate food",
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- "type": "plus-minus"
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- },
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- {
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- "text": "anorexia",
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- "template": "anorexia",
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- "type": "plus-minus"
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- },
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- {
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- "text": "weight loss",
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- "template": "weight loss",
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- "type": "plus-minus"
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- },
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- {
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- "text": "weight gain",
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- "template": "weight gain",
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- "type": "plus-minus"
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- },
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- {
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- "text": "hemetemesis",
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- "template": "hemetemesis",
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- "type": "plus-minus"
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- },
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- {
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- "text": "bilious vomiting",
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- "template": "bilious vomiting",
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- "type": "plus-minus"
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- },
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- {
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- "text": "projectile vomiting",
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- "template": "projectile vomiting",
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- "type": "plus-minus"
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- },
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- {
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- "text": "dysphagia",
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- "template": "dysphagia",
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- "type": "plus-minus"
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- },
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- {
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- "text": "bloating",
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- "template": "bloating",
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- "type": "plus-minus"
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- },
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- {
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- "text": "flatulence",
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- "template": "flatulence",
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- "type": "plus-minus"
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- },
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- {
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- "text": "reflux",
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- "template": "reflux",
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- "type": "plus-minus"
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- },
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- {
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- "text": "blood in stool",
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- "template": "blood in stool",
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- "type": "plus-minus"
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- },
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- {
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- "text": "melena",
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- "template": "melena",
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- "type": "plus-minus"
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- },
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- {
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- "text": "diarrhea",
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- "template": "diarrhea",
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- "type": "plus-minus"
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- },
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- {
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- "text": "constipation",
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- "template": "constipation",
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- "type": "plus-minus"
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- },
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- {
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- "text": "chest pain",
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- "template": "chest pain",
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- "type": "plus-minus"
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- },
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- {
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- "text": "back pain",
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- "template": "back pain",
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- "type": "plus-minus"
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- },
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- {
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- "text": "dysuria",
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- "template": "dysuria",
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- "type": "plus-minus"
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- },
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- {
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- "text": "urinary frequency",
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- "template": "urinary frequency",
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- "type": "plus-minus"
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- },
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- {
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- "text": "genital discharge",
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- "template": "genital discharge",
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- "type": "plus-minus"
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- },
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- {
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- "text": "other pertinent sx (describe)",
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- "template": "{text}",
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- "type": "alpha"
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- }
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- ]
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- },
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- {
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- "text": "Exacerbating\/Alleviating factors",
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- "template": "Patient reports that {children}.",
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- "children": [
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- {
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- "text": "Stress",
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- "template": "stress {children}",
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- "children": [
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- {
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- "text": "improves sx",
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- "template": "improves sx"
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- },
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- {
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- "text": "worsens sx",
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- "template": "worsens sx"
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- },
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- {
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- "text": "no effect on sx",
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- "template": "has no effect on sx"
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- },
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- {
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- "text": "has not been observed",
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- "template": "has not been observed"
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- }
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- ]
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- },
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- {
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- "text": "Eating",
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- "template": "eating {children}",
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- "children": [
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- {
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- "text": "improves sx",
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- "template": "improves sx"
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- },
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- {
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- "text": "worsens sx",
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- "template": "worsens sx"
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- },
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- {
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- "text": "no effect on sx",
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- "template": "has no effect on sx"
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- },
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- {
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- "text": "has not been observed",
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- "template": "has not been observed"
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- }
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- ]
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- },
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- {
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- "text": "Alcohol",
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- "template": "alcohol {children}",
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- "children": [
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- {
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- "text": "improves sx",
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- "template": "improves sx"
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- },
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- {
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- "text": "worsens sx",
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- "template": "worsens sx"
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- },
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- {
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- "text": "no effect on sx",
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- "template": "has no effect on sx"
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|
|
- },
|
|
|
- {
|
|
|
- "text": "has not been consumed",
|
|
|
- "template": "has not been consumed"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Antidiarrheal agents",
|
|
|
- "template": "antidiarrheal agents {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "NSAIDs",
|
|
|
- "template": "NSAIDs {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Laxatives",
|
|
|
- "template": "laxatives {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Antibiotics",
|
|
|
- "template": "antibiotics {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Iron supplements",
|
|
|
- "template": "iron supplements {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Defecation",
|
|
|
- "template": "defecation {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": "Antiacids",
|
|
|
- "template": "antiacids {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "H2 blockers",
|
|
|
- "template": "H2 blockers {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "PPIs",
|
|
|
- "template": "PPIs {children}",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "improve sx",
|
|
|
- "template": "improve sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "worsen sx",
|
|
|
- "template": "worsen sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "no effect on sx",
|
|
|
- "template": "have no effect on sx"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "have not been tried",
|
|
|
- "template": "have not been tried"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "other contributing factors (describe)",
|
|
|
- "template": "{text}",
|
|
|
- "type": "alpha"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "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": "Medical Hx specific to visit",
|
|
|
- "template": "Medical Hx includes {children}.",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "diabetes type 1",
|
|
|
- "template": "diabetes type 1",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "diabetes type 2",
|
|
|
- "template": "diabetes type 2",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "migraine",
|
|
|
- "template": "migraine",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "nephrolithiasis",
|
|
|
- "template": "nephrolithiasis",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "C difficile infection",
|
|
|
- "template": "C difficile infection",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "inflammatory bowel disease",
|
|
|
- "template": "inflammatory bowel disease",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "irritable bowel disease",
|
|
|
- "template": "irritable bowel disease",
|
|
|
- "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": "Hx small bowel obstruction",
|
|
|
- "template": "Hx small bowel obstruction",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Hx STD",
|
|
|
- "template": "Hx STD",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "other medical Hx (describe)",
|
|
|
- "template": "{text}",
|
|
|
- "type": "alpha"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "OB\/Gyn Hx specific to visit",
|
|
|
- "template": "OB\/Gyn Hx includes: {children}.",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "ovarian cyst",
|
|
|
- "template": "ovarian cyst",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Hx STD",
|
|
|
- "template": "Hx STD",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "pregnant",
|
|
|
- "template": "pregnant",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "LMP (specify)",
|
|
|
- "template": "LMP: {text}",
|
|
|
- "type": "date"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "other relevant OB\/Gyn Hx",
|
|
|
- "template": "{text}",
|
|
|
- "type": "alpha"
|
|
|
- }
|
|
|
- ]
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Lifestyle\/Environment factors",
|
|
|
- "template": "Lifestyle\/Environmental factors include {children}.",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "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": "Food exposure (specify)",
|
|
|
- "template": "food exposures: (+) {text}",
|
|
|
- "type": "alpha"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Ill contacts (describe)",
|
|
|
- "template": "ill contacts: (+) {text}",
|
|
|
- "type": "alpha"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Recent travel (specify)",
|
|
|
- "template": "recent travel: (+) {text}",
|
|
|
- "type": "alpha"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "Pet\/Animal exposure (describe)",
|
|
|
- "template": "pet\/animal exposure: (+) {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 includes {children}.",
|
|
|
- "children": [
|
|
|
- {
|
|
|
- "text": "colon cancer",
|
|
|
- "template": "colon cancer",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "inflammatory bowel disease",
|
|
|
- "template": "inflammatory bowel disease",
|
|
|
- "type": "plus-minus"
|
|
|
- },
|
|
|
- {
|
|
|
- "text": "other family Hx (describe)",
|
|
|
- "template": "{text}",
|
|
|
- "type": "alpha"
|
|
|
- }
|
|
|
- ]
|
|
|
- }
|
|
|
- ]
|
|
|
-}
|
