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  1. {'HPI': [{'checkBoxes': {'label': 'Associated symptoms', 'options': [{'label': 'SOB', 'value': 'shortness of breath'}, {'label': 'Edema', 'value': 'edema'}, {'label': 'Chest pain', 'value': 'chest pain'}, {'label': 'Diaphoresis', 'value': 'diaphoresis'}, {'label': 'Palps', 'value': 'palpitations'}, {'label': 'Fatigue', 'value': 'fatigue'}, {'label': 'PND', 'value': 'paroxysmal nocturnal dyspnea'}, {'label': 'Orthopnea', 'value': 'orthopnea'}, {'label': 'Cough', 'value': 'cough'}, {'label': 'Wt Gain', 'value': 'weight gain'}], 'sentence': 'Patient presenting with symptoms of {ENTRY}.'}}, {'timeFrame': {'label': 'Onset of Symptoms', 'sentence': 'Onset of symptoms was {ENTRY} ago.'}}, {'checkBoxes': {'label': 'Aggrevating Factors', 'options': [{'label': 'None', 'value': 'none of the following: exercise, housework, coughing, stress.'}, {'label': 'Exercise', 'value': 'exercise'}, {'label': 'Lying Flat', 'value': 'lying flat'}, {'label': 'Deep Breath', 'value': 'deep breathing'}, {'label': 'Eating', 'value': 'large meals'}, {'label': 'Sex', 'value': 'sexual activity'}, {'label': 'Stress', 'value': 'stress'}], 'sentence': 'Aggrevating factors include {ENTRY}.'}}, {'checkBoxes': {'label': 'Alleviating Factors', 'options': [{'label': 'None', 'value': 'nothing'}, {'label': 'Recumbency', 'value': 'recumbency'}, {'label': 'NitroG', 'value': 'nitroglycerin'}, {'label': 'Lasix', 'value': 'lasix'}, {'label': 'Position Chg', 'value': 'position changes'}], 'sentence': 'Alleviating factors include {ENTRY}.'}}, {'checkBoxes': {'label': 'Treatment Prior to Arrival', 'options': [{'label': 'None', 'value': 'nothing'}, {'label': 'ASA', 'value': 'aspirin'}, {'label': 'Nitro', 'value': 'nitroglycerin'}, {'label': 'Lasix', 'value': 'lasix'}, {'label': 'Rest', 'value': 'rest'}], 'sentence': 'Treatment prior to arrival includes {ENTRY}.'}}, {'checkBoxes': {'label': 'Weight Gain', 'options': [{'label': 'None', 'value': 'no recent'}, {'label': '1-5 lbs', 'value': '1-5 lbs'}, {'label': '5-10 lbs', 'value': '5-10 lbs'}, {'label': '10-15 lbs', 'value': '10-15 lbs'}, {'label': '15-20 lbs', 'value': '15-20 lbs'}, {'label': '20+ lbs', 'value': '20+ lbs'}], 'sentence': 'PAtient reports {ENTRY} weight gain.'}}, {'checkBoxes': {'label': 'Compliant with Medications', 'options': [{'label': 'Yes', 'value': 'have'}, {'label': 'No', 'value': 'have not'}], 'sentence': 'Patient reports they {ENTRY} been compliant with medications.  '}}, {'checkBoxes': {'label': 'Cardiac Risk Factors', 'options': [{'label': 'None', 'value': 'none of the major cardiac disease modifiers'}, {'label': 'DM', 'value': 'diabetes'}, {'label': 'Tobacco', 'value': 'tobacco use'}, {'label': 'HTN', 'value': 'hypertension'}, {'label': 'HLD', 'value': 'hyperlipidemia'}, {'label': 'Male ', 'value': 'male gender '}, {'label': 'Obesity', 'value': 'obesity '}, {'label': 'Fam History', 'value': 'family history'}], 'sentence': 'Cardiac risk factors include {ENTRY}.'}}], 'MDM': [{'textArea': {'label': 'Quick Text Block 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'sentence': '{ENTRY}'}}], 'Body': [{'checkBoxes': {'label': 'Review of Systems (negatives)', 'options': [{'label': 'All Neg', 'value': 'All other systems reviewed and negative except as stated above in the HPI'}, {'label': 'CP', 'value': 'denies chest pain'}, {'label': 'SOB', 'value': 'denies shortness of breath'}, {'label': 'Ab Pain', 'value': 'denies abdominal pain'}, {'label': 'Dysuria', 'value': 'denies dysuria'}, {'label': 'Jnt Swell', 'value': 'denies joint swelling'}, {'label': 'HA', 'value': 'denies headache'}, {'label': 'Tremor', 'value': 'denies tremor'}, {'label': 'Bleeding', 'value': 'denies increased or abnormal bleeding'}, {'label': 'Epstxs', 'value': 'denies epistaxis '}, {'label': 'Wt loss', 'value': 'denies unintential weight loss'}, {'label': 'Dprsn', 'value': 'denies depression symptoms'}], 'sentence': 'REVIEW OF SYMPTOMS: {ENTRY}'}}, {'radioButtons': {'label': 'PMH/MEDS/ALLERGIES', 'options': [{'label': 'None', 'value': 'Past medical history: None.   No Medications or allergies.'}, {'label': 'Blank', 'value': 'PMH:       MEDS:        ALLERGIES:'}], 'sentence': '{ENTRY}'}}, {'radioButtons': {'label': 'Tobacco use', 'options': [{'label': 'None', 'value': 'None'}, {'label': '<1ppd', 'value': '<1ppd'}, {'label': '1ppd', 'value': '1ppd'}, {'label': '1+ppd', 'value': 'Greater than one ppd'}], 'sentence': 'Tobacco use: {ENTRY}'}}, {'radioButtons': {'label': 'Alcohol use', 'options': [{'label': 'Yes', 'value': 'Yes'}, {'label': 'No', 'value': 'No'}, {'label': 'Occasional', 'value': 'Occasional'}], 'sentence': 'Alcohol Use: {ENTRY}'}}, {'textArea': {'label': 'Physical Exam', 'value': 'PHYSICAL&#038;#32EXAM:&#038;#10Constitutional:&#038;#32&#038;#32No&#038;#32acute&#038;#32distress&#038;#10HEENT:&#038;#32&#038;#32Head&#038;#32normocephalic&#038;#32and&#038;#32atraumatic.&#038;#32PERRL,&#038;#32EOMI.&#038;#32No&#038;#32scleral&#038;#32icterus&#038;#32or&#038;#32erythema.&#038;#32Pharynx&#038;#32moist&#038;#32without&#038;#32erythema&#038;#32or&#038;#32exudate.&#038;#10CV:&#038;#32&#038;#32Regular&#038;#32rate&#038;#32and&#038;#32rhythm.&#038;#32No&#038;#32murmur.&#038;#32Peripheral&#038;#32pulses&#038;#32intact.&#038;#10Respiratory:&#038;#32&#038;#32Lungs&#038;#32clear&#038;#32to&#038;#32auscultation&#038;#32bilaterally&#038;#10Abdomen:&#038;#32&#038;#32Soft,&#038;#32non-tender,&#038;#32non-distended.&#038;#10Back:&#038;#32&#038;#32No&#038;#32CVA&#038;#32or&#038;#32vertebral&#038;#32tenderness&#038;#10Skin:&#038;#32&#038;#32Normal&#038;#32color.&#038;#32Warm&#038;#32and&#038;#32Dry&#038;#10Extremities:&#038;#32&#038;#32Non-tender.&#038;#32No&#038;#32pedal&#038;#32edema.&#038;#32&#038;#10Neuro:&#038;#32&#038;#32Oriented&#038;#32x&#038;#323.&#038;#32No&#038;#32gross&#038;#32motor&#038;#32deficits', 'sentence': '{ENTRY}'}}]}
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