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template.json
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template.json
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{
"fields": [
{
"label": "Subjective",
"id": "subjective",
"type": "group",
"fields": [
{
"label": "Chief Complaint",
"id": "chiefComplaint",
"type": "text",
"inputType": "textarea",
"placeholder": "Describe the main issue"
},
{
"label": "History of Present Illness",
"id": "HPI",
"type": "text",
"inputType": "textarea",
"placeholder": "Detail the history of the current condition"
},
{
"label": "Review of Systems",
"id": "reviewOfSystems",
"type": "group",
"fields": [
{
"label": "General",
"id": "general",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant general information"
},
{
"label": "Cardiovascular",
"id": "cardiovascular",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant cardiovascular information"
},
{
"label": "Respiratory",
"id": "respiratory",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant respiratory information"
},
{
"label": "Gastrointenstinal",
"id": "gastrointenstina;",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant gastrointenstinal informatiion"
},
{
"label": "Musculoskeletal",
"id": "musculoskeletal",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant musculoskeletal information"
},
{
"label": "Neurological",
"id": "neurological",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant neurological information"
},
{
"label": "Other",
"id": "otherROS",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant information not previously stated"
}
]
},
{
"label": "Patient Histoy",
"id": "patientHistory",
"type": "group",
"fields": [
{
"label": "Past Medical History",
"id": "pastMedicalHistory",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant past medical history"
},
{
"label": "Surgical History",
"id": "surgicalHistory",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant past surgical history"
},
{
"label": "Family Medical History",
"id": "familyHistory",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant past family medical history"
},
{
"label": "Social History",
"id": "socialHistory",
"type": "text",
"inputType": "textarea",
"placeholder": "Include any relevant past patient social history"
}
]
},
{
"label": "Allergies",
"id": "allergies",
"type": "text",
"inputType": "textarea",
"placeholder": "Detail the patient allergies"
},
{
"label": "coming soon",
"id": "todo",
"type": "text",
"inputType": "input",
"placeholder": "todo field"
}
]
},
{
"label": "Objective",
"id": "objective",
"type": "group",
"fields": [
{
"label": "test",
"id": "test",
"type": "text",
"inputType": "textarea",
"placeholder": "testing"
},
{
"label": "test",
"id": "test",
"type": "text",
"inputType": "textarea",
"placeholder": "testing"
},
{
"label": "test",
"id": "test",
"type": "text",
"inputType": "textarea",
"placeholder": "testing"
}
]
}
]
}