Template Merge Fields
| Template Field Name | Description |
| DATE | |
| ASSESSMENT_DATE | |
| PATIENT_ID | |
| PATIENT_FIRST_NAME | |
| PATIENT_INITIAL | |
| PATIENT_LAST_NAME | |
| PATIENT_TITLE | |
| ADDRESS_LINE_1 | |
| ADDRESS_LINE_2 | |
| ADDRESS_LINE_3 | |
| ADDRESS_LINE_4 | |
| ADDRESS_LINE_5 | |
| ADDRESS_LINE_6 | |
| COMPLAINS_OF | |
| HPC | |
| MED_HIST_UPDATE | |
| MED_HIST_STATUS | |
| SMOKER | |
| SMOKER_PER_DAY | |
| SMOKER_EX | |
| SMOKER_SINCE | |
| SCAG | smoking cessation advice given |
| ALCOHOL | |
| ALCOHOL_UNITS | |
| ARAG | alcohol related advice given |
| MCA | |
| TMJ | |
| MOM | |
| LYMPH_NODES | |
| LIPS | |
| SPEECH | |
| STRESSOMETER | |
| SOFT_TISSUE_EXAM | |
| XRAYS_TAKEN | |
| JUSTIFICATION | |
| XRAY_REPORT | |
| XRAY_QUALITY | |
| ACTION_ATKEN | |
| BPE_CPITN | |
| BPE_RX_IND | |
| CARIES_RISK | |
| ORAL_HYGIENE | |
| OHI_GIVEN | |
| FLOSSING | |
| OCCLUSION | |
| GUIDANCE | |
| ABNORMALITY | |
| PROSETHESIS | |
| PERIO_RISK | |
| TOOTH_WEAR | |
| MOBILITY | |
| BEWE | |
| BEWE_RESULT | |
| DIAGNOSIS | |
| TREATMENT_PLAN |