First let me point out that there are a couple of factors you have to account for when you try to create a form like this with Amazing Charts templates.
One is the fact that you can't use tab keys. The other is the idiosyncracies of the templates, like how new templates jump to meet the old ones, no matter how many lines you separate them with, or when they leave funny little white spaces at the beginning for no apparent reason.
For this reason, some people use other programs like "QuickKeys" or "Dragon NaturallySpeaking" to create templates.
But I digress.
If I was me, in your shoes, I would create two templates.
The first would be called "5-point Screen" or something like that:
Hypertension: [YES] [no]
CVA: [YES] [no]
TIA: [YES] [no]
Myocardial infarction: [YES] [no]
Diabetes: [YES] [no]
The second would be called "Diabetes In-depth" or something like that:
Type ######
Regimen: ######
CBG range: ######
last saw optho ######
retinopathy: [YES] [no]
DGE? [YES] [no]
sweats with meals? [YES] [no]
neuropathy? [YES] [no]
Here's how it would work: let's say that you're ready to do your initial screening. You right click in your HPI or ROS field or whatever, and up pops the template menu. Now, select "5-point Screen", and up pops:
Hypertension: [YES] [no]
CVA: [YES] [no]
TIA: [YES] [no]
Myocardial infarction: [YES] [no]
Diabetes: [YES] [no]
Great. It's like a mini-questionnaire. You quickly go down the list, double clicking on the yes/no answer you DON'T want, and hitting backspace or delete, leaving your list looking like this:
Hypertension: [no]
CVA: [no]
TIA: [no]
Myocardial infarction: [no]
Diabetes: [YES]
You now right-click and select "Diabetes In-depth" and up pops that template. The first line of the new template will insist on jumping up and meeting the last line of the previous one, but that's okay in this case. We planned for that. It now looks like this:
Hypertension: [no]
CVA: [no]
TIA: [no]
Myocardial infarction: [no]
Diabetes: [YES] Type ######
Regimen: ######
CBG range: ######
last saw optho ######
retinopathy: [YES] [no]
DGE? [YES] [no]
sweats with meals? [YES] [no]
neuropathy? [YES] [no]
The ###### is your cue that there is a numeric field that needs to be completed. Double-click on it, and fill in the appropriate number(s).
Then, once again, quickly go down the list, double clicking on the yes/no answer you DON'T want, and hitting backspace or delete, leaving your list looking like this:
Hypertension: [no]
CVA: [no]
TIA: [no]
Myocardial infarction: [no]
Diabetes: [YES] Type 2
Regimen: metformin 500 mg bid
CBG range: 123-234
last saw ophtho ?May 2006
retinopathy: [no]
DGE? [no]
sweats with meals? [no]
neuropathy? [YES]
You can see that by making [no] in lower-case, it really makes positive [YES] responses stand out.
The brackets are not really necessary, but help to identify questions which need to be answered.
That's the best method I could come up with. Try it out and see what you think.