{
    "section": "plan",
    "templateSet": "Pharyngitis, Adult",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Strep tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid streptococcal antigen test, throat swab",
                            "template": "Rapid streptococcal antigen test, throat swab"
                        },
                        {
                            "text": "Bacterial culture, throat",
                            "template": "Bacterial culture, throat"
                        }
                    ]
                },
                {
                    "text": "Influenza tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        }
                    ]
                },
                {
                    "text": "Other pathogen tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal swab, pertussis",
                            "template": "Culture+PCR, nasopharyngeal swab, pertussis"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal aspirate, pertussis",
                            "template": "Culture+PCR, nasopharyngeal aspirate, pertussis"
                        },
                        {
                            "text": "Culture, throat, diptheria",
                            "template": "Culture, throat, diptheria"
                        },
                        {
                            "text": "Culture, pharynx, Neisseria gonorrhoeae (GC)",
                            "template": "Culture, pharynx, Neisseria gonorrhoeae (GC)"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, pharyngeal swab",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, pharyngeal swab"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine"
                        }
                    ]
                },
                {
                    "text": "Blood tests, Pregnancy tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "HIV-1+HIV-2 antibody screen, rapid test",
                            "template": "HIV-1+HIV-2 antibody screen, rapid test"
                        },
                        {
                            "text": "HIV-1 RNA quantification, PCR, plasma",
                            "template": "HIV-1 RNA quantification, PCR, plasma"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray neck lateral",
                            "template": "X-ray neck lateral"
                        },
                        {
                            "text": "X-ray sinuses, Waters",
                            "template": "X-ray sinuses, Waters"
                        }
                    ]
                },
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        },
                        {
                            "text": "CT head and neck",
                            "template": "CT head and neck"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Symptom relief",
            "template": "{children}",
            "children": [
                {
                    "text": "Home symptom care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Pharyngitis instructions given",
                            "template": "Pharyngitis instructions given"
                        },
                        {
                            "text": "Get rest",
                            "template": "Get rest"
                        },
                        {
                            "text": "Drink fluids (water, tea, broth) but avoid alcohol, soft drinks, acidic items",
                            "template": "Drink fluids (water, tea, broth) but avoid alcohol, soft drinks, acidic items"
                        },
                        {
                            "text": "Gargle daily with salt water (1\/2 teaspoon in a glass of water)",
                            "template": "Gargle daily with salt water (1\/2 teaspoon in a glass of water)"
                        },
                        {
                            "text": "Avoid smoke and other irritants",
                            "template": "Avoid smoke and other irritants"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn"
                        },
                        {
                            "text": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn"
                        }
                    ]
                },
                {
                    "text": "Magic Mouthwash",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Magic Mouthwash: viscous lidocaine 2%: Maalox: diphenhydramine 12.5mg\/mL in 1:1:1\n                                ratio\n                            ",
                            "template": "Magic Mouthwash: viscous lidocaine 2%: Maalox: diphenhydramine 12.5mg\/mL in 1:1:1\n                                ratio\n                            "
                        }
                    ]
                },
                {
                    "text": "Corticosteroids PO\/IM",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "dexamethasone sodium phosphate INJ",
                            "template": "dexamethasone sodium phosphate INJ"
                        },
                        {
                            "text": "prednisone 20 mg tab",
                            "template": "prednisone 20 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Antibiotics",
            "template": "{children}",
            "children": [
                {
                    "text": "Strep pharyngitis no PCN allergy: initial tx",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "penicillin VK 500 mg tab",
                            "template": "penicillin VK 500 mg tab"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "Moxatag 775 mg ER tab",
                            "template": "Moxatag 775 mg ER tab"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        }
                    ]
                },
                {
                    "text": "Strep pharyngitis PCN allergy: initial tx",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cephalexin 500 mg cap",
                            "template": "cephalexin 500 mg cap"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "azithromycin 250 mg tab",
                            "template": "azithromycin 250 mg tab"
                        }
                    ]
                },
                {
                    "text": "Strep recurrence: multiple episodes",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin\/clavulanate 500 mg\/125 mg tab",
                            "template": "amoxicillin\/clavulanate 500 mg\/125 mg tab"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        },
                        {
                            "text": "Bicillin LA INJ",
                            "template": "Bicillin LA INJ"
                        }
                    ]
                },
                {
                    "text": "Strep carrier state eradication",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cephalexin 500 mg cap",
                            "template": "cephalexin 500 mg cap"
                        },
                        {
                            "text": "clindamycin 150 mg cap",
                            "template": "clindamycin 150 mg cap"
                        }
                    ]
                },
                {
                    "text": "Household contact of Strep case",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Asymptomatic patients: Routine test\/tx not required except in specific situations\n                            ",
                            "template": "Asymptomatic patients: Routine test\/tx not required except in specific situations\n                            "
                        },
                        {
                            "text": "Symptomatic: Test vs. empiric tx if household contact of lab-proven case",
                            "template": "Symptomatic: Test vs. empiric tx if household contact of lab-proven case"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, Tdap",
                            "template": "Vaccination, Tdap"
                        },
                        {
                            "text": "Vaccination, pneumococcus polysaccharide",
                            "template": "Vaccination, pneumococcus polysaccharide"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call physician if no improvement in 24-48 hours",
                            "template": "Call physician if no improvement in 24-48 hours"
                        },
                        {
                            "text": "Precautions, indications for returning to clinic discussed",
                            "template": "Precautions, indications for returning to clinic discussed"
                        },
                        {
                            "text": "Counseling given about when antibiotics are an appropriate tx",
                            "template": "Counseling given about when antibiotics are an appropriate tx"
                        }
                    ]
                },
                {
                    "text": "Home symptom care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Get rest",
                            "template": "Get rest"
                        },
                        {
                            "text": "Drink fluids (water, tea, broth) but avoid alcohol, soft drinks, acidic items",
                            "template": "Drink fluids (water, tea, broth) but avoid alcohol, soft drinks, acidic items"
                        },
                        {
                            "text": "Gargle daily with salt water (1\/2 teaspoon in a glass of water)",
                            "template": "Gargle daily with salt water (1\/2 teaspoon in a glass of water)"
                        },
                        {
                            "text": "Avoid smoke and other irritants",
                            "template": "Avoid smoke and other irritants"
                        },
                        {
                            "text": "Pharyngitis instructions given",
                            "template": "Pharyngitis instructions given"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC phenol\/benzocaine throat spray (Cepacol, Chloraseptic, Vicks) prn"
                        },
                        {
                            "text": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn",
                            "template": "Use OTC benzocaine\/menthol throat lozenges (Cepacol, Chloraseptic, Vicks) prn"
                        }
                    ]
                },
                {
                    "text": "Resume work\/school",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Resume work\/school as tolerated",
                            "template": "Resume work\/school as tolerated"
                        },
                        {
                            "text": "Resume work\/school when afebrile (>24 hrs off fever reducers)",
                            "template": "Resume work\/school when afebrile (>24 hrs off fever reducers)"
                        },
                        {
                            "text": "Resume work\/school in one week",
                            "template": "Resume work\/school in one week"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visit",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call physician if no improvement in 24-48 hours",
                            "template": "Call physician if no improvement in 24-48 hours"
                        },
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 2-4 days",
                            "template": "Return visit in 2-4 days"
                        },
                        {
                            "text": "Return visit in 5-7 days",
                            "template": "Return visit in 5-7 days"
                        },
                        {
                            "text": "Return visit in 7-10 days",
                            "template": "Return visit in 7-10 days"
                        },
                        {
                            "text": "Return visit in 2 wks",
                            "template": "Return visit in 2 wks"
                        }
                    ]
                },
                {
                    "text": "Admit to ER",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to ID",
                            "template": "Refer to ID"
                        }
                    ]
                }
            ]
        }
    ]
}