{
    "section": "plan",
    "templateSet": "Diverticulitis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Serum",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "Metabolic panel, basic (BMP), serum",
                            "template": "Metabolic panel, basic (BMP), serum"
                        },
                        {
                            "text": "Metabolic panel, comprehensive (CMP), serum",
                            "template": "Metabolic panel, comprehensive (CMP), serum"
                        },
                        {
                            "text": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Amylase, serum",
                            "template": "Amylase, serum"
                        },
                        {
                            "text": "Lipase, serum",
                            "template": "Lipase, serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        }
                    ]
                },
                {
                    "text": "Urine",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray chest, PA and lateral",
                            "template": "X-ray chest, PA and lateral"
                        },
                        {
                            "text": "X-ray abdomen (KUB), supine and upright",
                            "template": "X-ray abdomen (KUB), supine and upright"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/ contrast",
                            "template": "CT abdomen and pelvis w\/ contrast"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/o contrast",
                            "template": "CT abdomen and pelvis w\/o contrast"
                        },
                        {
                            "text": "Barium enema (lower GI series)",
                            "template": "Barium enema (lower GI series)"
                        },
                        {
                            "text": "US abdomen",
                            "template": "US abdomen"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Colonoscopy",
                            "template": "Colonoscopy"
                        },
                        {
                            "text": "Flexible sigmoidoscopy",
                            "template": "Flexible sigmoidoscopy"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Outpatient antibiotics: Primary regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ciprofloxacin 750 mg tab",
                            "template": "ciprofloxacin 750 mg tab"
                        },
                        {
                            "text": "levofloxacin 750 mg tab",
                            "template": "levofloxacin 750 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab"
                        },
                        {
                            "text": "metronidazole 500 mg tab",
                            "template": "metronidazole 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "Outpatient antibiotics: Alternative regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin\/clavulanate 1000 mg\/62.5 mg ER tab",
                            "template": "amoxicillin\/clavulanate 1000 mg\/62.5 mg ER tab"
                        },
                        {
                            "text": "Avelox 400 mg tab",
                            "template": "Avelox 400 mg tab"
                        }
                    ]
                },
                {
                    "text": "Fiber supplements",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC fiber supplements prn",
                            "template": "Take OTC fiber supplements prn"
                        },
                        {
                            "text": "psyllium powder",
                            "template": "psyllium powder"
                        },
                        {
                            "text": "psyllium 500 mg cap",
                            "template": "psyllium 500 mg cap"
                        },
                        {
                            "text": "Citrucel powder",
                            "template": "Citrucel powder"
                        },
                        {
                            "text": "Citrucel 500 mg tab",
                            "template": "Citrucel 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "Opioids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "hydrocodone\/acetaminophen 5 mg\/500 mg tab",
                            "template": "hydrocodone\/acetaminophen 5 mg\/500 mg tab"
                        },
                        {
                            "text": "oxycodone\/acetaminophen 5 mg\/325 mg tab",
                            "template": "oxycodone\/acetaminophen 5 mg\/325 mg tab"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen prn",
                            "template": "Take OTC acetaminophen prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Bowel rest instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rest bowel by following a clear liquid diet for 2-3 days",
                            "template": "Rest bowel by following a clear liquid diet for 2-3 days"
                        },
                        {
                            "text": "Keep fiber intake low during acute disease flare",
                            "template": "Keep fiber intake low during acute disease flare"
                        }
                    ]
                },
                {
                    "text": "High-fiber diet instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Consume high-fiber diet once the acute phase has resolved",
                            "template": "Consume high-fiber diet once the acute phase has resolved"
                        }
                    ]
                },
                {
                    "text": "Dietary instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Avoid foods that aggravate symptoms",
                            "template": "Avoid foods that aggravate symptoms"
                        }
                    ]
                },
                {
                    "text": "Return for worsening symptoms",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return for worsening sx (abdominal pain, blood in vomit or stool, fever, inability to\n                                keep liquids down)\n                            ",
                            "template": "Return for worsening sx (abdominal pain, blood in vomit or stool, fever, inability to\n                                keep liquids down)\n                            "
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen prn",
                            "template": "Take OTC acetaminophen prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 1 week",
                            "template": "Return visit in 1 week"
                        },
                        {
                            "text": "Return visit in 2 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 1 month",
                            "template": "Return visit in 1 month"
                        },
                        {
                            "text": "Return visit in 2 months",
                            "template": "Return visit in 2 months"
                        },
                        {
                            "text": "Return visit in 3 months",
                            "template": "Return visit in 3 months"
                        },
                        {
                            "text": "Return visit in 6 months",
                            "template": "Return visit in 6 months"
                        },
                        {
                            "text": "Return visit in 1 year",
                            "template": "Return visit in 1 year"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/inpatient care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        },
                        {
                            "text": "Admit to hospital",
                            "template": "Admit to hospital"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Colorectal Surgery",
                            "template": "Refer to Colorectal Surgery"
                        },
                        {
                            "text": "Refer to GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to General Surgery",
                            "template": "Refer to General Surgery"
                        }
                    ]
                }
            ]
        }
    ]
}