{
    "section": "plan",
    "templateSet": "Influenza",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Influenza tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        },
                        {
                            "text": "Culture, Influenza A+B, respiratory tract",
                            "template": "Culture, Influenza A+B, respiratory tract"
                        }
                    ]
                },
                {
                    "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": "Basic blood tests",
                    "template": "{children}",
                    "children": [
                        {
                            "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": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Culture, blood, bacterial x2",
                            "template": "Culture, blood, bacterial x2"
                        }
                    ]
                },
                {
                    "text": "Blood glucose, finger stick",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Glucose, fingerstick",
                            "template": "Glucose, fingerstick"
                        }
                    ]
                },
                {
                    "text": "Urine tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Urinalysis, routine (without micro)",
                            "template": "Urinalysis, routine (without micro)"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        }
                    ]
                },
                {
                    "text": "EBV tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Epstein-Barr virus (EBV) antibody panel, serum",
                            "template": "Epstein-Barr virus (EBV) antibody panel, serum"
                        },
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        }
                    ]
                },
                {
                    "text": "HIV tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "HIV-1+HIV-2 antibody screen, rapid test",
                            "template": "HIV-1+HIV-2 antibody screen, rapid test"
                        },
                        {
                            "text": "HIV-1+HIV-2 antibody screen, serum",
                            "template": "HIV-1+HIV-2 antibody screen, serum"
                        },
                        {
                            "text": "HIV-1 RNA quantification, PCR, plasma",
                            "template": "HIV-1 RNA quantification, PCR, plasma"
                        },
                        {
                            "text": "CD4 T-cell count, blood",
                            "template": "CD4 T-cell count, blood"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray chest, PA and lateral",
                            "template": "X-ray chest, PA and lateral"
                        },
                        {
                            "text": "X-ray sinuses, Waters",
                            "template": "X-ray sinuses, Waters"
                        }
                    ]
                },
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "NP\/nasal swab",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Nasopharyngeal swab",
                            "template": "Nasopharyngeal swab"
                        },
                        {
                            "text": "Nasal swab",
                            "template": "Nasal swab"
                        }
                    ]
                },
                {
                    "text": "Measure peak flow",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Peak flow meter testing (in office)",
                            "template": "Peak flow meter testing (in office)"
                        }
                    ]
                },
                {
                    "text": "Office respiratory tx",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Bronchodilator nebulizer treatment (in office)",
                            "template": "Bronchodilator nebulizer treatment (in office)"
                        },
                        {
                            "text": "Oxygen administration, 2 L by nasal cannula (in office)",
                            "template": "Oxygen administration, 2 L by nasal cannula (in office)"
                        },
                        {
                            "text": "Oxygen saturation (in office)",
                            "template": "Oxygen saturation (in office)"
                        },
                        {
                            "text": "Oxygen measurement (in office)",
                            "template": "Oxygen measurement (in office)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Symptom relief",
            "template": "{children}",
            "children": [
                {
                    "text": "Home symptom care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Influenza instructions given",
                            "template": "Influenza instructions given"
                        },
                        {
                            "text": "Get rest",
                            "template": "Get rest"
                        },
                        {
                            "text": "Drink fluids (water, tea, broth)",
                            "template": "Drink fluids (water, tea, broth)"
                        },
                        {
                            "text": "Avoid alcohol, soft drinks, and acidic items",
                            "template": "Avoid alcohol, soft drinks, and acidic items"
                        },
                        {
                            "text": "Avoid smoke\/irritant exposure",
                            "template": "Avoid smoke\/irritant exposure"
                        },
                        {
                            "text": "Gargle with salt water q2-4h prn pain",
                            "template": "Gargle with salt water q2-4h prn pain"
                        },
                        {
                            "text": "Use steam treatment or shower steam (avoid scalding water burns)",
                            "template": "Use steam treatment or shower steam (avoid scalding water burns)"
                        }
                    ]
                },
                {
                    "text": "Analgesia, antipyretics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers 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: viscous lidocaine 2%, Maalox, diphenhydramine 12.5 mg\/mL in 1:1:1\n                                ratio\n                            ",
                            "template": "Magic Mouthwash: viscous lidocaine 2%, Maalox, diphenhydramine 12.5 mg\/mL in 1:1:1\n                                ratio\n                            "
                        },
                        {
                            "text": "naproxen 250 mg tab",
                            "template": "naproxen 250 mg tab"
                        }
                    ]
                },
                {
                    "text": "Intranasal agents",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ipratropium nasal 0.06% solution",
                            "template": "ipratropium nasal 0.06% solution"
                        },
                        {
                            "text": "cromolyn nasal 5.2 mg per spray solution",
                            "template": "cromolyn nasal 5.2 mg per spray solution"
                        },
                        {
                            "text": "oxymetazoline nasal 0.05% solution",
                            "template": "oxymetazoline nasal 0.05% solution"
                        }
                    ]
                },
                {
                    "text": "Antitussives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC dextromethorphan prn",
                            "template": "Take OTC dextromethorphan prn"
                        },
                        {
                            "text": "naproxen 250 mg tab",
                            "template": "naproxen 250 mg tab"
                        },
                        {
                            "text": "dextromethorphan 10 mg per 5 mL syrup",
                            "template": "dextromethorphan 10 mg per 5 mL syrup"
                        },
                        {
                            "text": "benzonatate 100 mg cap",
                            "template": "benzonatate 100 mg cap"
                        },
                        {
                            "text": "acetaminophen\/codeine 120 mg\/12 mg per 5 mL solution",
                            "template": "acetaminophen\/codeine 120 mg\/12 mg per 5 mL solution"
                        },
                        {
                            "text": "hydrocodone\/acetaminophen 5 mg\/500 mg tab",
                            "template": "hydrocodone\/acetaminophen 5 mg\/500 mg tab"
                        },
                        {
                            "text": "codeine\/guaifenesin 10 mg\/100 mg per 5 mL syrup",
                            "template": "codeine\/guaifenesin 10 mg\/100 mg per 5 mL syrup"
                        },
                        {
                            "text": "codeine sulfate 15 mg tab",
                            "template": "codeine sulfate 15 mg tab"
                        },
                        {
                            "text": "Delsym 30 mg per 5 mL suspension",
                            "template": "Delsym 30 mg per 5 mL suspension"
                        }
                    ]
                },
                {
                    "text": "Decongestants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC decongestant prn",
                            "template": "Take OTC decongestant prn"
                        },
                        {
                            "text": "phenylephrine 10 mg tab",
                            "template": "phenylephrine 10 mg tab"
                        },
                        {
                            "text": "pseudoephedrine 60 mg tab",
                            "template": "pseudoephedrine 60 mg tab"
                        },
                        {
                            "text": "oxymetazoline nasal 0.05% solution",
                            "template": "oxymetazoline nasal 0.05% solution"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Antivirals",
            "template": "{children}",
            "children": [
                {
                    "text": "Influenza antivirals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Relenza 5 mg per blister DPI",
                            "template": "Relenza 5 mg per blister DPI"
                        },
                        {
                            "text": "Tamiflu 75 mg cap",
                            "template": "Tamiflu 75 mg cap"
                        },
                        {
                            "text": "Tamiflu 30 mg per 5 mL suspension",
                            "template": "Tamiflu 30 mg per 5 mL suspension"
                        },
                        {
                            "text": "Tamiflu 30 mg per 5 mL suspension",
                            "template": "Tamiflu 30 mg per 5 mL suspension"
                        },
                        {
                            "text": "Tamiflu 30 mg per 5 mL suspension",
                            "template": "Tamiflu 30 mg per 5 mL suspension"
                        },
                        {
                            "text": "Tamiflu 30 mg per 5 mL suspension",
                            "template": "Tamiflu 30 mg per 5 mL suspension"
                        },
                        {
                            "text": "Tamiflu 30 mg per 5 mL suspension",
                            "template": "Tamiflu 30 mg per 5 mL suspension"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Tx measures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC decongestant prn",
                            "template": "Take OTC decongestant prn"
                        },
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers 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": "Take OTC dextromethorphan prn",
                            "template": "Take OTC dextromethorphan prn"
                        },
                        {
                            "text": "Use steam treatment or shower steam (avoid scalding water burns) prn",
                            "template": "Use steam treatment or shower steam (avoid scalding water burns) prn"
                        },
                        {
                            "text": "Gargle with salt water q2-4h prn pain",
                            "template": "Gargle with salt water q2-4h prn pain"
                        }
                    ]
                },
                {
                    "text": "General guidance",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Precautions, indications for RTC or ER discussed",
                            "template": "Precautions, indications for RTC or ER discussed"
                        },
                        {
                            "text": "Call if sx worsen over next 1-3 days",
                            "template": "Call if sx worsen over next 1-3 days"
                        },
                        {
                            "text": "Call if no improvement in 3-5 days",
                            "template": "Call if no improvement in 3-5 days"
                        },
                        {
                            "text": "Get rest",
                            "template": "Get rest"
                        },
                        {
                            "text": "Drink fluids (water, tea, broth)",
                            "template": "Drink fluids (water, tea, broth)"
                        },
                        {
                            "text": "Avoid smoke\/irritant exposure",
                            "template": "Avoid smoke\/irritant exposure"
                        },
                        {
                            "text": "Avoid alcohol, soft drinks and acidic items",
                            "template": "Avoid alcohol, soft drinks and acidic items"
                        },
                        {
                            "text": "Practice good hygiene: wash hands frequently, cough into elbow\/shoulder",
                            "template": "Practice good hygiene: wash hands frequently, cough into elbow\/shoulder"
                        }
                    ]
                },
                {
                    "text": "Resume school\/work",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Resume work\/school when afebrile >24hrs off fever reducers",
                            "template": "Resume work\/school when afebrile >24hrs off fever reducers"
                        },
                        {
                            "text": "Resume work\/school in one week",
                            "template": "Resume work\/school in one week"
                        }
                    ]
                },
                {
                    "text": "Smoking cessation counseling",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Tobacco counseling 3-10 minutes performed",
                            "template": "Tobacco counseling 3-10 minutes performed"
                        },
                        {
                            "text": "Tobacco counseling >10 minutes performed",
                            "template": "Tobacco counseling >10 minutes performed"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up\/ Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Call if sx worsen over next 1-3 days",
                            "template": "Call if sx worsen over next 1-3 days"
                        },
                        {
                            "text": "Call if no improvement in 3-5 days",
                            "template": "Call if no improvement in 3-5 days"
                        },
                        {
                            "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 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 6 months",
                            "template": "Return visit in 6 months"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/hospital",
                    "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 smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, Tdap",
                            "template": "Vaccination, Tdap"
                        },
                        {
                            "text": "Vaccination, Dtap",
                            "template": "Vaccination, Dtap"
                        },
                        {
                            "text": "Vaccination, pneumococcus, polysaccharide",
                            "template": "Vaccination, pneumococcus, polysaccharide"
                        }
                    ]
                }
            ]
        }
    ]
}