{
    "section": "plan",
    "templateSet": "Depression, Adult",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "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": "Calcium, serum",
                            "template": "Calcium, serum"
                        },
                        {
                            "text": "TSH+free T4 (thyroid-stimulating hormone and free thyroxine), serum",
                            "template": "TSH+free T4 (thyroid-stimulating hormone and free thyroxine), serum"
                        },
                        {
                            "text": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Dexamethasone suppression test",
                            "template": "Dexamethasone suppression test"
                        },
                        {
                            "text": "Eryrthrocyte sedimentation rate (ESR)",
                            "template": "Eryrthrocyte sedimentation rate (ESR)"
                        },
                        {
                            "text": "Toxicology screen, urine",
                            "template": "Toxicology screen, urine"
                        },
                        {
                            "text": "HIV-1+HIV-2 antibody screen, serum",
                            "template": "HIV-1+HIV-2 antibody screen, serum"
                        },
                        {
                            "text": "RPR (rapid plasma reagin), serum",
                            "template": "RPR (rapid plasma reagin), serum"
                        },
                        {
                            "text": "Vitamin B12, serum",
                            "template": "Vitamin B12, serum"
                        },
                        {
                            "text": "Vitamin D, 25-OH, serum",
                            "template": "Vitamin D, 25-OH, serum"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT head",
                            "template": "CT head"
                        },
                        {
                            "text": "MRI brain",
                            "template": "MRI brain"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EKG, 12-lead",
                            "template": "EKG, 12-lead"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Selective serotonin reuptake inhibitors (SSRIs)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "citalopram 20 mg tab",
                            "template": "citalopram 20 mg tab"
                        },
                        {
                            "text": "fluoxetine 20 mg tab",
                            "template": "fluoxetine 20 mg tab"
                        },
                        {
                            "text": "paroxetine 20 mg tab",
                            "template": "paroxetine 20 mg tab"
                        },
                        {
                            "text": "paroxetine 12.5 mg ER tab",
                            "template": "paroxetine 12.5 mg ER tab"
                        },
                        {
                            "text": "sertraline 50 mg tab",
                            "template": "sertraline 50 mg tab"
                        },
                        {
                            "text": "Lexapro 10 mg tab",
                            "template": "Lexapro 10 mg tab"
                        }
                    ]
                },
                {
                    "text": "Dopamine norepinephrine reuptake inhibitor",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "bupropion HCl 150 mg per 12h ER tab",
                            "template": "bupropion HCl 150 mg per 12h ER tab"
                        },
                        {
                            "text": "bupropion HCl 150 mg per 24h ER tab",
                            "template": "bupropion HCl 150 mg per 24h ER tab"
                        }
                    ]
                },
                {
                    "text": "Serotonin norepinephrine reuptake inhibitors (SNRIs)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "venlafaxine 75 mg tab",
                            "template": "venlafaxine 75 mg tab"
                        },
                        {
                            "text": "Cymbalta 60 mg DR cap",
                            "template": "Cymbalta 60 mg DR cap"
                        },
                        {
                            "text": "Pristiq 50 mg ER tab",
                            "template": "Pristiq 50 mg ER tab"
                        },
                        {
                            "text": "Venlafaxine ER Tablets 37.5 mg ER tab",
                            "template": "Venlafaxine ER Tablets 37.5 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Serotonin modulators",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "nefazodone 50 mg tab",
                            "template": "nefazodone 50 mg tab"
                        },
                        {
                            "text": "trazodone 150 mg tab",
                            "template": "trazodone 150 mg tab"
                        }
                    ]
                },
                {
                    "text": "Norepinephrine-serotonin modulator",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "mirtazapine 15 mg tab",
                            "template": "mirtazapine 15 mg tab"
                        }
                    ]
                },
                {
                    "text": "Tricylcics and tetracyclics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amitriptyline 25 mg tab",
                            "template": "amitriptyline 25 mg tab"
                        },
                        {
                            "text": "desipramine 25 mg tab",
                            "template": "desipramine 25 mg tab"
                        },
                        {
                            "text": "doxepin 25 mg cap",
                            "template": "doxepin 25 mg cap"
                        },
                        {
                            "text": "imipramine 25 mg tab",
                            "template": "imipramine 25 mg tab"
                        },
                        {
                            "text": "maprotiline 75 mg tab",
                            "template": "maprotiline 75 mg tab"
                        },
                        {
                            "text": "nortriptyline 25 mg cap",
                            "template": "nortriptyline 25 mg cap"
                        },
                        {
                            "text": "protriptyline 10 mg tab",
                            "template": "protriptyline 10 mg tab"
                        },
                        {
                            "text": "trimipramine 25 mg cap",
                            "template": "trimipramine 25 mg cap"
                        }
                    ]
                },
                {
                    "text": "Monoamine oxidase inhibitors (MAOIs)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "tranylcypromine 10 mg tab",
                            "template": "tranylcypromine 10 mg tab"
                        },
                        {
                            "text": "Emsam 6 mg per 24h patch",
                            "template": "Emsam 6 mg per 24h patch"
                        },
                        {
                            "text": "Marplan 10 mg tab",
                            "template": "Marplan 10 mg tab"
                        },
                        {
                            "text": "Nardil 15 mg tab",
                            "template": "Nardil 15 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Risk of harm to self or others",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Seek immediate care for suicidal and\/or homicidal ideation",
                            "template": "Seek immediate care for suicidal and\/or homicidal ideation"
                        }
                    ]
                },
                {
                    "text": "Treatment outcomes",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Medication adherence instructions given",
                            "template": "Medication adherence instructions given"
                        },
                        {
                            "text": "Information given about medication tx outcomes\/common side effects",
                            "template": "Information given about medication tx outcomes\/common side effects"
                        }
                    ]
                }
            ]
        },
        {
            "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": "Follow-up phone call",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Follow-up phone call as needed",
                            "template": "Follow-up phone call as needed"
                        },
                        {
                            "text": "Follow-up phone call in 1 week",
                            "template": "Follow-up phone call in 1 week"
                        },
                        {
                            "text": "Follow-up phone call in 2 weeks",
                            "template": "Follow-up phone call in 2 weeks"
                        }
                    ]
                },
                {
                    "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": "Remission achieved",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "1st episode",
                            "template": "1st episode"
                        },
                        {
                            "text": "Continue effective tx for additional 6-9 months; withdraw tx gradually",
                            "template": "Continue effective tx for additional 6-9 months; withdraw tx gradually"
                        },
                        {
                            "text": "2nd episode",
                            "template": "2nd episode"
                        },
                        {
                            "text": "Continue effective tx for additional 3 yrs; withdraw tx gradually",
                            "template": "Continue effective tx for additional 3 yrs; withdraw tx gradually"
                        },
                        {
                            "text": "3rd episode",
                            "template": "3rd episode"
                        },
                        {
                            "text": "Continue effective tx indefinitely",
                            "template": "Continue effective tx indefinitely"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Psychology",
                            "template": "Refer to Psychology"
                        },
                        {
                            "text": "Refer to Psychiatry",
                            "template": "Refer to Psychiatry"
                        },
                        {
                            "text": "Refer to smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        }
                    ]
                }
            ]
        }
    ]
}