{
    "section": "plan",
    "templateSet": "Constipation",
    "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": "Calcium, serum",
                            "template": "Calcium, serum"
                        },
                        {
                            "text": "Creatinine, serum",
                            "template": "Creatinine, serum"
                        },
                        {
                            "text": "Glucose, fasting, plasma",
                            "template": "Glucose, fasting, plasma"
                        },
                        {
                            "text": "TSH (thyroid-stimulating hormone), serum",
                            "template": "TSH (thyroid-stimulating hormone), serum"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray abdomen (KUB)",
                            "template": "X-ray abdomen (KUB)"
                        },
                        {
                            "text": "Barium enema (lower GI series)",
                            "template": "Barium enema (lower GI series)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Endoscopy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Colonoscopy",
                            "template": "Colonoscopy"
                        },
                        {
                            "text": "Flexible sigmoidoscopy",
                            "template": "Flexible sigmoidoscopy"
                        }
                    ]
                },
                {
                    "text": "Fecal impaction therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Enema, sodium phosphate (in office)",
                            "template": "Enema, sodium phosphate (in office)"
                        },
                        {
                            "text": "Enema, tap water (in office)",
                            "template": "Enema, tap water (in office)"
                        },
                        {
                            "text": "Fecal disimpaction, manual (in office)",
                            "template": "Fecal disimpaction, manual (in office)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Bulk laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC bulk laxatives prn",
                            "template": "Take OTC bulk laxatives 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": "Stool softeners",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC stool softeners prn",
                            "template": "Take OTC stool softeners prn"
                        },
                        {
                            "text": "docusate sodium 100 mg cap",
                            "template": "docusate sodium 100 mg cap"
                        },
                        {
                            "text": "docusate sodium 250 mg cap",
                            "template": "docusate sodium 250 mg cap"
                        },
                        {
                            "text": "docusate calcium 240 mg cap",
                            "template": "docusate calcium 240 mg cap"
                        }
                    ]
                },
                {
                    "text": "Osmotic laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC osmotic laxatives prn",
                            "template": "Take OTC osmotic laxatives prn"
                        },
                        {
                            "text": "lactulose 10 g per 15 mL syrup",
                            "template": "lactulose 10 g per 15 mL syrup"
                        },
                        {
                            "text": "magnesium hydroxide (milk of magnesia)",
                            "template": "magnesium hydroxide (milk of magnesia)"
                        },
                        {
                            "text": "polyethylene glycol 3350 17 g solution",
                            "template": "polyethylene glycol 3350 17 g solution"
                        }
                    ]
                },
                {
                    "text": "Stimulant laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC stimulant laxatives prn",
                            "template": "Take OTC stimulant laxatives prn"
                        },
                        {
                            "text": "bisacodyl 5 mg EC tab",
                            "template": "bisacodyl 5 mg EC tab"
                        },
                        {
                            "text": "bisacodyl rectal 10 mg supp",
                            "template": "bisacodyl rectal 10 mg supp"
                        },
                        {
                            "text": "sennosides 8.6 mg tab",
                            "template": "sennosides 8.6 mg tab"
                        }
                    ]
                },
                {
                    "text": "Other agents",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Amitiza 8 mcg cap",
                            "template": "Amitiza 8 mcg cap"
                        },
                        {
                            "text": "Amitiza 24 mcg cap",
                            "template": "Amitiza 24 mcg cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions given",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC bulk laxatives (e.g., psyllium powder, Citrucel) prn",
                            "template": "Take OTC bulk laxatives (e.g., psyllium powder, Citrucel) prn"
                        },
                        {
                            "text": "Take OTC stool softeners prn",
                            "template": "Take OTC stool softeners prn"
                        },
                        {
                            "text": "Take OTC osmotic laxatives prn",
                            "template": "Take OTC osmotic laxatives prn"
                        },
                        {
                            "text": "Take OTC stimulant laxatives prn",
                            "template": "Take OTC stimulant laxatives prn"
                        },
                        {
                            "text": "Increase fiber intake gradually over several wks to a target of 20-35 grams per day\n                            ",
                            "template": "Increase fiber intake gradually over several wks to a target of 20-35 grams per day\n                            "
                        },
                        {
                            "text": "Increase fluid intake but minimize caffeine and alcohol consumption",
                            "template": "Increase fluid intake but minimize caffeine and alcohol consumption"
                        },
                        {
                            "text": "Increase aerobic exercise as tolerated",
                            "template": "Increase aerobic exercise as tolerated"
                        },
                        {
                            "text": "Adopt semi-squatting position during BMs",
                            "template": "Adopt semi-squatting position during BMs"
                        },
                        {
                            "text": "Avoid supplements associated with constipation",
                            "template": "Avoid supplements associated with constipation"
                        },
                        {
                            "text": "Avoid long-term laxative and stool softener use",
                            "template": "Avoid long-term laxative and stool softener use"
                        },
                        {
                            "text": "Establish regular bowel pattern at same time each day",
                            "template": "Establish regular bowel pattern at same time each day"
                        },
                        {
                            "text": "Know best times of day for increased colonic activity",
                            "template": "Know best times of day for increased colonic activity"
                        },
                        {
                            "text": "Constipation instructional handout given",
                            "template": "Constipation instructional handout given"
                        },
                        {
                            "text": "Avoid any medications associated with constipation",
                            "template": "Avoid any medications associated with constipation"
                        }
                    ]
                }
            ]
        },
        {
            "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 3 weeks",
                            "template": "Return visit in 3 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 4 months",
                            "template": "Return visit in 4 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": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to GI",
                            "template": "Refer to GI"
                        }
                    ]
                }
            ]
        }
    ]
}