{
    "section": "plan",
    "templateSet": "Anemia, Iron Deficiency",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Iron, B12 studies",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Ferritin, serum",
                            "template": "Ferritin, serum"
                        },
                        {
                            "text": "Iron, serum",
                            "template": "Iron, serum"
                        },
                        {
                            "text": "Total iron-binding capacity (TIBC), serum",
                            "template": "Total iron-binding capacity (TIBC), serum"
                        },
                        {
                            "text": "Vitamin B12, serum",
                            "template": "Vitamin B12, serum"
                        },
                        {
                            "text": "Anti-intrinsic factor antibodies",
                            "template": "Anti-intrinsic factor antibodies"
                        },
                        {
                            "text": "Anti-parietal cell antibodies, serum",
                            "template": "Anti-parietal cell antibodies, serum"
                        },
                        {
                            "text": "Methylmalonic acid, serum",
                            "template": "Methylmalonic acid, serum"
                        }
                    ]
                },
                {
                    "text": "Other blood, pregnancy tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "Reticulocyte count",
                            "template": "Reticulocyte count"
                        },
                        {
                            "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": "TSH+free T4 (thyroid-stimulating hormone and free thyroxine), serum",
                            "template": "TSH+free T4 (thyroid-stimulating hormone and free thyroxine), serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Lead, blood",
                            "template": "Lead, blood"
                        },
                        {
                            "text": "Folate, serum",
                            "template": "Folate, serum"
                        },
                        {
                            "text": "PT (prothrombin time)",
                            "template": "PT (prothrombin time)"
                        },
                        {
                            "text": "PTT (partial thromboplastin time), serum",
                            "template": "PTT (partial thromboplastin time), serum"
                        },
                        {
                            "text": "Coomb's, direct, blood",
                            "template": "Coomb's, direct, blood"
                        },
                        {
                            "text": "Tissue transglutaminase (tTG) antibody, IgA, serum",
                            "template": "Tissue transglutaminase (tTG) antibody, IgA, serum"
                        },
                        {
                            "text": "Type and cross 2 units PRBC",
                            "template": "Type and cross 2 units PRBC"
                        }
                    ]
                },
                {
                    "text": "Stool studies",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Fecal occult blood test (FOBT)",
                            "template": "Fecal occult blood test (FOBT)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Ultrasound",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "US pelvis, transvaginal",
                            "template": "US pelvis, transvaginal"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Colonoscopy",
                            "template": "Colonoscopy"
                        },
                        {
                            "text": "Upper endoscopy",
                            "template": "Upper endoscopy"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Iron replacement, adults",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ferrous gluconate 300 mg tab",
                            "template": "ferrous gluconate 300 mg tab"
                        },
                        {
                            "text": "ferrous gluconate 324 mg tab",
                            "template": "ferrous gluconate 324 mg tab"
                        },
                        {
                            "text": "ferrous gluconate 325 mg tab",
                            "template": "ferrous gluconate 325 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 250 mg tab",
                            "template": "ferrous sulfate 250 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 324 mg tab",
                            "template": "ferrous sulfate 324 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 325 mg tab",
                            "template": "ferrous sulfate 325 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 300 mg per 5 mL solution",
                            "template": "ferrous sulfate 300 mg per 5 mL solution"
                        }
                    ]
                },
                {
                    "text": "Iron replacement, peds",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ferrous gluconate 225 mg tab",
                            "template": "ferrous gluconate 225 mg tab"
                        },
                        {
                            "text": "ferrous gluconate 300 mg tab",
                            "template": "ferrous gluconate 300 mg tab"
                        },
                        {
                            "text": "ferrous gluconate 324 mg tab",
                            "template": "ferrous gluconate 324 mg tab"
                        },
                        {
                            "text": "ferrous gluconate 325 mg tab",
                            "template": "ferrous gluconate 325 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 220 mg per 5 mL elixir",
                            "template": "ferrous sulfate 220 mg per 5 mL elixir"
                        },
                        {
                            "text": "ferrous sulfate 75 mg per 0.6 mL solution",
                            "template": "ferrous sulfate 75 mg per 0.6 mL solution"
                        },
                        {
                            "text": "ferrous sulfate 300 mg per 5 mL solution",
                            "template": "ferrous sulfate 300 mg per 5 mL solution"
                        },
                        {
                            "text": "ferrous sulfate 200 mg tab",
                            "template": "ferrous sulfate 200 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 250 mg tab",
                            "template": "ferrous sulfate 250 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 324 mg tab",
                            "template": "ferrous sulfate 324 mg tab"
                        },
                        {
                            "text": "ferrous sulfate 325 mg tab",
                            "template": "ferrous sulfate 325 mg tab"
                        }
                    ]
                },
                {
                    "text": "Vitamin C",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vitamin C (common name) 250 mg chew tab",
                            "template": "Vitamin C (common name) 250 mg chew tab"
                        },
                        {
                            "text": "Vitamin C (common name) 250 mg tab",
                            "template": "Vitamin C (common name) 250 mg tab"
                        },
                        {
                            "text": "Vitamin C (common name) 500 mg chew tab",
                            "template": "Vitamin C (common name) 500 mg chew tab"
                        },
                        {
                            "text": "Vitamin C (common name) 500 mg tab",
                            "template": "Vitamin C (common name) 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "B12 adult supplement",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        },
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        },
                        {
                            "text": "Vitamin B12 (common name) 1000 mcg tab",
                            "template": "Vitamin B12 (common name) 1000 mcg tab"
                        }
                    ]
                },
                {
                    "text": "B12 peds, B12 deficiency",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        },
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        }
                    ]
                },
                {
                    "text": "B12 peds, pernicious anemia",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        },
                        {
                            "text": "Vitamin B12 (common name) INJ",
                            "template": "Vitamin B12 (common name) INJ"
                        }
                    ]
                },
                {
                    "text": "Folic acid, adults",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "folic acid 1 mg tab",
                            "template": "folic acid 1 mg tab"
                        },
                        {
                            "text": "folic acid 0.8 mg tab",
                            "template": "folic acid 0.8 mg tab"
                        },
                        {
                            "text": "folic acid INJ",
                            "template": "folic acid INJ"
                        },
                        {
                            "text": "folic acid INJ",
                            "template": "folic acid INJ"
                        }
                    ]
                },
                {
                    "text": "Folic acid, peds",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "folic acid 0.4 mg tab",
                            "template": "folic acid 0.4 mg tab"
                        },
                        {
                            "text": "folic acid 0.8 mg tab",
                            "template": "folic acid 0.8 mg tab"
                        },
                        {
                            "text": "folic acid 1 mg tab",
                            "template": "folic acid 1 mg tab"
                        },
                        {
                            "text": "folic acid INJ",
                            "template": "folic acid INJ"
                        },
                        {
                            "text": "folic acid INJ",
                            "template": "folic acid INJ"
                        }
                    ]
                },
                {
                    "text": "Constipation medications",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Bulk laxatives: First line therapy along with lifestyle modifications to increase\n                                fiber and water intake\n                            ",
                            "template": "Bulk laxatives: First line therapy along with lifestyle modifications to increase\n                                fiber and water intake\n                            "
                        },
                        {
                            "text": "Take OTC bulk laxatives prn",
                            "template": "Take OTC bulk laxatives prn"
                        },
                        {
                            "text": "Stool softeners: Consider in patients with hard stools and\/or painful defecation\n                            ",
                            "template": "Stool softeners: Consider in patients with hard stools and\/or painful defecation\n                            "
                        },
                        {
                            "text": "Take OTC stool softeners prn",
                            "template": "Take OTC stool softeners prn"
                        },
                        {
                            "text": "Osmotic laxatives",
                            "template": "Osmotic laxatives"
                        },
                        {
                            "text": "Take OTC osmotic laxatives prn",
                            "template": "Take OTC osmotic laxatives prn"
                        },
                        {
                            "text": "Stimulant laxatives: Avoid in patients with suspected intestinal obstruction",
                            "template": "Stimulant laxatives: Avoid in patients with suspected intestinal obstruction"
                        },
                        {
                            "text": "Take OTC stimulant laxatives prn",
                            "template": "Take OTC stimulant 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": "docusate sodium 100 mg cap",
                            "template": "docusate sodium 100 mg cap"
                        },
                        {
                            "text": "docusate calcium 240 mg cap",
                            "template": "docusate calcium 240 mg cap"
                        },
                        {
                            "text": "docusate sodium 250 mg cap",
                            "template": "docusate sodium 250 mg cap"
                        },
                        {
                            "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": "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": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Iron replacement",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take iron tablets 3x daily w\/ orange juice or 250mg ascorbic acid",
                            "template": "Take iron tablets 3x daily w\/ orange juice or 250mg ascorbic acid"
                        }
                    ]
                },
                {
                    "text": "Dietary advice",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Iron-rich food dietary advice given",
                            "template": "Iron-rich food dietary advice given"
                        }
                    ]
                },
                {
                    "text": "Constipation instructions",
                    "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": "Increase fiber intake gradually over several wks to target 20-35 grams\/day",
                            "template": "Increase fiber intake gradually over several wks to target 20-35 grams\/day"
                        },
                        {
                            "text": "Take OTC stimulant laxatives prn",
                            "template": "Take OTC stimulant laxatives prn"
                        },
                        {
                            "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 prevention instructions given",
                            "template": "Constipation prevention instructions 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": "Follow-up phone call as needed",
                            "template": "Follow-up phone call as needed"
                        },
                        {
                            "text": "Return visit in 24 hours",
                            "template": "Return visit in 24 hours"
                        },
                        {
                            "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 4 weeks",
                            "template": "Return visit in 4 weeks"
                        },
                        {
                            "text": "Return visit in 6 months",
                            "template": "Return visit in 6 months"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/Hospital",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to hospital",
                            "template": "Admit to hospital"
                        },
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to OB\/Gyn",
                            "template": "Refer to OB\/Gyn"
                        },
                        {
                            "text": "Refer to GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to Hematology\/Oncology",
                            "template": "Refer to Hematology\/Oncology"
                        }
                    ]
                }
            ]
        }
    ]
}