{
    "section": "plan",
    "templateSet": "Gout",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Serum",
                    "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": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Calcium, serum",
                            "template": "Calcium, serum"
                        },
                        {
                            "text": "Phosphorus, serum",
                            "template": "Phosphorus, serum"
                        },
                        {
                            "text": "Uric acid, serum",
                            "template": "Uric acid, serum"
                        },
                        {
                            "text": "Erythrocyte sedimentation rate (ESR)",
                            "template": "Erythrocyte sedimentation rate (ESR)"
                        },
                        {
                            "text": "C-reactive protein (CRP), serum",
                            "template": "C-reactive protein (CRP), serum"
                        },
                        {
                            "text": "Antinuclear antibodies (ANA), serum",
                            "template": "Antinuclear antibodies (ANA), serum"
                        },
                        {
                            "text": "Rheumatoid factor (RF), serum",
                            "template": "Rheumatoid factor (RF), serum"
                        },
                        {
                            "text": "Lyme (Borrelia burgdorferi) IgG+IgM antibodies, serum",
                            "template": "Lyme (Borrelia burgdorferi) IgG+IgM antibodies, serum"
                        }
                    ]
                },
                {
                    "text": "Urine",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Uric acid, 24-hour urine",
                            "template": "Uric acid, 24-hour urine"
                        }
                    ]
                },
                {
                    "text": "Blood culture",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, blood, bacterial x2",
                            "template": "Culture, blood, bacterial x2"
                        }
                    ]
                },
                {
                    "text": "Synovial fluid",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Cell count and differential, synovial fluid",
                            "template": "Cell count and differential, synovial fluid"
                        },
                        {
                            "text": "Gram stain",
                            "template": "Gram stain"
                        },
                        {
                            "text": "Culture, synovial fluid, bacterial",
                            "template": "Culture, synovial fluid, bacterial"
                        },
                        {
                            "text": "Crystals, synovial fluid, pyrophosphate",
                            "template": "Crystals, synovial fluid, pyrophosphate"
                        },
                        {
                            "text": "Crystals, synovial fluid, urate",
                            "template": "Crystals, synovial fluid, urate"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray [specify]",
                            "template": "X-ray [specify]"
                        }
                    ]
                },
                {
                    "text": "Ultrasound",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "US [specify]",
                            "template": "US [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Arthrocentesis, diagnostic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Arthrocentesis, diagnostic",
                            "template": "Arthrocentesis, diagnostic"
                        }
                    ]
                },
                {
                    "text": "Aspiration, therapeutic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Aspiration, therapeutic",
                            "template": "Aspiration, therapeutic"
                        }
                    ]
                },
                {
                    "text": "Intra-articular injection, corticosteroid",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Injection, intra-articular, corticosteroid",
                            "template": "Injection, intra-articular, corticosteroid"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds: Acute flare",
            "template": "{children}",
            "children": [
                {
                    "text": "NSAIDs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "indomethacin 50 mg cap",
                            "template": "indomethacin 50 mg cap"
                        },
                        {
                            "text": "ibuprofen 800 mg tab",
                            "template": "ibuprofen 800 mg tab"
                        },
                        {
                            "text": "naproxen 500 mg tab",
                            "template": "naproxen 500 mg tab"
                        },
                        {
                            "text": "sulindac 200 mg tab",
                            "template": "sulindac 200 mg tab"
                        }
                    ]
                },
                {
                    "text": "Colchicine",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Colcrys 0.6 mg tab",
                            "template": "Colcrys 0.6 mg tab"
                        }
                    ]
                },
                {
                    "text": "Corticosteroids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "prednisolone 5 mg tab",
                            "template": "prednisolone 5 mg tab"
                        },
                        {
                            "text": "Depo-Medrol INJ",
                            "template": "Depo-Medrol INJ"
                        }
                    ]
                },
                {
                    "text": "Gastrointestinal prophylaxis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "lansoprazole 30 mg DR cap",
                            "template": "lansoprazole 30 mg DR cap"
                        },
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        },
                        {
                            "text": "Nexium 20 mg DR cap",
                            "template": "Nexium 20 mg DR cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds: Chronic gout",
            "template": "{children}",
            "children": [
                {
                    "text": "Urate-lowering agents",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "allopurinol 100 mg tab",
                            "template": "allopurinol 100 mg tab"
                        },
                        {
                            "text": "allopurinol 300 mg tab",
                            "template": "allopurinol 300 mg tab"
                        },
                        {
                            "text": "allopurinol 300 mg tab",
                            "template": "allopurinol 300 mg tab"
                        },
                        {
                            "text": "probenecid 500 mg tab",
                            "template": "probenecid 500 mg tab"
                        },
                        {
                            "text": "Uloric 40 mg tab",
                            "template": "Uloric 40 mg tab"
                        }
                    ]
                },
                {
                    "text": "Prophylaxis against acute attack during urate-lowering therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ibuprofen 800 mg tab",
                            "template": "ibuprofen 800 mg tab"
                        },
                        {
                            "text": "indomethacin 50 mg cap",
                            "template": "indomethacin 50 mg cap"
                        },
                        {
                            "text": "naproxen 500 mg tab",
                            "template": "naproxen 500 mg tab"
                        },
                        {
                            "text": "Colcrys 0.6 mg tab",
                            "template": "Colcrys 0.6 mg tab"
                        },
                        {
                            "text": "Colcrys 0.6 mg tab",
                            "template": "Colcrys 0.6 mg tab"
                        }
                    ]
                },
                {
                    "text": "Gastrointestinal prophylaxis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "lansoprazole 30 mg DR cap",
                            "template": "lansoprazole 30 mg DR cap"
                        },
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        },
                        {
                            "text": "Nexium 20 mg DR cap",
                            "template": "Nexium 20 mg DR cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Acute attack, instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Use \"bed cage\" to keep bedclothes from affected joint",
                            "template": "Use \"bed cage\" to keep bedclothes from affected joint"
                        },
                        {
                            "text": "Restrict intake of purine-rich foods",
                            "template": "Restrict intake of purine-rich foods"
                        },
                        {
                            "text": "Drink more water (more than 2L\/day)",
                            "template": "Drink more water (more than 2L\/day)"
                        },
                        {
                            "text": "Limit alcohol intake",
                            "template": "Limit alcohol intake"
                        },
                        {
                            "text": "Limit intake of animal protein",
                            "template": "Limit intake of animal protein"
                        },
                        {
                            "text": "Apply ice packs to affected area as needed for pain",
                            "template": "Apply ice packs to affected area as needed for pain"
                        },
                        {
                            "text": "Stop diuretics, if possible",
                            "template": "Stop diuretics, if possible"
                        },
                        {
                            "text": "Do not start allopurinol during acute attack",
                            "template": "Do not start allopurinol during acute attack"
                        },
                        {
                            "text": "Rest, elevate, and ice affected joint",
                            "template": "Rest, elevate, and ice affected joint"
                        }
                    ]
                },
                {
                    "text": "Prevention of recurrent attacks",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Lose weight gradually",
                            "template": "Lose weight gradually"
                        },
                        {
                            "text": "Restrict intake of high-fructose corn syrup",
                            "template": "Restrict intake of high-fructose corn syrup"
                        },
                        {
                            "text": "Restrict intake of purine and protein-rich foods",
                            "template": "Restrict intake of purine and protein-rich foods"
                        },
                        {
                            "text": "Drink more than 2L\/day of water",
                            "template": "Drink more than 2L\/day of water"
                        },
                        {
                            "text": "Limit alcohol intake",
                            "template": "Limit alcohol intake"
                        },
                        {
                            "text": "Exercise routinely, but avoid joint trauma",
                            "template": "Exercise routinely, but avoid joint trauma"
                        },
                        {
                            "text": "Avoid high protein\/low carbohydrate diets",
                            "template": "Avoid high protein\/low carbohydrate diets"
                        },
                        {
                            "text": "Stop diuretics, if possible",
                            "template": "Stop diuretics, if possible"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen prn",
                            "template": "Take OTC acetaminophen prn"
                        },
                        {
                            "text": "Take OTC naproxen prn",
                            "template": "Take OTC naproxen prn"
                        },
                        {
                            "text": "Take OTC ibuprofen prn",
                            "template": "Take OTC ibuprofen prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as instructed",
                            "template": "Return visit as instructed"
                        },
                        {
                            "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": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Orthopedic Surgery",
                            "template": "Refer to Orthopedic Surgery"
                        },
                        {
                            "text": "Refer to Rheumatology",
                            "template": "Refer to Rheumatology"
                        }
                    ]
                }
            ]
        }
    ]
}