{
    "section": "plan",
    "templateSet": "Edema",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Serum labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "Creatinine kinase (CK), serum",
                            "template": "Creatinine kinase (CK), serum"
                        },
                        {
                            "text": "Troponin T, serum",
                            "template": "Troponin T, serum"
                        },
                        {
                            "text": "B-type natriuretic peptide (BNP), serum",
                            "template": "B-type natriuretic peptide (BNP), serum"
                        },
                        {
                            "text": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Albumin, serum",
                            "template": "Albumin, serum"
                        },
                        {
                            "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": "PT (prothrombin time)",
                            "template": "PT (prothrombin time)"
                        },
                        {
                            "text": "D-dimer, plasma",
                            "template": "D-dimer, plasma"
                        },
                        {
                            "text": "Heparin anti-factor Xa",
                            "template": "Heparin anti-factor Xa"
                        },
                        {
                            "text": "Fondaparinux anti-factor Xa",
                            "template": "Fondaparinux anti-factor Xa"
                        },
                        {
                            "text": "Erythrocyte sedimentation rate (ESR)",
                            "template": "Erythrocyte sedimentation rate (ESR)"
                        },
                        {
                            "text": "Glucose, fingerstick",
                            "template": "Glucose, fingerstick"
                        },
                        {
                            "text": "Hemoglobin A1c (HbA1c), blood",
                            "template": "Hemoglobin A1c (HbA1c), blood"
                        },
                        {
                            "text": "Lipid panel",
                            "template": "Lipid panel"
                        },
                        {
                            "text": "TSH (thyroid-stimulating hormone), serum",
                            "template": "TSH (thyroid-stimulating hormone), serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        }
                    ]
                },
                {
                    "text": "Urine labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Urine dipstick for protein",
                            "template": "Urine dipstick for protein"
                        },
                        {
                            "text": "Protein, 24-hour urine",
                            "template": "Protein, 24-hour urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        }
                    ]
                },
                {
                    "text": "Blood\/Skin cultures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, blood, bacterial x2",
                            "template": "Culture, blood, bacterial x2"
                        },
                        {
                            "text": "Culture, wound, bacterial",
                            "template": "Culture, wound, bacterial"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray chest, PA and lateral",
                            "template": "X-ray chest, PA and lateral"
                        },
                        {
                            "text": "Echocardiogram",
                            "template": "Echocardiogram"
                        },
                        {
                            "text": "X-ray soft tissue [specify]",
                            "template": "X-ray soft tissue [specify]"
                        },
                        {
                            "text": "US",
                            "template": "US"
                        },
                        {
                            "text": "Angiography lower extremity veins bilateral",
                            "template": "Angiography lower extremity veins bilateral"
                        },
                        {
                            "text": "Angiography lower extremity veins right",
                            "template": "Angiography lower extremity veins right"
                        },
                        {
                            "text": "Angiography lower extremity veins left",
                            "template": "Angiography lower extremity veins left"
                        },
                        {
                            "text": "MRI [specify]",
                            "template": "MRI [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EKG, 12-lead",
                            "template": "EKG, 12-lead"
                        },
                        {
                            "text": "Exercise treadmill test",
                            "template": "Exercise treadmill test"
                        },
                        {
                            "text": "Polysomnography (PSG)",
                            "template": "Polysomnography (PSG)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Venous insufficiency medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Venous insufficiency",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "pentoxifylline 400 mg ER tab",
                            "template": "pentoxifylline 400 mg ER tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Cellulitis medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Antibiotic, oral: Low-risk for MRSA",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cephalexin 250 mg tab",
                            "template": "cephalexin 250 mg tab"
                        },
                        {
                            "text": "cephalexin 500 mg tab",
                            "template": "cephalexin 500 mg tab"
                        },
                        {
                            "text": "clindamycin 300 mg cap",
                            "template": "clindamycin 300 mg cap"
                        },
                        {
                            "text": "dicloxacillin 500 mg cap",
                            "template": "dicloxacillin 500 mg cap"
                        },
                        {
                            "text": "erythromycin ethyl succinate 400 mg tab",
                            "template": "erythromycin ethyl succinate 400 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antibiotic, oral: High risk for MRSA",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "clindamycin 300 mg cap",
                            "template": "clindamycin 300 mg cap"
                        },
                        {
                            "text": "doxycycline 100 mg cap",
                            "template": "doxycycline 100 mg cap"
                        },
                        {
                            "text": "minocycline 100 mg tab",
                            "template": "minocycline 100 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab"
                        }
                    ]
                },
                {
                    "text": "Fever and pain therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "acetaminophen 500 mg tab",
                            "template": "acetaminophen 500 mg tab"
                        },
                        {
                            "text": "ibuprofen 200 mg tab",
                            "template": "ibuprofen 200 mg tab"
                        }
                    ]
                },
                {
                    "text": "Diuretic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "furosemide 40 mg tab",
                            "template": "furosemide 40 mg tab"
                        },
                        {
                            "text": "hydrochlorothiazide 25 mg tab",
                            "template": "hydrochlorothiazide 25 mg tab"
                        },
                        {
                            "text": "potassium chloride 10 mEq ER cap",
                            "template": "potassium chloride 10 mEq ER cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Heart failure medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Antihypertensives: Diuretics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amiloride 5 mg tab",
                            "template": "amiloride 5 mg tab"
                        },
                        {
                            "text": "bumetanide 0.5 mg tab",
                            "template": "bumetanide 0.5 mg tab"
                        },
                        {
                            "text": "chlorthalidone 50 mg tab",
                            "template": "chlorthalidone 50 mg tab"
                        },
                        {
                            "text": "furosemide 20 mg tab",
                            "template": "furosemide 20 mg tab"
                        },
                        {
                            "text": "hydrochlorothiazide 25 mg tab",
                            "template": "hydrochlorothiazide 25 mg tab"
                        },
                        {
                            "text": "spironolactone 25 mg tab",
                            "template": "spironolactone 25 mg tab"
                        },
                        {
                            "text": "potassium chloride 10 mEq tab",
                            "template": "potassium chloride 10 mEq tab"
                        }
                    ]
                },
                {
                    "text": "Antihypertensives: ACE inhibitors",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "benazepril 5 mg tab",
                            "template": "benazepril 5 mg tab"
                        },
                        {
                            "text": "captopril 12.5 mg tab",
                            "template": "captopril 12.5 mg tab"
                        },
                        {
                            "text": "enalapril 2.5 mg tab",
                            "template": "enalapril 2.5 mg tab"
                        },
                        {
                            "text": "fosinopril 10 mg tab",
                            "template": "fosinopril 10 mg tab"
                        },
                        {
                            "text": "lisinopril 2.5 mg tab",
                            "template": "lisinopril 2.5 mg tab"
                        },
                        {
                            "text": "quinapril 5 mg tab",
                            "template": "quinapril 5 mg tab"
                        },
                        {
                            "text": "ramipril 2.5 mg cap",
                            "template": "ramipril 2.5 mg cap"
                        }
                    ]
                },
                {
                    "text": "Antihypertensives: Angiotensin receptor blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "losartan 50 mg tab",
                            "template": "losartan 50 mg tab"
                        },
                        {
                            "text": "Avapro 150 mg tab",
                            "template": "Avapro 150 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antihypertensives: Beta blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "atenolol 50 mg tab",
                            "template": "atenolol 50 mg tab"
                        },
                        {
                            "text": "carvedilol 3.125 mg tab",
                            "template": "carvedilol 3.125 mg tab"
                        },
                        {
                            "text": "metoprolol 50 mg tab",
                            "template": "metoprolol 50 mg tab"
                        },
                        {
                            "text": "metoprolol 100 mg ER tab",
                            "template": "metoprolol 100 mg ER tab"
                        },
                        {
                            "text": "propranolol 80 mg ER cap",
                            "template": "propranolol 80 mg ER cap"
                        }
                    ]
                },
                {
                    "text": "Antihypertensives: Calcium channel blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amlodipine 5 mg tab",
                            "template": "amlodipine 5 mg tab"
                        },
                        {
                            "text": "felodipine 5 mg ER tab",
                            "template": "felodipine 5 mg ER tab"
                        },
                        {
                            "text": "nifedipine 30 mg ER tab",
                            "template": "nifedipine 30 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Antihypertensives: Combination agents",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "lisinopril\/hydrochlorothiazide 10 mg\/12.5 mg tab",
                            "template": "lisinopril\/hydrochlorothiazide 10 mg\/12.5 mg tab"
                        },
                        {
                            "text": "losartan\/hydrochlorothiazide 50 mg\/12.5 mg tab",
                            "template": "losartan\/hydrochlorothiazide 50 mg\/12.5 mg tab"
                        },
                        {
                            "text": "triamterene\/hydrochlorothiazide 37.5 mg\/25 mg tab",
                            "template": "triamterene\/hydrochlorothiazide 37.5 mg\/25 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antianginals\/Vasodilators",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "hydralazine 10 mg tab",
                            "template": "hydralazine 10 mg tab"
                        },
                        {
                            "text": "isosorbide dinitrate 10 mg tab",
                            "template": "isosorbide dinitrate 10 mg tab"
                        },
                        {
                            "text": "nitroglycerin 0.4 mg SL tab",
                            "template": "nitroglycerin 0.4 mg SL tab"
                        }
                    ]
                },
                {
                    "text": "Antiplatelets\/Anticoagulants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "aspirin 81 mg tab",
                            "template": "aspirin 81 mg tab"
                        },
                        {
                            "text": "aspirin 325 mg tab",
                            "template": "aspirin 325 mg tab"
                        },
                        {
                            "text": "warfarin 1 mg tab",
                            "template": "warfarin 1 mg tab"
                        },
                        {
                            "text": "warfarin 2 mg tab",
                            "template": "warfarin 2 mg tab"
                        },
                        {
                            "text": "warfarin 2.5 mg tab",
                            "template": "warfarin 2.5 mg tab"
                        },
                        {
                            "text": "warfarin 5 mg tab",
                            "template": "warfarin 5 mg tab"
                        },
                        {
                            "text": "Plavix 75 mg tab",
                            "template": "Plavix 75 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antiarrhythmics\/Digoxin",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC Omega-3 fatty acids as instructed",
                            "template": "Take OTC Omega-3 fatty acids as instructed"
                        },
                        {
                            "text": "amiodarone 200 mg tab",
                            "template": "amiodarone 200 mg tab"
                        },
                        {
                            "text": "digoxin 0.125 mg tab",
                            "template": "digoxin 0.125 mg tab"
                        },
                        {
                            "text": "digoxin 0.25 mg tab",
                            "template": "digoxin 0.25 mg tab"
                        },
                        {
                            "text": "Lovaza 1 g cap",
                            "template": "Lovaza 1 g cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "DVT medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Anticoagulants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "enoxaparin INJ",
                            "template": "enoxaparin INJ"
                        },
                        {
                            "text": "warfarin 1 mg tab",
                            "template": "warfarin 1 mg tab"
                        },
                        {
                            "text": "warfarin 2 mg tab",
                            "template": "warfarin 2 mg tab"
                        },
                        {
                            "text": "warfarin 2.5 mg tab",
                            "template": "warfarin 2.5 mg tab"
                        },
                        {
                            "text": "warfarin 5 mg tab",
                            "template": "warfarin 5 mg tab"
                        },
                        {
                            "text": "warfarin 7.5 mg tab",
                            "template": "warfarin 7.5 mg tab"
                        },
                        {
                            "text": "warfarin 10 mg tab",
                            "template": "warfarin 10 mg tab"
                        },
                        {
                            "text": "Arixtra INJ",
                            "template": "Arixtra INJ"
                        },
                        {
                            "text": "Arixtra INJ",
                            "template": "Arixtra INJ"
                        },
                        {
                            "text": "Fragmin INJ",
                            "template": "Fragmin INJ"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Supplies, Equipment",
            "template": "{children}",
            "children": [
                {
                    "text": "Supplies, compression stockings",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Compression stockings",
                            "template": "Compression stockings"
                        },
                        {
                            "text": "Pneumatic compression stockings",
                            "template": "Pneumatic compression stockings"
                        },
                        {
                            "text": "T.E.D. compression stockings",
                            "template": "T.E.D. compression stockings"
                        },
                        {
                            "text": "Jobst, fitted compression stockings",
                            "template": "Jobst, fitted compression stockings"
                        },
                        {
                            "text": "Elastic compression stockings",
                            "template": "Elastic compression stockings"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Venous insufficiency instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Wear pneumatic compression stockings as instructed",
                            "template": "Wear pneumatic compression stockings as instructed"
                        },
                        {
                            "text": "Wear T.E.D. compression stockings as instructed",
                            "template": "Wear T.E.D. compression stockings as instructed"
                        },
                        {
                            "text": "Wear Jobst, fitted compression stockings as instructed",
                            "template": "Wear Jobst, fitted compression stockings as instructed"
                        },
                        {
                            "text": "Elevate affected area to minimize edema",
                            "template": "Elevate affected area to minimize edema"
                        }
                    ]
                },
                {
                    "text": "Cellulitis instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Elevate affected areas",
                            "template": "Elevate affected areas"
                        },
                        {
                            "text": "Keep affected area moist",
                            "template": "Keep affected area moist"
                        },
                        {
                            "text": "Wear compression stockings daily to alleviate edema",
                            "template": "Wear compression stockings daily to alleviate edema"
                        }
                    ]
                },
                {
                    "text": "Heart failure instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC Omega-3 fatty acids as instructed",
                            "template": "Take OTC Omega-3 fatty acids as instructed"
                        },
                        {
                            "text": "Quit smoking",
                            "template": "Quit smoking"
                        },
                        {
                            "text": "Tobacco counseling 3-10 minutes performed",
                            "template": "Tobacco counseling 3-10 minutes performed"
                        },
                        {
                            "text": "Tobacco counseling greater than 10 minutes performed",
                            "template": "Tobacco counseling greater than 10 minutes performed"
                        },
                        {
                            "text": "Control BP and adhere w\/ antihypertensive medications",
                            "template": "Control BP and adhere w\/ antihypertensive medications"
                        },
                        {
                            "text": "Get regular aerobic exercise",
                            "template": "Get regular aerobic exercise"
                        },
                        {
                            "text": "Maintain healthy body weight",
                            "template": "Maintain healthy body weight"
                        },
                        {
                            "text": "Follow a low carbohydrate\/low fat diet",
                            "template": "Follow a low carbohydrate\/low fat diet"
                        },
                        {
                            "text": "Eat diet low in saturated fats",
                            "template": "Eat diet low in saturated fats"
                        },
                        {
                            "text": "Limit sodium intake",
                            "template": "Limit sodium intake"
                        },
                        {
                            "text": "Moderate alcohol intake (women: 1 drink\/day, men: 2 drinks\/day)",
                            "template": "Moderate alcohol intake (women: 1 drink\/day, men: 2 drinks\/day)"
                        },
                        {
                            "text": "Weigh self on scale daily",
                            "template": "Weigh self on scale daily"
                        }
                    ]
                },
                {
                    "text": "Deep venous thrombosis instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Ambulate as soon as possible",
                            "template": "Ambulate as soon as possible"
                        },
                        {
                            "text": "Wear elastic compression stockings as instructed",
                            "template": "Wear elastic compression stockings as instructed"
                        },
                        {
                            "text": "Follow anticoagulation medication schedule as instructed",
                            "template": "Follow anticoagulation medication schedule as instructed"
                        }
                    ]
                }
            ]
        },
        {
            "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 24 hours",
                            "template": "Return visit in 24 hours"
                        },
                        {
                            "text": "Return visit in 48 hours",
                            "template": "Return visit in 48 hours"
                        },
                        {
                            "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": "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": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Cardiac Rehabilitation",
                            "template": "Refer to Cardiac Rehabilitation"
                        },
                        {
                            "text": "Refer to Cardiology",
                            "template": "Refer to Cardiology"
                        },
                        {
                            "text": "Refer to GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to Nephrology",
                            "template": "Refer to Nephrology"
                        },
                        {
                            "text": "Refer to Vascular Surgery",
                            "template": "Refer to Vascular Surgery"
                        },
                        {
                            "text": "Home O2 equipment and supplies",
                            "template": "Home O2 equipment and supplies"
                        },
                        {
                            "text": "Refer to smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        }
                    ]
                }
            ]
        }
    ]
}