{
    "section": "plan",
    "templateSet": "Nephrolithiasis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "Metabolic panel, basic (BMP), serum",
                            "template": "Metabolic panel, basic (BMP), serum"
                        },
                        {
                            "text": "Metabolic panel, comprehensive (CMP), serum",
                            "template": "Metabolic panel, comprehensive (CMP), serum"
                        },
                        {
                            "text": "Calcium, serum",
                            "template": "Calcium, serum"
                        },
                        {
                            "text": "Phosphorus, serum",
                            "template": "Phosphorus, serum"
                        },
                        {
                            "text": "Magnesium, serum",
                            "template": "Magnesium, serum"
                        },
                        {
                            "text": "Uric acid, serum",
                            "template": "Uric acid, serum"
                        },
                        {
                            "text": "Parathyroid hormone (PTH), serum",
                            "template": "Parathyroid hormone (PTH), serum"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        },
                        {
                            "text": "Urine dipstick for nitrites and leukocyte esterase",
                            "template": "Urine dipstick for nitrites and leukocyte esterase"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Kidney stone analysis",
                            "template": "Kidney stone analysis"
                        },
                        {
                            "text": "pH, 24-hour urine",
                            "template": "pH, 24-hour urine"
                        },
                        {
                            "text": "Calcium, 24-hour urine",
                            "template": "Calcium, 24-hour urine"
                        },
                        {
                            "text": "Phosphorus, 24-hour urine",
                            "template": "Phosphorus, 24-hour urine"
                        },
                        {
                            "text": "Cysteine, 24-hour urine",
                            "template": "Cysteine, 24-hour urine"
                        },
                        {
                            "text": "Magnesium, 24-hour urine",
                            "template": "Magnesium, 24-hour urine"
                        },
                        {
                            "text": "Uric acid, 24-hour urine",
                            "template": "Uric acid, 24-hour urine"
                        },
                        {
                            "text": "Oxalate, 24-hour urine",
                            "template": "Oxalate, 24-hour urine"
                        },
                        {
                            "text": "Citrate, 24-hour urine",
                            "template": "Citrate, 24-hour urine"
                        },
                        {
                            "text": "Creatinine, 24-hour urine",
                            "template": "Creatinine, 24-hour urine"
                        },
                        {
                            "text": "Protein, 24-hour urine",
                            "template": "Protein, 24-hour urine"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray abdomen (KUB)",
                            "template": "X-ray abdomen (KUB)"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/o contrast",
                            "template": "CT abdomen and pelvis w\/o contrast"
                        },
                        {
                            "text": "US abdomen and pelvis",
                            "template": "US abdomen and pelvis"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Intravenous pyelogram (IVP)",
                            "template": "Intravenous pyelogram (IVP)"
                        },
                        {
                            "text": "Cystoscopy",
                            "template": "Cystoscopy"
                        },
                        {
                            "text": "Refer to Urology for transurethral lithotripsy",
                            "template": "Refer to Urology for transurethral lithotripsy"
                        },
                        {
                            "text": "Refer to Urology for extracorporeal shock wave lithotripsy",
                            "template": "Refer to Urology for extracorporeal shock wave lithotripsy"
                        },
                        {
                            "text": "Refer to Urology for percutaneous nephrolithotomy\/nephrolithotripsy",
                            "template": "Refer to Urology for percutaneous nephrolithotomy\/nephrolithotripsy"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Analgesics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "acetaminophen 325 mg tab",
                            "template": "acetaminophen 325 mg tab"
                        },
                        {
                            "text": "ibuprofen 400 mg tab",
                            "template": "ibuprofen 400 mg tab"
                        },
                        {
                            "text": "naproxen 250 mg tab",
                            "template": "naproxen 250 mg tab"
                        },
                        {
                            "text": "hydrocodone\/acetaminophen 5 mg\/500 mg tab",
                            "template": "hydrocodone\/acetaminophen 5 mg\/500 mg tab"
                        },
                        {
                            "text": "oxycodone\/acetaminophen 5 mg\/325 mg tab",
                            "template": "oxycodone\/acetaminophen 5 mg\/325 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antiemetics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "meclizine 25 mg tab",
                            "template": "meclizine 25 mg tab"
                        },
                        {
                            "text": "ondansetron 4 mg tab",
                            "template": "ondansetron 4 mg tab"
                        },
                        {
                            "text": "prochlorperazine maleate 10 mg tab",
                            "template": "prochlorperazine maleate 10 mg tab"
                        },
                        {
                            "text": "prochlorperazine rectal 25 mg supp",
                            "template": "prochlorperazine rectal 25 mg supp"
                        },
                        {
                            "text": "promethazine 25 mg tab",
                            "template": "promethazine 25 mg tab"
                        },
                        {
                            "text": "promethazine rectal 25 mg supp",
                            "template": "promethazine rectal 25 mg supp"
                        }
                    ]
                },
                {
                    "text": "Alpha-1 blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "doxazosin 1 mg tab",
                            "template": "doxazosin 1 mg tab"
                        },
                        {
                            "text": "doxazosin 4 mg tab",
                            "template": "doxazosin 4 mg tab"
                        },
                        {
                            "text": "prazosin 1 mg cap",
                            "template": "prazosin 1 mg cap"
                        },
                        {
                            "text": "tamsulosin 0.4 mg cap",
                            "template": "tamsulosin 0.4 mg cap"
                        },
                        {
                            "text": "terazosin 1 mg cap",
                            "template": "terazosin 1 mg cap"
                        },
                        {
                            "text": "terazosin 10 mg cap",
                            "template": "terazosin 10 mg cap"
                        },
                        {
                            "text": "Rapaflo 4 mg cap",
                            "template": "Rapaflo 4 mg cap"
                        },
                        {
                            "text": "Uroxatral 10 mg ER tab",
                            "template": "Uroxatral 10 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Dihydropyridine 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": "isradipine 2.5 mg cap",
                            "template": "isradipine 2.5 mg cap"
                        },
                        {
                            "text": "nicardipine 20 mg cap",
                            "template": "nicardipine 20 mg cap"
                        },
                        {
                            "text": "nifedipine 30 mg ER tab",
                            "template": "nifedipine 30 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Thiazide diuretics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "chlorthalidone 25 mg tab",
                            "template": "chlorthalidone 25 mg tab"
                        },
                        {
                            "text": "hydrochlorothiazide 25 mg tab",
                            "template": "hydrochlorothiazide 25 mg tab"
                        }
                    ]
                },
                {
                    "text": "Xanthine oxidase inhibitors",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "allopurinol 300 mg tab",
                            "template": "allopurinol 300 mg tab"
                        }
                    ]
                },
                {
                    "text": "Systemic alkalinizer",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "potassium citrate 10 mEq ER tab",
                            "template": "potassium citrate 10 mEq ER tab"
                        },
                        {
                            "text": "potassium citrate 10 mEq ER tab",
                            "template": "potassium citrate 10 mEq ER tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient provided with the following instructions:",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Increase fluid intake (2 L\/day) to maintain adequate urine output",
                            "template": "Increase fluid intake (2 L\/day) to maintain adequate urine output"
                        },
                        {
                            "text": "Reduce protein intake",
                            "template": "Reduce protein intake"
                        },
                        {
                            "text": "Adjust dietary calcium depending on stone type",
                            "template": "Adjust dietary calcium depending on stone type"
                        },
                        {
                            "text": "Follow a low salt diet",
                            "template": "Follow a low salt diet"
                        },
                        {
                            "text": "Avoid excess vitamin C",
                            "template": "Avoid excess vitamin C"
                        },
                        {
                            "text": "Avoid excess vitamin D",
                            "template": "Avoid excess vitamin D"
                        },
                        {
                            "text": "Avoid high oxalate foods, especially spinach and nuts",
                            "template": "Avoid high oxalate foods, especially spinach and nuts"
                        },
                        {
                            "text": "Avoid excess dietary fructose",
                            "template": "Avoid excess dietary fructose"
                        },
                        {
                            "text": "Maintain a healthy body weight",
                            "template": "Maintain a healthy body weight"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 1 week",
                            "template": "Return visit in 1 week"
                        },
                        {
                            "text": "Return visit in 2 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 1 month",
                            "template": "Return visit in 1 month"
                        },
                        {
                            "text": "Return visit in 2 months",
                            "template": "Return visit in 2 months"
                        },
                        {
                            "text": "Return visit in 3 months",
                            "template": "Return visit in 3 months"
                        },
                        {
                            "text": "Return visit in 6 months",
                            "template": "Return visit in 6 months"
                        },
                        {
                            "text": "Return visit in 1 year",
                            "template": "Return visit in 1 year"
                        }
                    ]
                },
                {
                    "text": "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 Nephrology",
                            "template": "Refer to Nephrology"
                        },
                        {
                            "text": "Refer to Urology",
                            "template": "Refer to Urology"
                        }
                    ]
                }
            ]
        }
    ]
}