{
    "section": "plan",
    "templateSet": "Well Child Visit, 4-5 Years",
    "templates": [
        {
            "text": "Imaging",
            "template": "Imaging{children}",
            "children": [
                {
                    "text": "CT",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT head",
                            "template": "CT head"
                        },
                        {
                            "text": "CT abdomen",
                            "template": "CT abdomen"
                        }
                    ]
                },
                {
                    "text": "Ultrasound",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "US renal",
                            "template": "US renal"
                        },
                        {
                            "text": "US hip",
                            "template": "US hip"
                        },
                        {
                            "text": "US spine",
                            "template": "US spine"
                        }
                    ]
                },
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray",
                            "template": "X-ray"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Labs",
            "template": "Labs{children}",
            "children": [
                {
                    "text": "Blood chemistry\/Hematology",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Lead, blood",
                            "template": "Lead, blood"
                        },
                        {
                            "text": "Hemoglobin (Hb), blood",
                            "template": "Hemoglobin (Hb), blood"
                        },
                        {
                            "text": "Hematocrit (Hct), blood",
                            "template": "Hematocrit (Hct), blood"
                        },
                        {
                            "text": "Hemoglobin and hematocrit, blood",
                            "template": "Hemoglobin and hematocrit, blood"
                        },
                        {
                            "text": "Glucose, fingerstick",
                            "template": "Glucose, fingerstick"
                        }
                    ]
                },
                {
                    "text": "Urine tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Urine dipstick",
                            "template": "Urine dipstick"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "Immunizations{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, Dtap",
                            "template": "Vaccination, Dtap"
                        },
                        {
                            "text": "Vaccination, hepatitis A",
                            "template": "Vaccination, hepatitis A"
                        },
                        {
                            "text": "Vaccination, hepatitis B",
                            "template": "Vaccination, hepatitis B"
                        },
                        {
                            "text": "Vaccination, Hib",
                            "template": "Vaccination, Hib"
                        },
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, MMR",
                            "template": "Vaccination, MMR"
                        },
                        {
                            "text": "Vaccination, polio, inactivated",
                            "template": "Vaccination, polio, inactivated"
                        },
                        {
                            "text": "Vaccination, pneumococcus, conjugate",
                            "template": "Vaccination, pneumococcus, conjugate"
                        },
                        {
                            "text": "Vaccination, rotavirus",
                            "template": "Vaccination, rotavirus"
                        },
                        {
                            "text": "Vaccination, varicella",
                            "template": "Vaccination, varicella"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "Procedures{children}",
            "children": [
                {
                    "text": "Diagnostic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "PPD (purified protein derivative) skin test",
                            "template": "PPD (purified protein derivative) skin test"
                        },
                        {
                            "text": "EKG, 12-lead",
                            "template": "EKG, 12-lead"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient Instructions",
            "template": "Patient Instructions{children}",
            "children": [
                {
                    "text": "Parental guidance:  Safe environment",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Check water temperature and ensure water safety",
                            "template": "Check water temperature and ensure water safety"
                        },
                        {
                            "text": "Maintain a smoke-free home environment",
                            "template": "Maintain a smoke-free home environment"
                        },
                        {
                            "text": "Supervise child closely near animals",
                            "template": "Supervise child closely near animals"
                        },
                        {
                            "text": "Supervise child closely near streets and driveways, lawnmowers",
                            "template": "Supervise child closely near streets and driveways, lawnmowers"
                        },
                        {
                            "text": "Supervise child closely near swimming pools\/lessons\/water safety",
                            "template": "Supervise child closely near swimming pools\/lessons\/water safety"
                        },
                        {
                            "text": "Sunscreen instructions given (for outdoor play)",
                            "template": "Sunscreen instructions given (for outdoor play)"
                        },
                        {
                            "text": "Use car booster seat",
                            "template": "Use car booster seat"
                        },
                        {
                            "text": "Discuss with your child gun safety\/gun safety in the home",
                            "template": "Discuss with your child gun safety\/gun safety in the home"
                        },
                        {
                            "text": "Teach child stranger safety",
                            "template": "Teach child stranger safety"
                        },
                        {
                            "text": "Bike safety\/Wear helmets when bike riding or skate boarding",
                            "template": "Bike safety\/Wear helmets when bike riding or skate boarding"
                        },
                        {
                            "text": "Gun safety",
                            "template": "Gun safety"
                        }
                    ]
                },
                {
                    "text": "Parental guidance:  Diet and hygiene",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Eat meals together",
                            "template": "Eat meals together"
                        },
                        {
                            "text": "Offer healthy food. Limit juice and fast food",
                            "template": "Offer healthy food. Limit juice and fast food"
                        },
                        {
                            "text": "Importance dental hygiene and routine care",
                            "template": "Importance dental hygiene and routine care"
                        }
                    ]
                },
                {
                    "text": "Parental guidance:  Developmental support",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Give child opportunities for physical activity",
                            "template": "Give child opportunities for physical activity"
                        },
                        {
                            "text": "Initiate time outs for discipline (recommended 1 minute for each year of life)\n                            ",
                            "template": "Initiate time outs for discipline (recommended 1 minute for each year of life)\n                            "
                        },
                        {
                            "text": "Limit rules, but consistently reinforce the ones that are set",
                            "template": "Limit rules, but consistently reinforce the ones that are set"
                        },
                        {
                            "text": "Spend time reading to your child",
                            "template": "Spend time reading to your child"
                        },
                        {
                            "text": "Encourage interaction with other children",
                            "template": "Encourage interaction with other children"
                        },
                        {
                            "text": "School readiness",
                            "template": "School readiness"
                        },
                        {
                            "text": "Limit screen time to < 2 hours a day",
                            "template": "Limit screen time to < 2 hours a day"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "Follow-up, Referrals{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 3 months",
                            "template": "Return visit in 3 months"
                        }
                    ]
                },
                {
                    "text": "Admit to ER",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Allergy",
                            "template": "Refer to Allergy"
                        },
                        {
                            "text": "Refer to Audiology",
                            "template": "Refer to Audiology"
                        },
                        {
                            "text": "Refer to Child Development",
                            "template": "Refer to Child Development"
                        },
                        {
                            "text": "Refer to Child Protective Services",
                            "template": "Refer to Child Protective Services"
                        },
                        {
                            "text": "Refer to Dermatology",
                            "template": "Refer to Dermatology"
                        },
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to Ophthalmology",
                            "template": "Refer to Ophthalmology"
                        },
                        {
                            "text": "Refer to Pediatric Cardiology",
                            "template": "Refer to Pediatric Cardiology"
                        },
                        {
                            "text": "Refer to Pediatric GI",
                            "template": "Refer to Pediatric GI"
                        },
                        {
                            "text": "Refer to Pediatric Neurology",
                            "template": "Refer to Pediatric Neurology"
                        },
                        {
                            "text": "Refer to Pediatric Pulmonary",
                            "template": "Refer to Pediatric Pulmonary"
                        },
                        {
                            "text": "Refer to Pediatric Surgery",
                            "template": "Refer to Pediatric Surgery"
                        },
                        {
                            "text": "Refer to Psychiatry",
                            "template": "Refer to Psychiatry"
                        },
                        {
                            "text": "Refer to Physical Therapy",
                            "template": "Refer to Physical Therapy"
                        },
                        {
                            "text": "Refer to Public Health Department Nurse",
                            "template": "Refer to Public Health Department Nurse"
                        },
                        {
                            "text": "Refer to Social Services",
                            "template": "Refer to Social Services"
                        },
                        {
                            "text": "Refer to Women, Infants, and Children Program (WIC)",
                            "template": "Refer to Women, Infants, and Children Program (WIC)"
                        }
                    ]
                }
            ]
        }
    ]
}