{
    "section": "plan",
    "templateSet": "Sinusitis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Influenza tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        }
                    ]
                },
                {
                    "text": "Strep tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid streptococcal antigen test, throat swab",
                            "template": "Rapid streptococcal antigen test, throat swab"
                        },
                        {
                            "text": "Bacterial culture, throat",
                            "template": "Bacterial culture, throat"
                        }
                    ]
                },
                {
                    "text": "Culture, other pathogen tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, sinus aspirate, bacterial",
                            "template": "Culture, sinus aspirate, bacterial"
                        },
                        {
                            "text": "Gram stain, sinus aspirate",
                            "template": "Gram stain, sinus aspirate"
                        },
                        {
                            "text": "Culture, nasal swab, bacterial",
                            "template": "Culture, nasal swab, bacterial"
                        },
                        {
                            "text": "Culture, nasal swab, fungal",
                            "template": "Culture, nasal swab, fungal"
                        },
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal swab, pertussis",
                            "template": "Culture+PCR, nasopharyngeal swab, pertussis"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal aspirate, pertussis",
                            "template": "Culture+PCR, nasopharyngeal aspirate, pertussis"
                        },
                        {
                            "text": "Streptococcus, pneumoniae antigen, urine",
                            "template": "Streptococcus, pneumoniae antigen, urine"
                        }
                    ]
                },
                {
                    "text": "Blood tests, Pregnancy tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "HIV-1+HIV-2 antibody screen, rapid test",
                            "template": "HIV-1+HIV-2 antibody screen, rapid test"
                        },
                        {
                            "text": "HIV-1 RNA quantification, PCR, plasma",
                            "template": "HIV-1 RNA quantification, PCR, plasma"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        },
                        {
                            "text": "CT head and neck",
                            "template": "CT head and neck"
                        }
                    ]
                },
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray sinuses, Waters",
                            "template": "X-ray sinuses, Waters"
                        },
                        {
                            "text": "X-ray neck lateral",
                            "template": "X-ray neck lateral"
                        },
                        {
                            "text": "X-ray chest, PA and lateral",
                            "template": "X-ray chest, PA and lateral"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Symptom relief",
            "template": "{children}",
            "children": [
                {
                    "text": "Home symptom care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient instructional handout given",
                            "template": "Patient instructional handout given"
                        },
                        {
                            "text": "Obtain rest, drink fluids (water, tea, broth); avoid smoke, irritants, alcohol, soft\n                                drinks, acidic items\n                            ",
                            "template": "Obtain rest, drink fluids (water, tea, broth); avoid smoke, irritants, alcohol, soft\n                                drinks, acidic items\n                            "
                        },
                        {
                            "text": "Salt water gargle q2-4h prn pain",
                            "template": "Salt water gargle q2-4h prn pain"
                        },
                        {
                            "text": "Steam treatment or shower steam (avoid scalding water burns)",
                            "template": "Steam treatment or shower steam (avoid scalding water burns)"
                        },
                        {
                            "text": "Neti pot rinse to nasal passages daily prn",
                            "template": "Neti pot rinse to nasal passages daily prn"
                        }
                    ]
                },
                {
                    "text": "Analgesics, antipyretics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "naproxen 250 mg tab",
                            "template": "naproxen 250 mg tab"
                        }
                    ]
                },
                {
                    "text": "Decongestants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC decongestant prn",
                            "template": "Take OTC decongestant prn"
                        },
                        {
                            "text": "phenylephrine 10 mg tab",
                            "template": "phenylephrine 10 mg tab"
                        },
                        {
                            "text": "pseudoephedrine 60 mg tab",
                            "template": "pseudoephedrine 60 mg tab"
                        },
                        {
                            "text": "oxymetazoline nasal 0.05% solution",
                            "template": "oxymetazoline nasal 0.05% solution"
                        }
                    ]
                },
                {
                    "text": "Intranasal saline",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC intranasal saline spray\/squeeze bottle prn",
                            "template": "Take OTC intranasal saline spray\/squeeze bottle prn"
                        },
                        {
                            "text": "Use neti pot rinse to nasal passages daily prn",
                            "template": "Use neti pot rinse to nasal passages daily prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Intranasal medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Anticholinergics\/Cromolyn, intranasal",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ipratropium nasal 0.03% solution",
                            "template": "ipratropium nasal 0.03% solution"
                        },
                        {
                            "text": "ipratropium nasal 0.06% solution",
                            "template": "ipratropium nasal 0.06% solution"
                        },
                        {
                            "text": "cromolyn nasal 5.2 mg per spray solution",
                            "template": "cromolyn nasal 5.2 mg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Corticosteroids, intranasal",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "flunisolide nasal 25 mcg per spray solution",
                            "template": "flunisolide nasal 25 mcg per spray solution"
                        },
                        {
                            "text": "fluticasone propionate nasal 50 mcg per spray solution",
                            "template": "fluticasone propionate nasal 50 mcg per spray solution"
                        },
                        {
                            "text": "Beconase AQ 42 mcg per spray solution",
                            "template": "Beconase AQ 42 mcg per spray solution"
                        },
                        {
                            "text": "Nasonex 50 mcg per spray solution",
                            "template": "Nasonex 50 mcg per spray solution"
                        },
                        {
                            "text": "Omnaris 50 mcg per spray solution",
                            "template": "Omnaris 50 mcg per spray solution"
                        },
                        {
                            "text": "Rhinocort Aqua 32 mcg per spray solution",
                            "template": "Rhinocort Aqua 32 mcg per spray solution"
                        },
                        {
                            "text": "Veramyst 27.5 mcg per spray solution",
                            "template": "Veramyst 27.5 mcg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Decongestants, intranasal",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "oxymetazoline nasal 0.05% solution",
                            "template": "oxymetazoline nasal 0.05% solution"
                        }
                    ]
                },
                {
                    "text": "Saline, intranasal",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Use OTC intranasal saline spray\/squeeze bottle prn",
                            "template": "Use OTC intranasal saline spray\/squeeze bottle prn"
                        },
                        {
                            "text": "Use neti pot rinse to nasal passages daily prn",
                            "template": "Use neti pot rinse to nasal passages daily prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Antibiotics",
            "template": "{children}",
            "children": [
                {
                    "text": "Bacterial sinusitis: Initial tx for mild dz, no recent abx use",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        },
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        },
                        {
                            "text": "amoxicillin\/clavulanate 875 mg\/125 mg tab",
                            "template": "amoxicillin\/clavulanate 875 mg\/125 mg tab"
                        },
                        {
                            "text": "azithromycin 250 mg pack",
                            "template": "azithromycin 250 mg pack"
                        },
                        {
                            "text": "azithromycin 500 mg tab",
                            "template": "azithromycin 500 mg tab"
                        },
                        {
                            "text": "cefuroxime axetil 250 mg tab",
                            "template": "cefuroxime axetil 250 mg tab"
                        },
                        {
                            "text": "cefpodoxime 200 mg tab",
                            "template": "cefpodoxime 200 mg tab"
                        },
                        {
                            "text": "clarithromycin 500 mg tab",
                            "template": "clarithromycin 500 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab"
                        }
                    ]
                },
                {
                    "text": "Bacterial sinusitis: Mod dz, recent abx use, or tx failure",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin\/clavulanate 1000 mg\/62.5 mg ER tab",
                            "template": "amoxicillin\/clavulanate 1000 mg\/62.5 mg ER tab"
                        },
                        {
                            "text": "levofloxacin 500 mg tab",
                            "template": "levofloxacin 500 mg tab"
                        },
                        {
                            "text": "levofloxacin 750 mg tab",
                            "template": "levofloxacin 750 mg tab"
                        },
                        {
                            "text": "Avelox 400 mg tab",
                            "template": "Avelox 400 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, Tdap",
                            "template": "Vaccination, Tdap"
                        },
                        {
                            "text": "Vaccination, pneumococcus polysaccharide",
                            "template": "Vaccination, pneumococcus polysaccharide"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call physician if no improvement in 24-48 hours",
                            "template": "Call physician if no improvement in 24-48 hours"
                        },
                        {
                            "text": "Take OTC acetaminophen or ibuprofen prn",
                            "template": "Take OTC acetaminophen or ibuprofen prn"
                        },
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take OTC intranasal saline spray\/squeeze bottle prn",
                            "template": "Take OTC intranasal saline spray\/squeeze bottle prn"
                        },
                        {
                            "text": "Use neti pot to rinse nasal passages daily prn",
                            "template": "Use neti pot to rinse nasal passages daily prn"
                        }
                    ]
                },
                {
                    "text": "General guidance measures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Maintain fluid intake",
                            "template": "Maintain fluid intake"
                        },
                        {
                            "text": "Sleep in humidified air; change water daily",
                            "template": "Sleep in humidified air; change water daily"
                        },
                        {
                            "text": "Avoid smoke\/irritant exposure",
                            "template": "Avoid smoke\/irritant exposure"
                        },
                        {
                            "text": "Practice good hygiene (wash hands frequently, cover sneezes and coughs)",
                            "template": "Practice good hygiene (wash hands frequently, cover sneezes and coughs)"
                        },
                        {
                            "text": "Use steam treatment or shower steam (avoid scalding water burns)",
                            "template": "Use steam treatment or shower steam (avoid scalding water burns)"
                        },
                        {
                            "text": "Sinusitis instructions given",
                            "template": "Sinusitis instructions given"
                        }
                    ]
                },
                {
                    "text": "Resume school\/ work",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Resume work\/school as tolerated",
                            "template": "Resume work\/school as tolerated"
                        },
                        {
                            "text": "Resume work\/school when afebrile (>24h off fever reducer)",
                            "template": "Resume work\/school when afebrile (>24h off fever reducer)"
                        },
                        {
                            "text": "Resume work\/school in one week",
                            "template": "Resume work\/school in one week"
                        }
                    ]
                },
                {
                    "text": "Smoking cessation counseling",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Quit smoking",
                            "template": "Quit smoking"
                        },
                        {
                            "text": "Tobacco counseling 3-10 minutes performed",
                            "template": "Tobacco counseling 3-10 minutes performed"
                        },
                        {
                            "text": "Tobacco counseling >10 minutes performed",
                            "template": "Tobacco counseling >10 minutes performed"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visit",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "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 wks",
                            "template": "Return visit in 2 wks"
                        }
                    ]
                },
                {
                    "text": "Admit to ER",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to ID",
                            "template": "Refer to ID"
                        },
                        {
                            "text": "Refer to Neurology",
                            "template": "Refer to Neurology"
                        },
                        {
                            "text": "Refer to Ophthalmology",
                            "template": "Refer to Ophthalmology"
                        }
                    ]
                }
            ]
        }
    ]
}