{
    "section": "plan",
    "templateSet": "Irritable Bowel Syndrome",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Serum",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "Metabolic panel, basic (BMP), serum",
                            "template": "Metabolic panel, basic (BMP), serum"
                        },
                        {
                            "text": "Metabolic panel, comprehensive (CMP), serum",
                            "template": "Metabolic panel, comprehensive (CMP), serum"
                        },
                        {
                            "text": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Lipase, serum",
                            "template": "Lipase, serum"
                        },
                        {
                            "text": "Amylase, serum",
                            "template": "Amylase, serum"
                        },
                        {
                            "text": "TSH (thyroid-stimulating hormone), serum",
                            "template": "TSH (thyroid-stimulating hormone), serum"
                        },
                        {
                            "text": "Erythrocyte sedimentation rate (ESR)",
                            "template": "Erythrocyte sedimentation rate (ESR)"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgG antibody, serum",
                            "template": "Helicobacter pylori (H pylori) IgG antibody, serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgM antibody, serum",
                            "template": "Helicobacter pylori (H pylori) IgM antibody, serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgA antibody, serum",
                            "template": "Helicobacter pylori (H pylori) IgA antibody, serum"
                        },
                        {
                            "text": "Anti-tTG antibodies",
                            "template": "Anti-tTG antibodies"
                        }
                    ]
                },
                {
                    "text": "Urine",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        }
                    ]
                },
                {
                    "text": "Stool studies",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Clostridium difficile (C diff) toxin, stool",
                            "template": "Clostridium difficile (C diff) toxin, stool"
                        },
                        {
                            "text": "Culture, stool, bacterial",
                            "template": "Culture, stool, bacterial"
                        },
                        {
                            "text": "Ova and parasites, stool",
                            "template": "Ova and parasites, stool"
                        },
                        {
                            "text": "White blood cells, stool",
                            "template": "White blood cells, stool"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) antigen, feces",
                            "template": "Helicobacter pylori (H pylori) antigen, feces"
                        }
                    ]
                },
                {
                    "text": "Breath test",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Helicobacter pylori (H pylori) breath test",
                            "template": "Helicobacter pylori (H pylori) breath test"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray abdomen (KUB), supine and upright",
                            "template": "X-ray abdomen (KUB), supine and upright"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/ contrast",
                            "template": "CT abdomen and pelvis w\/ contrast"
                        },
                        {
                            "text": "US abdomen",
                            "template": "US abdomen"
                        },
                        {
                            "text": "Barium small bowel enema (enteroclysis)",
                            "template": "Barium small bowel enema (enteroclysis)"
                        },
                        {
                            "text": "Barium enema (lower GI series)",
                            "template": "Barium enema (lower GI series)"
                        },
                        {
                            "text": "Upper GI series",
                            "template": "Upper GI series"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EGD",
                            "template": "EGD"
                        },
                        {
                            "text": "Colonoscopy",
                            "template": "Colonoscopy"
                        },
                        {
                            "text": "Flexible sigmoidoscopy",
                            "template": "Flexible sigmoidoscopy"
                        },
                        {
                            "text": "Hydrogen lactulose breath test",
                            "template": "Hydrogen lactulose breath test"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Antispasmodics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC peppermint oil prn",
                            "template": "Take OTC peppermint oil prn"
                        },
                        {
                            "text": "dicyclomine 20 mg tab",
                            "template": "dicyclomine 20 mg tab"
                        },
                        {
                            "text": "hyoscyamine 0.125 mg tab",
                            "template": "hyoscyamine 0.125 mg tab"
                        },
                        {
                            "text": "hyoscyamine 0.375 mg ER tab",
                            "template": "hyoscyamine 0.375 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "Antidiarrheals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cholestyramine 4 g powder",
                            "template": "cholestyramine 4 g powder"
                        },
                        {
                            "text": "loperamide 2 mg cap",
                            "template": "loperamide 2 mg cap"
                        },
                        {
                            "text": "Lotronex 0.5 mg tab",
                            "template": "Lotronex 0.5 mg tab"
                        },
                        {
                            "text": "Lotronex 1 mg tab",
                            "template": "Lotronex 1 mg tab"
                        }
                    ]
                },
                {
                    "text": "Bulk laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC bulk laxatives prn",
                            "template": "Take OTC bulk laxatives prn"
                        },
                        {
                            "text": "psyllium powder",
                            "template": "psyllium powder"
                        },
                        {
                            "text": "psyllium 500 mg cap",
                            "template": "psyllium 500 mg cap"
                        },
                        {
                            "text": "Citrucel powder",
                            "template": "Citrucel powder"
                        },
                        {
                            "text": "Citrucel 500 mg tab",
                            "template": "Citrucel 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "Stool softeners",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC stool softeners prn",
                            "template": "Take OTC stool softeners prn"
                        },
                        {
                            "text": "docusate sodium 100 mg cap",
                            "template": "docusate sodium 100 mg cap"
                        },
                        {
                            "text": "docusate sodium 250 mg cap",
                            "template": "docusate sodium 250 mg cap"
                        },
                        {
                            "text": "docusate calcium 240 mg cap",
                            "template": "docusate calcium 240 mg cap"
                        }
                    ]
                },
                {
                    "text": "Osmotic laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC osmotic laxatives prn",
                            "template": "Take OTC osmotic laxatives prn"
                        },
                        {
                            "text": "lactulose 10 g per 15 mL syrup",
                            "template": "lactulose 10 g per 15 mL syrup"
                        },
                        {
                            "text": "magnesium hydroxide (milk of magnesia)",
                            "template": "magnesium hydroxide (milk of magnesia)"
                        },
                        {
                            "text": "polyethylene glycol 3350 17 g solution",
                            "template": "polyethylene glycol 3350 17 g solution"
                        }
                    ]
                },
                {
                    "text": "Stimulant laxatives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC stimulant laxatives prn",
                            "template": "Take OTC stimulant laxatives prn"
                        },
                        {
                            "text": "bisacodyl 5 mg EC tab",
                            "template": "bisacodyl 5 mg EC tab"
                        },
                        {
                            "text": "bisacodyl rectal 10 mg supp",
                            "template": "bisacodyl rectal 10 mg supp"
                        },
                        {
                            "text": "sennosides 8.6 mg tab",
                            "template": "sennosides 8.6 mg tab"
                        }
                    ]
                },
                {
                    "text": "Other constipation treatments",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Amitiza 8 mcg cap",
                            "template": "Amitiza 8 mcg cap"
                        }
                    ]
                },
                {
                    "text": "Selective serotonin-reuptake inhibitors",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "citalopram 20 mg tab",
                            "template": "citalopram 20 mg tab"
                        },
                        {
                            "text": "paroxetine 20 mg tab",
                            "template": "paroxetine 20 mg tab"
                        }
                    ]
                },
                {
                    "text": "Tricyclic antidepressants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amitriptyline 10 mg tab",
                            "template": "amitriptyline 10 mg tab"
                        },
                        {
                            "text": "desipramine 10 mg tab",
                            "template": "desipramine 10 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "General instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Reassurance and support given about the nature of the condition",
                            "template": "Reassurance and support given about the nature of the condition"
                        },
                        {
                            "text": "Learn stress management techniques",
                            "template": "Learn stress management techniques"
                        },
                        {
                            "text": "Avoid foods that aggravate symptoms",
                            "template": "Avoid foods that aggravate symptoms"
                        },
                        {
                            "text": "Avoid caffeine, fructose and artificial sweetners",
                            "template": "Avoid caffeine, fructose and artificial sweetners"
                        },
                        {
                            "text": "Keep symptom diary to identify precipitants",
                            "template": "Keep symptom diary to identify precipitants"
                        },
                        {
                            "text": "Take OTC osmotic laxatives prn",
                            "template": "Take OTC osmotic laxatives prn"
                        },
                        {
                            "text": "Take OTC peppermint oil prn",
                            "template": "Take OTC peppermint oil prn"
                        },
                        {
                            "text": "Take OTC bulk laxatives prn",
                            "template": "Take OTC bulk laxatives prn"
                        },
                        {
                            "text": "Take OTC stool softeners prn",
                            "template": "Take OTC stool softeners prn"
                        },
                        {
                            "text": "Irritable bowel syndrome instructions given",
                            "template": "Irritable bowel syndrome instructions given"
                        }
                    ]
                },
                {
                    "text": "Diarrhea-predominant instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Eat smaller meals",
                            "template": "Eat smaller meals"
                        },
                        {
                            "text": "Consider reducing dietary fiber to reduce bloating and gas",
                            "template": "Consider reducing dietary fiber to reduce bloating and gas"
                        },
                        {
                            "text": "Avoid caffeine",
                            "template": "Avoid caffeine"
                        },
                        {
                            "text": "Use Imodium as needed",
                            "template": "Use Imodium as needed"
                        }
                    ]
                },
                {
                    "text": "Constipation-predominant instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Drink plenty of fluids",
                            "template": "Drink plenty of fluids"
                        },
                        {
                            "text": "Increase dietary fiber",
                            "template": "Increase dietary fiber"
                        },
                        {
                            "text": "Get regular exercise",
                            "template": "Get regular exercise"
                        },
                        {
                            "text": "Avoid laxative overuse",
                            "template": "Avoid laxative overuse"
                        }
                    ]
                }
            ]
        },
        {
            "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 GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to General Surgery",
                            "template": "Refer to General Surgery"
                        },
                        {
                            "text": "Refer to Psychology for cognitive behavioral therapy",
                            "template": "Refer to Psychology for cognitive behavioral therapy"
                        }
                    ]
                }
            ]
        }
    ]
}