{
    "section": "plan",
    "templateSet": "Medicare Subsequent Annual Well Visit",
    "templates": [
        {
            "text": "AAA Screening",
            "template": "{children}",
            "children": [
                {
                    "text": "AAA Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Ultrasound for AAA Screening History: [specify]",
                            "template": "Ultrasound for AAA Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Bone Mass Measurements",
            "template": "{children}",
            "children": [
                {
                    "text": "Bone Mass Measurements",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 24 months",
                            "template": "Schedule every 24 months"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Breast\/Cervical Screenings",
            "template": "{children}",
            "children": [
                {
                    "text": "Breast Cancer Screening (mammogram)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Cervical and vaginal cancer screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every year",
                            "template": "Schedule every year"
                        },
                        {
                            "text": "Schedule every 2 years",
                            "template": "Schedule every 2 years"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Cardiovascular Screening\/Therapy",
            "template": "{children}",
            "children": [
                {
                    "text": "Cardiovascular disease screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 5 years",
                            "template": "Schedule every 5 years"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Intensive Behavioral Therapy (IBT) for Cardiovascular Disease (CVD)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule yearly",
                            "template": "Schedule yearly"
                        },
                        {
                            "text": "Therapy History: [specify]",
                            "template": "Therapy History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Colorectal Screenings",
            "template": "{children}",
            "children": [
                {
                    "text": "Barium Enema",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 24 months",
                            "template": "Schedule every 24 months"
                        },
                        {
                            "text": "Schedule every 48 months",
                            "template": "Schedule every 48 months"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Screening Fecal Occult Blood Test",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Flexible Colonoscopy Screening ",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 2 years",
                            "template": "Schedule every 2 years"
                        },
                        {
                            "text": "Schedule every 4 years",
                            "template": "Schedule every 4 years"
                        },
                        {
                            "text": "Schedule every 10 years",
                            "template": "Schedule every 10 years"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Flexible Sigmoidoscopy Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 4 years",
                            "template": "Schedule every 4 years"
                        },
                        {
                            "text": "Schedule every 10 years",
                            "template": "Schedule every 10 years"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Depression Screening",
            "template": "{children}",
            "children": [
                {
                    "text": "Depression Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 screening per year",
                            "template": "Schedule 1 screening per year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Diabetes Screenings\/Training",
            "template": "{children}",
            "children": [
                {
                    "text": "Diabetes Screening Tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Schedule 2 visits yearly",
                            "template": "Schedule 2 visits yearly"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Diabetes Self Management Training (DSMT)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Diabetes Self Management Training (DSMT)",
                            "template": "Diabetes Self Management Training (DSMT)"
                        },
                        {
                            "text": "Training History: [specify]",
                            "template": "Training History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Glaucoma Screening",
            "template": "{children}",
            "children": [
                {
                    "text": "Glaucoma Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 12 months",
                            "template": "Schedule every 12 months"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "HIV Screening",
            "template": "{children}",
            "children": [
                {
                    "text": "HIV Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 12 months",
                            "template": "Schedule every 12 months"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Prostate Screenings",
            "template": "{children}",
            "children": [
                {
                    "text": "Prostate cancer screening: DRE",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Prostate cancer screening: PSA Test",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Nutrition Therapy",
            "template": "{children}",
            "children": [
                {
                    "text": "Intensive Behavioral Therapy (IBT) for Obesity",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Intensive Behavioral Therapy (IBT) for Obesity",
                            "template": "Intensive Behavioral Therapy (IBT) for Obesity"
                        },
                        {
                            "text": "Therapy History: [specify]",
                            "template": "Therapy History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Medical Nutrition Therapy (MNT)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule up to 3 hours of 1:1 counseling the first year",
                            "template": "Schedule up to 3 hours of 1:1 counseling the first year"
                        },
                        {
                            "text": "Schedule up to 2 hours of 1:1 counseling per year",
                            "template": "Schedule up to 2 hours of 1:1 counseling per year"
                        },
                        {
                            "text": "Therapy History: [specify]",
                            "template": "Therapy History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "STI Screening",
            "template": "{children}",
            "children": [
                {
                    "text": "STI Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule every 12 months",
                            "template": "Schedule every 12 months"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "STI High Intensity Behavioral Counseling (HBIC)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 2, 20-30 minute sessions a year",
                            "template": "Schedule 2, 20-30 minute sessions a year"
                        },
                        {
                            "text": "Counseling History: [specify]",
                            "template": "Counseling History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Substance Use Screening\/Counseling",
            "template": "{children}",
            "children": [
                {
                    "text": "Alcohol Misuse Screening",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule 1 visit a year",
                            "template": "Schedule 1 visit a year"
                        },
                        {
                            "text": "Screening History: [specify]",
                            "template": "Screening History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Alcohol Misuse Behavioral Counseling Intervention",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule up to 4 visits per year",
                            "template": "Schedule up to 4 visits per year"
                        },
                        {
                            "text": "Counseling History: [specify]",
                            "template": "Counseling History: [specify]"
                        }
                    ]
                },
                {
                    "text": "Tobacco Use Cessation Counseling",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Schedule up to 8 visits per year",
                            "template": "Schedule up to 8 visits per year"
                        },
                        {
                            "text": "Counseling History: [specify]",
                            "template": "Counseling History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "Procedures Ordered{children}",
            "children": [
                {
                    "text": "Electrocardiogram (EKG\/ECG)",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Electrocardiogram (EKG\/ECG)",
                            "template": "Electrocardiogram (EKG\/ECG)"
                        },
                        {
                            "text": "EKG\/ECG History: [specify]",
                            "template": "EKG\/ECG History: [specify]"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Vaccinations",
            "template": "Vaccinations Ordered{children}",
            "children": [
                {
                    "text": "Vaccinations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, Hepatitis B",
                            "template": "Vaccination, Hepatitis B"
                        },
                        {
                            "text": "Vaccination, Influenza",
                            "template": "Vaccination, Influenza"
                        },
                        {
                            "text": "Vaccination, Pneumococcus",
                            "template": "Vaccination, Pneumococcus"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Risk Assessment",
            "template": "Identified Risks{children}",
            "children": [
                {
                    "text": "Risk Assessment",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Depression risk",
                            "template": "Depression risk"
                        },
                        {
                            "text": "Fall risk",
                            "template": "Fall risk"
                        },
                        {
                            "text": "Home safety risk",
                            "template": "Home safety risk"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient Education",
            "template": "Patient Education{children}",
            "children": [
                {
                    "text": "Patient Education",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Personal Prevention Plan given to patient",
                            "template": "Personal Prevention Plan given to patient"
                        },
                        {
                            "text": "Personal Prevention Plan updated and given to patient",
                            "template": "Personal Prevention Plan updated and given to patient"
                        },
                        {
                            "text": "Discussed the importance of Advanced Care Planning",
                            "template": "Discussed the importance of Advanced Care Planning"
                        },
                        {
                            "text": "Follow a healthy diet rich in vegetables and low in salt\/saturated fat",
                            "template": "Follow a healthy diet rich in vegetables and low in salt\/saturated fat"
                        },
                        {
                            "text": "Get regular exercise (3x\/week or more)",
                            "template": "Get regular exercise (3x\/week or more)"
                        },
                        {
                            "text": "Seat belt safety (self and passengers)",
                            "template": "Seat belt safety (self and passengers)"
                        },
                        {
                            "text": "Self breast exam education",
                            "template": "Self breast exam education"
                        },
                        {
                            "text": "Self testicular exam education",
                            "template": "Self testicular exam education"
                        },
                        {
                            "text": "Implement any needed safety modifications for the home (including smoke detectors)\n                            ",
                            "template": "Implement any needed safety modifications for the home (including smoke detectors)\n                            "
                        }
                    ]
                }
            ]
        },
        {
            "text": "Referrals",
            "template": "Referrals{children}",
            "children": [
                {
                    "text": "Referrral",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        },
                        {
                            "text": "Refer to nutrition program",
                            "template": "Refer to nutrition program"
                        },
                        {
                            "text": "Refer to fall prevention program",
                            "template": "Refer to fall prevention program"
                        },
                        {
                            "text": "Refer to weight loss program",
                            "template": "Refer to weight loss program"
                        },
                        {
                            "text": "Refer to Audiology",
                            "template": "Refer to Audiology"
                        },
                        {
                            "text": "Refer to Ophthalmology",
                            "template": "Refer to Ophthalmology"
                        },
                        {
                            "text": "Refer to Optometry",
                            "template": "Refer to Optometry"
                        },
                        {
                            "text": "Refer to Senior Services",
                            "template": "Refer to Senior Services"
                        },
                        {
                            "text": "Refer to Psychiatry",
                            "template": "Refer to Psychiatry"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit in 1 year for Subsequent Annual Wellness Visit",
                            "template": "Return visit in 1 year for Subsequent Annual Wellness Visit"
                        }
                    ]
                }
            ]
        }
    ]
}