{
    "section": "plan",
    "templateSet": "Sprain\/Strain, Shoulder",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Blood tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "Culture, blood, bacterial x2",
                            "template": "Culture, blood, bacterial x2"
                        },
                        {
                            "text": "Antinuclear antibodies (ANA), serum",
                            "template": "Antinuclear antibodies (ANA), serum"
                        },
                        {
                            "text": "Cyclic citrullinated peptide (CCP) antibody, IgG, serum",
                            "template": "Cyclic citrullinated peptide (CCP) antibody, IgG, serum"
                        },
                        {
                            "text": "Rheumatoid factor (RF), serum",
                            "template": "Rheumatoid factor (RF), serum"
                        },
                        {
                            "text": "C-reactive protein (CRP), serum",
                            "template": "C-reactive protein (CRP), serum"
                        },
                        {
                            "text": "Erythrocyte sedimentation rate (ESR)",
                            "template": "Erythrocyte sedimentation rate (ESR)"
                        },
                        {
                            "text": "Uric acid, serum",
                            "template": "Uric acid, serum"
                        },
                        {
                            "text": "Lyme (Borrelia burgdorferi) IgG+IgM antibodies, serum",
                            "template": "Lyme (Borrelia burgdorferi) IgG+IgM antibodies, serum"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine"
                        }
                    ]
                },
                {
                    "text": "Synovial fluid labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Cell count and differential, synovial fluid",
                            "template": "Cell count and differential, synovial fluid"
                        },
                        {
                            "text": "Gram stain, synovial fluid",
                            "template": "Gram stain, synovial fluid"
                        },
                        {
                            "text": "Culture, synovial fluid, bacterial",
                            "template": "Culture, synovial fluid, bacterial"
                        },
                        {
                            "text": "Crystals, synovial fluid",
                            "template": "Crystals, synovial fluid"
                        }
                    ]
                },
                {
                    "text": "Labs to monitor NSAID\/acetaminophen long-term use",
                    "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": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Plain films",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray shoulder right",
                            "template": "X-ray shoulder right"
                        },
                        {
                            "text": "X-ray shoulder left",
                            "template": "X-ray shoulder left"
                        }
                    ]
                },
                {
                    "text": "MRI",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "MRI shoulder right",
                            "template": "MRI shoulder right"
                        },
                        {
                            "text": "MRI shoulder left",
                            "template": "MRI shoulder left"
                        }
                    ]
                },
                {
                    "text": "CT",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT shoulder right",
                            "template": "CT shoulder right"
                        },
                        {
                            "text": "CT shoulder left",
                            "template": "CT shoulder left"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Arthrocentesis, shoulder, diagnostic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Arthrocentesis, diagnostic",
                            "template": "Arthrocentesis, diagnostic"
                        }
                    ]
                },
                {
                    "text": "Aspiration, shoulder, therapeutic",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Aspiration, shoulder",
                            "template": "Aspiration, shoulder"
                        }
                    ]
                },
                {
                    "text": "Injection, shoulder, corticosteroid",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Injection, shoulder, corticosteroid",
                            "template": "Injection, shoulder, corticosteroid"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Analgesics",
            "template": "{children}",
            "children": [
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC acetaminophen prn",
                            "template": "Take OTC acetaminophen prn"
                        },
                        {
                            "text": "Apply OTC capsaicin cream daily prn",
                            "template": "Apply OTC capsaicin cream daily prn"
                        },
                        {
                            "text": "Take OTC ibuprofen prn",
                            "template": "Take OTC ibuprofen prn"
                        },
                        {
                            "text": "Take OTC naproxen prn",
                            "template": "Take OTC naproxen prn"
                        },
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        }
                    ]
                },
                {
                    "text": "Acetaminophen: prescriptions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "acetaminophen 500 mg tab",
                            "template": "acetaminophen 500 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": "NSAIDs: prescriptions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "hydrocodone\/ibuprofen 7.5 mg\/200 mg tab",
                            "template": "hydrocodone\/ibuprofen 7.5 mg\/200 mg tab"
                        },
                        {
                            "text": "ibuprofen 800 mg tab",
                            "template": "ibuprofen 800 mg tab"
                        },
                        {
                            "text": "ibuprofen 600 mg tab",
                            "template": "ibuprofen 600 mg tab"
                        },
                        {
                            "text": "ibuprofen 400 mg tab",
                            "template": "ibuprofen 400 mg tab"
                        },
                        {
                            "text": "naproxen 500 mg tab",
                            "template": "naproxen 500 mg tab"
                        },
                        {
                            "text": "Celebrex 100 mg cap",
                            "template": "Celebrex 100 mg cap"
                        }
                    ]
                },
                {
                    "text": "Topical analgesics: prescription, OTC",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Apply OTC capsaicin cream daily prn",
                            "template": "Apply OTC capsaicin cream daily prn"
                        },
                        {
                            "text": "capsaicin topical cream",
                            "template": "capsaicin topical cream"
                        },
                        {
                            "text": "Flector 1.3% patch",
                            "template": "Flector 1.3% patch"
                        },
                        {
                            "text": "Voltaren Gel 1% gel",
                            "template": "Voltaren Gel 1% gel"
                        }
                    ]
                },
                {
                    "text": "Opioids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "hydrocodone\/acetaminophen 5 mg\/500 mg tab",
                            "template": "hydrocodone\/acetaminophen 5 mg\/500 mg tab"
                        },
                        {
                            "text": "hydrocodone\/ibuprofen 7.5 mg\/200 mg tab",
                            "template": "hydrocodone\/ibuprofen 7.5 mg\/200 mg tab"
                        },
                        {
                            "text": "oxycodone\/acetaminophen 5 mg\/325 mg tab",
                            "template": "oxycodone\/acetaminophen 5 mg\/325 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Supplies, Equipment",
            "template": "{children}",
            "children": [
                {
                    "text": "Supplies: Immobilizers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Shoulder sling",
                            "template": "Shoulder sling"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Home care instructions given",
                            "template": "Home care instructions given"
                        },
                        {
                            "text": "Call if no improvement in 48-72 hours or if new sx",
                            "template": "Call if no improvement in 48-72 hours or if new sx"
                        },
                        {
                            "text": "Precautions, indications for RTC discussed",
                            "template": "Precautions, indications for RTC discussed"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        },
                        {
                            "text": "Take OTC acetaminophen q4-6h prn",
                            "template": "Take OTC acetaminophen q4-6h prn"
                        },
                        {
                            "text": "Apply OTC capsaicin cream tid-qid (chronic OA\/DJD)",
                            "template": "Apply OTC capsaicin cream tid-qid (chronic OA\/DJD)"
                        },
                        {
                            "text": "Take OTC ibuprofen q6-8h prn",
                            "template": "Take OTC ibuprofen q6-8h prn"
                        },
                        {
                            "text": "Take OTC naproxen q8-12h prn",
                            "template": "Take OTC naproxen q8-12h prn"
                        }
                    ]
                },
                {
                    "text": "R.I.C.E. instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "R.I.C.E. instructions given",
                            "template": "R.I.C.E. instructions given"
                        }
                    ]
                },
                {
                    "text": "Activity instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return to normal activity as tolerated",
                            "template": "Return to normal activity as tolerated"
                        },
                        {
                            "text": "Return to work as tolerated",
                            "template": "Return to work as tolerated"
                        },
                        {
                            "text": "Return to school as tolerated",
                            "template": "Return to school as tolerated"
                        },
                        {
                            "text": "Gentle exercise as tolerated",
                            "template": "Gentle exercise as tolerated"
                        },
                        {
                            "text": "Perform gentle ROM exercises",
                            "template": "Perform gentle ROM exercises"
                        },
                        {
                            "text": "Avoid overhead lifting",
                            "template": "Avoid overhead lifting"
                        },
                        {
                            "text": "Rest shoulder",
                            "template": "Rest shoulder"
                        }
                    ]
                },
                {
                    "text": "Immobilizer, splint instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Shoulder immobilizer instructions given",
                            "template": "Shoulder immobilizer instructions given"
                        }
                    ]
                }
            ]
        },
        {
            "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 3-5 days",
                            "template": "Return visit in 3-5 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 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 3 weeks",
                            "template": "Return visit in 3 weeks"
                        },
                        {
                            "text": "Return visit in 4 weeks",
                            "template": "Return visit in 4 weeks"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/hospital",
                    "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 Orthopedic Surgery",
                            "template": "Refer to Orthopedic Surgery"
                        },
                        {
                            "text": "Referral to PM&R",
                            "template": "Referral to PM&R"
                        },
                        {
                            "text": "Refer to Physical Therapy",
                            "template": "Refer to Physical Therapy"
                        }
                    ]
                }
            ]
        }
    ]
}