{
    "section": "plan",
    "templateSet": "Conjunctivitis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Culture\/gram stain",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture+Gram stain, right eye",
                            "template": "Culture+Gram stain, right eye"
                        },
                        {
                            "text": "Culture+Gram stain, left eye",
                            "template": "Culture+Gram stain, left eye"
                        }
                    ]
                },
                {
                    "text": "Allergy testing",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "IgE, specific, serum [specify allergens]",
                            "template": "IgE, specific, serum [specify allergens]"
                        },
                        {
                            "text": "IgE, total, serum",
                            "template": "IgE, total, serum"
                        },
                        {
                            "text": "Allergy skin testing",
                            "template": "Allergy skin testing"
                        }
                    ]
                },
                {
                    "text": "Basic blood tests",
                    "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": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Visual acuity test",
                            "template": "Visual acuity test"
                        },
                        {
                            "text": "Eye irrigation",
                            "template": "Eye irrigation"
                        },
                        {
                            "text": "Foreign body removal",
                            "template": "Foreign body removal"
                        },
                        {
                            "text": "Slit-lamp exam",
                            "template": "Slit-lamp exam"
                        },
                        {
                            "text": "Fluorescein eye stain",
                            "template": "Fluorescein eye stain"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds: Allergic conjunctivitis",
            "template": "{children}",
            "children": [
                {
                    "text": "Mast cell stabilizer\/antihistamine drops",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patanol 0.10% solution",
                            "template": "Patanol 0.10% solution"
                        },
                        {
                            "text": "Pataday 0.20% solution",
                            "template": "Pataday 0.20% solution"
                        },
                        {
                            "text": "azelastine ophthalmic 0.05% solution",
                            "template": "azelastine ophthalmic 0.05% solution"
                        },
                        {
                            "text": "epinastine ophthalmic 0.05% solution",
                            "template": "epinastine ophthalmic 0.05% solution"
                        },
                        {
                            "text": "ketotifen ophthalmic 0.03% solution",
                            "template": "ketotifen ophthalmic 0.03% solution"
                        }
                    ]
                },
                {
                    "text": "OTC antihistamine\/decongestant drops",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Naphcon A 0.3%\/0.025% solution",
                            "template": "Naphcon A 0.3%\/0.025% solution"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds: Infectious conjunctivitis",
            "template": "{children}",
            "children": [
                {
                    "text": "Viral conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Naphcon A 0.3%\/0.025% solution",
                            "template": "Naphcon A 0.3%\/0.025% solution"
                        },
                        {
                            "text": "Naphcon A 0.3%\/0.025% solution",
                            "template": "Naphcon A 0.3%\/0.025% solution"
                        },
                        {
                            "text": "Naphcon A 0.3%\/0.025% solution",
                            "template": "Naphcon A 0.3%\/0.025% solution"
                        }
                    ]
                },
                {
                    "text": "Bacterial conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% solution",
                            "template": "sulfacetamide ophthalmic 10% solution"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% solution",
                            "template": "sulfacetamide ophthalmic 10% solution"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% solution",
                            "template": "sulfacetamide ophthalmic 10% solution"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% ointment",
                            "template": "sulfacetamide ophthalmic 10% ointment"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% ointment",
                            "template": "sulfacetamide ophthalmic 10% ointment"
                        },
                        {
                            "text": "sulfacetamide ophthalmic 10% ointment",
                            "template": "sulfacetamide ophthalmic 10% ointment"
                        },
                        {
                            "text": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution",
                            "template": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution"
                        },
                        {
                            "text": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution",
                            "template": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution"
                        },
                        {
                            "text": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution",
                            "template": "polymyxin B\/trimethoprim ophthalmic 10,000 units\/1 mg per mL solution"
                        },
                        {
                            "text": "AzaSite 1% solution",
                            "template": "AzaSite 1% solution"
                        },
                        {
                            "text": "AzaSite 1% solution",
                            "template": "AzaSite 1% solution"
                        },
                        {
                            "text": "AzaSite 1% solution",
                            "template": "AzaSite 1% solution"
                        }
                    ]
                },
                {
                    "text": "Bacterial, contact lens wearer",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Besivance 0.60% suspension",
                            "template": "Besivance 0.60% suspension"
                        },
                        {
                            "text": "Besivance 0.60% suspension",
                            "template": "Besivance 0.60% suspension"
                        },
                        {
                            "text": "Besivance 0.60% suspension",
                            "template": "Besivance 0.60% suspension"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "levofloxacin ophthalmic 0.50% solution",
                            "template": "levofloxacin ophthalmic 0.50% solution"
                        },
                        {
                            "text": "levofloxacin ophthalmic 0.50% solution",
                            "template": "levofloxacin ophthalmic 0.50% solution"
                        },
                        {
                            "text": "levofloxacin ophthalmic 0.50% solution",
                            "template": "levofloxacin ophthalmic 0.50% solution"
                        },
                        {
                            "text": "Vigamox 0.50% solution",
                            "template": "Vigamox 0.50% solution"
                        },
                        {
                            "text": "Vigamox 0.50% solution",
                            "template": "Vigamox 0.50% solution"
                        },
                        {
                            "text": "Vigamox 0.50% solution",
                            "template": "Vigamox 0.50% solution"
                        },
                        {
                            "text": "ofloxacin ophthalmic 0.30% solution",
                            "template": "ofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ofloxacin ophthalmic 0.30% solution",
                            "template": "ofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ofloxacin ophthalmic 0.30% solution",
                            "template": "ofloxacin ophthalmic 0.30% solution"
                        }
                    ]
                },
                {
                    "text": "Gonococcal conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ceftriaxone INJ",
                            "template": "ceftriaxone INJ"
                        },
                        {
                            "text": "azithromycin 1 g packet",
                            "template": "azithromycin 1 g packet"
                        },
                        {
                            "text": "doxycycline 100 mg cap",
                            "template": "doxycycline 100 mg cap"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "ciprofloxacin ophthalmic 0.30% solution",
                            "template": "ciprofloxacin ophthalmic 0.30% solution"
                        },
                        {
                            "text": "bacitracin ophthalmic 500 units per g ointment",
                            "template": "bacitracin ophthalmic 500 units per g ointment"
                        },
                        {
                            "text": "bacitracin ophthalmic 500 units per g ointment",
                            "template": "bacitracin ophthalmic 500 units per g ointment"
                        },
                        {
                            "text": "bacitracin ophthalmic 500 units per g ointment",
                            "template": "bacitracin ophthalmic 500 units per g ointment"
                        }
                    ]
                },
                {
                    "text": "Chlamydial conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "azithromycin 1 g packet",
                            "template": "azithromycin 1 g packet"
                        },
                        {
                            "text": "doxycycline 100 mg cap",
                            "template": "doxycycline 100 mg cap"
                        },
                        {
                            "text": "erythromycin base 500 mg tab",
                            "template": "erythromycin base 500 mg tab"
                        },
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "erythromycin ophthalmic 0.50% ointment",
                            "template": "erythromycin ophthalmic 0.50% ointment"
                        },
                        {
                            "text": "tetracycline 250 mg cap",
                            "template": "tetracycline 250 mg cap"
                        },
                        {
                            "text": "tetracycline 500 mg cap",
                            "template": "tetracycline 500 mg cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds: Lubricants",
            "template": "{children}",
            "children": [
                {
                    "text": "Lubricant drops",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "glycerin ophthalmic",
                            "template": "glycerin ophthalmic"
                        },
                        {
                            "text": "Blink tears",
                            "template": "Blink tears"
                        },
                        {
                            "text": "Hypotears",
                            "template": "Hypotears"
                        }
                    ]
                },
                {
                    "text": "Lubricant ointments",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refresh P.M.",
                            "template": "Refresh P.M."
                        },
                        {
                            "text": "Refresh Lacri-Lube",
                            "template": "Refresh Lacri-Lube"
                        },
                        {
                            "text": "mineral oil\/white petrolatum ophthalmic",
                            "template": "mineral oil\/white petrolatum ophthalmic"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Infectious conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Wash hands frequently",
                            "template": "Wash hands frequently"
                        },
                        {
                            "text": "Avoid touching eyes",
                            "template": "Avoid touching eyes"
                        },
                        {
                            "text": "Stay home from school\/work until no eye discharge",
                            "template": "Stay home from school\/work until no eye discharge"
                        },
                        {
                            "text": "May return to school\/work after 24 hours of antibiotic treatment",
                            "template": "May return to school\/work after 24 hours of antibiotic treatment"
                        },
                        {
                            "text": "Do not share handkerchiefs, tissues, towels, cosmetics, bedding or silverware with\n                                others\n                            ",
                            "template": "Do not share handkerchiefs, tissues, towels, cosmetics, bedding or silverware with\n                                others\n                            "
                        },
                        {
                            "text": "Call for specialty referral if sx do not improve w\/in 1 wk",
                            "template": "Call for specialty referral if sx do not improve w\/in 1 wk"
                        }
                    ]
                },
                {
                    "text": "Subconjunctival hemorrhage",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Reassurance that condition is benign and self-limited given",
                            "template": "Reassurance that condition is benign and self-limited given"
                        }
                    ]
                },
                {
                    "text": "Allergic conjunctivitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Wash hands frequently",
                            "template": "Wash hands frequently"
                        },
                        {
                            "text": "Avoid touching eyes",
                            "template": "Avoid touching eyes"
                        },
                        {
                            "text": "Use artificial tears as needed for symptom relief",
                            "template": "Use artificial tears as needed for symptom relief"
                        },
                        {
                            "text": "Use cool compresses as needed for symptom relief",
                            "template": "Use cool compresses as needed for symptom relief"
                        }
                    ]
                },
                {
                    "text": "Conjunctivitis: Contact lens wearer",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Do not wear contacts until cleared by opthalmologist or 24 hours after tx started\n                            ",
                            "template": "Do not wear contacts until cleared by opthalmologist or 24 hours after tx started\n                            "
                        },
                        {
                            "text": "Wash hands frequently",
                            "template": "Wash hands frequently"
                        },
                        {
                            "text": "Avoid touching eyes",
                            "template": "Avoid touching eyes"
                        }
                    ]
                },
                {
                    "text": "Blepharitis",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Wash hands frequently",
                            "template": "Wash hands frequently"
                        },
                        {
                            "text": "Avoid touching eyes",
                            "template": "Avoid touching eyes"
                        },
                        {
                            "text": "Wash lids with baby shampoo",
                            "template": "Wash lids with baby shampoo"
                        },
                        {
                            "text": "Massage eyelids",
                            "template": "Massage eyelids"
                        },
                        {
                            "text": "Apply warm compresses as needed",
                            "template": "Apply warm compresses as needed"
                        }
                    ]
                },
                {
                    "text": "Corneal injury",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Do not wear contact lenses until cleared by opthalmologist or sx free for 24h",
                            "template": "Do not wear contact lenses until cleared by opthalmologist or sx free for 24h"
                        },
                        {
                            "text": "Use oral analgesics and topical NSAIDs as needed for pain control",
                            "template": "Use oral analgesics and topical NSAIDs as needed for pain control"
                        },
                        {
                            "text": "Return precautions discussed, including signs\/symptoms of infection",
                            "template": "Return precautions discussed, including signs\/symptoms of infection"
                        },
                        {
                            "text": "Use eye patch (for large, central abrasions)",
                            "template": "Use eye patch (for large, central abrasions)"
                        }
                    ]
                }
            ]
        },
        {
            "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 to clinic for daily follow-up during treatment",
                            "template": "Return to clinic for daily follow-up during treatment"
                        },
                        {
                            "text": "Return visit in 24-48 hours",
                            "template": "Return visit in 24-48 hours"
                        },
                        {
                            "text": "Return visit in 3-5 days",
                            "template": "Return visit in 3-5 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 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\/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 Allergy",
                            "template": "Refer to Allergy"
                        },
                        {
                            "text": "Refer to Ophthalmology",
                            "template": "Refer to Ophthalmology"
                        }
                    ]
                }
            ]
        }
    ]
}