{
    "section": "plan",
    "templateSet": "Menorrhagia",
    "templates": [
        {
            "text": "Ordered Labs",
            "template": "Ordered Labs{children}",
            "children": [
                {
                    "text": "Blood chemistry\/Hematology",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "PT (prothrombin time)",
                            "template": "PT (prothrombin time)"
                        },
                        {
                            "text": "PT\/INR",
                            "template": "PT\/INR"
                        },
                        {
                            "text": "Ferritin, serum",
                            "template": "Ferritin, serum"
                        },
                        {
                            "text": "Von Willebrand panel",
                            "template": "Von Willebrand panel"
                        },
                        {
                            "text": "Prolactin, serum",
                            "template": "Prolactin, serum"
                        },
                        {
                            "text": "Cortisol, free, serum",
                            "template": "Cortisol, free, serum"
                        },
                        {
                            "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": "TSH (thyroid-stimulating hormone), serum",
                            "template": "TSH (thyroid-stimulating hormone), serum"
                        },
                        {
                            "text": "Thyroxine (T4), free, serum",
                            "template": "Thyroxine (T4), free, serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Pap smear",
                            "template": "Pap smear"
                        },
                        {
                            "text": "Luteinizing hormone (LH), serum",
                            "template": "Luteinizing hormone (LH), serum"
                        }
                    ]
                },
                {
                    "text": "Urine tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Urine dipstick",
                            "template": "Urine dipstick"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        },
                        {
                            "text": "Microalbumin, random, urine",
                            "template": "Microalbumin, random, urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Chlamydia trachomatis, nucleic acid amplification, urine",
                            "template": "Chlamydia trachomatis, nucleic acid amplification, urine"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine"
                        }
                    ]
                },
                {
                    "text": "Microbiology\/Other Samples",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Fecal occult blood test (FOBT)",
                            "template": "Fecal occult blood test (FOBT)"
                        },
                        {
                            "text": "Trichomonas wet mount, vaginal",
                            "template": "Trichomonas wet mount, vaginal"
                        },
                        {
                            "text": "Gram stain, vaginal secretions",
                            "template": "Gram stain, vaginal secretions"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab"
                        },
                        {
                            "text": "Chlamydia trachomatis nucleic acid amplification, vaginal",
                            "template": "Chlamydia trachomatis nucleic acid amplification, vaginal"
                        },
                        {
                            "text": "Culture, Chlamydia trachomatis (CT), vaginal",
                            "template": "Culture, Chlamydia trachomatis (CT), vaginal"
                        },
                        {
                            "text": "Culture, Neisseria gonorrhoeae (GC), vaginal",
                            "template": "Culture, Neisseria gonorrhoeae (GC), vaginal"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Ordered Imaging",
            "template": "Ordered Imaging{children}",
            "children": [
                {
                    "text": "Ultrasound",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "US pelvis",
                            "template": "US pelvis"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Ordered Medications",
            "template": "Ordered Medications{children}",
            "children": [
                {
                    "text": "Acute agents for bleeding suppression",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Lysteda 650 mg tab",
                            "template": "Lysteda 650 mg tab"
                        },
                        {
                            "text": "Premarin 2.5 mg tab",
                            "template": "Premarin 2.5 mg tab"
                        },
                        {
                            "text": "Premarin 2.5 mg tab",
                            "template": "Premarin 2.5 mg tab"
                        },
                        {
                            "text": "medroxyprogesterone 10 mg tab",
                            "template": "medroxyprogesterone 10 mg tab"
                        },
                        {
                            "text": "medroxyprogesterone 10 mg tab",
                            "template": "medroxyprogesterone 10 mg tab"
                        },
                        {
                            "text": "medroxyprogesterone 10 mg tab",
                            "template": "medroxyprogesterone 10 mg tab"
                        }
                    ]
                },
                {
                    "text": "Oral contraceptives",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Monophasic OCPs",
                            "template": "Monophasic OCPs"
                        },
                        {
                            "text": "Biphasic OCPs",
                            "template": "Biphasic OCPs"
                        },
                        {
                            "text": "Triphasic OCPs",
                            "template": "Triphasic OCPs"
                        },
                        {
                            "text": "Progestin-only OCPs",
                            "template": "Progestin-only OCPs"
                        },
                        {
                            "text": "Brevicon 35 mcg\/0.5 mg [28 day] pack",
                            "template": "Brevicon 35 mcg\/0.5 mg [28 day] pack"
                        },
                        {
                            "text": "Lo Loestrin Fe monophasic [28 day] pack",
                            "template": "Lo Loestrin Fe monophasic [28 day] pack"
                        },
                        {
                            "text": "Loestrin 24 Fe 20 mcg\/1 mg [28 day] pack",
                            "template": "Loestrin 24 Fe 20 mcg\/1 mg [28 day] pack"
                        },
                        {
                            "text": "Lo\/Ovral-28 monophasic [28 day] pack",
                            "template": "Lo\/Ovral-28 monophasic [28 day] pack"
                        },
                        {
                            "text": "Modicon 35 mcg\/0.5 mg [28 day] pack",
                            "template": "Modicon 35 mcg\/0.5 mg [28 day] pack"
                        },
                        {
                            "text": "Ocella 3 mg\/30 mcg [28 day] pack",
                            "template": "Ocella 3 mg\/30 mcg [28 day] pack"
                        },
                        {
                            "text": "Ortho-Cyclen 35 mcg\/0.25 mg [28 day] pack",
                            "template": "Ortho-Cyclen 35 mcg\/0.25 mg [28 day] pack"
                        },
                        {
                            "text": "Ortho-Novum 1\/35 35 mcg\/1 mg [28 day] pack",
                            "template": "Ortho-Novum 1\/35 35 mcg\/1 mg [28 day] pack"
                        },
                        {
                            "text": "Yasmin monophasic [28 day] pack",
                            "template": "Yasmin monophasic [28 day] pack"
                        },
                        {
                            "text": "Yaz 3 mg\/20 mcg [28 day] pack",
                            "template": "Yaz 3 mg\/20 mcg [28 day] pack"
                        },
                        {
                            "text": "Necon 10\/11 biphasic [28 day] pack",
                            "template": "Necon 10\/11 biphasic [28 day] pack"
                        },
                        {
                            "text": "Ortho Tri-Cyclen Lo triphasic [28 day] pack",
                            "template": "Ortho Tri-Cyclen Lo triphasic [28 day] pack"
                        },
                        {
                            "text": "Ortho Tri-Cyclen triphasic [28 day] pack",
                            "template": "Ortho Tri-Cyclen triphasic [28 day] pack"
                        },
                        {
                            "text": "TriNessa triphasic [28 day] pack",
                            "template": "TriNessa triphasic [28 day] pack"
                        },
                        {
                            "text": "Ortho Micronor 0.35 mg [28 day] pack",
                            "template": "Ortho Micronor 0.35 mg [28 day] pack"
                        }
                    ]
                },
                {
                    "text": "Oral contraceptives extended cycle",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Jolessa monophasic [91 day] pack",
                            "template": "Jolessa monophasic [91 day] pack"
                        },
                        {
                            "text": "Lybrel monophasic [28 day] pack",
                            "template": "Lybrel monophasic [28 day] pack"
                        },
                        {
                            "text": "Seasonique biphasic [91 day] pack",
                            "template": "Seasonique biphasic [91 day] pack"
                        },
                        {
                            "text": "Seasonale 30 mcg\/0.15 mg [91 day] pack",
                            "template": "Seasonale 30 mcg\/0.15 mg [91 day] pack"
                        }
                    ]
                },
                {
                    "text": "Contraceptive patch, ring, IUD, injection",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "medroxyprogesterone acetate INJ",
                            "template": "medroxyprogesterone acetate INJ"
                        },
                        {
                            "text": "Depo-Provera INJ",
                            "template": "Depo-Provera INJ"
                        },
                        {
                            "text": "NuvaRing 0.12 mg\/0.015 mg per day ring",
                            "template": "NuvaRing 0.12 mg\/0.015 mg per day ring"
                        },
                        {
                            "text": "Mirena 52 mg IUD",
                            "template": "Mirena 52 mg IUD"
                        },
                        {
                            "text": "Ortho Evra 150 mcg\/20 mcg per 24h patch",
                            "template": "Ortho Evra 150 mcg\/20 mcg per 24h patch"
                        }
                    ]
                },
                {
                    "text": "Vaginal antimicrobials",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC antifungal vaginal topic product as directed",
                            "template": "Take OTC antifungal vaginal topic product as directed"
                        },
                        {
                            "text": "metronidazole vaginal 0.75% gel",
                            "template": "metronidazole vaginal 0.75% gel"
                        },
                        {
                            "text": "terconazole vaginal 0.80% cream",
                            "template": "terconazole vaginal 0.80% cream"
                        }
                    ]
                },
                {
                    "text": "Analgesics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ibuprofen 400 mg tab",
                            "template": "ibuprofen 400 mg tab"
                        },
                        {
                            "text": "ibuprofen 600 mg tab",
                            "template": "ibuprofen 600 mg tab"
                        },
                        {
                            "text": "ibuprofen 800 mg tab",
                            "template": "ibuprofen 800 mg tab"
                        },
                        {
                            "text": "naproxen 250 mg tab",
                            "template": "naproxen 250 mg tab"
                        }
                    ]
                },
                {
                    "text": "Smoking cessation",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "nicotine transdermal 7 mg per 24h patch",
                            "template": "nicotine transdermal 7 mg per 24h patch"
                        },
                        {
                            "text": "nicotine transdermal 14 mg per 24h patch",
                            "template": "nicotine transdermal 14 mg per 24h patch"
                        },
                        {
                            "text": "nicotine transdermal 21 mg per 24h patch",
                            "template": "nicotine transdermal 21 mg per 24h patch"
                        },
                        {
                            "text": "Chantix 0.5 mg tab",
                            "template": "Chantix 0.5 mg tab"
                        },
                        {
                            "text": "Zyban 150 mg ER tab",
                            "template": "Zyban 150 mg ER tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Ordered Immunizations",
            "template": "Ordered Immunizations{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Ordered Procedures",
            "template": "Ordered Procedures{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Anoscopy",
                            "template": "Anoscopy"
                        },
                        {
                            "text": "Colonoscopy",
                            "template": "Colonoscopy"
                        },
                        {
                            "text": "Endometrial currettage",
                            "template": "Endometrial currettage"
                        },
                        {
                            "text": "Endometrial sampling",
                            "template": "Endometrial sampling"
                        },
                        {
                            "text": "Flexible sigmoidoscopy",
                            "template": "Flexible sigmoidoscopy"
                        },
                        {
                            "text": "Uterine tamponade",
                            "template": "Uterine tamponade"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient Instructions",
            "template": "Patient Instructions{children}",
            "children": [
                {
                    "text": "Patient instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Follow healthy diet",
                            "template": "Follow healthy diet"
                        },
                        {
                            "text": "Get regular exercise (3x\/week or more)",
                            "template": "Get regular exercise (3x\/week or more)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "Follow-up, Referrals{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 1 year",
                            "template": "Return visit in 1 year"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Cardiology",
                            "template": "Refer to Cardiology"
                        },
                        {
                            "text": "Refer to Endocrinology",
                            "template": "Refer to Endocrinology"
                        },
                        {
                            "text": "Refer to Gastroenterology",
                            "template": "Refer to Gastroenterology"
                        },
                        {
                            "text": "Refer to Hematology\/Oncology",
                            "template": "Refer to Hematology\/Oncology"
                        },
                        {
                            "text": "Refer to OB\/Gyn",
                            "template": "Refer to OB\/Gyn"
                        },
                        {
                            "text": "Refer to Rheumatology",
                            "template": "Refer to Rheumatology"
                        },
                        {
                            "text": "Refer to smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/hospital",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        },
                        {
                            "text": "Admit to hospital",
                            "template": "Admit to hospital"
                        }
                    ]
                }
            ]
        }
    ]
}