{
    "section": "plan",
    "templateSet": "Otitis Media, Acute",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Culture of fluid aspirated on tympanostomy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, ear, bacterial",
                            "template": "Culture, ear, bacterial"
                        }
                    ]
                },
                {
                    "text": "Strep tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid streptococcal antigen test, throat swab",
                            "template": "Rapid streptococcal antigen test, throat swab"
                        },
                        {
                            "text": "Bacterial culture, throat",
                            "template": "Bacterial culture, throat"
                        }
                    ]
                },
                {
                    "text": "Influenza tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        }
                    ]
                },
                {
                    "text": "Other pathogen tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Mononucleosis heterophile antibody test, serum",
                            "template": "Mononucleosis heterophile antibody test, serum"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal swab, pertussis",
                            "template": "Culture+PCR, nasopharyngeal swab, pertussis"
                        },
                        {
                            "text": "Culture+PCR, nasopharyngeal aspirate, pertussis",
                            "template": "Culture+PCR, nasopharyngeal aspirate, pertussis"
                        },
                        {
                            "text": "Culture, throat, diptheria",
                            "template": "Culture, throat, diptheria"
                        },
                        {
                            "text": "Culture, pharynx, Neisseria gonorrhoeae (GC)",
                            "template": "Culture, pharynx, Neisseria gonorrhoeae (GC)"
                        }
                    ]
                },
                {
                    "text": "Blood tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT head and neck",
                            "template": "CT head and neck"
                        },
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Hearing test",
                            "template": "Hearing test"
                        },
                        {
                            "text": "Refer to ENT for tympanostomy",
                            "template": "Refer to ENT for tympanostomy"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Antibiotics",
            "template": "{children}",
            "children": [
                {
                    "text": "Amoxicillin: Conventional-Dose Regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient age <3 months",
                            "template": "Patient age <3 months"
                        },
                        {
                            "text": "Patient age >3 months-12 yo",
                            "template": "Patient age >3 months-12 yo"
                        },
                        {
                            "text": "amoxicillin 125 mg per 5 mL suspension",
                            "template": "amoxicillin 125 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        }
                    ]
                },
                {
                    "text": "Amoxicillin: High-Dose Regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient age >3 months-12 yo",
                            "template": "Patient age >3 months-12 yo"
                        },
                        {
                            "text": "Patient age >12 yo",
                            "template": "Patient age >12 yo"
                        },
                        {
                            "text": "amoxicillin 250 mg per 5 mL suspension",
                            "template": "amoxicillin 250 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 400 mg per 5 mL suspension",
                            "template": "amoxicillin 400 mg per 5 mL suspension"
                        },
                        {
                            "text": "amoxicillin 250 mg chew tab",
                            "template": "amoxicillin 250 mg chew tab"
                        },
                        {
                            "text": "amoxicillin 500 mg tab",
                            "template": "amoxicillin 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "Penicillin Allergic: Azithromycin",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient weight <10 kg",
                            "template": "Patient weight <10 kg"
                        },
                        {
                            "text": "Patient weight 10 kg - 50 kg",
                            "template": "Patient weight 10 kg - 50 kg"
                        },
                        {
                            "text": "Patient weight >50 kg and age >\/= 12 yo",
                            "template": "Patient weight >50 kg and age >\/= 12 yo"
                        },
                        {
                            "text": "azithromycin 100 mg per 5 mL suspension",
                            "template": "azithromycin 100 mg per 5 mL suspension"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        },
                        {
                            "text": "azithromycin 250 mg tab",
                            "template": "azithromycin 250 mg tab"
                        }
                    ]
                },
                {
                    "text": "Penicillin Allergic: Azithromycin",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient weight <50 kg",
                            "template": "Patient weight <50 kg"
                        },
                        {
                            "text": "Patient weight >\/=50 kg",
                            "template": "Patient weight >\/=50 kg"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        }
                    ]
                },
                {
                    "text": "Penicillin Allergic: Azithromycin",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Patient weight <50 kg",
                            "template": "Patient weight <50 kg"
                        },
                        {
                            "text": "Patient weight >\/=50 kg",
                            "template": "Patient weight >\/=50 kg"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        },
                        {
                            "text": "azithromycin 200 mg per 5 mL suspension",
                            "template": "azithromycin 200 mg per 5 mL suspension"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Fever\/Pain medications",
            "template": "{children}",
            "children": [
                {
                    "text": "OTC pain relievers: Acetaminophen or ibuprofen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        }
                    ]
                },
                {
                    "text": "OTC analgesic ear drops: Antipyrine\/benzocaine drops",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relieving ear drops (antipyrine\/benzocaine) prn",
                            "template": "Take OTC pain relieving ear drops (antipyrine\/benzocaine) prn"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Immunizations",
            "template": "{children}",
            "children": [
                {
                    "text": "Immunizations",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Vaccination, influenza",
                            "template": "Vaccination, influenza"
                        },
                        {
                            "text": "Vaccination, Tdap",
                            "template": "Vaccination, Tdap"
                        },
                        {
                            "text": "Vaccination, pneumococcus, conjugate",
                            "template": "Vaccination, pneumococcus, conjugate"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Watch and wait instructions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Fill prescription for abx only if child is not better in 2-3 days",
                            "template": "Fill prescription for abx only if child is not better in 2-3 days"
                        }
                    ]
                },
                {
                    "text": "Symptoms not improved in 24-48 hrs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call provider if symptoms not improved 24-48 hrs after visit",
                            "template": "Call provider if symptoms not improved 24-48 hrs after visit"
                        }
                    ]
                },
                {
                    "text": "OTC pain relievers: Acetaminophen or ibuprofen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relievers prn",
                            "template": "Take OTC pain relievers prn"
                        }
                    ]
                },
                {
                    "text": "OTC analgesic ear drops: Antipyrine\/benzocaine drops",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC pain relieving ear drops (antipyrine\/benzocaine) prn",
                            "template": "Take OTC pain relieving ear drops (antipyrine\/benzocaine) prn"
                        }
                    ]
                },
                {
                    "text": "OTC decongestants: Phenylephrine-containing products",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC decongestants prn",
                            "template": "Take OTC decongestants prn"
                        }
                    ]
                },
                {
                    "text": "Nasal clearance",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "(Infants and toddlers) Use saline drops via nasal suctioning w\/ bulb qid",
                            "template": "(Infants and toddlers) Use saline drops via nasal suctioning w\/ bulb qid"
                        },
                        {
                            "text": "(Older children) Use nasal drops (4 or more times\/day) to encourage nasal clearance\n                            ",
                            "template": "(Older children) Use nasal drops (4 or more times\/day) to encourage nasal clearance\n                            "
                        }
                    ]
                },
                {
                    "text": "Humidifier\/Vaporizer",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Use moist air nebulized in bedroom as needed for cough",
                            "template": "Use moist air nebulized in bedroom as needed for cough"
                        }
                    ]
                },
                {
                    "text": "Handwashing precautions",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Practice freqent and thorough handwashing",
                            "template": "Practice freqent and thorough handwashing"
                        }
                    ]
                },
                {
                    "text": "Resume school\/day care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Resume school\/daycare when afebrile (x24 hrs off fever reducers)",
                            "template": "Resume school\/daycare when afebrile (x24 hrs off fever reducers)"
                        }
                    ]
                },
                {
                    "text": "Patient instructions given",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Acute otitis media instructions given",
                            "template": "Acute otitis media instructions given"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up, Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 1 week",
                            "template": "Return visit in 1 week"
                        },
                        {
                            "text": "Return visit in 2 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 1 month",
                            "template": "Return visit in 1 month"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/inpatient care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        },
                        {
                            "text": "Admit to hospital",
                            "template": "Admit to hospital"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to Audiology",
                            "template": "Refer to Audiology"
                        },
                        {
                            "text": "Refer to Neurology",
                            "template": "Refer to Neurology"
                        },
                        {
                            "text": "Refer to Neurosurgery",
                            "template": "Refer to Neurosurgery"
                        },
                        {
                            "text": "Refer to ID",
                            "template": "Refer to ID"
                        }
                    ]
                }
            ]
        }
    ]
}