{
    "section": "plan",
    "templateSet": "GERD",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "Hepatic function panel (LFTs)",
                            "template": "Hepatic function panel (LFTs)"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) breath test",
                            "template": "Helicobacter pylori (H pylori) breath test"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray chest, PA and lateral",
                            "template": "X-ray chest, PA and lateral"
                        },
                        {
                            "text": "US abdomen RUQ",
                            "template": "US abdomen RUQ"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Diagnostic Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EGD",
                            "template": "EGD"
                        },
                        {
                            "text": "EKG, 12-lead",
                            "template": "EKG, 12-lead"
                        },
                        {
                            "text": "Exercise treadmill test",
                            "template": "Exercise treadmill test"
                        },
                        {
                            "text": "Esophageal pH test - 24h",
                            "template": "Esophageal pH test - 24h"
                        },
                        {
                            "text": "Esophageal pH test - 48h",
                            "template": "Esophageal pH test - 48h"
                        },
                        {
                            "text": "Esophageal manometry",
                            "template": "Esophageal manometry"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Note",
                    "template": "{children}"
                },
                {
                    "text": "PPIs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "lansoprazole 15 mg DR cap",
                            "template": "lansoprazole 15 mg DR cap"
                        },
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        },
                        {
                            "text": "omeprazole\/sodium bicarbonate 20 mg\/1100 mg cap",
                            "template": "omeprazole\/sodium bicarbonate 20 mg\/1100 mg cap"
                        },
                        {
                            "text": "pantoprazole 20 mg DR tab",
                            "template": "pantoprazole 20 mg DR tab"
                        },
                        {
                            "text": "Aciphex 20 mg DR tab",
                            "template": "Aciphex 20 mg DR tab"
                        },
                        {
                            "text": "Dexilant 30 mg DR cap",
                            "template": "Dexilant 30 mg DR cap"
                        },
                        {
                            "text": "Nexium 20 mg DR cap",
                            "template": "Nexium 20 mg DR cap"
                        }
                    ]
                },
                {
                    "text": "H2 blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cimetidine 800 mg tab",
                            "template": "cimetidine 800 mg tab"
                        },
                        {
                            "text": "famotidine 20 mg tab",
                            "template": "famotidine 20 mg tab"
                        },
                        {
                            "text": "nizatidine 150 mg cap",
                            "template": "nizatidine 150 mg cap"
                        },
                        {
                            "text": "ranitidine 150 mg cap",
                            "template": "ranitidine 150 mg cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions given",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Elevate head of bed 6-8 inches",
                            "template": "Elevate head of bed 6-8 inches"
                        },
                        {
                            "text": "Avoid lying down after meals for at least 3 hours after eating",
                            "template": "Avoid lying down after meals for at least 3 hours after eating"
                        },
                        {
                            "text": "Eat smaller meals",
                            "template": "Eat smaller meals"
                        },
                        {
                            "text": "Lose weight",
                            "template": "Lose weight"
                        },
                        {
                            "text": "Keep symptom diary to identify patterns, triggers, and alleviators",
                            "template": "Keep symptom diary to identify patterns, triggers, and alleviators"
                        },
                        {
                            "text": "Avoid triggering foods",
                            "template": "Avoid triggering foods"
                        },
                        {
                            "text": "Quit smoking",
                            "template": "Quit smoking"
                        },
                        {
                            "text": "Minimize alcohol intake",
                            "template": "Minimize alcohol intake"
                        },
                        {
                            "text": "Discontinue any medications contributing to GERD",
                            "template": "Discontinue any medications contributing to GERD"
                        },
                        {
                            "text": "Take OTC antacids (liquid\/chews) prn",
                            "template": "Take OTC antacids (liquid\/chews) prn"
                        },
                        {
                            "text": "GERD instructions given",
                            "template": "GERD 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 3 weeks",
                            "template": "Return visit in 3 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 4 months",
                            "template": "Return visit in 4 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": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to Cardiology",
                            "template": "Refer to Cardiology"
                        },
                        {
                            "text": "Refer to Neuropsychology",
                            "template": "Refer to Neuropsychology"
                        },
                        {
                            "text": "Refer to Occupational Therapy",
                            "template": "Refer to Occupational Therapy"
                        },
                        {
                            "text": "Refer to PM&R",
                            "template": "Refer to PM&R"
                        },
                        {
                            "text": "Refer to Physical Therapy",
                            "template": "Refer to Physical Therapy"
                        },
                        {
                            "text": "Refer to Psychology for cognitive behavioral therapy",
                            "template": "Refer to Psychology for cognitive behavioral therapy"
                        },
                        {
                            "text": "Refer to Rheumatology",
                            "template": "Refer to Rheumatology"
                        },
                        {
                            "text": "Refer to Urology",
                            "template": "Refer to Urology"
                        }
                    ]
                }
            ]
        }
    ]
}