{
    "section": "plan",
    "templateSet": "Rhinitis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "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": "Radioallergosorbent test (RAST), serum",
                            "template": "Radioallergosorbent test (RAST), serum"
                        },
                        {
                            "text": "IgE, specific, serum [specify allergens]",
                            "template": "IgE, specific, serum [specify allergens]"
                        },
                        {
                            "text": "IgE, total, serum",
                            "template": "IgE, total, serum"
                        },
                        {
                            "text": "Rheumatology panel",
                            "template": "Rheumatology panel"
                        },
                        {
                            "text": "ANCA, serum",
                            "template": "ANCA, serum"
                        },
                        {
                            "text": "Anti-GBM, serum",
                            "template": "Anti-GBM, serum"
                        },
                        {
                            "text": "Anti-Strep-O, serum",
                            "template": "Anti-Strep-O, serum"
                        }
                    ]
                },
                {
                    "text": "Sputum\/ nasopharyngeal tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Eosinophil count, nasal",
                            "template": "Eosinophil count, nasal"
                        },
                        {
                            "text": "Eosinophils, induced sputum",
                            "template": "Eosinophils, induced sputum"
                        },
                        {
                            "text": "Rapid influenza diagnostic test (RIDT)",
                            "template": "Rapid influenza diagnostic test (RIDT)"
                        },
                        {
                            "text": "Rapid streptococcal antigen test, throat swab",
                            "template": "Rapid streptococcal antigen test, throat swab"
                        },
                        {
                            "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, sputum, bacterial",
                            "template": "Culture, sputum, bacterial"
                        }
                    ]
                },
                {
                    "text": "Allergy skin testing",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Allergy skin testing",
                            "template": "Allergy skin testing"
                        }
                    ]
                }
            ]
        },
        {
            "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": "X-ray sinuses, Waters",
                            "template": "X-ray sinuses, Waters"
                        },
                        {
                            "text": "CT sinuses",
                            "template": "CT sinuses"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Diagnostic procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Nasal endoscopy",
                            "template": "Nasal endoscopy"
                        },
                        {
                            "text": "Sweat chloride test",
                            "template": "Sweat chloride test"
                        },
                        {
                            "text": "Spirometry",
                            "template": "Spirometry"
                        },
                        {
                            "text": "Spirometry, pre\/post bronchodilator",
                            "template": "Spirometry, pre\/post bronchodilator"
                        },
                        {
                            "text": "Spirometry and lung volumes",
                            "template": "Spirometry and lung volumes"
                        },
                        {
                            "text": "Spirometry, pre\/post bronchodilator and lung volumes",
                            "template": "Spirometry, pre\/post bronchodilator and lung volumes"
                        },
                        {
                            "text": "Lung diffusion capacity (DLCO)",
                            "template": "Lung diffusion capacity (DLCO)"
                        },
                        {
                            "text": "Spirometry w\/ methacholine bronchoprovocation challenge",
                            "template": "Spirometry w\/ methacholine bronchoprovocation challenge"
                        },
                        {
                            "text": "Saccharin test for mucociliary clearance",
                            "template": "Saccharin test for mucociliary clearance"
                        },
                        {
                            "text": "Polysomnography (PSG)",
                            "template": "Polysomnography (PSG)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Intranasal corticosteroids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "flunisolide nasal 25 mcg per spray solution",
                            "template": "flunisolide nasal 25 mcg per spray solution"
                        },
                        {
                            "text": "fluticasone propionate nasal 50 mcg per spray solution",
                            "template": "fluticasone propionate nasal 50 mcg per spray solution"
                        },
                        {
                            "text": "Beconase AQ 42 mcg per spray solution",
                            "template": "Beconase AQ 42 mcg per spray solution"
                        },
                        {
                            "text": "Nasonex 50 mcg per spray solution",
                            "template": "Nasonex 50 mcg per spray solution"
                        },
                        {
                            "text": "Omnaris 50 mcg per spray solution",
                            "template": "Omnaris 50 mcg per spray solution"
                        },
                        {
                            "text": "Rhinocort Aqua 32 mcg per spray solution",
                            "template": "Rhinocort Aqua 32 mcg per spray solution"
                        },
                        {
                            "text": "Veramyst 27.5 mcg per spray solution",
                            "template": "Veramyst 27.5 mcg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Intranasal antihistamines",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Astelin 137 mcg per spray solution",
                            "template": "Astelin 137 mcg per spray solution"
                        },
                        {
                            "text": "Astepro 0.10% solution",
                            "template": "Astepro 0.10% solution"
                        },
                        {
                            "text": "Astepro 0.15% solution",
                            "template": "Astepro 0.15% solution"
                        },
                        {
                            "text": "Patanase 665 mcg per spray solution",
                            "template": "Patanase 665 mcg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Oral antihistamines",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cetirizine 5 mg tab",
                            "template": "cetirizine 5 mg tab"
                        },
                        {
                            "text": "cetirizine 10 mg tab",
                            "template": "cetirizine 10 mg tab"
                        },
                        {
                            "text": "chlorpheniramine 4 mg tab",
                            "template": "chlorpheniramine 4 mg tab"
                        },
                        {
                            "text": "clemastine 1 mg tab",
                            "template": "clemastine 1 mg tab"
                        },
                        {
                            "text": "diphenhydramine 25 mg cap",
                            "template": "diphenhydramine 25 mg cap"
                        },
                        {
                            "text": "fexofenadine 180 mg tab",
                            "template": "fexofenadine 180 mg tab"
                        },
                        {
                            "text": "levocetirizine 5 mg tab",
                            "template": "levocetirizine 5 mg tab"
                        },
                        {
                            "text": "loratadine 10 mg tab",
                            "template": "loratadine 10 mg tab"
                        },
                        {
                            "text": "Clarinex 5 mg tab",
                            "template": "Clarinex 5 mg tab"
                        }
                    ]
                },
                {
                    "text": "Oral decongestants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "phenylephrine 10 mg tab",
                            "template": "phenylephrine 10 mg tab"
                        },
                        {
                            "text": "pseudoephedrine 60 mg tab",
                            "template": "pseudoephedrine 60 mg tab"
                        }
                    ]
                },
                {
                    "text": "Oral leukotriene receptor antagonists",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "zafirlukast 20 mg tab",
                            "template": "zafirlukast 20 mg tab"
                        },
                        {
                            "text": "Singulair 10 mg tab",
                            "template": "Singulair 10 mg tab"
                        }
                    ]
                },
                {
                    "text": "Intranasal mast cell stabilizers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cromolyn nasal 5.2 mg per spray solution",
                            "template": "cromolyn nasal 5.2 mg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Intranasal anticholinergics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ipratropium nasal 0.03% solution",
                            "template": "ipratropium nasal 0.03% solution"
                        },
                        {
                            "text": "ipratropium nasal 0.06% solution",
                            "template": "ipratropium nasal 0.06% solution"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "General measures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Avoid allergens",
                            "template": "Avoid allergens"
                        },
                        {
                            "text": "Control household humidity",
                            "template": "Control household humidity"
                        },
                        {
                            "text": "Avoid smoke exposure",
                            "template": "Avoid smoke exposure"
                        },
                        {
                            "text": "Consider acaricide use",
                            "template": "Consider acaricide use"
                        },
                        {
                            "text": "Reduce household dust mite exposure thru vigilant cleaning",
                            "template": "Reduce household dust mite exposure thru vigilant cleaning"
                        },
                        {
                            "text": "Ban furred pets from bedroom or from house (for severe allergy pts)",
                            "template": "Ban furred pets from bedroom or from house (for severe allergy pts)"
                        },
                        {
                            "text": "Use intranasal saline for symptom relief",
                            "template": "Use intranasal saline for symptom relief"
                        }
                    ]
                },
                {
                    "text": "Smoking cessation program",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Tobacco counseling 3-10 minutes performed",
                            "template": "Tobacco counseling 3-10 minutes performed"
                        },
                        {
                            "text": "Tobacco counseling greater than 10 minutes performed",
                            "template": "Tobacco counseling greater than 10 minutes performed"
                        }
                    ]
                }
            ]
        },
        {
            "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": "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": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Allergy",
                            "template": "Refer to Allergy"
                        },
                        {
                            "text": "Refer to Immunology",
                            "template": "Refer to Immunology"
                        },
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to Pulmonary",
                            "template": "Refer to Pulmonary"
                        },
                        {
                            "text": "Refer to smoking cessation program",
                            "template": "Refer to smoking cessation program"
                        }
                    ]
                }
            ]
        }
    ]
}