{
    "section": "plan",
    "templateSet": "Headache",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CBC w\/ auto diff",
                            "template": "CBC w\/ auto diff"
                        },
                        {
                            "text": "C-reactive protein (CRP), serum",
                            "template": "C-reactive protein (CRP), serum"
                        },
                        {
                            "text": "Erythrocyte sedimentation rate (ESR)",
                            "template": "Erythrocyte sedimentation rate (ESR)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT head w\/ and w\/o contrast",
                            "template": "CT head w\/ and w\/o contrast"
                        },
                        {
                            "text": "CT head w\/o contrast",
                            "template": "CT head w\/o contrast"
                        },
                        {
                            "text": "MRI brain w\/ and w\/o contrast",
                            "template": "MRI brain w\/ and w\/o contrast"
                        },
                        {
                            "text": "MRI brain w\/o contrast",
                            "template": "MRI brain w\/o contrast"
                        },
                        {
                            "text": "MRA brain",
                            "template": "MRA brain"
                        },
                        {
                            "text": "MRV brain",
                            "template": "MRV brain"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Diagnostic procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EEG",
                            "template": "EEG"
                        },
                        {
                            "text": "Lumbar puncture",
                            "template": "Lumbar puncture"
                        }
                    ]
                },
                {
                    "text": "Botox injection",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to headache specialist for botox injection",
                            "template": "Refer to headache specialist for botox injection"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Abortive therapy",
            "template": "{children}",
            "children": [
                {
                    "text": "Note",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Chronic daily HA: 15+ HA\/month x3 months. 50% due to medication overuse (MOH)",
                            "template": "Chronic daily HA: 15+ HA\/month x3 months. 50% due to medication overuse (MOH)"
                        },
                        {
                            "text": "For MOH, detox from overused agent(s) w\/ bridge tx and new regimen +\/- prophylaxis\n                            ",
                            "template": "For MOH, detox from overused agent(s) w\/ bridge tx and new regimen +\/- prophylaxis\n                            "
                        }
                    ]
                },
                {
                    "text": "NSAIDs\/Analgesics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "acetaminophen 500 mg tab",
                            "template": "acetaminophen 500 mg tab"
                        },
                        {
                            "text": "aspirin 500 mg tab",
                            "template": "aspirin 500 mg tab"
                        },
                        {
                            "text": "ibuprofen 400 mg tab",
                            "template": "ibuprofen 400 mg tab"
                        },
                        {
                            "text": "naproxen sodium 275 mg tab",
                            "template": "naproxen sodium 275 mg tab"
                        },
                        {
                            "text": "ketorolac INJ",
                            "template": "ketorolac INJ"
                        }
                    ]
                },
                {
                    "text": "Triptans",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "naratriptan 1 mg tab",
                            "template": "naratriptan 1 mg tab"
                        },
                        {
                            "text": "sumatriptan 50 mg tab",
                            "template": "sumatriptan 50 mg tab"
                        },
                        {
                            "text": "sumatriptan nasal 20 mg per spray solution",
                            "template": "sumatriptan nasal 20 mg per spray solution"
                        },
                        {
                            "text": "sumatriptan 6 mg per 0.5 mL INJ",
                            "template": "sumatriptan 6 mg per 0.5 mL INJ"
                        },
                        {
                            "text": "Axert 6.25 mg tab",
                            "template": "Axert 6.25 mg tab"
                        },
                        {
                            "text": "Frova 2.5 mg tab",
                            "template": "Frova 2.5 mg tab"
                        },
                        {
                            "text": "Maxalt 5 mg tab",
                            "template": "Maxalt 5 mg tab"
                        },
                        {
                            "text": "Relpax 20 mg tab",
                            "template": "Relpax 20 mg tab"
                        },
                        {
                            "text": "Treximet 85 mg\/500 mg tab",
                            "template": "Treximet 85 mg\/500 mg tab"
                        },
                        {
                            "text": "Zomig 2.5 mg tab",
                            "template": "Zomig 2.5 mg tab"
                        },
                        {
                            "text": "Zomig Nasal 5 mg per spray solution",
                            "template": "Zomig Nasal 5 mg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Ergots",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "D.H.E. 45 INJ",
                            "template": "D.H.E. 45 INJ"
                        },
                        {
                            "text": "Migranal 0.5 mg per spray solution",
                            "template": "Migranal 0.5 mg per spray solution"
                        }
                    ]
                },
                {
                    "text": "Opioids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "morphine sulfate INJ",
                            "template": "morphine sulfate INJ"
                        }
                    ]
                },
                {
                    "text": "Adjunctive therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "dexamethasone sodium phosphate INJ",
                            "template": "dexamethasone sodium phosphate INJ"
                        },
                        {
                            "text": "metoclopramide 10 mg tab",
                            "template": "metoclopramide 10 mg tab"
                        },
                        {
                            "text": "metoclopramide INJ",
                            "template": "metoclopramide INJ"
                        },
                        {
                            "text": "ondansetron 8 mg ODT",
                            "template": "ondansetron 8 mg ODT"
                        },
                        {
                            "text": "prochlorperazine maleate 5 mg tab",
                            "template": "prochlorperazine maleate 5 mg tab"
                        },
                        {
                            "text": "prochlorperazine rectal 25 mg supp",
                            "template": "prochlorperazine rectal 25 mg supp"
                        },
                        {
                            "text": "prochlorperazine edisylate INJ",
                            "template": "prochlorperazine edisylate INJ"
                        }
                    ]
                },
                {
                    "text": "Bridge therapy: medication overuse",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "naproxen sodium 550 mg tab",
                            "template": "naproxen sodium 550 mg tab"
                        },
                        {
                            "text": "prednisone 20 mg tab",
                            "template": "prednisone 20 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Prophylaxis",
            "template": "{children}",
            "children": [
                {
                    "text": "1st line: Beta blocker, verapamil, topiramate, valproate, amitriptyline",
                    "template": "{children}"
                },
                {
                    "text": "Beta blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "atenolol 50 mg tab",
                            "template": "atenolol 50 mg tab"
                        },
                        {
                            "text": "metoprolol 50 mg tab",
                            "template": "metoprolol 50 mg tab"
                        },
                        {
                            "text": "propranolol 40 mg tab",
                            "template": "propranolol 40 mg tab"
                        },
                        {
                            "text": "timolol 10 mg tab",
                            "template": "timolol 10 mg tab"
                        }
                    ]
                },
                {
                    "text": "Calcium channel blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "verapamil 80 mg tab",
                            "template": "verapamil 80 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antiepileptics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "gabapentin 300 mg tab",
                            "template": "gabapentin 300 mg tab"
                        },
                        {
                            "text": "topiramate 25 mg tab",
                            "template": "topiramate 25 mg tab"
                        },
                        {
                            "text": "valproic acid 250 mg cap",
                            "template": "valproic acid 250 mg cap"
                        },
                        {
                            "text": "Lyrica 50 mg cap",
                            "template": "Lyrica 50 mg cap"
                        }
                    ]
                },
                {
                    "text": "Antidepressants",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amitriptyline 10 mg tab",
                            "template": "amitriptyline 10 mg tab"
                        },
                        {
                            "text": "nortriptyline 10 mg cap",
                            "template": "nortriptyline 10 mg cap"
                        },
                        {
                            "text": "venlafaxine 37.5 mg ER tab",
                            "template": "venlafaxine 37.5 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "NMDA receptor antagonists",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Namenda titration pack",
                            "template": "Namenda titration pack"
                        },
                        {
                            "text": "Namenda 10 mg tab",
                            "template": "Namenda 10 mg tab"
                        }
                    ]
                },
                {
                    "text": "ACEIs, ARBs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "lisinopril 5 mg tab",
                            "template": "lisinopril 5 mg tab"
                        },
                        {
                            "text": "Atacand 8 mg tab",
                            "template": "Atacand 8 mg tab"
                        },
                        {
                            "text": "Benicar 20 mg tab",
                            "template": "Benicar 20 mg tab"
                        }
                    ]
                },
                {
                    "text": "Other agents",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC butterbur extract",
                            "template": "Take OTC butterbur extract"
                        },
                        {
                            "text": "Take OTC feverfew extract",
                            "template": "Take OTC feverfew extract"
                        },
                        {
                            "text": "butterbur extract",
                            "template": "butterbur extract"
                        },
                        {
                            "text": "feverfew extract",
                            "template": "feverfew extract"
                        },
                        {
                            "text": "magnesium gluconate 500 mg tab",
                            "template": "magnesium gluconate 500 mg tab"
                        },
                        {
                            "text": "vitamin B2 (common name) 100 mg tab",
                            "template": "vitamin B2 (common name) 100 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Prophylaxis, menstrual migraine",
            "template": "{children}",
            "children": [
                {
                    "text": "1st line: Mg and cyclic prophylaxis w\/ triptan or NSAID",
                    "template": "{children}"
                },
                {
                    "text": "Triptans",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "naratriptan 1 mg tab",
                            "template": "naratriptan 1 mg tab"
                        },
                        {
                            "text": "sumatriptan 25 mg tab",
                            "template": "sumatriptan 25 mg tab"
                        },
                        {
                            "text": "Frova 2.5 mg tab",
                            "template": "Frova 2.5 mg tab"
                        },
                        {
                            "text": "Zomig 2.5 mg tab",
                            "template": "Zomig 2.5 mg tab"
                        }
                    ]
                },
                {
                    "text": "NSAIDs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "naproxen sodium 550 mg tab",
                            "template": "naproxen sodium 550 mg tab"
                        }
                    ]
                },
                {
                    "text": "Magnesium",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "magnesium gluconate 500 mg tab",
                            "template": "magnesium gluconate 500 mg tab"
                        }
                    ]
                },
                {
                    "text": "Estrogen supplementation",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Note: More uneven levels w\/ oral estrogen",
                            "template": "Note: More uneven levels w\/ oral estrogen"
                        },
                        {
                            "text": "estradiol transdermal 0.05 mg per day patch",
                            "template": "estradiol transdermal 0.05 mg per day patch"
                        },
                        {
                            "text": "estradiol transdermal 0.1 mg per day patch",
                            "template": "estradiol transdermal 0.1 mg per day patch"
                        },
                        {
                            "text": "estradiol 1 mg tab",
                            "template": "estradiol 1 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions given",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Keep headache diary",
                            "template": "Keep headache diary"
                        },
                        {
                            "text": "Practice proper sleep hygiene",
                            "template": "Practice proper sleep hygiene"
                        },
                        {
                            "text": "Apply cold pack to head at onset of headache",
                            "template": "Apply cold pack to head at onset of headache"
                        },
                        {
                            "text": "Apply firm, constant temporal artery pressure for 5 minutes during headache\n                                episodes\n                            ",
                            "template": "Apply firm, constant temporal artery pressure for 5 minutes during headache\n                                episodes\n                            "
                        },
                        {
                            "text": "Increase aerobic activity",
                            "template": "Increase aerobic activity"
                        },
                        {
                            "text": "Quit smoking",
                            "template": "Quit smoking"
                        },
                        {
                            "text": "Eat regular meals and avoid skipping meals",
                            "template": "Eat regular meals and avoid skipping meals"
                        },
                        {
                            "text": "Identify and avoid common food triggers (foods high in nitrates, nitrites, tyramine,\n                                phenylethylamine, MSG, dairy, fat)\n                            ",
                            "template": "Identify and avoid common food triggers (foods high in nitrates, nitrites, tyramine,\n                                phenylethylamine, MSG, dairy, fat)\n                            "
                        },
                        {
                            "text": "Limit alcohol intake",
                            "template": "Limit alcohol intake"
                        },
                        {
                            "text": "Reduce caffeine intake",
                            "template": "Reduce caffeine intake"
                        },
                        {
                            "text": "Drink plenty of fluids",
                            "template": "Drink plenty of fluids"
                        },
                        {
                            "text": "Avoid medication overuse",
                            "template": "Avoid medication overuse"
                        },
                        {
                            "text": "Reduce amount of life stress as much as possible",
                            "template": "Reduce amount of life stress as much as possible"
                        },
                        {
                            "text": "Instructional handout given on managing headaches",
                            "template": "Instructional handout given on managing headaches"
                        },
                        {
                            "text": "Take OTC butterbur extract 50-75 mg PO bid for migraine prevention prn",
                            "template": "Take OTC butterbur extract 50-75 mg PO bid for migraine prevention prn"
                        },
                        {
                            "text": "Take OTC feverfew extract 50-100 mg PO daily for migraine prevention prn",
                            "template": "Take OTC feverfew extract 50-100 mg PO daily for migraine prevention prn"
                        }
                    ]
                },
                {
                    "text": "Multidisciplinary therapies discussed",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Consider acupuncture treatment",
                            "template": "Consider acupuncture treatment"
                        },
                        {
                            "text": "Consider biofeedback therapy",
                            "template": "Consider biofeedback therapy"
                        },
                        {
                            "text": "Consider cognitive behavioral therapy",
                            "template": "Consider cognitive behavioral therapy"
                        },
                        {
                            "text": "Consider massage therapy",
                            "template": "Consider massage therapy"
                        },
                        {
                            "text": "Consider physical therapy",
                            "template": "Consider physical therapy"
                        },
                        {
                            "text": "Consider relaxation training",
                            "template": "Consider relaxation training"
                        }
                    ]
                }
            ]
        },
        {
            "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 Neurology",
                            "template": "Refer to Neurology"
                        },
                        {
                            "text": "Refer to Pain Management",
                            "template": "Refer to Pain Management"
                        },
                        {
                            "text": "Refer to ENT",
                            "template": "Refer to ENT"
                        },
                        {
                            "text": "Refer to Cardiology",
                            "template": "Refer to Cardiology"
                        },
                        {
                            "text": "Refer to OB\/Gyn",
                            "template": "Refer to OB\/Gyn"
                        },
                        {
                            "text": "Refer to Acupuncture",
                            "template": "Refer to Acupuncture"
                        },
                        {
                            "text": "Refer to Psychology for biofeedback training",
                            "template": "Refer to Psychology for biofeedback training"
                        },
                        {
                            "text": "Refer to Psychology for cognitive behavioral therapy",
                            "template": "Refer to Psychology for cognitive behavioral therapy"
                        },
                        {
                            "text": "Refer to massage therapy",
                            "template": "Refer to massage therapy"
                        },
                        {
                            "text": "Refer to Physical Therapy",
                            "template": "Refer to Physical Therapy"
                        },
                        {
                            "text": "Refer to Psychology for relaxation training",
                            "template": "Refer to Psychology for relaxation training"
                        }
                    ]
                }
            ]
        }
    ]
}