{
    "section": "plan",
    "templateSet": "Gastritis",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Serum",
                    "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": "Amylase, serum",
                            "template": "Amylase, serum"
                        },
                        {
                            "text": "Lipase, serum",
                            "template": "Lipase, serum"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgG antibody serum",
                            "template": "Helicobacter pylori (H pylori) IgG antibody serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgM antibody, serum",
                            "template": "Helicobacter pylori (H pylori) IgM antibody, serum"
                        },
                        {
                            "text": "Helicobacter pylori (H pylori) IgA antibody, serum",
                            "template": "Helicobacter pylori (H pylori) IgA antibody, serum"
                        },
                        {
                            "text": "TSH (thyroid-stimulating hormone), serum",
                            "template": "TSH (thyroid-stimulating hormone), serum"
                        },
                        {
                            "text": "Vitamin B12, serum",
                            "template": "Vitamin B12, serum"
                        }
                    ]
                },
                {
                    "text": "Urine",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        }
                    ]
                },
                {
                    "text": "Stool studies",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Helicobacter pylori (H pylori) antigen, feces",
                            "template": "Helicobacter pylori (H pylori) antigen, feces"
                        }
                    ]
                },
                {
                    "text": "Breath test",
                    "template": "{children}",
                    "children": [
                        {
                            "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 abdomen (KUB), supine and upright",
                            "template": "X-ray abdomen (KUB), supine and upright"
                        },
                        {
                            "text": "US abdomen",
                            "template": "US abdomen"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EGD",
                            "template": "EGD"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "H pylori eradication: Primary regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        },
                        {
                            "text": "lansoprazole 30 mg DR cap",
                            "template": "lansoprazole 30 mg DR cap"
                        },
                        {
                            "text": "Nexium 40 mg DR cap",
                            "template": "Nexium 40 mg DR cap"
                        },
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        },
                        {
                            "text": "clarithromycin 500 mg ER tab",
                            "template": "clarithromycin 500 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "H pylori eradication: Primary regimen",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Aciphex 20 mg DR tab",
                            "template": "Aciphex 20 mg DR tab"
                        },
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        },
                        {
                            "text": "clarithromycin 500 mg ER tab",
                            "template": "clarithromycin 500 mg ER tab"
                        }
                    ]
                },
                {
                    "text": "H pylori eradication: Penicillin allergic or prior macrolide therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "bismuth subsalicylate 262 mg chew tab",
                            "template": "bismuth subsalicylate 262 mg chew tab"
                        },
                        {
                            "text": "metronidazole 250 mg tab",
                            "template": "metronidazole 250 mg tab"
                        },
                        {
                            "text": "tetracycline 500 mg cap",
                            "template": "tetracycline 500 mg cap"
                        },
                        {
                            "text": "ranitidine 150 mg tab",
                            "template": "ranitidine 150 mg tab"
                        },
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        }
                    ]
                },
                {
                    "text": "H pylori eradication: Retreatment or salvage therapy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "omeprazole 20 mg DR cap",
                            "template": "omeprazole 20 mg DR cap"
                        },
                        {
                            "text": "levofloxacin 500 mg tab",
                            "template": "levofloxacin 500 mg tab"
                        },
                        {
                            "text": "Avelox 400 mg tab",
                            "template": "Avelox 400 mg tab"
                        },
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        }
                    ]
                },
                {
                    "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": "pantoprazole 20 mg EC tab",
                            "template": "pantoprazole 20 mg EC tab"
                        },
                        {
                            "text": "Nexium 20 mg DR cap",
                            "template": "Nexium 20 mg DR cap"
                        }
                    ]
                },
                {
                    "text": "H2 blockers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cimetidine 400 mg tab",
                            "template": "cimetidine 400 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 tab",
                            "template": "ranitidine 150 mg tab"
                        }
                    ]
                },
                {
                    "text": "Antiemetics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "meclizine 25 mg tab",
                            "template": "meclizine 25 mg tab"
                        },
                        {
                            "text": "ondansetron 4 mg tab",
                            "template": "ondansetron 4 mg tab"
                        },
                        {
                            "text": "prochlorperazine maleate 10 mg tab",
                            "template": "prochlorperazine maleate 10 mg tab"
                        },
                        {
                            "text": "prochlorperazine rectal 25 mg supp",
                            "template": "prochlorperazine rectal 25 mg supp"
                        },
                        {
                            "text": "promethazine 25 mg tab",
                            "template": "promethazine 25 mg tab"
                        },
                        {
                            "text": "promethazine rectal 25 mg supp",
                            "template": "promethazine rectal 25 mg supp"
                        }
                    ]
                },
                {
                    "text": "Other gastrointestinals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "misoprostol 100 mcg tab",
                            "template": "misoprostol 100 mcg tab"
                        },
                        {
                            "text": "sucralfate 1 g tab",
                            "template": "sucralfate 1 g tab"
                        }
                    ]
                },
                {
                    "text": "OTC antacids",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC antacids (liquid\/chews) prn",
                            "template": "Take OTC antacids (liquid\/chews) prn"
                        },
                        {
                            "text": "aluminum hydroxide\/magnesium hydroxide 225 mg\/200 mg per 5 mL suspension",
                            "template": "aluminum hydroxide\/magnesium hydroxide 225 mg\/200 mg per 5 mL suspension"
                        },
                        {
                            "text": "aluminum hydroxide\/magnesium hydroxide\/simethicone 200 mg\/200 mg\/20 mg per 5 mL\n                                suspension\n                            ",
                            "template": "aluminum hydroxide\/magnesium hydroxide\/simethicone 200 mg\/200 mg\/20 mg per 5 mL\n                                suspension\n                            "
                        },
                        {
                            "text": "calcium carbonate 500 mg chew tab",
                            "template": "calcium carbonate 500 mg chew tab"
                        }
                    ]
                },
                {
                    "text": "B12 supplementation",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "vitamin B12 (common name) INJ",
                            "template": "vitamin B12 (common name) INJ"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient instructions given",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Take OTC antacids (liquid\/chews) prn",
                            "template": "Take OTC antacids (liquid\/chews) prn"
                        },
                        {
                            "text": "Quit smoking",
                            "template": "Quit smoking"
                        },
                        {
                            "text": "Avoid NSAIDs",
                            "template": "Avoid NSAIDs"
                        },
                        {
                            "text": "Avoid\/minimize caffeine intake (if consuming, never on an empty stomach)",
                            "template": "Avoid\/minimize caffeine intake (if consuming, never on an empty stomach)"
                        },
                        {
                            "text": "Avoid\/minimize alcohol intake (if consuming, never on an empty stomach)",
                            "template": "Avoid\/minimize alcohol intake (if consuming, never on an empty stomach)"
                        },
                        {
                            "text": "Avoid spicy foods",
                            "template": "Avoid spicy foods"
                        },
                        {
                            "text": "Gastritis instructions given",
                            "template": "Gastritis 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": "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": "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 GI",
                            "template": "Refer to GI"
                        },
                        {
                            "text": "Refer to General Surgery",
                            "template": "Refer to General Surgery"
                        }
                    ]
                }
            ]
        }
    ]
}