{
    "section": "plan",
    "templateSet": "Dizziness\/Vertigo",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Basic blood tests",
                    "template": "{children}",
                    "children": [
                        {
                            "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": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "MRI imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "MRI brain",
                            "template": "MRI brain"
                        }
                    ]
                },
                {
                    "text": "CT imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "CT head",
                            "template": "CT head"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Canalith repositioning maneuver",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Canalith repositioning maneuver",
                            "template": "Canalith repositioning maneuver"
                        }
                    ]
                },
                {
                    "text": "Hearing tests",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Audiometry",
                            "template": "Audiometry"
                        }
                    ]
                },
                {
                    "text": "EKG",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "EKG, 12 lead",
                            "template": "EKG, 12 lead"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Medications",
            "template": "{children}",
            "children": [
                {
                    "text": "Symptom relief",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Valium 5 mg tab",
                            "template": "Valium 5 mg tab"
                        },
                        {
                            "text": "meclizine 25 mg tab",
                            "template": "meclizine 25 mg tab"
                        },
                        {
                            "text": "Zofran ODT 4 mg ODT",
                            "template": "Zofran ODT 4 mg ODT"
                        },
                        {
                            "text": "metoclopramide 10 mg tab",
                            "template": "metoclopramide 10 mg tab"
                        },
                        {
                            "text": "prochlorperazine maleate 5 mg tab",
                            "template": "prochlorperazine maleate 5 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": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Home care",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Return to normal activity",
                            "template": "Return to normal activity"
                        },
                        {
                            "text": "Canalith repositioning exercise instructions given",
                            "template": "Canalith repositioning exercise instructions given"
                        },
                        {
                            "text": "Return to clinic for recurrence of sx",
                            "template": "Return to clinic for recurrence of sx"
                        },
                        {
                            "text": "Obtain rest",
                            "template": "Obtain rest"
                        },
                        {
                            "text": "Drink plenty of fluids",
                            "template": "Drink plenty of fluids"
                        },
                        {
                            "text": "Take medications as needed for sx",
                            "template": "Take medications as needed for sx"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Follow-up\/Referrals",
            "template": "{children}",
            "children": [
                {
                    "text": "Return visits",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Call if no improvement in 48-72 hours or if new sx",
                            "template": "Call if no improvement in 48-72 hours or if new sx"
                        },
                        {
                            "text": "Return to clinic for recurrence of sx",
                            "template": "Return to clinic for recurrence of sx"
                        },
                        {
                            "text": "Phone follow-up as needed",
                            "template": "Phone follow-up as needed"
                        },
                        {
                            "text": "Return visit as needed",
                            "template": "Return visit as needed"
                        },
                        {
                            "text": "Return visit in 24 hours",
                            "template": "Return visit in 24 hours"
                        },
                        {
                            "text": "Return visit in 2-4 days",
                            "template": "Return visit in 2-4 days"
                        },
                        {
                            "text": "Return visit in 5-7 days",
                            "template": "Return visit in 5-7 days"
                        },
                        {
                            "text": "Return visit in 7-10 days",
                            "template": "Return visit in 7-10 days"
                        },
                        {
                            "text": "Return visit in 2 weeks",
                            "template": "Return visit in 2 weeks"
                        },
                        {
                            "text": "Return visit in 4 weeks",
                            "template": "Return visit in 4 weeks"
                        }
                    ]
                },
                {
                    "text": "Admit to ER\/Hospital",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Admit to hospital",
                            "template": "Admit to hospital"
                        },
                        {
                            "text": "Admit to ER",
                            "template": "Admit to ER"
                        }
                    ]
                },
                {
                    "text": "Referrals",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Refer to Otolaryngology",
                            "template": "Refer to Otolaryngology"
                        },
                        {
                            "text": "Refer to Physical Therapy",
                            "template": "Refer to Physical Therapy"
                        },
                        {
                            "text": "Refer to Audiology",
                            "template": "Refer to Audiology"
                        }
                    ]
                }
            ]
        }
    ]
}