{
    "section": "kct-mdm",
    "templateSet": "Respiratory Therapy",
    "templates": [
        {
            "text": "Findings Prior to Tx (time)",
            "template": "Respiratory TherapyFindings Prior to TxTime: {text}",
            "type": "alpha"
        },
        {
            "text": "Findings Prior to Tx",
            "template": "Findings: {children}",
            "children": [
                {
                    "text": "BP (specify)",
                    "template": "BP {text}",
                    "type": "alpha"
                },
                {
                    "text": "Temp (F)",
                    "template": "T {text}F",
                    "type": "number"
                },
                {
                    "text": "Pulse (bpm)",
                    "template": "P {text}",
                    "type": "number"
                },
                {
                    "text": "Respirations (#)",
                    "template": "RR {text}",
                    "type": "number"
                },
                {
                    "text": "Pulse Oxygen on RA (%)",
                    "template": "pulse oxygen on room air {text}%",
                    "type": "number"
                },
                {
                    "text": "Peek Flow (L\/min)",
                    "template": "peek flow {text} L\/min",
                    "type": "number"
                },
                {
                    "text": "Wheezes",
                    "template": "wheezes",
                    "children": [
                        {
                            "text": "absent",
                            "template": "absent"
                        },
                        {
                            "text": "present",
                            "template": "present"
                        }
                    ]
                },
                {
                    "text": "comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "1st Treatment",
            "template": "1st Treatment: hand-held treatment given, powered by oxygen @ 3 L\/min, with {children}\n                    ",
            "children": [
                {
                    "text": "Albuterol Solution 2.5 mg\/0.5 ml NS",
                    "template": "Albuterol Solution 2.5 mg in 0.5 ml NS"
                },
                {
                    "text": "Xopenex Solution 0.31 mg\/0.3 ml NS",
                    "template": "Xopenex Solution 0.31 mg in 0.31 ml NS"
                },
                {
                    "text": "manufacturer (describe)",
                    "template": "manufacturer:",
                    "type": "alpha"
                },
                {
                    "text": "lot (#)",
                    "template": "lot #:",
                    "type": "alpha"
                },
                {
                    "text": "expiration (date)",
                    "template": "expiration date:",
                    "type": "date"
                }
            ]
        },
        {
            "text": "Post-Treatment Assessment",
            "template": "Post-Treatment Assessment: {children}",
            "children": [
                {
                    "text": "Pulse Oxygen on RA (%)",
                    "template": "pulse oxygen on room air {text}%",
                    "type": "number"
                },
                {
                    "text": "Peek Flow (L\/min)",
                    "template": "peek flow {text} L\/min",
                    "type": "number"
                },
                {
                    "text": "Wheezes",
                    "template": "wheezes",
                    "children": [
                        {
                            "text": "absent",
                            "template": "absent"
                        },
                        {
                            "text": "present",
                            "template": "present"
                        }
                    ]
                },
                {
                    "text": "comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "2nd Treatment",
            "template": "2nd Treatment: hand-held treatment given, powered by oxygen @ 3 L\/min, with {children}\n                    ",
            "children": [
                {
                    "text": "Albuterol Solution 2.5 mg\/0.5 ml NS",
                    "template": "Albuterol Solution 2.5 mg in 0.5 ml NS"
                },
                {
                    "text": "Xopenex Solution 0.31 mg\/0.3 ml NS",
                    "template": "Xopenex Solution 0.31 mg in 0.31 ml NS"
                },
                {
                    "text": "manufacturer (describe)",
                    "template": "manufacturer:",
                    "type": "alpha"
                },
                {
                    "text": "lot (#)",
                    "template": "lot #:",
                    "type": "alpha"
                },
                {
                    "text": "expiration (date)",
                    "template": "expiration date:",
                    "type": "date"
                }
            ]
        },
        {
            "text": "Post-Treatment Assessment",
            "template": "Post-Treatment Assessment: {children}",
            "children": [
                {
                    "text": "Pulse Oxygen on RA (%)",
                    "template": "pulse oxygen on room air {text}%",
                    "type": "number"
                },
                {
                    "text": "Peek Flow (L\/min)",
                    "template": "peek flow {text} L\/min",
                    "type": "number"
                },
                {
                    "text": "Wheezes",
                    "template": "wheezes",
                    "children": [
                        {
                            "text": "absent",
                            "template": "absent"
                        },
                        {
                            "text": "present",
                            "template": "present"
                        }
                    ]
                },
                {
                    "text": "comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "3rd Treatment",
            "template": "3rd Treatment: hand-held treatment given, powered by oxygen @ 3 L\/min, with {children}\n                    ",
            "children": [
                {
                    "text": "Albuterol Solution 2.5 mg\/0.5 ml NS",
                    "template": "Albuterol Solution 2.5 mg in 0.5 ml NS"
                },
                {
                    "text": "Xopenex Solution 0.31 mg\/0.3 ml NS",
                    "template": "Xopenex Solution 0.31 mg in 0.31 ml NS"
                },
                {
                    "text": "manufacturer (describe)",
                    "template": "manufacturer:",
                    "type": "alpha"
                },
                {
                    "text": "lot (#)",
                    "template": "lot #:",
                    "type": "alpha"
                },
                {
                    "text": "expiration (date)",
                    "template": "expiration date:",
                    "type": "date"
                }
            ]
        },
        {
            "text": "Post-Treatment Assessment",
            "template": "Post-Treatment Assessment: {children}",
            "children": [
                {
                    "text": "Pulse Oxygen on RA (%)",
                    "template": "pulse oxygen on room air {text}%",
                    "type": "number"
                },
                {
                    "text": "Peek Flow (L\/min)",
                    "template": "peek flow {text} L\/min",
                    "type": "number"
                },
                {
                    "text": "Wheezes",
                    "template": "wheezes",
                    "children": [
                        {
                            "text": "absent",
                            "template": "absent"
                        },
                        {
                            "text": "present",
                            "template": "present"
                        }
                    ]
                },
                {
                    "text": "comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Discharge (time)",
            "template": "Discharge Time: {text}",
            "type": "alpha"
        },
        {
            "text": "Discharge Vitals",
            "template": "Vitals: {children}",
            "children": [
                {
                    "text": "BP (specify)",
                    "template": "BP {text}",
                    "type": "alpha"
                },
                {
                    "text": "Temp (F)",
                    "template": "T {text}F",
                    "type": "number"
                },
                {
                    "text": "Pulse (bpm)",
                    "template": "P {text}",
                    "type": "number"
                },
                {
                    "text": "Respirations (#)",
                    "template": "RR {text}",
                    "type": "number"
                },
                {
                    "text": "comments (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        },
        {
            "text": "Physician Assessment (time)",
            "template": "Physician Assessment of Response to Medication(s)Time: {text}",
            "type": "alpha"
        },
        {
            "text": "Physician Assessment, Response",
            "template": "Response: {children}",
            "children": [
                {
                    "text": "no adverse reaction",
                    "template": "no adverse reaction"
                },
                {
                    "text": "symptoms improved",
                    "template": "symptoms improved"
                },
                {
                    "text": "pt stable\/discharge home",
                    "template": "patient stable for discharge home"
                },
                {
                    "text": "other (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}
