{
    "section": "plan",
    "templateSet": "UTI, Adult, Female",
    "templates": [
        {
            "text": "Labs",
            "template": "{children}",
            "children": [
                {
                    "text": "Labs",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Culture, urine, bacterial",
                            "template": "Culture, urine, bacterial"
                        },
                        {
                            "text": "Urine dipstick for nitrites and leukocyte esterase",
                            "template": "Urine dipstick for nitrites and leukocyte esterase"
                        },
                        {
                            "text": "Urinalysis, complete (with micro)",
                            "template": "Urinalysis, complete (with micro)"
                        },
                        {
                            "text": "Beta-hCG, qualitative, urine",
                            "template": "Beta-hCG, qualitative, urine"
                        },
                        {
                            "text": "Beta-hCG, qualitative, serum",
                            "template": "Beta-hCG, qualitative, serum"
                        },
                        {
                            "text": "CBC",
                            "template": "CBC"
                        },
                        {
                            "text": "Metabolic panel, basic (BMP), serum",
                            "template": "Metabolic panel, basic (BMP), serum"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urine"
                        },
                        {
                            "text": "Metabolic panel, comprehensive (CMP), serum",
                            "template": "Metabolic panel, comprehensive (CMP), serum"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, urogenital swab"
                        },
                        {
                            "text": "Neisseria gonorrhoeae (GC), nucleic acid amplification, rectal swab",
                            "template": "Neisseria gonorrhoeae (GC), nucleic acid amplification, rectal swab"
                        },
                        {
                            "text": "Chlamydia trachomatis, nucleic acid amplification, urine",
                            "template": "Chlamydia trachomatis, nucleic acid amplification, urine"
                        },
                        {
                            "text": "Chlamydia trachomatis, nucleic acid amplification, urogenital swab",
                            "template": "Chlamydia trachomatis, nucleic acid amplification, urogenital swab"
                        },
                        {
                            "text": "Chlamydia trachomatis, nucleic acid amplification, rectal swab",
                            "template": "Chlamydia trachomatis, nucleic acid amplification, rectal swab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Imaging",
            "template": "{children}",
            "children": [
                {
                    "text": "Imaging",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "X-ray abdomen (KUB)",
                            "template": "X-ray abdomen (KUB)"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/ contrast",
                            "template": "CT abdomen and pelvis w\/ contrast"
                        },
                        {
                            "text": "CT abdomen and pelvis w\/o contrast",
                            "template": "CT abdomen and pelvis w\/o contrast"
                        },
                        {
                            "text": "US renal and bladder",
                            "template": "US renal and bladder"
                        },
                        {
                            "text": "US bladder",
                            "template": "US bladder"
                        },
                        {
                            "text": "US urethra",
                            "template": "US urethra"
                        },
                        {
                            "text": "US renal",
                            "template": "US renal"
                        },
                        {
                            "text": "MRI pelvis w\/ contrast",
                            "template": "MRI pelvis w\/ contrast"
                        },
                        {
                            "text": "MRI pelvis w\/o contrast",
                            "template": "MRI pelvis w\/o contrast"
                        },
                        {
                            "text": "Intravenous pyelogram (IVP)",
                            "template": "Intravenous pyelogram (IVP)"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Procedures",
            "template": "{children}",
            "children": [
                {
                    "text": "Procedures",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Post-void residual by ultrasound",
                            "template": "Post-void residual by ultrasound"
                        },
                        {
                            "text": "Post-void residual by catheter",
                            "template": "Post-void residual by catheter"
                        },
                        {
                            "text": "Urodynamic testing",
                            "template": "Urodynamic testing"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds, Symptomatic infection",
            "template": "{children}",
            "children": [
                {
                    "text": "Uncomplicated infection: Primary regimens",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab"
                        },
                        {
                            "text": "nitrofurantoin 100 mg ER cap",
                            "template": "nitrofurantoin 100 mg ER cap"
                        },
                        {
                            "text": "Monurol 3 g packet",
                            "template": "Monurol 3 g packet"
                        },
                        {
                            "text": "phenazopyridine 200 mg tab",
                            "template": "phenazopyridine 200 mg tab"
                        }
                    ]
                },
                {
                    "text": "Uncomplicated infection: Alternative regimens",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ciprofloxacin 250 mg tab",
                            "template": "ciprofloxacin 250 mg tab"
                        },
                        {
                            "text": "ciprofloxacin 500 mg ER tab",
                            "template": "ciprofloxacin 500 mg ER tab"
                        },
                        {
                            "text": "levofloxacin 250 mg tab",
                            "template": "levofloxacin 250 mg tab"
                        },
                        {
                            "text": "amoxicillin\/clavulanate 875 mg\/125 mg tab",
                            "template": "amoxicillin\/clavulanate 875 mg\/125 mg tab"
                        },
                        {
                            "text": "cephalexin 500 mg tab",
                            "template": "cephalexin 500 mg tab"
                        },
                        {
                            "text": "cefpodoxime 100 mg tab",
                            "template": "cefpodoxime 100 mg tab"
                        }
                    ]
                },
                {
                    "text": "Uncomplicated infection: Analgesics",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "phenazopyridine 200 mg tab",
                            "template": "phenazopyridine 200 mg tab"
                        }
                    ]
                },
                {
                    "text": "Complicated infection: Nonpregnant",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "ciprofloxacin 500 mg tab",
                            "template": "ciprofloxacin 500 mg tab"
                        },
                        {
                            "text": "levofloxacin 750 mg tab",
                            "template": "levofloxacin 750 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 160 mg\/800 mg tab"
                        }
                    ]
                },
                {
                    "text": "Complicated infection: Pregnant",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin\/clavulanate 500 mg\/125 mg tab",
                            "template": "amoxicillin\/clavulanate 500 mg\/125 mg tab"
                        },
                        {
                            "text": "cephalexin 500 mg cap",
                            "template": "cephalexin 500 mg cap"
                        },
                        {
                            "text": "nitrofurantoin 100 mg ER cap",
                            "template": "nitrofurantoin 100 mg ER cap"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds, Asymptomatic bacteriuria",
            "template": "{children}",
            "children": [
                {
                    "text": "Pregnancy",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "amoxicillin 500 mg cap",
                            "template": "amoxicillin 500 mg cap"
                        },
                        {
                            "text": "nitrofurantoin 100 mg ER cap",
                            "template": "nitrofurantoin 100 mg ER cap"
                        },
                        {
                            "text": "trimethoprim 100 mg tab",
                            "template": "trimethoprim 100 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab"
                        }
                    ]
                },
                {
                    "text": "Invasive urologic procedure",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Meds, Prophylaxis",
            "template": "{children}",
            "children": [
                {
                    "text": "Recurrent infection",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "cefaclor 250 mg cap",
                            "template": "cefaclor 250 mg cap"
                        },
                        {
                            "text": "cephalexin 250 mg cap",
                            "template": "cephalexin 250 mg cap"
                        },
                        {
                            "text": "nitrofurantoin 100 mg cap",
                            "template": "nitrofurantoin 100 mg cap"
                        },
                        {
                            "text": "trimethoprim 100 mg tab",
                            "template": "trimethoprim 100 mg tab"
                        },
                        {
                            "text": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab"
                        }
                    ]
                },
                {
                    "text": "Postcoital",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab",
                            "template": "trimethoprim\/sulfamethoxazole 80 mg\/400 mg tab"
                        }
                    ]
                }
            ]
        },
        {
            "text": "Patient instructions",
            "template": "{children}",
            "children": [
                {
                    "text": "Patient provided with the following instructions:",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "Learn to recognize UTI sx (burning, frequency, urgency, foul-smelling\/discolored\n                                urine)\n                            ",
                            "template": "Learn to recognize UTI sx (burning, frequency, urgency, foul-smelling\/discolored\n                                urine)\n                            "
                        },
                        {
                            "text": "UTI prevention strategies discussed (fluids, hygiene, post coitus, birth control)\n                            ",
                            "template": "UTI prevention strategies discussed (fluids, hygiene, post coitus, birth control)\n                            "
                        }
                    ]
                }
            ]
        },
        {
            "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 Urology",
                            "template": "Refer to Urology"
                        }
                    ]
                }
            ]
        }
    ]
}