JSFiddle - React, Tailwind, and code Playground

by Brenton Strine

JavaScript

var sarObject = 
[
    {
        provider: {
            request_date: "requesteddategoeshere",
            name: "providersnamegoeshere",
            phone: "providernumbergoeshere",
            address: "theprovideraddress",
            city: "providerscity",
            state: "",
            zip: "",
            contact: {
                person: "",
                phone: "",
                fax: ""
            }
        },
        client: {
            name_last: "",
            name_first: "",
            name_middle: "",
            alias: "",
            gender: "",
            dob: "",
            ccs_ghpp: "",
            phone: "",
            mrn: "",
            residence_addr: "",
            residence_city: "",
            residence_state: "",
            residence_zip: "",
            mailing_addr: "",
            mailing_city: "",
            mailing_state: "",
            mailing_zip: "",
            county: "",
            language: "",
            parent: "",
            mother_name: "",
            pcp: "",
            pcp_phone: ""
        },
        diagnosis: [
            "",
            "",
            ""
        ],
        insurance: {
            healthy_families_flag: "",
            healthy_families_plan: "",
            medi_cal_flag: "",
            medi_cal_no: "",
            cin: "",
            commercial_insurance_flag: "",
            commercial_insurance_type: "",
            commercial_insurance_name: ""
        },
        services: {
            service_table: [
                {
                    cpt_4: "",
                    description: "",
                    date_from: "",
                    date_to: "",
                    frequency: "",
                    duration: "",
                    units: "",
                    quantity: ""
                },
                {
                    cpt_4: "",
                    description: "",
                    date_from: "",
                    date_to: "",
        ...