[
    {
        "title": "SMELL TEST",
        "subtitle": "",
        "label_flag_normal": "",
        "flag_normal": "Y",
        "show_all": "Y",
        "is_inspected": "N",
        "type_form": "XVS",
        "details": [
          {
            "name": "Smell Test",
            "details": [
              {
                "table_name": "sistem_persyarafan",
                "segment_name": "Smell Test",
                "id_code": "smell_test_1",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Normal",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "sistem_persyarafan",
                "segment_name": "Smell Test",
                "id_code": "smell_test_2",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Anosmia",
                "chx": false,
                "value": ""
              },
              {
                "table_name": "sistem_persyarafan",
                "segment_name": "Smell Test",
                "id_code": "smell_test_3",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Parosmia",
                "chx": false,
                "value": ""
              }
            ]
          }
        ]
      },
      {
        "title": "LOW BACK PAIN SCREENING TEST",
        "subtitle": "",
        "label_flag_normal": "",
        "flag_normal": "Y",
        "show_all": "Y",
        "type_form": "XVS",
        "is_inspected": "N",
        "details": [
          {
            "name": "Laseque Test",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Laseque Test",
                "id_code": "low_back_pain_screening_test_1",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Laseque Test",
                "id_code": "low_back_pain_screening_test_2",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Bragard Test",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Bragard Test",
                "id_code": "low_back_pain_screening_test_3",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Bragard Test",
                "id_code": "low_back_pain_screening_test_4",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Patrict Test",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Patrict Test",
                "id_code": "low_back_pain_screening_test_5",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Patrict Test",
                "id_code": "low_back_pain_screening_test_6",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Kontra Patrict",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Kontra Patrict",
                "id_code": "low_back_pain_screening_test_7",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Kontra Patrict",
                "id_code": "low_back_pain_screening_test_8",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Range of Motion (Punggung - Pinggang)",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Range of Motion (Punggung - Pinggang)",
                "id_code": "low_back_pain_screening_test_9",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Range of Motion (Punggung - Pinggang)",
                "id_code": "low_back_pain_screening_test_10",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Straight leg raised Test",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Straight leg raised Test",
                "id_code": "low_back_pain_screening_test_11",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Straight leg raised Test",
                "id_code": "low_back_pain_screening_test_12",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Neer Sign",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Neer Sign",
                "id_code": "low_back_pain_screening_test_13",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Neer Sign",
                "id_code": "low_back_pain_screening_test_14",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          },
          {
            "name": "Speed Test",
            "details": [
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Speed Test",
                "id_code": "low_back_pain_screening_test_15",
                "lang_id": "1",
                "is_normal": "Y",
                "label": "Negatif",
                "chx": true,
                "value": ""
              },
              {
                "table_name": "low_back_pain_screening_test",
                "segment_name": "Speed Test",
                "id_code": "low_back_pain_screening_test_16",
                "lang_id": "1",
                "is_normal": "N",
                "label": "Positif",
                "chx": false,
                "value": ""
              }
            ]
          }
        ]
      },
    {
        "name": "Keseimbangan & Koordinasi",
        "details": [
          {
            "table_name": "sistem_persyarafan",
            "segment_name": "Keseimbangan & Koordinasi",
            "id_code": "sistem_persyarafan_6",
            "lang_id": "1",
            "label": "Normal",
            "is_normal": "Y",
            "chx": true,
            "value": ""
          },
          {
            "table_name": "sistem_persyarafan",
            "segment_name": "Keseimbangan & Koordinasi",
            "id_code": "sistem_persyarafan_7",
            "lang_id": "1",
            "label": "Tidak Normal",
            "is_normal": "N",
            "chx": false,
            "value": ""
          }
        ]
      }
]