activeincidentcount_random
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Where Statement and Cache Control Via Random Number, type: esriFieldTypeString
)
record_type
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please select the type of record being submitted, type: esriFieldTypeString
, Coded Values:
[TEST: Test Record]
, [ACTUAL: Actual Production Data]
)
testsitrep
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Is This a Test submission or internal facility exercise?, type: esriFieldTypeString
, Coded Values:
[internaldrill: Yes - Test submission or internal facility exercise.]
, [actual: No - This is an actual Event]
)
testsitrep_confirm
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Test Record Confirmation, type: esriFieldTypeString
, Coded Values:
[confirm: Proceed as Test. Report will not be handled as an actual incident.]
)
otherfac
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: If your facility is not listed select other facility below, type: esriFieldTypeString
, Coded Values:
[other: Other Facility]
)
incidentname
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Name of Incident or Systemwide Exercise, type: esriFieldTypeString
)
currentcondition
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Current Condition, type: esriFieldTypeString
, Coded Values:
[green: Green: Normal Operations or Situation Resolved]
, [yellow: Yellow: Under Control - NO Assistance Required]
, [orange: Orange: Modified Services - NON-LEMSA/MHOAC Assistance Required]
, ...3 more...
)
hazard
(
nullable: true, editable: true, defaultValue: null, length: 1000, alias: Please describe your current sitution., type: esriFieldTypeString
)
emergencycall
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Have you called any agency for emergency reporting, response or assistance?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
emergencytext
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please explain the nature of the call., type: esriFieldTypeString
)
census
(
nullable: true, editable: true, defaultValue: null, alias: What is your current patient/resident census? (For HHA and field agencies, how many of your clients were deffered?, type: esriFieldTypeInteger
)
staffcensus
(
nullable: true, editable: true, defaultValue: null, alias: How many staff are currently on-site?, type: esriFieldTypeInteger
)
hazardupdate
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Please provide an updated description of the current situation:, type: esriFieldTypeString
)
contactprimary_text
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Can you be reach via text message at this phone number?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)
contactprimary_text
(
nullable: true, editable: true, defaultValue: null, length: 255, alias: Can you be reach via text message at this phone number?, type: esriFieldTypeString
, Coded Values:
[yes: Yes]
, [no: No]
)