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Need HTML Form for Recording EMS Events #5

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hopeseekr opened this issue Aug 22, 2020 · 0 comments
Open

Need HTML Form for Recording EMS Events #5

hopeseekr opened this issue Aug 22, 2020 · 0 comments

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@hopeseekr
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You should, for now, hard code all of the CORONAVIRUS EVENTS.

The form should contain, in order, the following:

  1. hidden input type with the name/id "ems_id".
  2. Date. Of type "date" in HTML5.
  3. Time, regular text box just big enough to fit "00:00", using type "time".
  4. EVENT. A dropbox containing:
    1. Cardiac Arrest
    2. Heart Problem / Chest Pain
    3. Unconscious Person
    4. Syncope
    5. Choking
    6. Breathing Problem
    7. Intense Headache
    8. Sick Person
    9. Stroke
  5. Street 1
  6. Street 2: Same line as Street 1
  7. Notes: small <textarea>
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