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HealthcareOrganizationForm for the Perform web

Name: Type: Size: Values: Tooltip message: Attributes:
TopicType label 1   Classify a topic by function  
Name text 50   Name of organization M
City text 50     M
State text 2     M
Country select 1 USA, Canada   M
Type of Organization select 1 Hospital, Long Term Care/Nursing Home, Home Care, Mental Health/Substance Abuse Serivces, Ambulatory Care, Other Type of HealthcareOrganization. M
Setting select 1 Urban, Rural Urban indicates the organization is located within a metropolitan statistical area (MSA). Rural indicates that the organization is NOT in an MSA. M
Bed Size select 1 Less then 50, 51-100, 101-200, 201-300, 301-400, 401-500, More than 500 Approx. number of beds in HCO. M
Teaching Status select 1 Non-teaching, Teaching Identify whether HCO is a teaching institution. M

Related Topic: TopicClassification, WebPreferences, TWikiForms

For more information about how you can use form to organize topics or create simple database applications, see TWikiForms.

r6 - 11 Jul 2007 - 10:29:28 - LynnwoodBrown
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