Sha256: 0761ae02371849fba4c737f3075d1fc7d661096b39ce9ff09bba578afbce58f7
Contents?: true
Size: 1.07 KB
Versions: 5
Compression:
Stored size: 1.07 KB
Contents
.modal
.modal__header
h2= "#{controller.action_name.capitalize} Request Admission (TCI)"
= render "renalware/shared/modal_close_link"
.modal__body
= render "renalware/shared/errors", model: request
= simple_form_for(request,
remote: true,
wrapper: :horizontal_form) do |f|
.row.admissions-request-patient
.small-12.medium-4.large-3.columns
label.right.inline Patient
.small-12.medium-8.large-9.columns
strong= request.patient.to_s(:long)
= f.input :patient_id, as: :hidden
= f.input :reason_id, collection: reasons, wrapper: :horizontal_medium
= f.input :priority, wrapper: :horizontal_small
= f.input :hospital_unit_id, collection: hospital_units, wrapper: :horizontal_medium
= f.input :notes, as: :text, wrapper: :horizontal_large, input_html: { rows: 5 }
= f.submit class: :button
span= " or "
=link_to "Cancel",
"#",
"aria-label" => "Close",
class: "reveal-modal-close"
.modal__footer
Version data entries
5 entries across 5 versions & 1 rubygems