Sha256: 5de579f3c3c45b95110d2ce06b2c648554d002ace5879af867bc97de5a605fa9
Contents?: true
Size: 719 Bytes
Versions: 17
Compression:
Stored size: 719 Bytes
Contents
= within_patient_layout(title: "Edit Profile",
breadcrumbs: breadcrumb_for("Virology", patient_virology_dashboard_path(patient))) do
= simple_form_for(profile,
url: patient_virology_profile_path(patient, profile),
method: :patch,
html: { autocomplete: "off" },
wrapper: :horizontal_form) do |f|
= f.simple_fields_for :document, profile.document do |fd|
.hint If YES, enter year of diagnosis
= render_input fd, :hiv
= render_input fd, :hepatitis_b
= render_input fd, :hepatitis_c
= f.submit "Save", class: "button"
span= " or "
= link_to "cancel", patient_virology_dashboard_path(patient)
Version data entries
17 entries across 17 versions & 1 rubygems