ruby:
  drug_select_partials = Hash.new("default").tap do |h|
    h["Renalware::PD::PeritonitisEpisode"] = "peritonitis_episode"
    h["Renalware::PD::ExitSiteInfection"] = "exit_site_infection"
  end

.document
  = simple_form_for prescription,
                    url: url,
                    html: { class: "prescription-form", autocomplete: "off" },
                    remote: true,
                    wrapper: :horizontal_form do |f|

    = render "renalware/shared/errors", model: f.object

    .med-form.content id=("edit-meds-#{f.object.id}" )
      = render "renalware/medications/prescriptions/drug_select/#{drug_select_partials[f.object.treatable_type]}_fields", f: f

      = hidden_field_tag :treatable_type, treatable.class.name
      = f.input :dose_amount, wrapper: :horizontal_small
      = f.input :dose_unit, wrapper: :horizontal_small
      = f.association :medication_route,
                      collection: medication_routes,
                      label_method: :code,
                      prompt: :translate,
                      wrapper: :horizontal_medium
      = f.input :route_description , wrapper: :horizontal_medium
      = f.input :frequency, wrapper: :horizontal_small
      = f.input :administer_on_hd, wrapper: :horizontal_small
      = f.input :notes, wrapper: :horizontal_medium
      = f.input :prescribed_on, as: :date_picker, wrapper: :horizontal_datepicker

      - if f.object.new_record?
        = f.simple_fields_for(:termination) do |tf|
          = tf.input :terminated_on,
                     as: :date_picker,
                     required: false,
                     wrapper: :horizontal_datepicker

      = f.input :provider,
                collection: provider_codes,
                as: :inline_radio_buttons,
                label_method: :to_label,
                wrapper: :horizontal_medium

      = f.input :last_delivery_date,
                as: :date_picker,
                wrapper: :horizontal_datepicker

    .row.actions
      .small-9.columns
        = f.button :submit, "Save"
        span= " or "
        = link_to "cancel", patient_prescriptions_path(patient, treatable), remote: true