ruby:
  back_path = patient_transplants_donor_dashboard_path(patient)
.row.top
  .medium-6.columns
    = f.submit "Save", class: "button"
    span= " or "
    = link_to "cancel", back_path

.form-content
  = render layout: "renalware/shared/fieldset",
      locals: { legend: "Operation", name: "operation" } do
    = f.input :performed_on, as: :date_picker, wrapper: :horizontal_datepicker
    = f.input :kidney_side, wrapper: :horizontal_small
    = f.input :operating_surgeon, wrapper: :horizontal_small
    = f.input :anaesthetist, wrapper: :horizontal_small
    = f.input :nephrectomy_type, wrapper: :horizontal_medium
    = f.input :nephrectomy_type_other, wrapper: :horizontal_medium
    = f.input :donor_splenectomy_peri_or_post_operatively,
              as: :inline_radio_buttons,
              wrapper: :horizontal_medium
    = f.input :notes,
              as: :text,
              input_html: { rows: 5 },
              wrapper: :horizontal_large

  = f.simple_fields_for :document, f.object.document do |fd|
    = render layout: "renalware/shared/fieldset",
        locals: { legend: "Diagnosis", name: "diagnosis" } do
      = fd.simple_fields_for :diagnosis, fd.object.diagnosis do |fcm|
        table.no-stripes.diagnosis-table
          = render_input fcm, :wound_infection
          = render_input fcm, :deep_vein_thrombosis
          = render_input fcm, :donor_pneumothorax_peri_or_post_operative
          = render_input fcm, :pneumonia
          = render_input fcm, :pulmonary_thrombo_embolism
        = fcm.input :prescribed_medication_indicator,
                    as: :inline_radio_buttons
        = fcm.input :other_peri_or_post_operative_complications,
                    as: :inline_radio_buttons

    = render layout: "renalware/shared/fieldset",
        locals: { legend: "Outcome", name: "outcome" } do
      = fd.simple_fields_for :outcome, fd.object.outcome do |fcm|
        = fcm.input :subsequent_operation_indicator, as: :inline_radio_buttons
        = fcm.input :donor_returned_to_previous_general_activity_level, as: :inline_radio_buttons
        = fcm.input :nb_months_to_return_to_previous_general_activity_level,
            input_html: { class: "small-input" }

.row
  .large-12.columns
    = f.submit "Save", class: "button"

    span= " or "
    = link_to "cancel", back_path