{% extends "layout.html" %}
{% from "bootstrap_wtf.html" import horizontal_field as ff %}
{% from "bootstrap_wtf.html" import form_errors as form_errors %}

{% block content %}

<form method="POST" action="" class="form form-horizontal">
    {{ form_errors(form, "only") }}
    <fieldset>
        {% if is_admin() %}
            <div class="row alert">
                {{ ff(form.owner_id) }}
            </div>
        {% endif %}
        {{ ff(form.project_id) }}
        {{ ff(form.po_number) }}
    </fieldset>
    <fieldset>
        <legend>Specimen Details</legend>
        {{ ff(form.sample_id) }}
        {{ ff(form.no_samples) }}
        {{ ff(form.tissue_type) }}
        {{ ff(form.fixative) }}
        {{ ff(form.strain) }}
        {{ ff(form.published) }}
        {{ ff(form.promoter) }}
        {{ ff(form.alleles) }}
        {{ ff(form.tumor_type) }}
        {{ ff(form.gene_expression, class="inline-block unstyled radio") }}
        {{ ff(form.gender, class="inline-block unstyled radio") }}
        {{ ff(form.age) }}
        {{ ff(form.additional_info) }}
    </fieldset>
    <fieldset>
        <legend>Histology Service Request</legend>
        {{ ff(form.necropsy) }}
        {{ ff(form.decalcification) }}
        {{ ff(form.process_slide) }}
        {{ ff(form.stain_type) }}
        {{ ff(form.ihc_antibody_histology) }}
        {{ ff(form.no_stained_slides) }}
        {{ ff(form.no_unstained_slides) }}
        {{ ff(form.no_sections_per_slide) }}
        {{ ff(form.thickness) }}
        {{ ff(form.special_instructions, rows=4) }}
        {{ ff(form.digitize) }}
    </fieldset>
    <fieldset>
        <legend>Pathology Service Request</legend>
        {{ ff(form.pathologist) }}
    </fieldset>
    <fieldset>
        <legend>Digitization Service Request</legend>
        {{ ff(form.digital_stain_type) }}
        {{ ff(form.ihc_antibody) }}
        {{ ff(form.whole_slide_imaging) }}
        {{ ff(form.no_slides_scanned) }}
        {{ ff(form.magnification) }}
        {{ ff(form.free_trial) }}
        {{ ff(form.delivery_method) }}
        {{ ff(form.image_analysis) }}
        {{ ff(form.other_software) }}
    </fieldset>
    <div class="form-actions">
        <button type="submit" class="btn btn-primary">Submit</button>
        <button id="cancel" class="btn">Cancel</button>
    </div>
    {{ form.hidden_tag() }}
</form>

{% endblock %}

{% block tail %}
{{ super() }}
<script language="javascript">
    $("#cancel").click(function() { document.location = '{{ next }}'; return false })
</script>
{% endblock %}