Interactive HTML Report Development

I would like a HTML report to be created that has specific functions to allow a user to complete off line. It needs to look good as it will be printed and give as a product. It is for therapists to use and recrod functional information about their patients. I have already sarted and have basic prototypes using AI but the functions always full down. See attached.

Some basic prompts:
There should be a footer that includes Rivergum Allied Therapies – FCA, the name of the client and then page number.

All buttons should be icons

Any button, toggle or instruction should not appear when printed.

There should be a print to pdf button, clear and save as button. There should also be an autosave function in built.

Title – NDIS Functional Capacity Assessment

Main section 1 title – Participant Information

Subsection title – Client
Fields:
• Name
• NDIS number
• Date of birth
• Address
• Phone number
• Email address

Subsection title – Advocates
Fields:
• Contact person name
• Relationship
• Contact details
• Support Coordinator
• Plan manager

Subsection title – NDIS information
Fields:
• NDIS goals
• Primary disability
• Secondary disabilities
• Other medical concerns
• Curren plan dates

Main section 2 title – Assessment details

Subsection title – Reason for assessment
Fields:
• Free text field for comment

Subsection title – Assessment methodology
Fields (each with free text input):
• Direct observation
• Interviews conducted
• Document review

Main section 3 title – Context

Fields:
Participant background
Weekly routine
Physical environment
Informal supports
Formal supports

Main section 4 title – Assessment

Each subsection needs to have a box that when ticked populates a line to be completed in a recommendations section at the bottom of the report. Each recommendation line has to have fields to complete for Goal, Effective and beneficial, Related to disability, Related to goals, value for money, Funding (This will need to have lines that can be populated with headings that include Funding area, Funding type, hours/budget).

Each subsection below also needs to have a rating scale for level of independence using the FIM scale 1-7, COPM performance and COPM satisfaction. These scores need to be produced into graph format at the end of the report above the recommendations section.

Each subsection also needs to have a button that when clicked greys out the section so it does not appear when printed.

Each subsection needs to have a function where a supervisor comments box can be toggled to appear, the font be in red. This should not show up when printed.

Subsection title – Physical skills
• Free text field for comment

Subsection title – Psychosocial status
• Free text field for comment

Subsection title – Cognitive function
• Free text field for comment

Subsection title – Intellectual function
• Free text field for comment

Subsection title – Behaviour
• Free text field for comment

Subsection title – Sensory preferences
• Free text field for comment

Subsection title – Communication
• Free text field for comment

Subsection title – Walking and moving
• Free text field for comment

Subsection title – Indoor mobility
• Free text field for comment

Subsection title – Outdoor mobility
• Free text field for comment

Subsection title – Stairs/steps
• Free text field for comment

Subsection title – Transport
• Free text field for comment

Subsection title – Chair transfers and seating needs
• Free text field for comment

Subsection title – Bed transfers and mobility
• Free text field for comment

Subsection title – Toilet transfers and toileting
• Free text field for comment

Subsection title – Bathing transfers, bathing and grooming
• Free text field for comment

Subsection title – Dressing
• Free text field for comment

Subsection title – Nutrition, feeding and swallowing
• Free text field for comment

Subsection title – Sleeping and night needs
• Free text field for comment

Subsection title – Managing medical and basic needs
• Free text field for comment

Subsection title – Cooking and preparing food
• Free text field for comment

Subsection title – Shopping
• Free text field for comment

Subsection title – Cleaning and maintaining the home
• Free text field for comment

Subsection title – Paying bills and life administration
• Free text field for comment

Subsection title – Social relationships
• Free text field for comment

Subsection title – Vocational roles
• Free text field for comment

Subsection title – Hobbies and community integration
• Free text field for comment

After this there should be a button that allows for a blank subsection card to be created and populated freely. These free cards also need to have a delete button.

Main section – Funding summary (table of the FIM and COPM scores)

Main section – Recommendations (populated when the boxes are ticked int eh functional capacity assessment as outlines above)

Main section – Summary
Fields:
• Strengths
• Challenges

Main section – Sign off
This needs to have lines that can be added and removed that allows the therapist to add their name, AHPRA/SPA number, profession and date.

Following this there needs to be basic copy that includes the company details and how to contact if they have any questions about the repot.