{
  "name": "Tasnim Khan",
  "age": 7,
  "grade": "Class 1",
  "diagnosis": "Autism Spectrum Disorder (DSM-5, Level 2 — requiring substantial support)",
  "gmfcs": "Not assessed",
  "macs": "Level I",
  "cfcs": "Level IV",
  "iq_score": 68,
  "vineland": 62,
  "gmfm": 0,
  "speech_intelligibility": 30,
  "hearing": "Normal",
  "behavioral_notes": "Limited verbal output (single words). Hand-flapping when excited. Distress during transitions and loud noises. Strong attachment to routine. Avoids eye contact but seeks proximity to familiar adults.",
  "strengths": "Excellent puzzle and pattern skills, strong rote memory, calm when given visual schedules, responds well to music",
  "concerns": "Parents want functional communication. Teacher concerned about meltdowns during transitions and limited peer interaction.",
  "current_supports": "Picture exchange cards at home (inconsistent use), seated near teacher"
}