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"label_ref": "p7.3.3" }, "reading_order": 0 } ], "reading_order": 2 }, { "id": "p7.3.4", "order": 10, "type": "list_item", "bbox": { "l": 35.52, "t": 600.48, "r": 575.28, "b": 586.56 }, "text": "Drug Allergies: ___", "children": [ { "id": "p7.3.4.1", "order": 11, "type": "form_field", "bbox": { "l": 37.44, "t": 598.86, "r": 574.2868, "b": 587.86 }, "text": "", "attrs": { "field_kind": "text", "label": "Drug Allergies: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p7.3.4" }, "reading_order": 0 } ], "reading_order": 3 }, { "id": "p7.3.5", "order": 12, "type": "list_item", "bbox": { "l": 36, "t": 572.88, "r": 571.92, "b": 560.4 }, "text": "Medications: ___", "children": [ { "id": "p7.3.5.1", "order": 13, "type": "form_field", "bbox": { "l": 37.44, "t": 572.16, "r": 574.2901, "b": 561.16 }, "text": "", "attrs": { "field_kind": "text", "label": "Medications: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p7.3.5" }, "reading_order": 0 } ], "reading_order": 4 }, { "id": "p7.3.6", "order": 14, "type": "list_item", "bbox": { "l": 34.8, "t": 546.72, "r": 575.76, "b": 533.76 }, "text": "Significant Historical Information: ___", "children": [ { "id": "p7.3.6.1", "order": 15, "type": "form_field", "bbox": { "l": 37.44, "t": 545.46, "r": 574.2937, "b": 534.46 }, "text": "", "attrs": { "field_kind": "text", "label": "Significant Historical Information: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p7.3.6" }, "reading_order": 0 } ], "reading_order": 5 } ], "reading_order": 2 }, { "id": "p7.4", "order": 16, "type": "heading", "bbox": { "l": 35.28, "t": 504.24, "r": 126, "b": 492.96 }, "text": "IMMUNIZATIONS:", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 3 }, { "id": "p7.5", "order": 17, "type": "text", "bbox": { "l": 34.8, "t": 488.16, "r": 402.24, "b": 475.92 }, "text": "We recommend a certificate from a doctor's office/clinic as proof of immunization.", 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(rubelola): Recommended documentation of two MMR vaccines. Either a certificate of immunization dated 1969 or later or proof of positive titer suggested. Copy of lab report may be submitted. History of illness is not sufficient.", "marker": "4.", "reading_order": 3 }, { "id": "p7.6.5", "order": 23, "type": "list_item", "bbox": { "l": 47.76, "t": 330.96, "r": 577.68, "b": 287.04 }, "text": "Tuberculin Skin Test: Recommended within six months prior to start of class. The documentation should state the test results were negative or positive. CHEST XRAY IS STRONGLY RECOMMENDED EVERY YEAR IF TUBERCULIN SKIN TEST WAS REPORTED POSITIVE.", "marker": "5.", "reading_order": 4 }, { "id": "p7.6.6", "order": 24, "type": "list_item", "bbox": { "l": 48.48, "t": 274.32, "r": 577.2, "b": 245.28 }, "text": "Menactra / Meningitis: Vaccine is recommended for all incoming new students up to age 26. Vaccine is also recommended for older or transferring students living on campus.", "marker": "6.", "reading_order": 5 }, { "id": "p7.6.7", "order": 25, "type": "list_item", "bbox": { "l": 48.48, "t": 233.28, "r": 576.72, "b": 220.08 }, "text": "Varicella (chickenpox): Recommended to have two vaccines or history of the chickenpox disease prior to starting KSU.", "marker": "7.", "reading_order": 6 } ], "reading_order": 5 }, { "id": "p7.7", "order": 26, "type": "heading", "bbox": { "l": 34.8, "t": 185.76, "r": 248.64, "b": 173.52 }, "text": "HEALTH HISTORY AND PHYSICAL ASSESSMENT", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 6 }, { "id": "p7.8", "order": 27, "type": "text", "bbox": { "l": 34.56, "t": 169.2, "r": 578.16, "b": 124.32 }, "text": "Students who submit the health history form or copy of past immunizations will be notified of the immunizations that need to be updated prior to the start of class. Students should submit the health history form completed by a doctor's office or clinic within the past six months.", "reading_order": 7 }, { "id": "p7.9", "order": 28, "type": "footer", "bbox": { "l": 500.64, "t": 32.4, "r": 567.36, "b": 19.68 }, "text": "Rev 2/22/16", "attrs": { "block_label": "number" }, "reading_order": 8 } ] }, { "document_id": 16833, "page": 8, "width": 612, "height": 792, "rotation": 0, "pipeline_version": "paddleocr-vl-1.6+paul-48", "width_pt": 612, "height_pt": 792, "engine": "paddleocr_vl", "source_run_id": 16944, "item_count": 81, "counts_by_type": { "figure": 1, "footer": 1, "form_field": 39, "heading": 6, "list": 3, "list_item": 8, "text": 22, "title": 1 }, "build_ms": 5, "items": [ { "id": "p8.1", "order": 1, "type": "figure", "bbox": { "l": 36.96, "t": 760.56, "r": 92.88, "b": 705.12 }, "text": "", "attrs": { "role": "page_header", "block_label": "header_image" }, "reading_order": 0 }, { "id": "p8.2", "order": 2, "type": "title", "bbox": { "l": 109.44, 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632.88 }, "text": "ID Number: _____ Date of Birth: _____", "children": [ { "id": "p8.5.1", "order": 7, "type": "form_field", "bbox": { "l": 36, "t": 643.69, "r": 578.848, "b": 633.69 }, "text": "", "attrs": { "field_kind": "text", "label": "ID Number: _____ Date of Birth: _____", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.5" }, "reading_order": 0 } ], "reading_order": 4 }, { "id": "p8.6", "order": 8, "type": "heading", "bbox": { "l": 34.56, "t": 612.24, "r": 119.04, "b": 600.96 }, "text": "MEDICAL HISTORY", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 5 }, { "id": "p8.7", "order": 9, "type": "list", "bbox": { "l": 33.6, "t": 595.92, "r": 580.56, "b": 550.32 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p8.7.1", "order": 10, "type": "list_item", "bbox": { "l": 33.6, "t": 595.92, "r": 580.08, "b": 583.92 }, "text": "Seizures: ___", "children": [ { "id": "p8.7.1.1", "order": 11, "type": "form_field", "bbox": 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551.19 }, "text": "", "attrs": { "field_kind": "text", "label": "Allergies: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.7.3" }, "reading_order": 0 } ], "reading_order": 2 } ], "reading_order": 6 }, { "id": "p8.8", "order": 16, "type": "heading", "bbox": { "l": 33.6, "t": 546.24, "r": 580.56, "b": 533.76 }, "text": "Drug Allergies:", "children": [ { "id": "p8.8.1", "order": 17, "type": "form_field", "bbox": { "l": 36, "t": 544.69, "r": 578.822, "b": 534.69 }, "text": "", "attrs": { "field_kind": "text", "label": "Drug Allergies:", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.8" }, "reading_order": 0 } ], "level": 3, "reading_order": 7 }, { "id": "p8.9", "order": 18, "type": "list", "bbox": { "l": 33.84, "t": 529.44, "r": 581.76, "b": 484.32 }, "text": "", "attrs": { "item_count": 3 }, "children": [ { "id": "p8.9.1", "order": 19, "type": "list_item", "bbox": { "l": 33.84, "t": 529.44, "r": 580.8, "b": 517.2 }, "text": "Medications: ___", "attrs": { "bbox_estimated": true }, "children": [ { "id": "p8.9.1.1", "order": 20, "type": "form_field", "bbox": { "l": 36, "t": 528.19, "r": 578.8257, "b": 518.19 }, "text": "", "attrs": { "field_kind": "text", "label": "Medications: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.9.1" }, "reading_order": 0 } ], "reading_order": 0 }, { "id": "p8.9.2", "order": 21, "type": "list_item", "bbox": { "l": 36, "t": 513.71, "r": 578.8283, "b": 502.25 }, "text": "Significant Historical Information: ___", "children": [ { "id": "p8.9.2.1", "order": 22, "type": "form_field", "bbox": { "l": 36, "t": 511.69, "r": 578.829, "b": 501.69 }, "text": "", "attrs": { "field_kind": "text", "label": "Significant Historical Information: ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.9.2" }, "reading_order": 0 } ], "reading_order": 1 }, { "id": "p8.9.3", "order": 23, "type": "list_item", "bbox": { "l": 34.32, "t": 496.32, "r": 581.76, "b": 484.32 }, "text": "___", "attrs": { "bbox_estimated": true }, "children": [ { "id": "p8.9.3.1", "order": 24, "type": "form_field", "bbox": { "l": 36, "t": 495.19, "r": 578.8207, "b": 485.19 }, "text": "", "attrs": { "field_kind": "text", "source": "blank_line" }, "reading_order": 0 } ], "reading_order": 2 } ], "reading_order": 8 }, { "id": "p8.10", "order": 25, "type": "heading", "bbox": { "l": 34.8, "t": 469.68, "r": 112.32, "b": 458.88 }, "text": "PHYSICAL EXAM:", "attrs": { "block_label": "paragraph_title" }, "level": 3, "reading_order": 9 }, { "id": "p8.11", "order": 26, "type": "list", "bbox": { "l": 49.68, "t": 453.12, "r": 554.8, "b": 431.8 }, "text": "", "attrs": { "item_count": 2 }, "children": [ { "id": "p8.11.1", "order": 27, "type": "list_item", "bbox": { "l": 49.68, "t": 453.12, "r": 122.64, "b": 441.84 }, "text": "N Abn", "attrs": { "bbox_estimated": true }, "reading_order": 0 }, { "id": "p8.11.2", "order": 28, "type": "list_item", "bbox": { "l": 288, "t": 443.26, "r": 554.8, "b": 431.8 }, "text": "Hgt:_____ Wgt:_____ BP:_____/_____", "children": [ { "id": "p8.11.2.1", "order": 29, "type": "form_field", "bbox": { "l": 288, "t": 441.24, "r": 554.8008, "b": 431.24 }, "text": "", "attrs": { "field_kind": "text", "label": "Hgt:_____ Wgt:_____ BP:_____/_____", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.11.2" }, "reading_order": 0 } ], "reading_order": 1 } ], "reading_order": 10 }, { "id": "p8.12", "order": 30, "type": "text", "bbox": { "l": 34.56, "t": 438, "r": 234.72, "b": 425.76 }, "text": "___ ___ General Appearance", "children": [ { "id": "p8.12.1", "order": 31, "type": "form_field", "bbox": { "l": 36, "t": 436.98, "r": 70.8605, "b": 426.98 }, "text": "", "attrs": { "field_kind": "text", "source": "blank_line", "label": "___ ___ General Appearance", "label_source": "parent_text", "label_ref": "p8.12", "text_offset": 0, "text_span": 3 }, "reading_order": 0 }, { "id": "p8.12.2", "order": 32, "type": "form_field", "bbox": { "l": 92, "t": 436.98, "r": 130.6305, "b": 426.98 }, "text": "", "attrs": { "field_kind": "text", "label": "___ ___ General Appearance", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.12" }, "reading_order": 1 } ], "reading_order": 11 }, { "id": "p8.13", "order": 33, "type": "text", "bbox": { "l": 35.76, "t": 423.6, "r": 557.52, "b": 412.08 }, "text": "___ ___ HEENT Hearing: R ___ L ___", "children": [ { "id": "p8.13.1", "order": 34, "type": "form_field", "bbox": { "l": 36, "t": 421.98, "r": 70.8605, "b": 411.98 }, "text": "", "attrs": { "field_kind": "text", "source": "blank_line", "label": "___ ___ HEENT Hearing: R ___ L ___", "label_source": "parent_text", "label_ref": "p8.13" }, "reading_order": 0 }, { "id": "p8.13.2", "order": 35, "type": "form_field", "bbox": { "l": 92, "t": 421.98, "r": 130.6305, "b": 411.98 }, "text": "", "attrs": { "field_kind": "text", "label": "___ ___ HEENT Hearing: R ___ L ___", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.13" }, "reading_order": 1 }, { "id": "p8.13.3", "order": 36, "type": "form_field", "bbox": { "l": 288, "t": 424.74, "r": 452.3908, "b": 414.74 }, "text": "", "attrs": { "field_kind": "text", "label": "Hearing: R L", "source": "blank_line", "label_source": "parent_text", "label_ref": "p8.13", "text_offset": 13, "text_span": 0 }, "reading_order": 2 } ], "reading_order": 12 }, { "id": "p8.14", "order": 37, "type": "text", "bbox": { "l": 36.96, "t": 408.96, "r": 534.72, "b": 395.76 }, "text": "___ ___ Skin Vision: R ___/___ L ___/___", "children": [ { "id": "p8.14.1", "order": 38, "type": "form_field", "bbox": { "l": 36, "t": 406.98, "r": 70.8605, "b": 396.98 }, "text": "", "attrs": { "field_kind": "text", "source": "blank_line", "label": "___ ___ Skin Vision: R ___/___ L ___/___", "label_source": "parent_text", "label_ref": "p8.14" }, "reading_order": 0 }, { "id": "p8.14.2", "order": 39, "type": "form_field", "bbox": { "l": 92, "t": 406.98, 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