The occupational therapist (OT) performs an evaluation requiring clinical decision–making of high analytic complexity, which includes analysis of occupational profile, problem–focused assessment data, and consideration of multiple treatment options, on a patient who presents with health issues that affect occupational performance. The evaluation includes an occupational profile, extensive review of medical and therapy history including therapy relating to a current problem, and evaluation of five or more physical, cognitive, or psychosocial performance factors that limit activity or restrict participation. Evaluation components can be completed with significant modification of tasks or assistance, such as physical or verbal, resulting in several treatment options, and typically in 60 minutes of face–to–face time with the patient or family or both.
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