The occupational therapist (OT) performs an evaluation requiring clinical decision–making of low complexity, which includes analysis of occupational profile, problem–focused assessment data, and consideration of a limited number of treatment options, on a patient who presents with no health issues that affect occupational performance. The evaluation includes occupational profile, medical and therapy history including therapy relating to the current problem, and evaluation of one to three physical, cognitive, or psychosocial performance factors that limit activity or restrict participation. Evaluation components can be completed without modification of tasks or assistance, such as physical or verbal, typically in 30 minutes of face–to–face time with the patient and/or family.
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