| 94085-8 | Pain cat | |
| 38209-3 | Pain exacerbating factors Reported | |
| 38209-3 | Pain exacerbating factors Reported | |
| 38209-3 | Pain exacerbating factors Reported | |
| 38209-3 | Pain exacerbating factors Reported | |
| 80316-3 | Pain scale type | |
| 94084-1 | Nonverb pain ind | |
| 32419-4 | Pain quality | optional |
| 39111-0 | Bdy site | |
| 20228-3 | Anatomic part Laterality | |
| 56826-1 | Problem frequency | |
| 38208-5 | Pain severity Reported | optional |
| 38221-8 | Pain severity Wong-Baker FACES Scale | optional |
| 38214-3 | Pain severity Scre VAS | |
| 80340-3 | Nonpharm pain intervention | |
| 38213-5 | FLACC Pain Assessment Pnl | |
| 80317-1 | Pain assessment Imp | |