| 54835-4 | Non-verbal sounds of pain in last 5 days (qualitative) |
| 54836-2 | Vocal complaints of pain in last 5 days (qualitative) |
| 54837-0 | Facial expressions of pain in last 5 days (qualitative) |
| 54838-8 | Protective body movements or postures in last 5 days (qualitative) |
| 54839-6 | None of these signs of pain observed or documented in last 5 days (qualitative) |
| 96883-4 | Stayed home all day (qualitative) |
| 96884-2 | Went to workplace or volunteer site outside home (qualitative) |
| 96885-9 | Thinking about your current social habits, in the last 5 days: I have attended social gatherings outside my home of more than 10 people (qualitative) |
| 96886-7 | Thinking about your current social habits, in the last 5 days: I have attended social gatherings outside my home of less than 10 people (qualitative) |
| 96887-5 | Thinking about your current social habits, in the last 5 days: I have gone on shopping trips or outings that were just for fun (qualitative) |
| 96888-3 | Thinking about your current social habits, in the last 5 days: I have visited nursing homes or long-term care facilities (outside of work duties) (qualitative) |
| 96889-1 | Close contact with someone who is in a risk group for COVID-19 (qualitative) |
| 96890-9 | Frequency of social interaction with people outside my home (qualitative) |