• Patient Alcohol Consumption Past Year Difficulty Controlling Cessation Frequency
• Birth Date
• PROMIS Pediatric Short Form 8a Pain Interference v1.0 1698bR1 Past 7 Days Felt Angry When in Pain Score 5 Point Scale
• Patient Past Year Alcohol Consumption Frequency
• Other Asian Race Category Specify
• Assessment Performed Date
• Health Assessment Status
• Patient Alcohol Consumption Past Year Guilt Frequency
• PROMIS Pediatric Short Form 8a Pain Interference v1.0 2035R1 Past 7 Days Trouble Doing Schoolwork When in Pain Score 5 Point Scale
• Patient Alcohol Consumption Alcohol Use Disorders Identification Test Total Score
• Current Employment Description Specify
• PROMIS Pediatric Short Form 8a Pain Interference v1.0 3793R1 Past 7 Days Trouble Sleeping When in Pain Score 5 Point Scale
• Timeline Followback Method Illicit Substance Cannabinoids Marijuana Assessment Yes No Indicator
• Substance Abuse Prescription Illicit Substance Over the Counter Product Screening Test Score
• Person Height Value
• Person Weight Value