111771-2
Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS]
Active
Term Description
The Behavioral Risk Factor Surveillance System (BRFSS) adverse childhood experiences (ACE) module was adapted from the original CDC-Kaiser ACE study and is used to collect information on child abuse and neglect and household challenges.
Reference Information
| Type | Source | Reference |
|---|---|---|
| Citation | Centers for Disease Control and Prevention | Centers for Disease Control and Prevention. (2023). 2023 Behavioral Risk Factor Surveillance System Questionnaire [PDF]. Link |
Panel Hierarchy
Details for each LOINC in Panel LHC-Forms
| LOINC | Name | R/O/C | Cardinality | Example UCUM Units |
|---|---|---|---|---|
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] | |||
| Indent82141-3 | Now, looking back before you were 18 years of age---. 1) Did you live with anyone who was depressed, mentally ill, or suicidal? | R | 1..1 | |
| Indent82142-1 | Did you live with anyone who was a problem drinker or alcoholic? | R | 1..1 | |
| Indent82143-9 | Did you live with anyone who used illegal street drugs or who abused prescription medications? | R | 1..1 | |
| Indent82144-7 | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility? | R | 1..1 | |
| Indent82145-4 | Were your parents separated or divorced? | R | 1..1 | |
| Indent82146-2 | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up? Was it… | R | 1..1 | |
| Indent82147-0 | Not including spanking, (before age 18), how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Was it- | R | 1..1 | |
| Indent82148-8 | How often did a parent or adult in your home ever swear at you, insult you, or put you down? Was it… | R | 1..1 | |
| Indent82149-6 | How often did anyone at least 5 years older than you or an adult, ever touch you sexually? Was it… | R | 1..1 | |
| Indent82150-4 | How often did anyone at least 5 years older than you or an adult, try to make you touch them sexually? Was it… | R | 1..1 | |
| Indent82151-2 | How often did anyone at least 5 years older than you or an adult, force you to have sex? Was it… | R | 1..1 | |
| Indent111772-0 | For how much of your childhood was there an adult in your household who made you feel safe and protected? Would you say never, a little of the time, some of the time, most of the time, or all of the time? | R | 1..1 | |
| Indent111773-8 | For how much of your childhood was there an adult in your household who tried hard to make sure your basic needs were met? Would you say never, a little of the time, some of the time, most of the time, or all of the time? | R | 1..1 | |
| Indent82153-8 | Total score [ACE.BRFSS] | R | {score} |
LOINC Names Get Info
- Fully-Specified Name
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021:
-: Pt: ^Patient: -: ACE.BRFSS - Long Common Name
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS]
Part Model Get Info
- Component
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021
LP449381-5
- Analyte
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021
LP449381-5
- Component Numerator
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021
LP449381-5
- Component Numerator Core
- Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021
LP449381-5
- Component Numerator Core Suffix
- NULL
- Component Denominator
- NULL
- Component Denominator Core
- NULL
- Component Denominator Core Suffix
- NULL
- Challenge
- NULL
- Adjustment
- NULL
- Count
- NULL
- Property
- -
LP6769-6
- Time
- Pt
LP6960-1
- Time Core
- Pt
LP6960-1
- Time Modifier
- NULL
- System
- ^Patient
LP310005-6
- System Core
- NULL
- Super System
- Patient
LP6985-8
- Scale
- -
LP7747-1
- Method
- ACE.BRFSS
LP212410-7
Basic Attributes
- Class
- PANEL.SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.82
- Last Updated
- Version 2.82 (ADD)
- Order vs. Observation
- Both
- Panel Type
- Panel
LOINC Terminology Service (API) using HL7® FHIR® Get Info
Requests to this service require a free LOINC username and password. Below is a sample of the possible capabilities. See the LOINC Terminology Service documentation for more information.
- CodeSystem lookup
- https:
//fhir.loinc.org/CodeSystem/$lookup?system=http: //loinc.org&code=111771-2 - Questionnaire definition
- https:
//fhir.loinc.org/Questionnaire/?url=http: //loinc.org/q/111771-2
LOINC Copyright
Copyright © Regenstrief Institute, Inc. All Rights Reserved. To the extent included herein, the LOINC table and LOINC codes are copyright © Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. See https://