Version 2.77

82141-3 Did you live with anyone who was depressed, mentally ill, or suicidal?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you live with anyone who was depressed, mentally ill, or suicidal^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Did you live with anyone who was depressed, mentally ill, or suicidal?
Source
ACE_BRFSS.Q1

Normative Answer List LL4027-0

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82142-1 Did you live with anyone who was a problem drinker or an alcoholic?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you live with anyone who was a problem drinker or alcoholic^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Did you live with anyone who was a problem drinker or an alcoholic?
Source
ACE_BRFSS.Q2

Normative Answer List LL4027-0

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82143-9 Did you live with anyone who used illegal street drugs or who abused prescription medications?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you live with anyone who used illegal street drugs or who abused prescription medications^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Did you live with anyone who used illegal street drugs or who abused prescription medications?
Source
ACE_BRFSS.Q3

Normative Answer List LL4027-0

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82144-7 Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility?
Source
ACE_BRFSS.Q4

Normative Answer List LL4027-0

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

Member of these Groups Get Info

LOINC Group Group Name
LG51306-5 SDOH

82145-4 Were your parents ever separated or divorced?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
Were your parents separated or divorced^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Nom
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Were your parents ever separated or divorced?
Source
ACE_BRFSS.Q5

Normative Answer List LL4029-6

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8
Parents not married LA26322-0
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82146-2 How often did you parents or adults in your home ever slap, hit, kick, punch or beat each other up?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
How often did you parents or adults in your home ever slap, hit, kick, punch or beat each other up?
Source
ACE_BRFSS.Q6

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82147-0 Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Do not include spanking. Would you say--

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
Before age 18, how often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way? Do not include spanking. Would you say--
Source
ACE_BRFSS.Q7

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82148-8 How often did a parent or adult in your home ever swear at you, insult you, or put you down?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did a parent or adult in your home ever swear at you, insult you, or put you down^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
How often did a parent or adult in your home ever swear at you, insult you, or put you down?
Source
ACE_BRFSS.Q8

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82149-6 How often did anyone at least 5 years older than you or an adult, ever touch you sexually?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did anyone at least 5Y older than you or an adult, ever touch you sexually^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
How often did anyone at least 5 years older than you or an adult, ever touch you sexually?
Source
ACE_BRFSS.Q9

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82150-4 How often did anyone at least 5 years older than you or an adult, try to make you touch sexually?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did anyone at least 5Y older than you or an adult, try to make you touch sexually^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
How often did anyone at least 5 years older than you or an adult, try to make you touch sexually?
Source
ACE_BRFSS.Q10

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82151-2 How often did anyone at least 5 years older than you or an adult, force you to have sex?

Observation Required in Panel

Required

Type of Entry

Question expects user entry - requires response [Q]

Fully-Specified Name

Component
How often did anyone at least 5Y older than you or an adult, force you to have sex^pre 18Yo
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.61
Change Reason
Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
Order vs. Observation
Observation

Survey Question

Text
How often did anyone at least 5 years older than you or an adult, force you to have sex?
Source
ACE_BRFSS.Q11

Normative Answer List LL4030-4

Answer Code Score Answer ID
Never LA6270-8
Once LA14312-5
More than once LA14313-3
Don't know/not sure LA14619-3
Refused Copyright http://snomed.info/sct ID:443390004 Refused (qualifier value) LA4389-8

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

82153-8 Total score [ACE.BRFSS]

Observation Required in Panel

Required

Fully-Specified Name

Component
Total score
Property
Score
Time
Pt
System
^Patient
Scale
Qn
Method
ACE.BRFSS

Basic Attributes

Class
SURVEY.MTLHLTH
Type
Surveys
First Released
Version 2.56
Last Updated
Version 2.58
Change Reason
Changed TIME to Pt to match panel children
Order vs. Observation
Observation

Member of these Panels

LOINC Long Common Name
82152-0 BRFSS ACE Module [ACE.BRFSS]

Example Units

Unit Source
{score} Example UCUM Units