82152-0
Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS]
Active
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Did you live with anyone who was depressed, mentally ill, or suicidal
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example 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 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Did you live with anyone who was a problem drinker or alcoholic
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example 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 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Did you live with anyone who used illegal street drugs or who abused prescription medications
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example 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 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example 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 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Member of these Groups Get Info
| LOINC Group | Group Name |
|---|---|
| LG51306-5 | SDOH |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Nom
- Method
Long Common Name
Were your parents separated or divorced
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example 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 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Third Party Copyright
This material includes SNOMED Clinical Terms® (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO) under license. All rights reserved. SNOMED CT® was originally created by The College of American Pathologists. "SNOMED" and "SNOMED CT" are registered trademarks of the IHTSDO.
This material includes content from the US Edition to SNOMED CT, which is developed and maintained by the U.S. National Library of Medicine and is available to authorized UMLS Metathesaurus Licensees from the UTS Downloads site at https://uts.nlm.nih.gov.
Use of SNOMED CT content is subject to the terms and conditions set forth in the SNOMED CT Affiliate License Agreement. It is the responsibility of those implementing this product to ensure they are appropriately licensed and for more information on the license, including how to register as an Affiliate Licensee, please refer to https://www.snomed.org/get-snomed or [email protected]<mailto:[email protected]>. This may incur a fee in SNOMED International non-Member countries.
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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did a parent or adult in your home ever swear at you, insult you, or put you down
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did anyone at least 5 years older than you or an adult, ever touch you sexually
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did anyone at least 5 years older than you or an adult, try to make you touch sexually
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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
- Property
- Find
- Time
- Pt
- System
- ^Patient
- Scale
- Ord
- Method
Long Common Name
How often did anyone at least 5 years older than you or an adult, force you to have sex
Basic Attributes
- Class
- SURVEY.MTLHLTH
- Type
- Surveys
- First Released
- Version 2.56
- Last Updated
- Version 2.82 (NAM)
- Change Reason
- Release 2.82: COMPONENT: Removed CHALLENGE ^pre 18Yo as age is now denoted in the Form Context; Previous Releases: Changed TIME to Pt and added CHALLENGE ^pre 18Yo to better represent questions about before patient turned 18
- Order vs. Observation
- Observation
Example Answer List LL4030-4
| Answer | Code | Score | Answer ID |
|---|---|---|---|
| Never | 1 | 0 | LA6270-8 |
| Once | 2 | 1 | LA14312-5 |
| More than once | 3 | 1 | LA14313-3 |
| Don't know/not sure | 7 | 0 | LA14619-3 |
| Refused | 9 | 0 | LA4389-8 |
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [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 (MAJ)
- Change Reason
- Changed TIME to Pt to match panel children
- Order vs. Observation
- Observation
Member of these Panels
| LOINC | Long Common Name |
|---|---|
| 82152-0 | Behavioral Risk Factor Surveillance System Adverse Childhood Experience Module 2009-2020 [ACE.BRFSS] |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021 [ACE.BRFSS] |
Example Units
| Unit | Source |
|---|---|
| {score} | Example UCUM Units |