| 82141-3 | Did you live with anyone who was depressed, mentally ill, or suicidal:Find:Pt:^Patient:Ord: | required |
| 82142-1 | Did you live with anyone who was a problem drinker or alcoholic:Find:Pt:^Patient:Ord: | required |
| 82143-9 | Did you live with anyone who used illegal street drugs or who abused prescription medications:Find:Pt:^Patient:Ord: | required |
| 82144-7 | Did you live with anyone who served time or was sentenced to serve time in a prison, jail, or other correctional facility:Find:Pt:^Patient:Ord: | required |
| 82145-4 | Were your parents separated or divorced:Find:Pt:^Patient:Nom: | required |
| 82146-2 | How often did your parents or adults in your home ever slap, hit, kick, punch or beat each other up:Find:Pt:^Patient:Ord: | required |
| 82147-0 | How often did a parent or adult in your home ever hit, beat, kick, or physically hurt you in any way:Find:Pt:^Patient:Ord: | required |
| 82148-8 | How often did a parent or adult in your home ever swear at you, insult you, or put you down:Find:Pt:^Patient:Ord: | required |
| 82149-6 | How often did anyone at least 5Y older than you or an adult, ever touch you sexually:Find:Pt:^Patient:Ord: | required |
| 82150-4 | How often did anyone at least 5Y older than you or an adult, try to make you touch sexually:Find:Pt:^Patient:Ord: | required |
| 82151-2 | How often did anyone at least 5Y older than you or an adult, force you to have sex:Find:Pt:^Patient:Ord: | required |
| 111772-0 | For how much of your childhood was there an adult in your household who made you feel safe and protected:Find:Pt:^Patient:Ord: | required |
| 111773-8 | For how much of your childhood was there an adult in your household who tried hard to make sure your basic needs were met:Find:Pt:^Patient:Ord: | required |
| 82153-8 | Total score:Score:Pt:^Patient:Qn:ACE.BRFSS | required |
| 111771-2 | Behavioral Risk Factor Surveillance System Adverse Childhood Experiences Module 2021:-:Pt:^Patient:-:ACE.BRFSS | |