CTQ
The CTQ is a widely used tool to assess a history of childhood trauma. It consists of 28 items that evaluate experiences of physical, emotional, and sexual abuse, as well as physical and emotional neglect. Each item is rated on a 5-point Likert scale, from "never true" (1) to "very often true" (5), with higher scores indicating more frequent or severe trauma experiences. The total score is calculated by summing the item scores, and specific subscale scores are also derived for different types of trauma.
Since Pearson holds the copyright to the Childhood Trauma Questionnaire (CTQ), including the German translation, the questions and response options are not displayed here. Instead, a ValueSet is provided with the mapped codes.
This value set includes codes from the following code systems:
The following codes from system:
SNOMED_CTCode Display 770540000 Trauma Screening Questionnaire (assessment scale) 443173002 Childhood health assessment questionnaire (assessment scale) 439272007 Date of procedure (observable entity) 105726004 Age AND/OR growth finding (finding) 438950009 Environment observable (observable entity) 307294006 Personal history finding (finding) 2667000 Absent (qualifier value) 89292003 Rare (qualifier value) 27789000 Infrequent (qualifier value) 70232002 Frequent (qualifier value) 27732004 High frequency (qualifier value) 1078229009 Food security (finding) 161472001 History of psychological trauma (situation) 449892005 Feeling safe (finding) 225825002 Victim of verbal abuse (finding) 1254977008 Family history of substance dependency (situation) 1148841003 Adequate family support (finding) 248164005 Clothing dirty (finding) 23682002 Love (finding) 225017000 Feeling unwanted (finding) 237461000119103 Child victim of physical abuse (finding) 160825002 Poor family relationship (finding) 90352007 Sexual molestation (finding) 1141649007 Family functions effectively (finding) 8441000175102 Victim of forced sexual activity (finding) 281850001 Item score (qualifier value) 273884004 Trauma score (assessment scale) The following codes from system:
http://ncicb.nci.nih.gov/xml/owl/EVS/Thesaurus.owlCode Display C95401 Patient Reported Outcome The following codes from system:
http://hl7.org/fhir/sid/icfCode Display b1302 Appetit e3 Unterstützung und Beziehungen d760 Familienbeziehungen d540 Sich kleiden b640 Sexuelle Funktionen
As the CTQ measures distressing experiences that occurred during childhood, it is important that the downstream data production explicitly reflects this temporal context.
For this, an exemplary QuestionnaireResponse instance was created.
| QuestionnaireResponse |
| id : CTQQuestionnaireResponseExample |
| questionnaire : http://charite.de/fhir/psycho/Questionnaire/CTQ-de-DE |
| status : completed |
| subject |
| reference : Patient/PatientExample |
| authored : 2024-03-15 |
| item |
| linkId : CTQ-date |
| answer |
| value : 2024-03-15 |
| item |
| linkId : CTQ-growing-up |
| item |
| linkId : CTQ-q1 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q2 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q3 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q4 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q5 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q6 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q7 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q8 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q9 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q10 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q11 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q12 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q13 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q14 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q15 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q16 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q17 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q18 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q19 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q20 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q21 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q22 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q23 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q24 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q25 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q26 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q27 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-q28 |
| answer |
| value |
| system : http://snomed.info/sct |
| code : 27789000 |
| display : Infrequent (qualifier value) |
| item |
| linkId : CTQ-score |
| answer |
| value |
| value : 84 |
| system : http://unitsofmeasure.org |
| code : {score} |
| item |
| linkId : CTQ-score-selected1 |
| answer |
| value |
| value : 15 |
| system : http://unitsofmeasure.org |
| code : {score} |
| item |
| linkId : CTQ-score-selected2 |
| answer |
| value |
| value : 15 |
| system : http://unitsofmeasure.org |
| code : {score} |
| item |
| linkId : CTQ-score-selected3 |
| answer |
| value |
| value : 15 |
| system : http://unitsofmeasure.org |
| code : {score} |
| item |
| linkId : CTQ-score-selected4 |
| answer |
| value |
| value : 15 |
| system : http://unitsofmeasure.org |
| code : {score} |
| item |
| linkId : CTQ-score-selected5 |
| answer |
| value |
| value : 15 |
| system : http://unitsofmeasure.org |
| code : {score} |
Derived from the questionnaire response, an Observation records the CTQ total score. Its effective date is the date of assessment, while a component states the period of life the reported experiences refer to, coded with SNOMED CT 68433009 |Childhood (finding)|.
| Observation |
| id : CTQObservationExample |
| status : final |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 770539002 |
| display : Trauma Screening Questionnaire score (observable entity) |
| subject |
| reference : Patient/PatientExample |
| focus |
| reference : Condition/CTQConditionExample |
| effective : 2024-03-15 |
| value |
| value : 84 |
| unit : score |
| system : http://unitsofmeasure.org |
| code : {score} |
| derivedFrom |
| reference : QuestionnaireResponse/CTQQuestionnaireResponseExample |
| component |
| code |
| text : Period of life the reported experiences refer to |
| value |
| coding |
| system : http://snomed.info/sct |
| code : 68433009 |
| display : Childhood (finding) |
The Observation references a Condition with an onset age, linking the observation to a history of psychological trauma.
| Condition |
| id : CTQConditionExample |
| code |
| coding |
| system : http://snomed.info/sct |
| code : 161472001 |
| display : History of psychological trauma (situation) |
| subject |
| reference : Patient/PatientExample |
| onset |
| value : 8 |
| unit : years |
| system : http://unitsofmeasure.org |
| code : a |