ARCHETYPE Tanner stages (openEHR-EHR-OBSERVATION.tanner.v1)

Name: Tanner stages
License: http://creativecommons.org/licenses/by-sa/4.0/

ARCHETYPE ID	openEHR-EHR-OBSERVATION.tanner.v1
Concept	Tanner stages
Description	A scale to describe the onset and progression of pubertal changes.
Use	Normally used to describe progression of pubertal changes in children, but can also be used to adults, for example evaluate gynaecomasty in adult men. Boys and girls are rated on a scale from 1 to 5. Boys are rated for genital development and pubic hair growth, and girls are rated for breast development and pubic hair growth.
Purpose	To describe progression of pubertal changes in genitals, breasts and pubic hair.
References	Derived from: Tanner stadier, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [cited: 2017-05-05]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1823 Marshall WA, Tanner JM. Variations in the Pattern of Pubertal Changes in Boys. Archives of Disease in Childhood. 1970 [cited 2017 Mar 17]; 45(239): 13-23. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020414/ Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Archives of Disease in Childhood. 1969 [cited 2017 Mar 17]; 44(235): 291-303. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020314/ Biro F M, Chan Y-M (Dec 14, 2016). Normal puberty. UpToDate [Internett]. Available at: https://www.uptodate.com/contents/normal-puberty?source=search_result&search=tanner&selectedTitle=1~66#H4 [Accessed 2017 Apr 25]. Norsk Elektronisk Legehåndbok (Nov 15.2015). Tanner Stadier. [Internett]. Available at: https://legehandboka.no/handboken/kliniske-kapitler/pediatri/pasientinformasjon/vekst-og-utvikling/pubertet-for-tidlig/ [Accessed 2017 Apr 25].
Copyright	© Nasjonal IKT HF, openEHR Foundation
Authors	Author name: Malin Aas Berg Organisation: DIPS ASA Email: mab@dips.no Date originally authored: 2017-03-17
Other Details Language	Author name: Malin Aas Berg Organisation: DIPS ASA Email: mab@dips.no Date originally authored: 2017-03-17
OtherDetails Language Independent	{licence=This work is licensed under the Creative Commons Attribution-ShareAlike 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by-sa/4.0/., custodian_organisation=openEHR Foundation, references=Derived from: Tanner stadier, Draft archetype [Internet]. Nasjonal IKT, Nasjonal IKT Clinical Knowledge Manager [cited: 2017-05-05]. Available from: http://arketyper.no/ckm/#showArchetype_1078.36.1823 Marshall WA, Tanner JM. Variations in the Pattern of Pubertal Changes in Boys. Archives of Disease in Childhood. 1970 [cited 2017 Mar 17]; 45(239): 13-23. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020414/ Marshall WA, Tanner JM. Variations in pattern of pubertal changes in girls. Archives of Disease in Childhood. 1969 [cited 2017 Mar 17]; 44(235): 291-303. Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2020314/ Biro F M, Chan Y-M (Dec 14, 2016). Normal puberty. UpToDate [Internett]. Available at: https://www.uptodate.com/contents/normal-puberty?source=search_result&search=tanner&selectedTitle=1~66#H4 [Accessed 2017 Apr 25]. Norsk Elektronisk Legehåndbok (Nov 15.2015). Tanner Stadier. [Internett]. Available at: https://legehandboka.no/handboken/kliniske-kapitler/pediatri/pasientinformasjon/vekst-og-utvikling/pubertet-for-tidlig/ [Accessed 2017 Apr 25]., original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=5CF02AE9FE1E15A5378D828A6F3AF87B, build_uid=eb8f75f2-4acb-403e-b487-c0a6b74a2c1c, revision=1.0.0}
Keywords	pubertal, puberty, genitals, breasts, breast, pubical, pubic hair, sexual, maturity
Lifecycle	published
UID	e9c8d47a-b96e-440f-8000-452338e4bd86
Language used	en
Citeable Identifier	1013.1.2798
Revision Number	1.0.0
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scrotal skin reddens and changes in texture.] at0009::Stage 3 [Enlargement of penis (length at first); further growth of testes.] at0010::Stage 4 [Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotal skin darker.] at0011::Stage 5 [Adult genitalia.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0005], code=at0005, itemType=ELEMENT, level=4, text=Breasts, description=The stages for breast development in young women., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0012::Stage 1 [Prepubertal.] at0013::Stage 2 [Breast bud stage with elevation of breast and papilla; enlargement of areola.] at0014::Stage 3 [Further enlargement of breast and areola; no separation of their contour.] at0015::Stage 4 [Areola and papilla form a secondary mound above level of breast.] at0016::Stage 5 [Mature stage: projection of papilla only, related to recession of areola.] , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/events[at0002]/data[at0003]/items[at0006], code=at0006, itemType=ELEMENT, level=4, text=Pubic hair, description=The stages for pubic hair development in females and males., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values= at0017::Stage 1 [Prepubertal (the pubic area may have vellus hair, similar to that of forearms).] at0018::Stage 2 [Sparse growth of long, slightly pigmented hair, straight or curled, at base of penis or along labia.] at0019::Stage 3 [Darker, coarser and more curled hair, spreading sparsely over junction of pubes.] at0020::Stage 4 [Hair adult in type, but covering smaller area than in adult; 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