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

ARCHETYPE IDopenEHR-EHR-OBSERVATION.tanner.v1
ConceptTanner stages
DescriptionA scale to describe the onset and progression of pubertal changes.
UseNormally 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.
PurposeTo describe progression of pubertal changes in genitals, breasts and pubic hair.
ReferencesDerived 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
AuthorsAuthor name: Malin Aas Berg
Organisation: DIPS ASA
Email: mab@dips.no
Date originally authored: 2017-03-17
Other Details LanguageAuthor 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}
Keywordspubertal, puberty, genitals, breasts, breast, pubical, pubic hair, sexual, maturity
Lifecyclepublished
UIDe9c8d47a-b96e-440f-8000-452338e4bd86
Language useden
Citeable Identifier1013.1.2798
Revision Number1.0.0
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Vebjørn Arntzen, Oslo universitetssykehus HF, Norway (Nasjonal IKT redaktør)
Kristian Berg, Vestvågøy kommune - Fagutviklingsavdelingen, Norway
Malin Berg, DIPS ASA, Norway
SB Bhattacharyya, Sudisa Consultancy Services, India
Hildegard Franke, freshEHR Clinical Informatics Ltd., United Kingdom
Mikkel Gaup Grønmo, FSE, Helse Nord, Norway
Annette Hole Sjøborg, DIPS ASA, Norway
Hilde Hollås, DIPS ASA, Norway
Nils Kolstrup, Skansen Legekontor og Nasjonalt Senter for samhandling og telemedisin, Norway
Heather Leslie, Ocean Health Systems, Australia
Silje Ljosland Bakke, Nasjonal IKT HF, Norway (Nasjonal IKT redaktør)
Priscila Maranhão, MEDCIDS-FMUP, Portugal
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
Lars Morgan Karlsen, DIPS ASA, Norway
Andrej Orel, Marand d.o.o., Slovenia
Line Silsand, Universitetssykehuset i Nord-Norge, Norway
Norwegian Review Summary, Nasjonal IKT HF, Norway
Nyree Taylor, Ocean Informatics, Australia
Gro-Hilde Ulriksen, Norwegian center for ehealthresearch, Norway
John Tore Valand, Helse Bergen, Norway (openEHR Editor), originalLanguage=en, translators=Norwegian Bokmål: John Tore Valand, Vebjørn Arntzen, Helse Bergen HF, OUS HF
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  • Stage 1 [Prepubertal.]
  • Stage 2 [Enlargement of scrotum and testes; scrotal skin reddens and changes in texture.]
  • Stage 3 [Enlargement of penis (length at first); further growth of testes.]
  • Stage 4 [Increased size of penis with growth in breadth and development of glans; testes and scrotum larger, scrotal skin darker.]
  • Stage 5 [Adult genitalia.]
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  • Stage 1 [Prepubertal.]
  • Stage 2 [Breast bud stage with elevation of breast and papilla; enlargement of areola.]
  • Stage 3 [Further enlargement of breast and areola; no separation of their contour.]
  • Stage 4 [Areola and papilla form a secondary mound above level of breast.]
  • Stage 5 [Mature stage: projection of papilla only, related to recession of areola.]
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  • Stage 1 [Prepubertal (the pubic area may have vellus hair, similar to that of forearms).]
  • Stage 2 [Sparse growth of long, slightly pigmented hair, straight or curled, at base of penis or along labia.]
  • Stage 3 [Darker, coarser and more curled hair, spreading sparsely over junction of pubes.]
  • Stage 4 [Hair adult in type, but covering smaller area than in adult; no spread to medial surface of thighs.]
  • Stage 5 [Adult in type and quantity, with horizontal upper border.]
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