{ "model": { "rank": 3044, "code": "thing-q101065", "model_id": "vr.tr.puberty", "name": "puberty", "purpose": "Enable an AI agent to recognise puberty as a developmental process, represent an individual's reported or assessed progression and uncertainty, and identify appropriate support or professional review without inferring diagnosis or reproductive capacity.", "family": "Thing Registry", "category": "Information and virtual systems", "status": "research-draft", "kind": "thing", "plane": "INF", "domain": "INF.KNW", "industry": "", "version": "", "url": "/models/thing/q101065/", "tier": 2, "score": 92, "payload": { "layer": "wikidata", "aliases": [], "aliasCount": 0, "merged": 0, "knownIn": 92, "facets": null, "markers": [], "lexicalClass": "", "senseRank": null, "alsoRegisteredAs": "vr.tr.puberty", "source": { "dataset": "wikidata", "item": "Q101065", "url": "https://www.wikidata.org/wiki/Q101065", "license": "CC0 1.0" } }, "research": { "vercy": "1.0-draft", "publication": { "status": "research-draft", "adjudicationStatus": "unreviewed", "publishableCanonical": false, "generatedAt": "2026-09-07T14:26:31Z", "providers": [ "Codex", "Grok" ], "missingProviders": [], "pass": 2, "cost": { "grok": { "usd": 0.00957576, "turns": 1, "seconds": 159.8, "error": null }, "codex": { "seconds": 75.4, "error": "Reading additional input from stdin...\nOpenAI Codex v0.153.3\n--------\nworkdir: R:\\02_PROJECTS\\02_Meta_Models_Platforms\\Ver.cy\\current\\thing-registry-backlog\nmodel: gpt-6-astra\nprovider: openai\napproval: never\nsandbox: read-only\nreasoning effort: none\nreasoning summaries: none\nsession id: 01a07c3e-d93b-7573-ac6c-77db87ed4174\n--------\nuser\nYou are drafting a Vercy meta-model for one registered thing. Answer as JSON only, no prose around it.\n\nThing: puberty\nRegistry id: vr.tr.puberty\nPlane / domain: INF / INF.KNW\nRegistry definition: (none recorded)\nNames folded into this entry: (none)\n\nA Vercy m" } } }, "metaModel": { "id": "THING-Q101065", "registryId": "vr.tr.puberty", "name": "puberty", "version": "0.1.0-research.1", "entryKind": "thing", "family": "Thing Registry", "domain": [ "INF.KNW" ], "status": "research-draft" }, "canonicalUrl": "https://ver.cy/models/thing/q101065/", "model": { "registry_id": "vr.tr.puberty", "name": "puberty", "purpose": "Enable an AI agent to recognise puberty as a developmental process, represent an individual's reported or assessed progression and uncertainty, and identify appropriate support or professional review without inferring diagnosis or reproductive capacity.", "definition": "Puberty is the multi-year neuroendocrine and somatic process in which reactivation of pulsatile hypothalamic GnRH secretion drives pituitary LH and FSH, gonadal sex-steroid production and gametogenesis, secondary sexual characteristics, and the adolescent growth spurt, converting a sexually immature child into a person with adult reproductive capacity.", "scope_statement": "This model owns the representation of puberty as a concept and of individual pubertal trajectories: onset, bodily changes, progression, evidence, lived effects and support needs, while linking to neighbouring models for diagnoses, treatments and broader development.", "in_scope": [ "The distinction between puberty, adolescence and isolated puberty-associated changes", "Reported or assessed onset, sequence, pace and current progression of pubertal changes", "Evidence provenance, assessment context and uncertainty", "Relationships between pubertal trajectory, relevant health context and interventions", "Puberty-specific understanding, practical needs, distress and support preferences" ], "out_of_scope": [ "Adolescence as a broader social, cognitive and developmental life stage", "Diagnosis and management of endocrine or reproductive disorders", "Fertility assessment, contraception, pregnancy and sexual behaviour", "Gender identity and sexual orientation as independent characteristics", "General growth, nutrition and chronic disease management", "Legal adulthood, consent capacity and safeguarding case management" ], "distinguishing_features": [ "A puberty record concerns bodily sexual maturation; chronological age or adolescent social status alone does not establish its state.", "An isolated observation such as acne, body odour or hair growth does not by itself establish the onset or stage of the overall pubertal process.", "Pubertal progression is represented across specific bodily features and time, rather than inferred from a single milestone such as first menstruation.", "A bodily maturation assessment does not establish gender identity, emotional maturity, consent capacity or fertility.", "Changes occurring during an intervention that affects puberty require treatment context and cannot automatically be interpreted as an untreated trajectory." ], "characteristics": [ { "name": "Age at first recognised change", "kind": "measurement", "unit_or_values": "Age in years and months, or an estimated age interval; unknown permitted", "why_it_matters": "Places the observed trajectory in time while preserving uncertainty about when changes actually began." }, { "name": "Pubertal feature observed", "kind": "category", "unit_or_values": "Breast development, testicular development, genital development, pubic or axillary hair, voice change, menstruation, growth change, skin or body-odour change, other specified feature", "why_it_matters": "Keeps distinct developmental features separate and prevents one feature from standing in for the whole process." }, { "name": "Feature-specific assessment", "kind": "state", "unit_or_values": "Reported description or clinician-recorded stage under a named assessment framework; unassessed, uncertain and not applicable permitted", "why_it_matters": "Allows the agent to represent current observations without fabricating a global stage or treating self-report as a clinical examination." }, { "name": "Observed progression interval", "kind": "measurement", "unit_or_values": "Elapsed months between dated observations of a specified feature, with date precision", "why_it_matters": "Supports assessment of sequence and pace without converting missing observations into evidence of absent development." }, { "name": "Assessment provenance", "kind": "relation", "unit_or_values": "Link to the person reporting, qualified assessor, dated clinical record or other identified evidence source", "why_it_matters": "Distinguishes remembered milestones, current self-reports and professional assessments." }, { "name": "Puberty-affecting context", "kind": "relation", "unit_or_values": "Links to relevant health conditions, medications, hormone exposure or interventions; relevance confirmed, suspected or unknown", "why_it_matters": "Makes contextual interpretation possible without asserting an unsupported cause." }, { "name": "Puberty-related support need", "kind": "category", "unit_or_values": "Understanding changes, menstrual preparation, hygiene, clothing or equipment, privacy, emotional support, professional review, other specified need", "why_it_matters": "Connects the represented state to useful assistance rather than reducing puberty to staging." }, { "name": "Reported impact", "kind": "state", "unit_or_values": "Person-described comfort, distress and effects on daily activities, with date and optional named measure", "why_it_matters": "Preserves the individual's experience independently of how their physical trajectory is assessed." } ], "affordances": [ "Construct a dated, feature-specific account of pubertal changes with explicit gaps and uncertainty.", "Distinguish reported observations from assessed stages and from interpretations requiring professional judgment.", "Compare a trajectory with an identified, applicable reference while stating the limits of that comparison.", "Explain recorded changes using developmentally appropriate language and the person's preferred terminology.", "Identify practical support needs and prepare a concise account for a healthcare discussion.", "Record unresolved concerns and agreed follow-up without autonomously diagnosing or changing treatment." ] }, "sources": [ { "id": "marshall-tanner-1969-girls", "title": "Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in girls. Archives of Disease in Childhood. 1969. BMJ Publishing Group / Royal College of Paediatrics and Child Health.", "url": "https://adc.bmj.com/content/44/235/291", "what_it_supports": "Canonical staging of female puberty (breast and pubic-hair sequences), typical ages and tempo, and the clinical distinction of stages still used as Tanner stages.", "url_status": "blocked" }, { "id": "marshall-tanner-1970-boys", "title": "Marshall WA, Tanner JM. Variations in the pattern of pubertal changes in boys. Archives of Disease in Childhood. 1970. BMJ Publishing Group / Royal College of Paediatrics and Child Health.", "url": "", "what_it_supports": "Canonical staging of male puberty (genital and pubic-hair sequences), typical ages, and testicular enlargement as the usual first sign." }, { "id": "carel-leger-2008", "title": "Carel JC, Léger J. Precocious puberty. New England Journal of Medicine. 2008. Massachusetts Medical Society.", "url": "", "what_it_supports": "Clinical split of central versus peripheral precocious puberty, diagnostic approach, and height and psychosocial hazards of untreated early puberty." }, { "id": "palmert-dunkel-2012", "title": "Palmert MR, Dunkel L. Delayed puberty. New England Journal of Medicine. 2012. Massachusetts Medical Society.", "url": "", "what_it_supports": "Clinical definition of delayed puberty, constitutional delay versus hypogonadism, and induced-puberty practice." }, { "id": "mesh-puberty", "title": "Puberty (MeSH Unique ID D011627). Medical Subject Headings. U.S. National Library of Medicine.", "url": "https://meshb.nlm.nih.gov/record/ui?ui=D011627", "what_it_supports": "Controlled-vocabulary identifier and scope note for puberty as a biomedical concept, including nested terms such as precocious and delayed puberty.", "url_status": "live" }, { "id": "wikidata-q18761", "title": "Puberty (Q18761). Wikidata. Wikimedia Foundation.", "url": "https://www.wikidata.org/wiki/Q18761", "what_it_supports": "Cross-wiki item identifier for puberty and outgoing links to MeSH and other authority files.", "url_status": "live" } ], "structure": { "bundles": [ { "id": "pubertal-process-boundaries", "name": "Pubertal process boundaries", "description": "Establishes what is being recognised as puberty and which observations support that interpretation.", "rationale": "Age, social adolescence and isolated bodily changes can otherwise be mistaken for evidence of an established pubertal process.", "layers": [ { "id": "recognition-of-puberty", "name": "Recognition of puberty", "description": "Separates the biological process from related life stages and unsupported assumptions.", "findings": [ { "id": "basis-for-pubertal-identification", "name": "Basis for pubertal identification", "description": "Record whether puberty is being discussed as a concept, suspected from observations or documented through an assessment.", "questions": [ { "text": "Is this an account of puberty generally or of an individual's pubertal development?", "kind": "definition", "id": "basis-for-pubertal-identification-q01" }, { "text": "What evidence supports describing the individual's changes as puberty rather than relying on age or adolescent status?", "kind": "boundary", "id": "basis-for-pubertal-identification-q02" } ] } ] }, { "id": "distinct-developmental-features", "name": "Distinct developmental features", "description": "Keeps puberty-associated features distinct where their interpretation differs.", "findings": [ { "id": "feature-specific-meaning", "name": "Feature-specific meaning", "description": "Record each relevant change and the limits of what it establishes about overall maturation.", "questions": [ { "text": "Which bodily changes are reported or assessed, and which remain unassessed?", "kind": "measurement", "id": "feature-specific-meaning-q01" }, { "text": "Has hair growth, body odour, acne or a single reproductive milestone been treated as establishing more than the evidence supports?", "kind": "boundary", "id": "feature-specific-meaning-q02" } ] } ] } ] }, { "id": "onset-and-progression", "name": "Onset and progression", "description": "Represents puberty as a trajectory of changes rather than a single age or stage.", "rationale": "Recognising current state and deciding whether clarification is needed depend on timing, sequence and change over time.", "layers": [ { "id": "onset-and-milestones", "name": "Onset and milestones", "description": "Captures first recognised changes and subsequent milestones with temporal uncertainty.", "findings": [ { "id": "dated-developmental-observations", "name": "Dated developmental observations", "description": "Record the timing of individual features without equating the date of recognition with the date of biological onset.", "questions": [ { "text": "What was the first recognised change, and at what age or estimated age interval was it noticed?", "kind": "measurement", "id": "dated-developmental-observations-q01" }, { "text": "Which dates come from contemporaneous records and which come from later recollection?", "kind": "provenance", "id": "dated-developmental-observations-q02" } ] } ] }, { "id": "pace-and-feature-alignment", "name": "Pace and feature alignment", "description": "Represents how specific features progress and whether their recorded trajectories differ.", "findings": [ { "id": "longitudinal-pubertal-pattern", "name": "Longitudinal pubertal pattern", "description": "Record documented progression, reported pauses or differing progression across features without turning sparse observations into a diagnosis.", "questions": [ { "text": "What change is documented for each feature between observations, and over how many months?", "kind": "measurement", "id": "longitudinal-pubertal-pattern-q01" }, { "text": "Does an apparent pause or difference between features reflect repeated observations, inconsistent assessment methods or missing information?", "kind": "boundary", "id": "longitudinal-pubertal-pattern-q02" } ] } ] } ] }, { "id": "assessment-and-interpretation", "name": "Assessment and interpretation", "description": "Connects observations to their sources, assessment methods and relevant interpretive context.", "rationale": "Pubertal descriptions can be sensitive, method-dependent and misleading when interpreted without context.", "layers": [ { "id": "assessment-basis", "name": "Assessment basis", "description": "Distinguishes self-description, clinical assessment and reference-based interpretation.", "findings": [ { "id": "traceable-feature-assessment", "name": "Traceable feature assessment", "description": "Record who assessed a feature, when, by what method and under which named framework if staging was used.", "questions": [ { "text": "Who supplied this observation or stage, and what assessment method and date support it?", "kind": "provenance", "id": "traceable-feature-assessment-q01" }, { "text": "If a stage is recorded, which bodily feature and assessment framework does it apply to?", "kind": "definition", "id": "traceable-feature-assessment-q02" } ] } ] }, { "id": "reference-and-intervention-context", "name": "Reference and intervention context", "description": "Makes the basis and limitations of trajectory interpretation explicit.", "findings": [ { "id": "contextualised-trajectory-interpretation", "name": "Contextualised trajectory interpretation", "description": "Link relevant clinical context and any comparison reference while separating association from established explanation.", "questions": [ { "text": "What identified reference supports any description of timing or pace as expected or concerning, and why is that reference applicable?", "kind": "provenance", "id": "contextualised-trajectory-interpretation-q01" }, { "text": "Are relevant conditions, medications or hormone interventions documented, and who has assessed their relationship to the observed trajectory?", "kind": "provenance", "id": "contextualised-trajectory-interpretation-q02" } ] } ] } ] }, { "id": "experience-support-and-review", "name": "Experience, support and review", "description": "Represents how pubertal changes affect the person and what assistance is appropriate.", "rationale": "A usable puberty model must support practical decisions while respecting privacy and keeping clinical judgments with qualified professionals.", "layers": [ { "id": "puberty-specific-experience", "name": "Puberty-specific experience", "description": "Captures understanding, practical difficulties and personal meaning without inferring identity from bodily development.", "findings": [ { "id": "expressed-needs-and-preferences", "name": "Expressed needs and preferences", "description": "Record the person's questions, preferred language and support needs related to particular pubertal changes.", "questions": [ { "text": "Which changes are confusing, uncomfortable or disruptive, and what help does the person want?", "kind": "action", "id": "expressed-needs-and-preferences-q01" }, { "text": "What terminology, privacy preferences and communication needs should guide discussion of these changes?", "kind": "action", "id": "expressed-needs-and-preferences-q02" } ] } ] }, { "id": "review-and-follow-up", "name": "Review and follow-up", "description": "Connects documented concerns to appropriate clarification, support or professional assessment.", "findings": [ { "id": "bounded-next-action", "name": "Bounded next action", "description": "Record the reason for follow-up, the supporting evidence and the agreed next step without inventing clinical thresholds.", "questions": [ { "text": "What unresolved observation, symptom, progression concern or expressed distress warrants further discussion or assessment?", "kind": "action", "id": "bounded-next-action-q01" }, { "text": "What next step has been agreed, with whom and when, and which judgment remains for a qualified professional?", "kind": "action", "id": "bounded-next-action-q02" } ] } ] } ] }, { "id": "evidence-and-external-alignment", "name": "Evidence and external alignment", "description": "What the world already says about this thing, gathered so the model can be checked against it.", "rationale": "A model that cannot be lined up against existing standards, identifiers and practice cannot be adopted by anyone who already uses them.", "layers": [ { "id": "reported-evidence", "name": "Reported evidence", "description": "Findings from the breadth pass, kept separate from the structural claims.", "findings": [ { "id": "evidence-kinds", "name": "Kinds and varieties", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "typical (centile-timed) puberty", "central (gonadotropin-dependent) precocious puberty", "peripheral (gonadotropin-independent) precocious puberty", "delayed puberty", "constitutional delay of growth and puberty", "arrested or incomplete puberty", "therapeutically induced puberty", "adrenarche as a separable adrenal component of the pubertal transition (versus gonadarche)" ], "questions": [ { "id": "evidence-kinds-q01", "text": "Which of these kinds and varieties hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-identifiers", "name": "Identifiers and schemes", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "scheme": "Wikidata", "value_or_pattern": "Q18761", "note": "Item for puberty as a biological process." }, { "scheme": "MeSH", "value_or_pattern": "D011627", "note": "Heading Puberty; narrower headings include Puberty, Precocious (D011631) and Puberty, Delayed (D011628)." }, { "scheme": "ICD-10", "value_or_pattern": "E30.*", "note": "WHO ICD-10 block Disorders of puberty: E30.0 delayed puberty, E30.1 precocious puberty, E30.8 other, E30.9 unspecified. Typical puberty itself is not a diagnosis code." }, { "scheme": "UMLS CUI", "value_or_pattern": "C0034011", "note": "Concept Puberty, aligned with MeSH D011627." } ], "questions": [ { "id": "evidence-identifiers-q01", "text": "Which of these identifiers and schemes hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-standards-and-regulation", "name": "Standards and regulation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Tanner staging (Marshall and Tanner; Institute of Child Health clinical convention, not a statute) is the de facto physical-examination standard for breast, genital, and pubic-hair development.", "WHO ICD-10/ICD-11 classify disorders of pubertal timing (delayed, precocious, other), not typical puberty as a coded disease.", "Endocrine Society, Pediatric Endocrine Society, and European Society for Paediatric Endocrinology issue clinical practice guidance on evaluation and treatment of precocious and delayed puberty, including GnRH-analogue use.", "FDA and EMA product labelling governs GnRH agonists (for example leuprolide, triptorelin) indicated for central precocious puberty.", "AAP Bright Futures and equivalent well-child schedules treat pubertal staging and growth plotting as routine paediatric surveillance.", "Some medico-legal age-assessment protocols have used Tanner stage; professional bodies have warned that staging is not a reliable chronological-age test." ], "questions": [ { "id": "evidence-standards-and-regulation-q01", "text": "Which of these standards and regulation hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-real-world-use", "name": "Real-world use", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Paediatric well-child visits: clinicians assign Tanner stage, measure height velocity, and counsel families on expected timing.", "Paediatric endocrinology clinics: work-up of early, late, or stalled puberty (history, bone age, LH/FSH and sex steroids, imaging when indicated).", "Oncology, haematology, and transplant follow-up: surveillance for delayed or incomplete puberty after gonadotoxic therapy or cranial irradiation.", "Treatment: GnRH analogues to pause central precocious puberty; sex-steroid or gonadotropin induction when puberty is absent or incomplete.", "Public-health and anthropometric surveys: age at menarche, thelarche, or voice change as population markers of developmental tempo.", "Gender-affirming care: GnRH analogues used to pause endogenous puberty (a distinct indication from central precocious puberty).", "Sports and forensic settings have invoked pubertal status for eligibility or age estimation; both uses are scientifically and ethically contested." ], "questions": [ { "id": "evidence-real-world-use-q01", "text": "Which of these real-world use hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-measurements", "name": "Typical measurements", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "quantity": "Tanner breast / genital / pubic-hair stage", "typical_range": "1 (prepubertal) to 5 (adult); onset is stage 2", "unit": "ordinal stage" }, { "quantity": "Age at thelarche (Tanner B2)", "typical_range": "about 8-13 in many well-nourished populations; mean near 10; under 8 years is the traditional threshold for precocious in girls", "unit": "years" }, { "quantity": "Age at menarche", "typical_range": "about 10-16; population means often near 12-13, typically 2-2.5 years after thelarche", "unit": "years" }, { "quantity": "Testicular volume at onset (Prader orchidometer)", "typical_range": "≥4 marks gonadarche; prepubertal 1-3; adult about 15-25", "unit": "mL" }, { "quantity": "Age at testicular enlargement", "typical_range": "about 9-14; mean near 11-12 in many European/North American series", "unit": "years" }, { "quantity": "Peak height velocity", "typical_range": "about 7-9 in girls (usually before menarche); about 8-11 in boys (later in the sequence)", "unit": "cm/year" }, { "quantity": "Bone age versus chronological age", "typical_range": "usually within about ±1-2 years in typical puberty; advanced in progressive precocious puberty", "unit": "years" }, { "quantity": "Basal or stimulated LH (assay-dependent)", "typical_range": "prepubertal basal often very low; a pubertal pattern is a nocturnal or GnRH-stimulated LH rise into the assay-specific pubertal range", "unit": "IU/L" } ], "questions": [ { "id": "evidence-measurements-q01", "text": "Which of these typical measurements hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-failure-modes-and-hazards", "name": "Failure modes and hazards", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Central precocious puberty: early secondary sexual characteristics with HPG activation; untreated progressive cases advance bone age and can reduce adult height; pathologic yield is higher in boys and in very young girls.", "Peripheral precocious puberty: sex steroids from gonads, adrenal, tumour, or exogenous exposure without hypothalamic GnRH drive (for example McCune-Albright syndrome, poorly controlled CAH, hCG-secreting tumours).", "Delayed or absent puberty from hypogonadotropic hypogonadism, primary gonadal failure (Turner syndrome, Klinefelter syndrome, gonadectomy, chemotherapy), chronic illness, or undernutrition.", "Misclassification: isolated premature thelarche or premature adrenarche treated as true precocious puberty, or constitutional delay treated as permanent hypogonadism.", "Psychosocial harm: teasing, early sexual attention, anxiety, and family distress around timing that is early, late, or atypical.", "Iatrogenic harm: GnRH-analogue effects on growth tempo and bone mineral accrual; under- or over-replacement of sex steroids in induced puberty.", "Unsafe use of Tanner stage as a clock for chronological age in immigration or criminal proceedings." ], "questions": [ { "id": "evidence-failure-modes-and-hazards-q01", "text": "Which of these failure modes and hazards hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-regional-variation", "name": "Regional variation", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ "Secular trend: mean age at menarche fell with improved nutrition and health in many countries over the 19th-20th centuries and has largely plateaued in several high-income populations.", "Within the United States, population studies have reported earlier average thelarche in non-Hispanic Black girls than in non-Hispanic White girls, which has fed debate over whether the clinical cutoff for precocious puberty should vary by group.", "Traditional European cutoff for precocious puberty in girls is before age 8 (boys before 9); some North American practice has used earlier cutoffs in selected groups after late-20th-century office-based studies.", "Later menarche remains common where undernutrition, high infectious burden, or high altitude slow growth.", "Cultural recognition often tracks menarche, voice change, or initiation rites rather than Tanner stage; biomedical staging is clinic-centred and not universal household language.", "Access to bone-age radiography, gonadotropin assays, MRI, and GnRH analogues is highly uneven between health systems." ], "questions": [ { "id": "evidence-regional-variation-q01", "text": "Which of these regional variation hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] }, { "id": "evidence-neighbours", "name": "Neighbouring kinds and how to tell them apart", "description": "Reported by the breadth pass; each item needs checking against its source before it becomes normative.", "evidence": [ { "name": "adolescence", "difference": "Adolescence is a psychosocial and legal age band; puberty is the biological HPG-driven somatic process. A person can be adolescent before, during, or after pubertal completion." }, { "name": "adrenarche / pubarche", "difference": "Adrenarche is the rise in adrenal androgens that can produce pubic/axillary hair and apocrine odour without gonadal activation. Separate from gonadarche by prepubertal testes/ovaries, prepubertal LH/FSH, and lack of true breast or genital Tanner progression." }, { "name": "isolated premature thelarche", "difference": "Breast tissue appears, usually in toddlers or young girls, without growth acceleration, advanced bone age, or progressive Tanner change. True central precocious puberty shows tempo: rising Tanner stage, growth spurt, and a pubertal LH pattern." }, { "name": "lipomastia (adipose chest tissue)", "difference": "Palpation: glandular breast bud is firm and subareolar; fat is softer and more diffuse. Imaging or follow-up is used when the distinction is unclear in children with obesity." }, { "name": "menarche", "difference": "Menarche is a single event (first menses), usually late in the female sequence, not the process of puberty. Puberty in girls ordinarily begins with thelarche years earlier." }, { "name": "constitutional delay of growth and puberty versus pathologic hypogonadism", "difference": "Constitutional delay is a late-but-intact tempo, often familial, with eventual spontaneous progression. Permanent hypogonadism fails to progress; distinction may require time, family history, and endocrine testing rather than a single visit." } ], "questions": [ { "id": "evidence-neighbours-q01", "text": "Which of these neighbouring kinds and how to tell them apart hold for the sense of puberty this model covers, and on what evidence?", "kind": "provenance" } ] } ] } ] } ] }, "openQuestions": [ "Which authoritative references should govern timing and progression comparisons, and how should their population coverage and limitations be represented?", "Which puberty assessment frameworks should be supported, and how should feature-specific stages, self-report and disagreements between assessors be reconciled?", "How should the model represent trajectories affected by puberty suppression, hormone treatment or variations in sex development without forcing them into an unsuitable reference pathway?", "What minimum sensitive information is necessary for each agent task, and when should access, retention or sharing be restricted?", "Which evidence-based criteria should trigger routine or urgent professional review, and how should those criteria be maintained across care settings?" ], "statistics": { "bundles": 5, "layers": 9, "findings": 16, "questions": 24 } }, "draft": { "generator": "vr.draft.v3", "status": "draft-generated", "researched": false, "archetype": "discipline or field of knowledge", "method": "Written from the archetype playbook - what this kind of thing needs beyond identity and provenance - and from the structure that recurred across 6,333 models already researched by two engines. Applied to this entry by rule. No source was read for this thing and no claim here is researched. This entry carries no facets of its own, so they were inferred from its domain - a guess about a whole domain applied to one thing.", "facetsInferred": true, "nextPass": "A researcher replaces this draft with a sourced specification. Treat every sentence below as a proposal to argue with.", "purpose": "Give an agent a durable, checkable way to recognise a puberty, record what state it is in, and decide what may be done with it.", "whatItIs": "Enable an AI agent to recognise puberty as a developmental process, represent an individual's reported or assessed progression and uncertainty, and identify appropriate support or professional review without inferring diagnosis or reproductive capacity.", "characteristics": { "substance": "information", "origin": "conceptual", "agency": "inert" }, "whatYouCanDoWithIt": [ "read and interpreted" ], "distinguishingFeatures": [ "Described in 92 Wikipedia languages, which is a measure of how widely the thing is known, not of how important it is." ], "openQuestionsForResearch": [ "Which of the bundles below does a real task actually need, and which are ceremony?", "What does this thing have that the facets do not capture at all?", "Which neighbouring kind is most often confused with a puberty, and on what evidence are they told apart?" ], "whatItIsMadeOf": "content that has to be carried by something else", "physicalCharacter": [ "Does nothing on its own; everything it does, something else did to it.", "These come from the domain this entry sits in rather than from the entry itself, so treat them as a first guess about the whole domain applied to one thing." ], "whatCanBeDoneWithIt": [ "read it and act on what it says" ], "howItIsRecognised": [], "relatedModels": [], "standing": "Described in 92 Wikipedia languages, which measures how widely it is written about rather than how important or how common it is.", "structure": { "bundles": [ { "id": "identity-and-classification", "name": "Identity, naming and classification", "description": "How an agent tells one puberty from another, and a puberty from things that resemble it.", "rationale": "Recognition comes before every other claim. Without stable identity nothing else in the model can be trusted to be about the same thing twice.", "layers": [ { "id": "naming-and-identifiers", "name": "Names and identifiers", "description": "The names this thing goes by and the identifiers that survive translation and time.", "findings": [ { "id": "preferred-name-and-aliases", "name": "Preferred name, aliases and local names", "description": "Which name to use, which names mean the same thing, and which merely sound similar.", "questions": [ { "id": "preferred-name-and-aliases-q01", "text": "What identifies and describes the name of a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "preferred-name-and-aliases-q02", "text": "Who or what asserted this about the name of a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "preferred-name-and-aliases-q03", "text": "What may an agent decide or do once the name of a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "stable-identifiers", "name": "Stable identifiers and external keys", "description": "Identifiers that keep pointing at this kind of thing across systems and languages.", "questions": [ { "id": "stable-identifiers-q01", "text": "What identifies and describes an identifier for a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stable-identifiers-q02", "text": "Who or what asserted this about an identifier for a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stable-identifiers-q03", "text": "What may an agent decide or do once an identifier for a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "classification-and-granularity", "name": "Classification and granularity", "description": "Where a puberty sits among kinds, and how finely a task needs to cut it.", "findings": [ { "id": "kind-and-parents", "name": "Kind, parents and neighbouring kinds", "description": "The classes this thing belongs to and the ones it is next to.", "questions": [ { "id": "kind-and-parents-q01", "text": "What identifies and describes the kind of a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "kind-and-parents-q02", "text": "Who or what asserted this about the kind of a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "kind-and-parents-q03", "text": "What may an agent decide or do once the kind of a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] }, { "id": "distinguishing-features", "name": "Distinguishing features", "description": "What separates a puberty from the things most often confused with it.", "questions": [ { "id": "distinguishing-features-q01", "text": "What identifies and describes what distinguishes a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "distinguishing-features-q02", "text": "Who or what asserted this about what distinguishes a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "distinguishing-features-q03", "text": "What may an agent decide or do once what distinguishes a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "state-and-lifecycle", "name": "State and lifecycle", "description": "The states a puberty passes through and the events that move it between them.", "rationale": "Most decisions about a thing depend on what state it is in now, which is a claim with a time on it, not a property.", "layers": [ { "id": "lifecycle-stages", "name": "Lifecycle stages", "description": "From coming into existence to ceasing to be one of these.", "findings": [ { "id": "stages-and-transitions", "name": "Stages and transitions", "description": "The stages worth naming and what moves a puberty between them.", "questions": [ { "id": "stages-and-transitions-q01", "text": "What identifies and describes the lifecycle of a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "stages-and-transitions-q02", "text": "Who or what asserted this about the lifecycle of a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "stages-and-transitions-q03", "text": "What may an agent decide or do once the lifecycle of a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "observations-and-status", "name": "Observations and current status", "description": "What is observed about a puberty, how often and by whom.", "findings": [ { "id": "observation-record", "name": "Observation record", "description": "How an observation of a puberty is recorded so that it can be superseded rather than overwritten.", "questions": [ { "id": "observation-record-q01", "text": "What identifies and describes an observation of a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "observation-record-q02", "text": "Who or what asserted this about an observation of a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "observation-record-q03", "text": "What may an agent decide or do once an observation of a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "content-and-access", "name": "Content, encoding and access", "description": "What a puberty says, how it is encoded and who may read it.", "rationale": "An informational thing carries content that can be copied, versioned and withheld, none of which its physical carrier explains.", "layers": [ { "id": "content-and-encoding", "name": "Content and encoding", "description": "The content itself, its format and its language.", "findings": [ { "id": "content-and-format", "name": "Content, format and language", "description": "What a puberty contains and in what form it is held.", "questions": [ { "id": "content-and-format-q01", "text": "What identifies and describes the content of a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "content-and-format-q02", "text": "Who or what asserted this about the content of a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "content-and-format-q03", "text": "What may an agent decide or do once the content of a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "access-and-rights", "name": "Access, rights and retention", "description": "Who may read, copy or change it, and for how long it is kept.", "findings": [ { "id": "access-rules", "name": "Access rules and retention", "description": "The permissions attached to a puberty and the period it survives.", "questions": [ { "id": "access-rules-q01", "text": "What identifies and describes access to a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "access-rules-q02", "text": "Who or what asserted this about access to a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "access-rules-q03", "text": "What may an agent decide or do once access to a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] }, { "id": "subject-and-method", "name": "Subject matter and method", "description": "What puberty studies and how it establishes anything.", "rationale": "A field is identified by its questions and its methods, and those are what distinguish it from the fields next to it.", "layers": [ { "id": "subject", "name": "Subject matter", "description": "The questions it takes as its own.", "findings": [ { "id": "subject-record", "name": "Questions and objects of study", "description": "What it is about, stated so a neighbouring field can be told apart.", "questions": [ { "id": "subject-record-q01", "text": "What questions and objects does puberty take as its own?", "kind": "definition" }, { "id": "subject-record-q02", "text": "Which questions does it share with a neighbouring field, and who claims them?", "kind": "boundary" } ] } ] }, { "id": "method", "name": "Method and evidence", "description": "How claims are established and what counts as evidence.", "findings": [ { "id": "method-record", "name": "Methods and standards of evidence", "description": "The methods used and what they are taken to establish.", "questions": [ { "id": "method-record-q01", "text": "By what methods does puberty establish claims, and what counts as sufficient evidence?", "kind": "provenance" }, { "id": "method-record-q02", "text": "What kind of claim can this field not settle, and where should an agent look instead?", "kind": "action" } ] } ] } ] }, { "id": "institutions-and-classification", "name": "Institutions and classification", "description": "Where puberty is practised and how catalogues place it.", "rationale": "The institutional footprint is the evidence that a field exists as a field rather than as a topic.", "layers": [ { "id": "institutions", "name": "Institutional markers", "description": "Societies, journals, degrees and departments.", "findings": [ { "id": "institution-record", "name": "Bodies and venues", "description": "Where the field organises itself.", "questions": [ { "id": "institution-record-q01", "text": "Which societies, journals or degrees mark puberty as an established field?", "kind": "provenance" }, { "id": "institution-record-q02", "text": "What would show that it is emerging or dissolving rather than established?", "kind": "boundary" } ] } ] }, { "id": "classification", "name": "Classification schemes", "description": "Where library and research classifications put it.", "findings": [ { "id": "classification-record", "name": "Codes and their disagreements", "description": "The classification codes that place it, and where they differ.", "questions": [ { "id": "classification-record-q01", "text": "Which classification schemes place puberty, under what codes?", "kind": "definition" }, { "id": "classification-record-q02", "text": "Where do those schemes disagree about its scope?", "kind": "boundary" } ] } ] } ] }, { "id": "provenance-and-evidence", "name": "Provenance, evidence and time", "description": "Where every claim about a puberty came from and when it held.", "rationale": "A claim without a source and a time cannot be superseded, only overwritten, and an agent that overwrites loses the ability to explain itself.", "layers": [ { "id": "source-and-authority", "name": "Source and authority", "description": "Who said it, on what evidence, and how strongly.", "findings": [ { "id": "claim-provenance", "name": "Claim provenance and confidence", "description": "The authority behind each claim about a puberty and how confident it is.", "questions": [ { "id": "claim-provenance-q01", "text": "What identifies and describes a claim about a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "claim-provenance-q02", "text": "Who or what asserted this about a claim about a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "claim-provenance-q03", "text": "What may an agent decide or do once a claim about a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] }, { "id": "time-and-versions", "name": "Time, versions and supersession", "description": "When a claim was true, when it was learnt, and what replaced it.", "findings": [ { "id": "validity-and-supersession", "name": "Validity period and supersession", "description": "How an old claim about a puberty is retired without being erased.", "questions": [ { "id": "validity-and-supersession-q01", "text": "What identifies and describes the validity of a claim about a puberty, and in what units or vocabulary?", "kind": "definition", "answer_data": [ "identifiers", "types and classes", "values with units", "explicit unknowns" ] }, { "id": "validity-and-supersession-q02", "text": "Who or what asserted this about the validity of a claim about a puberty, by which method, and when was it true?", "kind": "provenance", "answer_data": [ "authority", "method", "evidence", "event time", "knowledge time" ] }, { "id": "validity-and-supersession-q03", "text": "What may an agent decide or do once the validity of a claim about a puberty is known, and what must it refuse?", "kind": "action", "answer_data": [ "permitted actions", "preconditions", "refusals", "escalation" ] } ] } ] } ] } ] }, "statistics": { "bundles": 6, "layers": 12, "findings": 14, "questions": 38 } } } }