ARCHETYPE Substance use summary (openEHR-EHR-EVALUATION.substance_use_summary.v1)

ARCHETYPE IDopenEHR-EHR-EVALUATION.substance_use_summary.v1
ConceptSubstance use summary
DescriptionSummary or persistent information about typical use of a specific substance or class of substances that may harm an individual's health or social well-being.
UseUse to record summary or persistent information about the typical use of a specific substance or class of substances that may harm an individual's health or social well-being. This archetype has been designed as a framework for objectively documenting the use or administration of a single substance. While it supports the recognition of abuse and dependence, it is not intended exclusively for this purpose. Substances that fall within the scope of this archetype include harmful or potentially addictive substances as well as medications that are misused. Misuse may involve administration without clinical supervision, use for non-recommended purposes, or consumption in quantities or frequencies that exceed safe dosages. Examples of substances that may be recorded using this archetype include but are not limited to: - caffeine; - nicotine and other clinically significant components of vaping liquid; - psychostimulants; - barbiturates; - cannabis; - hallucinogens; - opioids; - GHB; - MDMA; - sniffing of hydrocarbons or other solvents; - "bath salts"; and - medication administration, such as a laxative for purposes other than relief of constipation, beta blockers to reduce the heart rate in elite athletes and anabolic steroids in weight lifters. On the other hand, substances that are commonly recorded in health records, have a well-documented harm profile and are recorded using existing purpose-specific archetypes, are excluded from the scope of this archetype, including: - tobacco smoking; - smokeless tobacco use; - vaping; - alcohol consumption; and - medication administration according to established medical guidelines and standards, including the correct dosage and appropriate indication, timing and route of administration. This archetype is intended to be used to record information about both current and previous substance use behaviour patterns and can be updated over time. The 'Episode' Cluster allows the recording of details within a specified period of time. Triggers for closing one episode and commencing a new one will largely reflect local data collection preferences, however, a new instance of the ‘Episode’ CLUSTER should be used if: - the typical amount used or administered, the pattern of use or the route of administration changes significantly; or - the individual quits for a significant period of time. Vaping is a complex concept that requires attention to both the behaviour and the substances inhaled. In that context, use this archetype to record amounts of clinically significant ingredients of vaping liquid, such as 'Nicotine', and use EVALUATION.vaping_summary to record the patterns of vaping behaviour. In some cases, both archetypes may be required. Use a separate instance of this archetype to record each substance.
MisuseNot to be used to record summary or persistent information about tobacco smoking. Use EVALUATION.tobacco_smoking_summary for this purpose. Not to be used to record summary or persistent information about smokeless tobacco use. Use EVALUATION.smokeless_tobacco_summary for this purpose. Not to be used to record the summary or persistent information about vaping behaviour. Use an EVALUATION.vaping_summary or similar, yet to be developed. Not to be used to record summary or persistent information about alcohol consumption. Use EVALUATION.alcohol_use_summary for this purpose. Not to be used to record the summary or persistent information about, or monitor the cumulative dose of, a medication. Use EVALUATION.medication_summary for this purpose. Not to be used to record information about actual substance use at or during a specified point or interval of time, such as daily or average use over a specified period of time, or a diary of use. Use the OBSERVATION.substance_use archetype for this purpose.. Not to be used to record accidental administration of, or exposure to, a substance or medication, overdoses or poisonings, etc. Use an Adverse event archetype for this purpose. Not to be used to record answers to pre-defined screening questions about substance use. Use OBSERVATION.substance_use_screening archetype for this purpose. Not to be used for recording information about appropriate medication use under clinical supervision, for recommended therapeutic intent and at appropriate dosages. Use an appropriate medication archetype for this purpose.
PurposeTo record summary or persistent information about the typical use of a specific substance or class of substances that may harm an individual's health or social well-being.
References
Copyright© Nasjonal IKT HF, openEHR Foundation
AuthorsAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-02-13
Other Details LanguageAuthor name: Heather Leslie
Organisation: Atomica Informatics
Email: heather.leslie@atomicainformatics.com
Date originally authored: 2020-02-13
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, current_contact=Heather Leslie, Atomica Informatics, heather.leslie@atomicainformatics.com, original_namespace=org.openehr, original_publisher=openEHR Foundation, custodian_namespace=org.openehr, MD5-CAM-1.0.1=871F6A0869B1769754FFE382C7D24243, build_uid=b726155f-9bef-4199-af5a-cdea40e38d22, revision=1.0.1}
Keywordsdrugs, addiction, abuse, doping, narcotics, performance enhancing, steroids
Lifecyclepublished
UID4d96ccdf-bb48-4dbb-9fd2-580dcde5dcd1
Language useden
Citeable Identifier1013.1.354
Revision Number1.0.1
AllArchetype [runtimeNameConstraintForConceptName=null, archetypeConceptBinding=null, archetypeConceptDescription=Summary or persistent information about typical use of a specific substance or class of substances that may harm an individual's health or social well-being., archetypeConceptComment=Tobacco smoking, smokeless tobacco use, alcohol consumption, vaping and medication administration according to established medical guidelines and standards, are intentionally excluded from the scope of this archetype and recorded using other purpose-specific archetypes., otherContributors=Marit Alice Venheim, Helse Vest IKT, Norway (Nasjonal IKT redaktør)
Vebjørn Arntzen, Oslo University Hospital, Norway (openEHR Editor)
Silje Ljosland Bakke, Helse Vest IKT AS, Norway (openEHR Editor)
SB Bhattacharyya, Bhattacharyyas Clinical Records Research & Informatics LLP, India
Randi Brendberg, Helse Nord RHF, Norway
Hugo Claudio Briceño García, Catsalut, Spain
Clara Calleja Vega, CatSalut. Servei Català de la Salut., Spain
Fatemeh Chalabianloo, Helse Bergen, Norway
Julio de Sosa, Servei Català de la Salut, Spain
Giovanni Delussu, crs4, Italy
Gunn Elin Blakkisrud, DIPS ASA, Norway
Kåre Flø, DIPS ASA, Norway
Grant Forrest, Lunaria Ltd, United Kingdom
Astrid Gjelstad, Antidoping Norge, Norway
Rosane Gotardo, Systema Ltda., Brazil
Atle Hansen, Universitetssykehuset Nord-Norge, Norway
Amanda Herbrand, University Hospital Basel, Switzerland
Evelyn Hovenga, EJSH Consulting, Australia
Mika Kiviaho, Tietoevry, Finland
Peter Krajci, OUS, Norway
Ronald Krawec, Alberta Health Services, Canada
Anjali Kulkarni, Karkinos, India
Jörgen Kuylenstierna, eWeave AB, Sweden
michel laji!, Karolinska Institutet, Sweden
Liv Laugen, Oslo universitetssykehus, Norway (Nasjonal IKT redaktør)
Heather Leslie, Atomica Informatics, Australia (openEHR Editor)
June Marie Knappskog, Helse Nord IKT AS, Norway (Nasjonal IKT redaktør), Norway
Ian McNicoll, freshEHR Clinical Informatics, United Kingdom
John Meredith, openEHR International, United Kingdom
Christine Mikalsen, Helse Nord IKT, Norway
Laura Moral Lopez, Sistema de Salut de Catalunya, Spain
Mikael Nyström, Cambio Healthcare Systems AB, Sweden
Jayashree Panickar, Karolinska Institute, Sweden
Mari Sandlund, Oslo Universitetssykehus, avdeling for teknologi og e-helse, Norway
Benjamin Senst, Germany
Ingrid Skard, DIPS AS, Norway
Norwegian Review Summary, Norwegian Public Hospitals, Norway
Erik Sundvall, Karolinska Institutet + Karolinska University Hospital, Region Stockholm + Linköping University, Sweden
Venkatesh Thoppae, Dedalus, United Kingdom
John Tore Valand, Helse Vest IKT, Norway (Nasjonal IKT redaktør), originalLanguage=en, translators=
  • Norwegian Bokmål: Liv Laugen, Vebjørn Arntzen, ​Oslo University Hospital, Norway, liv.laugen@ous-hf.no, varntzen@ous-hf.no

    • , subjectOfData=unconstrained, archetypeTranslationTree=null, topLevelToAshis={identities=[], other_participations=[], events=[], details=[], provider=[], items=[], description=[], protocol=[ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Last updated, description=The date this Substance use summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0032], code=at0032, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], ism_transition=[], context=[], data=[ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0002], code=at0002, itemType=ELEMENT, level=2, text=Substance name, description=The name of the substance or class of substance., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0003], code=at0003, itemType=ELEMENT, level=2, text=Overall status, description=Statement about current use of the substance, by all routes., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Never used [The individual has never used the identified substance.]
    • Current user [The individual is currently using the identified substance.]
    • Former user [The individual has previously used the identified substance.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0007], code=at0007, itemType=ELEMENT, level=2, text=Overall description, description=Narrative summary about the use of the substance over the lifetime of the individual., comment=This element can also be used to incorporate the narrative descriptions of substance use habits within existing or legacy clinical systems., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0008], code=at0008, itemType=ELEMENT, level=2, text=First ever use, description=Date when the individual first used the substance., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0009], code=at0009, itemType=ELEMENT, level=2, text=Regular use commenced, description=The date when the individual first started frequent or regular, but usually non-daily, use of the substance., comment=Can be a partial date, for example, only a year. For example, this date could represent when the individual commenced using the substance every Friday night or at parties., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0010], code=at0010, itemType=ELEMENT, level=2, text=Daily use commenced, description=The date when the individual first started daily use of the substance., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012], code=at0012, itemType=CLUSTER, level=2, text=Per episode, description=Details about a period of use of the substance identified in 'Substance name' or, if a class of substance is used in 'Substance name, to provide details about the use of a specific substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=1..*, cardinalityText=, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0013], code=at0013, itemType=ELEMENT, level=3, text=Episode label, description=Identification of an episode of substance use - either as a number in a sequence or a named event., comment=For example: '2' as the second episode within a sequence of episodes; 'Lifelong' if recording typical overall use; '1995-2000' or 'At university' for an interval of time; or 'Pregnancy with twins' if describing the substance use during a health event such as a specific pregnancy., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Count
      min: >=0

    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0014], code=at0014, itemType=ELEMENT, level=3, text=Episode start date, description=Date when this episode commenced., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0016], code=at0016, itemType=ELEMENT, level=3, text=Specific substance name, description=The name of the specific substance used during the episode., comment=The recorded entry in the 'Substance name' may be duplicated if the specific substance has already been identified. However if the 'Substance name' data element identified a grouping or a class of substance, this data element may be used to identify a specific substance and justify a separate episode., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0017], code=at0017, itemType=ELEMENT, level=3, text=Status, description=Reported usage of the specific substance during the episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_CODED_TEXT, bindings=null, values=
    • Used [The individual used the identified substance during this episode.]
    • Not used [The individual has not used the identified substance during this episode.]
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0018], code=at0018, itemType=ELEMENT, level=3, text=Episode description, description=Narrative summary about use of the specific substance during the episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0019], code=at0019, itemType=ELEMENT, level=3, text=Pattern, description=The typical pattern of frequency of use of the specific substance during the episode., comment=This element is repeatable to allow multiple ways of recording the pattern of use. The typical pattern of use can be made more granular by coding with a terminology or a local value set, or using the quantity data type, in a template., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Text
    •  Coded Text
      • Daily [Using the substance at least once every day.]
      • Not daily [Not using the substance every day.]
    •  Quantity
      Units:
      • >=0.0 1/d
      • >=0.0 1/wk
      • >=0.0 1/mo
      • >=0.0 1/a
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0023], code=at0023, itemType=ELEMENT, level=3, text=Typical amount, description=Typical amount of use of the specified substance during the episode., comment=For example: as a quantity of '6 g/wk'; or as narrative text, such as 'irregular amount of use depending on stress levels, ranging from 1-10 grams per week'., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CHOICE, bindings=null, values=Choice of:
    •  Quantity
      Units:
      • >=0.0 mg/d
      • >=0.0 g/d
      • >=0.0 mg/wk
      • >=0.0 g/wk
      • >=0.0 mg/mo
      • >=0.0 g/mo
      • >=0.0 ug/d
      • >=0.0 ug/wk
      • >=0.0 ug/mo
    •  Text
    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0036], code=at0036, itemType=ELEMENT, level=3, text=Route, description=The name of the route of administration of the specified substance during the episode., comment=Coding with an external terminology is preferred, where possible., uncommonOntologyItems=null, occurencesFormal=1..*, occurencesText=Mandatory, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0015], code=at0015, itemType=ELEMENT, level=3, text=Episode end date, description=Date when this episode ceased., comment=Can be a partial date, for example, only a year. This data field will be empty if the episode is current and ongoing., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0024], code=at0024, itemType=ELEMENT, level=3, text=Number of quit attempts, description=Total number of times the individual has attempted to stop using the specified substance within this episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_COUNT, bindings=null, values=min: >=0

    , extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0025], code=at0025, itemType=SLOT, level=3, text=Episode details, description=Additional details about the episode., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0012]/items[at0026], code=at0026, itemType=ELEMENT, level=3, text=Episode comment, description=Additional narrative about use of the specific substance during this episode, not captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0027], code=at0027, itemType=SLOT, level=2, text=Overall details, description=Additional structured details about the overall use of the substance., comment=null, uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0028], code=at0028, itemType=ELEMENT, level=2, text=Overall quit date, description=The date when the individual last used the substance., comment=Can be a partial date, for example, only a year., uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/data[at0001]/items[at0030], code=at0030, itemType=ELEMENT, level=2, text=Overall comment, description=Additional narrative about the overall use of the substance that has not been captured in other fields., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_TEXT, bindings=null, values=, extendedValues=null]], activities=[], relationships=[], credentials=[], target=[], source=[], state=[], content=[], contacts=[], capabilities=[]}, topLevelItems={protocol=ResourceSimplifiedHierarchyItem [path=ROOT_/protocol[at0029], code=at0029, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null], data=ResourceSimplifiedHierarchyItem [path=ROOT_/data[at0001], code=at0001, itemType=ITEM_TREE, level=0, text=null, description=null, comment=null, uncommonOntologyItems=null, occurencesFormal=1..1, occurencesText=Mandatory, cardinalityFormal=0..1, cardinalityText=optional, subCardinalityFormal=0..*, subCardinalityText=Minimum of 0 items, dataType=ITEM_TREE, bindings=null, values=null, extendedValues=null]}, addHierarchyItemsTo=protocol, currentHierarchyItemsForAdding=[ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0031], code=at0031, itemType=ELEMENT, level=2, text=Last updated, description=The date this Substance use summary was last updated., comment=null, uncommonOntologyItems=null, occurencesFormal=0..1, occurencesText=Optional, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=DV_DATE_TIME, bindings=null, values=, extendedValues=null], ResourceSimplifiedHierarchyItem [path=/protocol[at0029]/items[at0032], code=at0032, itemType=SLOT, level=2, text=Extension, description=Additional information required to extend the model with local content or to align with other reference models or formalisms., comment=For example: local information requirements; or additional metadata to align with FHIR., uncommonOntologyItems=null, occurencesFormal=0..*, occurencesText=Optional, repeating, cardinalityFormal=null, cardinalityText=null, subCardinalityFormal=null, subCardinalityText=null, dataType=CLUSTER, bindings=null, values=Include:
    All not explicitly excluded archetypes, extendedValues=null]], minIndents={}, termBindingRetrievalErrorMessage=null]