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type: exampleresource: ArtifactAssessmentexample: artifactassessment-example-risk-of-bias-assessment-of-parachute-trial

ArtifactAssessment Example: artifactassessment-example-risk-of-bias-assessment-of-parachute-trial

Example XML

<?xml version="1.0" encoding="UTF-8"?>

<ArtifactAssessment xmlns="http://hl7.org/fhir">
    <id value="example-risk-of-bias-assessment-of-parachute-trial"/>
    <meta>
        <versionId value="4"/>
        <lastUpdated value="2025-02-25T20:01:47.665Z"/>
        <profile value="http://hl7.org/fhir/uv/ebm/StructureDefinition/risk-of-bias"/>
    </meta>
    <!-- artifact-url is not allowed on ArtifactAssessment. Should it be? -->
    <!--
    <extension url="http://hl7.org/fhir/StructureDefinition/artifact-url">
        <valueUri value="https://fevir.net/resources/ArtifactAssessment/307449"/>
    </extension>
    -->
    <!-- artifact-description is not allowed on ArtifactAssessment. Should it be? -->
    <!--
    <extension url="http://hl7.org/fhir/StructureDefinition/artifact-description">
        <valueMarkdown value="This is an example of the RiskOfBias Profile."/>
    </extension>
    -->
    <identifier>
        <type>
            <text value="FEvIR Object Identifier"/>
        </type>
        <system value="urn:ietf:rfc:3986"/>
        <value value="https://fevir.net/FOI/307449"/>
        <assigner>
            <display value="Computable Publishing LLC"/>
        </assigner>
    </identifier>
    <title value="Risk of Bias Assessment of PARACHUTE trial"/>
    <artifactReference>
      <!-- <reference value="Citation/306957"/> -->
        <type value="Citation"/>
        <display value="30545967 Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial."/>
    </artifactReference>
    <copyright value="https://creativecommons.org/licenses/by-nc-sa/4.0/"/>
    <content>
        <type>
            <coding>
                <system value="https://fevir.net/resources/CodeSystem/27270"/>
                <code value="SEVCO:00001"/>
                <display value="Bias"/>
            </coding>
        </type>
        <freeToShare value="true"/>
        <component>
            <summary value="Assignment was done by order of enrollment. "/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00278"/>
                    <display value="Inadequate random sequence generation"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00194"/>
                    <display value="Factor present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00208"/>
                    <display value="Factor likely has potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00187"/>
                    <display value="Moderate risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="The investigator who assigned the treatment was aware of the assignment which was reported verbally to the participant. "/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00031"/>
                    <display value="Inadequate allocation concealment"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00194"/>
                    <display value="Factor present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00208"/>
                    <display value="Factor likely has potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00187"/>
                    <display value="Moderate risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="Participants could discern the difference between a parachute and an empty backpack. Knowing that they have only an empty backpack might change jumping behavior which would have an unpredictable effect on the outcome. "/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00035"/>
                    <display value="Inadequate blinding of participants"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00195"/>
                    <display value="Factor likely present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00208"/>
                    <display value="Factor likely has potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00187"/>
                    <display value="Moderate risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="Intervention deliverers could discern the difference between the parachute and the empty backback. This likely made no difference in the outcome."/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00036"/>
                    <display value="Inadequate blinding of intervention deliverers"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00195"/>
                    <display value="Factor likely present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00209"/>
                    <display value="Factor likely does not have potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00186"/>
                    <display value="Low risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="Although outcome determination was done with full knowledge of exposure status, it was not likely that this changed the determination of death or injury"/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00048"/>
                    <display value="Bias due to lack of masking for outcome determination"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00195"/>
                    <display value="Factor likely present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00209"/>
                    <display value="Factor likely does not have potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00186"/>
                    <display value="Low risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="Attrition was much higher in the intervention group."/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00019"/>
                    <display value="Attrition Bias"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00195"/>
                    <display value="Factor likely present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00208"/>
                    <display value="Factor likely has potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00187"/>
                    <display value="Moderate risk of bias"/>
                </coding>
            </classifier>
        </component>
        <component>
            <summary value="Study was only published in a satirical journal issue."/>
            <type>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00023"/>
                    <display value="Reporting Bias"/>
                </coding>
            </type>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00194"/>
                    <display value="Factor present"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00208"/>
                    <display value="Factor likely has potential to impact results"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00205"/>
                    <display value="Risk of bias direction unpredictable"/>
                </coding>
            </classifier>
            <classifier>
                <coding>
                    <system value="https://fevir.net/resources/CodeSystem/27270"/>
                    <code value="SEVCO:00187"/>
                    <display value="Moderate risk of bias"/>
                </coding>
            </classifier>
        </component>
    </content>
    <content>
        <type>
            <text value="Profile"/>
        </type>
        <classifier>
            <text value="ROB1"/>
        </classifier>
    </content>
</ArtifactAssessment>