---
type: "example"
title: "ArtifactAssessment Example: artifactassessment-example-risk-of-bias-assessment-of-parachute-trial"
resource: "ArtifactAssessment"
example: "artifactassessment-example-risk-of-bias-assessment-of-parachute-trial"
---
# ArtifactAssessment Example: artifactassessment-example-risk-of-bias-assessment-of-parachute-trial

## Example XML



```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>
```