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Clinical ReasoningThis is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
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| Clinical Decision Support Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: No defined compartments |
Raw Turtle (+ also see Turtle/RDF Format Specification)
This is an example of the RiskOfBias Profile.
@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/ArtifactAssessment/example-risk-of-bias-assessment-of-parachute-trial> a fhir:ArtifactAssessment ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "example-risk-of-bias-assessment-of-parachute-trial"] ; #
fhir:meta [
fhir:versionId [ fhir:v "4" ] ;
fhir:lastUpdated [ fhir:v "2025-02-25T20:01:47.665Z"^^xsd:dateTime ] ;
fhir:profile ( [
fhir:v "http://hl7.org/fhir/uv/ebm/StructureDefinition/risk-of-bias"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/uv/ebm/StructureDefinition/risk-of-bias>
] )
] ; #
fhir:identifier ( [
fhir:type [
fhir:text [ fhir:v "FEvIR Object Identifier" ]
] ;
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "https://fevir.net/FOI/307449" ] ;
fhir:assigner [
fhir:display [ fhir:v "Computable Publishing LLC" ]
]
] ) ; # 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>
#
fhir:title [ fhir:v "Risk of Bias Assessment of PARACHUTE trial"] ; #
fhir:artifact [
a fhir:Reference ;
fhir:link <http://hl7.org/fhir/Citation/306957> ;
fhir:reference [ fhir:v "Citation/306957" ] ;
fhir:type [ fhir:v "Citation"^^xsd:anyURI ] ;
fhir:display [ fhir:v "30545967 Parachute use to prevent death and major trauma when jumping from aircraft: randomized controlled trial." ]
] ; #
fhir:copyright [ fhir:v "https://creativecommons.org/licenses/by-nc-sa/4.0/"] ; #
fhir:content ( [
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00001" ] ;
fhir:display [ fhir:v "Bias" ]
] )
] ;
fhir:freeToShare [ fhir:v true ] ;
fhir:component ( [
fhir:summary [ fhir:v "Assignment was done by order of enrollment. " ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00278" ] ;
fhir:display [ fhir:v "Inadequate random sequence generation" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00194" ] ;
fhir:display [ fhir:v "Factor present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00208" ] ;
fhir:display [ fhir:v "Factor likely has potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00187" ] ;
fhir:display [ fhir:v "Moderate risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "The investigator who assigned the treatment was aware of the assignment which was reported verbally to the participant. " ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00031" ] ;
fhir:display [ fhir:v "Inadequate allocation concealment" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00194" ] ;
fhir:display [ fhir:v "Factor present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00208" ] ;
fhir:display [ fhir:v "Factor likely has potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00187" ] ;
fhir:display [ fhir:v "Moderate risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "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. " ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00035" ] ;
fhir:display [ fhir:v "Inadequate blinding of participants" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00195" ] ;
fhir:display [ fhir:v "Factor likely present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00208" ] ;
fhir:display [ fhir:v "Factor likely has potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00187" ] ;
fhir:display [ fhir:v "Moderate risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "Intervention deliverers could discern the difference between the parachute and the empty backback. This likely made no difference in the outcome." ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00036" ] ;
fhir:display [ fhir:v "Inadequate blinding of intervention deliverers" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00195" ] ;
fhir:display [ fhir:v "Factor likely present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00209" ] ;
fhir:display [ fhir:v "Factor likely does not have potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00186" ] ;
fhir:display [ fhir:v "Low risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "Although outcome determination was done with full knowledge of exposure status, it was not likely that this changed the determination of death or injury" ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00048" ] ;
fhir:display [ fhir:v "Bias due to lack of masking for outcome determination" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00195" ] ;
fhir:display [ fhir:v "Factor likely present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00209" ] ;
fhir:display [ fhir:v "Factor likely does not have potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00186" ] ;
fhir:display [ fhir:v "Low risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "Attrition was much higher in the intervention group." ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00019" ] ;
fhir:display [ fhir:v "Attrition Bias" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00195" ] ;
fhir:display [ fhir:v "Factor likely present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00208" ] ;
fhir:display [ fhir:v "Factor likely has potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00187" ] ;
fhir:display [ fhir:v "Moderate risk of bias" ]
] )
] )
] [
fhir:summary [ fhir:v "Study was only published in a satirical journal issue." ] ;
fhir:type [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00023" ] ;
fhir:display [ fhir:v "Reporting Bias" ]
] )
] ;
fhir:classifier ( [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00194" ] ;
fhir:display [ fhir:v "Factor present" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00208" ] ;
fhir:display [ fhir:v "Factor likely has potential to impact results" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00205" ] ;
fhir:display [ fhir:v "Risk of bias direction unpredictable" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "https://fevir.net/resources/CodeSystem/27270"^^xsd:anyURI ] ;
fhir:code [ fhir:v "SEVCO:00187" ] ;
fhir:display [ fhir:v "Moderate risk of bias" ]
] )
] )
] )
] [
fhir:type [
fhir:text [ fhir:v "Profile" ]
] ;
fhir:classifier ( [
fhir:text [ fhir:v "ROB1" ]
] )
] ) . #
<http://hl7.org/fhir/Citation/306957> a fhir:Citation .
# -------------------------------------------------------------------------------------
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
FHIR ®© HL7.org 2011+. FHIR R6 hl7.fhir.core#6.0.0-ballot3 generated on Tue, Oct 28, 2025 04:41+0000.
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