Evidence Based Medicine on FHIR Implementation Guide
1.0.0-ballot3 - STU 1 Ballot 3 World

Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot3 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

Example ResearchStudy: BP-CONTROL Cardiovascular Outcomes Component: intensive versus standard blood-pressure control in adults at increased cardiovascular risk

Page standards status: Informative

version: 9; Last updated: 2026-08-07 17:15:50+0000

Profile: StudyComponent

ArtifactPublicationStatus: Active

Artifact Author: Khalid Shahin:

ResearchStudySaeReportingMethod: Report serious adverse events to the coordinating centre within 24 hours of first awareness using the electronic SAE form. The coordinating centre forwards reports to the independent Data and Safety Monitoring Board and to the relevant regulatory authority within 7 calendar days for fatal or life-threatening events, and within 15 calendar days otherwise.

ResearchStudySponsorConfidentialityStatement: This study does not have a confidentiality statement, but this is an example of how the data would appear if there was such a statement.

url: https://fevir.net/resources/ResearchStudy/588219

identifier: FEvIR Object Identifier/588219

title: BP-CONTROL Cardiovascular Outcomes Component: intensive versus standard blood-pressure control in adults at increased cardiovascular risk

Labels

-TypeValueLanguage
*AcronymBP-CONTROL-CVEnglish

partOf: BP-CONTROL Master Protocol: blood-pressure targets in adults at increased cardiovascular risk

citeAs:

BP-CONTROL Cardiovascular Outcomes Component: intensive versus standard blood-pressure control in adults at increased cardiovascular risk [Database Entry: FHIR ResearchStudy Resource]. Contributors: Khalid Shahin [Authors/Creators]. In: Fast Evidence Interoperability Resources (FEvIR) Platform, FOI 588219. Revised 2026-08-07. Available at: https://fevir.net/resources/ResearchStudy/588219. Computable resource at: https://fevir.net/resources/ResearchStudy/588219#json.

relatesTo

type: Part Of

target: BP-CONTROL Master Protocol: blood-pressure targets in adults at increased cardiovascular risk

relatesTo

RelatesToWithQuotation:

Enrolment was extended by 11 months relative to the original protocol following slower than anticipated recruitment during 2020.

type: Amended With

target:

An extension to the enrollment to get enough recruitment.

status: Active

purposeType: Treatment, Prevention

phase: Phase 3

studyDesign: Randomized controlled trial

condition: Hypertension with increased cardiovascular risk

keyword: blood pressure, cardiovascular prevention, treatment target

region: United States of America, Canada

descriptionSummary:

Randomized comparison of intensive versus standard blood-pressure control in adults aged 50 years or older with hypertension and at least one additional cardiovascular risk factor, conducted as one component of the BP-CONTROL master protocol.

description:

This ResearchStudy describes one component of a multi-part investigation conducted under the BP-CONTROL master protocol. Participants aged 50 years or older with a systolic blood pressure of 130-180 mmHg and at least one additional cardiovascular risk factor were randomly assigned in a 1:1 ratio to a systolic blood-pressure target of less than 120 mmHg (intensive control) or less than 140 mmHg (standard control).

Treatment was open-label; all primary and secondary endpoint events were adjudicated by a committee unaware of treatment assignment. The primary endpoint was a composite of myocardial infarction, other acute coronary syndrome, stroke, acute decompensated heart failure, or death from cardiovascular causes. Participants were followed until the common study end date or death.

Other components conducted under the same master protocol, and reported separately, address cognitive outcomes and kidney outcomes. Each component is represented as its own ResearchStudy pointing at the shared master protocol through partOf.

period: 2019-11-01 --> 2025-10-31

associatedParty

name: Example National Heart Institute

role: Lead sponsor

period: 2019-10-01 --> 2025-10-31

associatedParty

name: Example Independent Data Monitoring Committee

role: Data Monitoring

associatedParty

name: Example University Clinical Coordinating Centre

role: collaborator

classifier: Academic

progressStatus

state: Recruitment complete

actual: true

period: 2021-10-04 --> (ongoing)

progressStatus

state: Follow-up complete

actual: true

period: 2025-11-01 --> (ongoing)

Recruitments

-TargetNumberActualNumberDescription
*92009361

Recruitment was conducted at 102 sites in the United States and Canada. Screening ran from November 2019 to October 2021.

comparisonGroup

targetNumber: 4600

actualNumber: 4678

name: Intensive control

description:

Antihypertensive therapy titrated at monthly intervals to a systolic blood-pressure target of less than 120 mmHg.

comparisonGroup

targetNumber: 4600

actualNumber: 4683

name: Standard control

description:

Antihypertensive therapy titrated to a systolic blood-pressure target of less than 140 mmHg.

objective

name: Primary objective

type: Primary

description:

To determine whether a systolic blood-pressure target of less than 120 mmHg reduces the rate of major adverse cardiovascular events compared with a target of less than 140 mmHg.

OutcomeMeasures

-NameTypeDescriptionEndpointSummaryMeasure
*Major adverse cardiovascular eventsPrimary

Time to first occurrence of myocardial infarction, other acute coronary syndrome, stroke, acute decompensated heart failure, or death from cardiovascular causes, adjudicated by a committee unaware of treatment assignment.

Major adverse cardiovascular events (composite endpoint)Hazard ratio from a Cox proportional-hazards model stratified by site

objective

name: Safety objective

type: Secondary

description:

To compare the rate of serious adverse events of interest, including hypotension, syncope, electrolyte abnormality and acute kidney injury, between the two treatment targets.