{
  "url": "https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.5/division-2",
  "json_url": "https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.5/division-2.json",
  "legislation": "eudn/2012/506",
  "legislation_title": "Commission Implementing Decision of 8 August 2012 amending Decision 2002/253/EC laying down case definitions for reporting communicable diseases to the Community network under Decision No 2119/98/EC of the European Parliament and of the Council (notified under document C(2012) 5538) (Text with EEA relevance) (2012/506/EU)",
  "legislation_url": "https://openlegislation.uk/eu-decision-2012-506",
  "path": "annex/division/3/division/3.1/division/3.1.5/division/2",
  "kind": "division",
  "number": null,
  "heading": "CVS-ENDO: Endocarditis",
  "text": "Endocarditis of a natural or prosthetic heart valve must meet at least one of the following criteria:\nPatient has organisms cultured from valve or vegetation\nPatient has two or more of the following signs or symptoms with no other recognised cause: fever (> 38 °C), new or changing murmur, embolic phenomena, skin manifestations (e.g. petechiae, splinter haemorrhages, painful subcutaneous nodules), congestive heart failure, or cardiac conduction abnormality\nAND at least one of the following:\norganisms cultured from two or more blood cultures\norganisms seen on Gram’s stain of valve when culture is negative or not done\nvalvular vegetation seen during a surgical operation or autopsy\npositive antigen test on blood or urine (e.g. Haemophilus influenzae, Streptococcuspneumoniae, Neisseria meningitidis, or Group B Streptococcus)\nevidence of new vegetation seen on echocardiogram\nAND if diagnosis is made antemortem, physician institutes appropriate antimicrobial therapy",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2012/506/annex/division/3/division/3.1/division/3.1.5/division/2",
    "retrieved_at": "2026-11-01T15:15:21.976168+00:00"
  },
  "licence": "Open Government Licence v3.0",
  "licence_url": "https://www.nationalarchives.gov.uk/doc/open-government-licence/version/3/",
  "attribution": "Contains public sector information licensed under the Open Government Licence v3.0. Source: legislation.gov.uk, The National Archives."
}