{
  "url": "https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.5/division-3",
  "json_url": "https://openlegislation.uk/eu-decision-2012-506/annex/division-3/division-3.1/division-3.1.5/division-3.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/3",
  "kind": "division",
  "number": null,
  "heading": "CVS-CARD: Myocarditis or pericarditis",
  "text": "Myocarditis or pericarditis must meet at least one of the following criteria:\nPatient has organisms cultured from pericardial tissue or fluid obtained by needle aspiration or during a surgical operation\nPatient has at least two of the following signs or symptoms with no other recognised cause: fever (> 38 °C), chest pain, paradoxical pulse, or increased heart size\nAND at least one of the following:\nabnormal EKG consistent with myocarditis or pericarditis\npositive antigen test on blood (e.g. Haemophilus influenzae, Streptococcus pneumoniae)\nevidence of myocarditis or pericarditis on histologic examination of heart tissue\nfour-fold rise in type-specific antibody with or without isolation of virus from pharynx or faeces\npericardial effusion identified by echocardiogram, CT scan, MRI, or angiography",
  "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/3",
    "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."
}