{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-3/division-3.36/division-2",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-3/division-3.36/division-2.json",
  "legislation": "eudn/2018/945",
  "legislation_title": "Commission Implementing Decision (EU) 2018/945 of 22 June 2018 on the communicable diseases and related special health issues to be covered by epidemiological surveillance as well as relevant case definitions (Text with EEA relevance)",
  "legislation_url": "https://openlegislation.uk/eu-decision-2018-945",
  "path": "annex/II/division/3/division/3.36/division/2",
  "kind": "division",
  "number": null,
  "heading": "Laboratory Criteria",
  "text": "At least one of the following four:\nIsolation of rubella virus from a clinical specimen\nDetection of rubella virus nucleic acid in a clinical specimen\nRubella IgM antibody detection\nRubella IgG seroconversion or significant rise in rubella IgG antibody titre in paired specimens tested in parallel.\nLaboratory results need to be interpreted according to the vaccination status (possible persistence of IgM antibodies upon vaccination).",
  "extent": "E+W+S+N.I.",
  "status": null,
  "version": "current",
  "annotations": [
    {
      "type": "footnote",
      "label": "f1",
      "text": "In elimination settings, additional testing may be considered in certain situations to exclude false-positive IgM results (WHO Manual for the Laboratory Surveillance of Measles and Rubella Viruses, 2017)."
    }
  ],
  "outstanding_effects": [],
  "provenance": {
    "source": "legislation.gov.uk",
    "source_url": "https://www.legislation.gov.uk/eudn/2018/945/annex/II/division/3/division/3.36/division/2",
    "retrieved_at": "2026-11-01T15:13:03.598650+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."
}