{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.5/division-3",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.5/division-3.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/4/division/4.1/division/4.1.5/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 recognized 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 (for example, Haemophilus influenzae, Streptococcus pneumoniae)\nevidence of myocarditis or pericarditis on histologic examination of heart tissue\n4-fold rise in type-specific antibody with or without isolation of virus from pharynx or feces\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/2018/945/annex/II/division/4/division/4.1/division/4.1.5/division/3",
    "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."
}