{
  "url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.7/division-2",
  "json_url": "https://openlegislation.uk/eu-decision-2018-945/annex-II/division-4/division-4.1/division-4.1.7/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/4/division/4.1/division/4.1.7/division/2",
  "kind": "division",
  "number": null,
  "heading": "GI-GE: Gastroenteritis (excl. CDI)",
  "text": "Gastroenteritis must meet at least one of the following criteria:\nPatient has an acute onset of diarrhea (liquid stools for more than 12 hours) with or without vomiting or fever (> 38 °C) and no likely noninfectious cause (for example, diagnostic tests, therapeutic regimen other than antimicrobial agents, acute exacerbation of a chronic condition, or psychologic stress)\nPatient has at least 2 of the following signs or symptoms with no other recognized cause: nausea, vomiting, abdominal pain, fever (> 38 °C), or headache\nAND at least 1 of the following:\nan enteric pathogen is cultured from stool or rectal swab\nan enteric pathogen is detected by routine or electron microscopy\nan enteric pathogen is detected by antigen or antibody assay on blood or feces\nevidence of an enteric pathogen is detected by cytopathic changes in tissue culture (toxin assay)\ndiagnostic single antibody titre (IgM) or 4-fold increase in paired sera (IgG) for pathogen",
  "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/4.1.7/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."
}