Open Syndrome Middle East Respiratory Syndrome (MERS)
Table of Contents
Authors: Ministry of Health Command and Control Center, Ministry of Health
Location: Saudi Arabia
Purpose #
MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS
The definition #
Acute febrile illness (T ≥380 C) with/without respiratory symptoms OR IV. Gastrointestinal symptoms (diarrhea or vomiting), AND leukopenia (WBC≤3.5x109 /L) or thrombocytopenia (platelets < 150x109/L)
Machine-readable definition #
The definition is available in JSON format following the Open Syndrome v1.0 specification:
{
"authors": [
"Ministry of Health Command and Control Center"
],
"category": "suspected",
"definition_type": "case_definition",
"description": "MIDDLE EAST RESPIRATORY SYNDROME CORONAVIRUS",
"exclusion_criteria": [],
"human_readable_definition": "Acute febrile illness (T ≥380 C)\nwith/without respiratory symptoms\nOR\nIV. Gastrointestinal symptoms\n(diarrhea or vomiting), AND\nleukopenia (WBC≤3.5x109 /L) or\nthrombocytopenia (platelets \u003c\n150x109/L)",
"inclusion_criteria": [
{
"logical_operator": "OR",
"type": "criterion",
"values": [
{
"name": "fever with/without respiratory symptoms",
"type": "syndrome"
},
{
"logical_operator": "AND",
"name": "Gastrointestinal symptoms with blood count abnormalities",
"type": "criterion",
"values": [
{
"logical_operator": "AT_LEAST",
"logical_operator_arguments": [
1
],
"name": "gastrointestinal symptoms",
"type": "criterion",
"values": [
{
"name": "diarrhea",
"type": "symptom"
},
{
"name": "vomiting",
"type": "symptom"
}
]
},
{
"logical_operator": "OR",
"name": "Blood count abnormalities",
"type": "criterion",
"values": [
{
"description": "WBC ≤ 3.5x10⁹/L",
"name": "Leukopenia",
"type": "diagnostic_test"
},
{
"description": "Platelets \u003c 150x10⁹/L",
"name": "Thrombocytopenia",
"type": "diagnostic_test"
}
]
}
]
}
]
}
],
"keywords": [
"MERS",
"Asia"
],
"language": "English",
"location": "Saudi Arabia",
"notes": [
"Usage of Suspected case definition (section 4.1 - children and adults)."
],
"open_syndrome_version": "1.0.0",
"organization": "Ministry of Health",
"published_at": "2025-01-29T01:18:47Z",
"published_by": [
"Open Syndrome Initiative"
],
"published_in": "https://opensyndrome.org",
"references": [
{
"citation": "Saudi Ministry of Health. (2018). Middle East respiratory syndrome coronavirus: Guidelines for healthcare professionals (Version 5.1)",
"url": "https://www.moh.gov.sa/ccc/healthp/regulations/documents/mers-cov%20guidelines%20for%20healthcare%20professionals%20-%20may%202018%20-%20v5.1%20%281%29.pdf#page4"
}
],
"scope": "broad",
"status": "draft",
"target_public_health_threats": [
"MERS"
],
"title": "Open Syndrome Middle East Respiratory Syndrome (MERS)",
"version": "1.0.0"
}
Using the Definition #
Healthcare organizations can implement this definition through:
- Direct integration with surveillance systems
- API endpoints for real-time validation
- Manual case verification processes
Next Steps #
We encourage:
- Clinical feedback on the definition criteria
- Technical feedback on the implementation format
- Suggestions for additional symptoms or signs
- Reports of implementation experiences
Get Involved #
We welcome contributions and feedback from the community.