Republic of the Philippines
Department of Health
CAGAYAN VALLEY MEDICAL CENTER
Dalan Na Pagayaya, Regional Government Center
Carig Sur, Tuguegarao Ciy, Cagayan
(078) 302-0000 local 200
Department of Pathology and Laboratories
MOLECULAR LABORATORY RESULT FORM
Specimen No.
AGUSTIN, DEXTER OROG
Name
Age/Sex
23
MALE
Date of Birth
02/19/1999
Hospital No.
22CVD-292489
0
ZONE NUMBER 6, TAKIKI, GATTARAN, CAGAYAN
Address
Type of Specimen
NPS
Region
Date and Time of Collection
11/27/2022 01:20:00 PM
Ward
Date and Time of Receipt
11/27/2022 02:00:00 PM
Date Admitted
Date and Time Performed
11/27/2022 08:30:00 PM
Referring Health
Facility
Date and Time Reported
11/28/2022 09:30:00 AM
Region 2
GATTARAN RURAL HEALTH UNIT
LABORATORY TEST RESULT
Laboratory Test Performed: SARS-CoV-2 Viral RNA Testing by Real Time Reverse Transcriptase Polymerase Chain Reaction (rRT-PCR)
Test Result: SARS-CoV-2 viral RNA NOT Detected
Interpretation:
NEGATIVE for SARS-CoV-2 (Causative Agent of COVID-19)
RESULTS AND UNITS OR MEASURES:
NONE
BIOLOGICAL REFERENCES INTERVALS: NONE
Comments/Remarks:
Please correlate this laboratory result with all the available clinical and epidemiological information
A repeat or supplementary specimen should be collected and test if there is high index of suspicion for COVID-19 viral infection.
Significance:
This test utilizes specimen (i.e., nasopharyngeal/oropharyngeal swab) collected from patients for the qualitative detection of SARS-CoV-2 viral RNA.
Limitations:
Viral RNA detection is dependent on the viral load extracted from the specimen and patient's disease course.
Pre-analytic variables such as but not limited to the collection, quality and transport of the specimen may also affect results.
The performance characteristics of this test have been validated and is continuously being monitored by the Department of Pathology and Laboratories
as part of its quality assurance procedures.
Performed By:
Validated By:
KRISTEIN MARGARET M. MARIBBAY, RMT
RUEL A. LAMORENA, RMT
Medical Technologist
Medical Technologist
Noted By:
MARVIN JOHN B. PUA, MD, DPSP
Pathologist