CELLULAR IMMUNOLOGY AND IMMUNOGENETICS

COVID-19 PCR (C19T1)

PATIENT’S NAME (Last, First Middle Name) DATE/TIME OF EXAM

HERMANO, Nicolas JR. Anay Sep-15-2021 11:46 AM
PIN BIRTHDATE AGE/GENDER ROOM/BED REQUESTING PHYSICIAN
1407119953 Sep-16-1975 45Y/M OPD

Specimen No.: 1009494718

Molecular Diagnostic Test: SARS-CoV-2 (COVID-19) viral RNA rt-PCR TEST
Specimen: Nasopharyngeal and Oropharyngeal swab
Date/Time Collected: SEPTEMBER 15, 2021 0924H
Date/Time Received: SEPTEMBER 15, 2021 1057H
Case Number: 21CVD-60183
Test Result: VIRAL RNA NOT DETECTED (NEGATIVE)
Remarks: Please correlate the results of this test with all clinical and imaging findings. If there is a high index
of suspicion for COVID-19 virus infection, a repeat or additional specimens, should be collected
and tested.

TEST INFORMATION
Methodology: RNA extraction is followed by rtPCR amplification and detection of SARS-CoV-2 viral
gene targets, with positive and negative controls included in each run to confirm validity and
accuracy. The details of the available test kits utilized are accessible upon request.

Significance: This test is intended for the qualitative detection of SARS-CoV-2, extracted from
nasopharyngeal swabs, oropharyngeal swabs, and lower respiratory tract specimens of patients.

Limitation/s: The detection of a viral RNA is dependent on the viral load retrieved from the
specimen. The sensitivity varies in the disease course. Preanalytic variables (ie. specimen
collection and quality, handling/shipping) may also affect the results.

The performance characteristics of this laboratory developed test have been validated at the
Institute of Pathology and is continuously being monitored by the Institute as part of its quality
assurance procedures, including enrollment with external proficiency testing.

Performed By: Verified By: Noted By:

ROILAND A. BAYBAYON ROMMEL F. SACEDA, RMT RAYMUNDO W. LO, M.D.

PRC#0080065 PRC#0047604 PRC#46115
MEDICAL TECHNOLOGIST MEDICAL TECHNOLOGIST PATHOLOGIST

This result is best interpreted by your attending physician in correlation with your clinical data, imaging and other laboratory results.
This report has been electronically validated. No signature is required.

OR/CI # 0063202109000573 PRINT DATE/TIME: 09 15 2021 08:35 PM

DOCUMENT # 00630921603699 Page 1 of 1
279 E. Rodriguez Sr. Blvd., Quezon City * Tel. No.: (632) 723-0101 / 723-0301