LABORATORIUM

Jl. Laksda Adisucipto No.32-34, Demangan, Yogyakarta 55221

Telp. +62274 4600900
Clinical Pathologist:
dr. Audric Komala, SpPK
YOGYAKARTA dr. Yunika Puspa Dewi,M.Sc.,Sp.PK

Bangsal/Poli Dokter
Ward
: OUTPATIENT Clinician : dr. Audric Komala, Sp.PK
Umur/Seks : 34Y / MALE Nama Pasien : AFRIJHON SARAGIH
Age/Sex Patient Name
Tanggal Lahir
Date of Birth
: 17-04-1987 Alamat : GANG APUIK NO 50 RT/RW 006/003
Address
Tanggal Order
Order Time : 11-11-2021 18:33:00
Nomor RM : 00125757
Tanggal Terima MR Number
Specimen Received : 11-11-2021 18:50:00 Nomor Lab
Lab Number
: 21074382
Tanggal Cetak
Print Out : 11-11-2021 19:04 ID/No. Paspor
IC/Passport
: 1502111704870001
Diagnosa
Clinical Info : Halaman : 1/1
Page

T E S T RESULT UNIT REFERENCE RANGE

IMMUNOLOGY/SEROLOGY

Antigen Rapid SARS-CoV-2

Jenis Spesimen (Specimen) Nasopharyngeal swab
Antigen Rapid SARS-CoV-2 Negative Negative
Catatan (Notes) :
- Hasil pemeriksaan di atas dilakukan dengan metode lateral flow untuk mendeteksi
Antigen SARS Cov-2 dan hanya menggambarkan kondisi saat pengambilan spesimen.
- Hasil negatif tidak menyingkirkan kemungkinan terinfeksi SARS-CoV-2 sehingga
masih berisiko menularkan ke orang lain.
- Hasil negatif dapat terjadi pada kondisi kuantitas antigen spesimen dibawah
level deteksi alat
- Interpretasi hasil harus dilakukan oleh Klinisi sejalan dengan pengamatan klinis
dan data epidemiologis.

Saran :
- Jika kecurigaan terhadap infeksi SARS CoV-2 besar, lanjut dengan RT-PCR SARS CoV-
2.

- The result of the above examination was carried out using lateral flow method and
only described the conditions at the time of specimen collection.
- A negative test result does not rule out the possibility of SARS-CoV-2 infection
so there is still a risk of spreading it to others.
- Negative results may occur when the antigen quantity in the specimen is below
the device detection level.
- Interpretation of results should be carried out by Clinicians in line with
clinical observations and epidemiological data.

Suggestions :
- If suspicion of SARS CoV-2 infection is high, continue with SARS CoV-2 RT-PCR.

Authorized By Bima Putra

Report Date :11-11-2021 19:04:00
Penilaian hasil laboratorium hanya dapat diberikan oleh Dokter yang memiliki data klinis pasien.
Laboratorium ini sudah diverivikasi secara elektronik, tanda tangan petugas tidak diperlukan
Assessment of laboratory results can only be provided by doctors who have clinical patient data.
This laboratory has been verified electronically, staff signature is not required.