Republic of the Philippines

Department of Health
BAGUIO GENERAL HOSPITAL AND MEDICAL CENTER
Baguio City
DEPARTMENT OF PATHOLOGY Form No: MS - PAT - MBL - 002
MOLECULAR BIOLOGY LABORATORY Revision No: 1
RESULT FORM Effectivity Date: June 1, 2020

Name : LAMAG, JULY ROSE LICNACHAN Specimen No.: : COVID-572396

Age/Sex : 23/F Date of Birth : Jul 23, 1998 Laboratory No : 0002213447
Address: 1B FATIMA ST., AURORA HILL BAYAN PARK BAGUIO CITY, BENGUET
OROPHARYNGEAL SWAB &
Type of Specimen Region Cordillera Administrative Region
NASOPHARYNGEAL SWAB
Date and Time of Collection 01/11/2022 Ward OPD
Date and Time of Receipt 01/12/2022 01:50PM Date Admitted NOT APPLICABLE
BAGUIO CITY CONVENTION CENTER
Date and Time Performed 01/12/2022 Referral
TRIAGE
Date and Time Reported 01/13/2022 08:31 AM Attending Physician/Investigator FLORENCE ONUS

Laboratory Test Result:

SARS-CoV-2 VIRAL RNA DETECTED

(POSITIVE FOR SARS-CoV-2 VIRAL RIBONUCLEIC ACID)

RESULT AND UNIT OR MEASURES: NONE

BIOLOGICAL REFERENCES INTERVALS: NONE

Laboratory Test Performed: SARS-CoV2 Viral RNA Testing by Real Time Polymerase Chain Reaction Detection
REMARKS :
INTERPRETATION OF FINAL RESULT
SARS-CoV-2 viral RNA detected Positive for SARS-CoV-2
SARS-CoV-2 viral RNA not detected Negative for SARS-CoV-2
Invalid due to specimen quality Negative for test internal control (most likely due to poor specimen quality)

Comments/Remarks: Please correlate this laboratory result with all the available clinical and epidemiological information.
A repeat or supplementary specimen should be collected and tested if there is high index of suspicion for COVID-19 viral
infection.
Significance: This test utilizes specimen (ie. 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 the
results.
The performance characteristics of this test have been validated and is continuously being monitored by the Department
of Pathology as part of its quality assurance procedures.

Performed by: Validated by: Noted by:

RHESA MICHELLE MANANGAN-WONG, MD,

ROCEANNE TALYA P. FIANZA, RMT Regine Arabela M. Kubota, RMT
FPSP
License No.: 0065354 License No.: 0062063 License No.: 0111589
Medical Technologist Medical Technologist Pathologist
Baguio General Hospital and Medical Center is certified by the Department of Health as a Subnational Laboratory that can perform independent testing for
COVID-19 (SARS-CoV-2) by Real-Time Polymerase Chain Reaction (PCR) dated March 27, 2020.

This report has been electronically validated.