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: Φ
RESULT FORM Effectivity Date: Φ

Name: NAVOR , ARIANNE JOY HUFALAR Specimen No. COVID-669821

Age/Sex: 22/F Date of Birth 01/28/2001 Laboratory No.: 200009246-5
Address :58, PUROK 2,GREENWATER VILLAGE,CITY OF BAGUIO,BENGUET
Type of Specimen: Oropharyngeal/Nasopharyngeal swab Region CAR (Cordillera Administrative Region)
Date and Time of Collection: 04/30/2023 10:28:00 Ward OPD
Date and Time of Receipt: 04/30/2023 13:45:00 Date Admitted NOT APPLICABLE
BAGUIO GENERAL HOSPITAL AND MEDICAL
Date Performed: 04/30/2023 Referral
CENTER
Date and Time Reported: 04/30/2023 22:23:00 Attending Physician/Investigator ROLAND JENSEN B. IDOS

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 not RNA detected Negative for SARS-CoV-2
Negative for test internal control (most likely due to poor
Invalid due to specimen quality
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.
Encoded by:
JO P. AGONOY

Performed by: Validated by: Noted by:

MAY ANN R. MARZAN, RMT DIXI DAWN F. APIGO, RMT AMERLITO A. NUESCA, MD, DPSP
PRC LIC #0101318 PRC LIC #0078003 PRC LIC #0123847
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..
DOH License No: 14-0132-2023-H-CL-1; valid until December 31, 2023

This report has been electronically validated