RSIA Bunda Jakarta

Jl. Teuku Cik Ditiro No. 28

Menteng - Jakarta Pusat 10350
Indonesia Call Center : 1-500-799

Clinical Pathologist :
DR. dr. Anggraini Iriani, Sp.PK (K)
dr. Ricky Tjahjadi, Sp.PK
Name : Jovita Adyarani Murhanjati Order Time : 10-11-2023 13:57
Laboratory number : 2311100021AL Sampling Time : 10-11-2023 14:21
Customer ID : 0002231100003 Received Time : 10-11-2023 14:21
Identity : Referrer : CS HO
Birth Date / Age : 29-01-1984 / 39 Year(s) 9 Month(s) 12 Day(s) Referrer Address :
Gender : Female Doctor : dr. Erik Rohmando.,Purba Sp.PD
Address : Jl. Trembesi Jl. Kota Baru Bandar Kemayoran, Clinical Information :
Pademangan Tim., Kec. Pademangan, Kota
Jkt Utara -
Phone / Email : 6281326542686 / jovita.murhanjati@gmail.com

LABORATORY TEST RESULT REFERENCE VALUE UNIT DESCRIPTION

GASTROINTESTINAL
Gastrointestinal Infection Panel Attached

*This document has been electronically validated Dot (.) is used as decimal separator for numeric test results.
Validation Time : 10/11/2023 19:44:15 By Andi Trisnandi, S.Si, M.Si
Result Print Time : 10/11/2023 19:52:17 By Andi Trisnandi, S.Si, M.Si
Page : 1 / 1
QIAstat-Dx® Gastrointestinal Panel 2 www.qiagen.com

TEST REPORT
Patient ID 2311100021 Sample ID Jovita Test Time 10-11-2023 17:57
AL Adyarani
Murhanjati

NO PATHOGEN DETECTED
User administrator Test Status Completed
Internal Controls Passed

RESULT DETAILS Ct / EP

Viruses Not detected Adenovirus F40/F41 -- / --

Not detected Astrovirus -- / --
Not detected Norovirus GI/GII -- / --
Not detected Rotavirus A -- / --
Not detected Sapovirus -- / --
Bacteria Not detected Campylobacter -- / --
Not detected Clostridium difficile toxin A/B -- / --
Not detected Plesiomonas shigelloides -- / --
Not detected Salmonella -- / --
Not detected Vibrio cholerae -- / --
Not detected Vibrio parahaemolyticus -- / --
Not detected Vibrio vulnificus -- / --
Not detected Yersinia enterocolitica -- / --
Not detected Enteroaggregative E. coli (EAEC) -- / --
Not detected Enteropathogenic E. coli (EPEC) -- / --
Not detected Enterotoxigenic E. coli (ETEC) lt/st -- / --
Not detected Shiga-like toxin E. coli (STEC) stx1 + stx2 -- / --
N/A E. coli O157 -- / --
Not detected Shigella/Enteroinvasive E. coli (EIEC) -- / --
Parasites Not detected Cryptosporidium -- / --
Not detected Cyclospora cayetanensis -- / --
Not detected Entamoeba histolytica -- / --
Not detected Giardia lamblia -- / --
Controls Detected IC 29.3 / 341,372

TEST DETAILS
Assay GI2 Cartridge SN 531392594 SN Operational module 000001605
v1.1 Cartridge LOT 230139 SN Analytical module 1588
Sample Cary-Blair Expiration Date 08-03-2024 SW Version 1.5.2 build 3

Error None

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