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 : Geodwipa Ahmad Rafandhy Order Time : 10-11-2023 14:22
Laboratory number : 2311100022AB Sampling Time : 10-11-2023 14:46
Customer ID : 0002231100149 Received Time : 10-11-2023 14:46
Identity : Referrer : Umum
Birth Date / Age : 12-11-2012 / 10 Year(s) 11 Month(s) 28 Day(s) Referrer Address :
Gender : Female Doctor : dr. Anggraini Iriani, Sp.PK
Address : -- Clinical Information :
Phone / Email : /

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 19:44:41 By Andi Trisnandi, S.Si, M.Si
Result Print Time : 10/11/2023 19:54:02 By Andi Trisnandi, S.Si, M.Si
Page : 1 / 1
QIAstat-Dx® Gastrointestinal Panel 2 www.qiagen.com

TEST REPORT
Patient ID 2311100022 Sample ID Geodwipa Test Time 10-11-2023 17:59
AB Ahmad
Rafandhy

Detected Plesiomonas shigelloides

Vibrio parahaemolyticus
Enteroaggregative E. coli (EAEC)
Enteropathogenic E. coli (EPEC)
Cyclospora cayetanensis
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 -- / --
Detected Plesiomonas shigelloides 31.8 / 20,700
Not detected Salmonella -- / --
Not detected Vibrio cholerae -- / --
Detected Vibrio parahaemolyticus 34.5 / 10,942
Not detected Vibrio vulnificus -- / --
Not detected Yersinia enterocolitica -- / --
Detected Enteroaggregative E. coli (EAEC) 32.7 / 257,173
Detected Enteropathogenic E. coli (EPEC) 25.1 / 644,830
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 -- / --
Detected Cyclospora cayetanensis 26.4 / 108,976
Not detected Entamoeba histolytica -- / --
Not detected Giardia lamblia -- / --
Controls Detected IC 29.9 / 334,648

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TEST DETAILS
Assay GI2 Cartridge SN 531392591 SN Operational module 000001605
v1.1 Cartridge LOT 230139 SN Analytical module 1649
Sample Cary-Blair Expiration Date 08-03-2024 SW Version 1.5.2 build 3

Error None

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