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Test Report: Assay Assay Version Assay Type

This document contains test reports from a GeneXpert Dx System for 8 patients. Each report provides the patient and sample IDs, test type and result showing that MTB (Mycobacterium tuberculosis) was not detected in any sample. The reports also include information on the user, test time, software and instrument serial numbers.

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rosmayaniimutz
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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168 views7 pages

Test Report: Assay Assay Version Assay Type

This document contains test reports from a GeneXpert Dx System for 8 patients. Each report provides the patient and sample IDs, test type and result showing that MTB (Mycobacterium tuberculosis) was not detected in any sample. The reports also include information on the user, test time, software and instrument serial numbers.

Uploaded by

rosmayaniimutz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: MAKKASAU_PKM TOSORA


Patient ID 2: 0443
Sample ID: Xpert M 040224095001
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 09:50:54
Expiration Date*: 11/05/25 End Time: 04/02/24 10:55:41
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120521 Module S/N: 210074463
Reagent Lot ID*: 55709 Module Name: C4
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 1 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: HJ. JARNA_PKM TOSORA


Patient ID 2: 0442
Sample ID: Xpert M 040224094937
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 09:50:31
Expiration Date*: 11/05/25 End Time: 04/02/24 10:55:18
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120532 Module S/N: 651651
Reagent Lot ID*: 55709 Module Name: C1
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 2 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: SAHRUL_PKM TOSORA


Patient ID 2: 0441
Sample ID: Xpert M 040224094915
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 09:50:09
Expiration Date*: 11/05/25 End Time: 04/02/24 10:54:29
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120542 Module S/N: 210103541
Reagent Lot ID*: 55709 Module Name: C3
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 3 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: RUSTAN_PKM TOSORA


Patient ID 2: 0440
Sample ID: Xpert M 040224083012
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 08:31:07
Expiration Date*: 11/05/25 End Time: 04/02/24 09:35:36
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120535 Module S/N: 662540
Reagent Lot ID*: 55709 Module Name: C2
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 4 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: MURTASIA_SAYRA BEDAH


Patient ID 2: 0439
Sample ID: Xpert M 040224082943
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 08:30:38
Expiration Date*: 11/05/25 End Time: 04/02/24 09:35:22
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120539 Module S/N: 210074463
Reagent Lot ID*: 55709 Module Name: C4
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 5 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: NURMI_ASOKA


Patient ID 2: 0438
Sample ID: Xpert M 040224082915
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 08:30:10
Expiration Date*: 11/05/25 End Time: 04/02/24 09:34:51
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120553 Module S/N: 651651
Reagent Lot ID*: 55709 Module Name: C1
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 6 of 7


812543-RSUD Lamaddukkelleng-Wajo-Indonesia 04/02/24 11:53:45

Test Report

Patient ID: SULTAN_ASOKA


Patient ID 2: 0437
Sample ID: Xpert M 040224082853
Test Type: Specimen
Sample Type:

Assay Information
Assay Assay Version Assay Type
Xpert MTB-RIF Ultra 4 In Vitro Diagnostic

Test Result: MTB NOT DETECTED


-
Analyte Result
No fields selected

User: Wahyuddin
Status: Done Start Time: 04/02/24 08:29:46
Expiration Date*: 11/05/25 End Time: 04/02/24 09:34:02
S/W Version: 5.1 Instrument S/N: 812543
Cartridge S/N*: 629120556 Module S/N: 210103541
Reagent Lot ID*: 55709 Module Name: C3
Notes:
Error Status: OK
-
Errors
<None>

Tech. Initial/Date Supervisor Initial/Date


* indicates that a particular field is entered using a barcode scanner

For In Vitro Diagnostic Use Only.

GeneXpert® Dx System Version 5.1 Page 7 of 7

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