Report Status: Final
BROCHURE, REPORT
Patient Information Specimen Information Client Information
DOB: Not Given AGE: 40
Gender: F Fasting: Y
Patient ID: 0131627N
Specimen: IF048802B
Collected: 09/29/2020 / 11:00 EDT
Received: 09/29/2020 / 10:37 EDT
Reported: 09/29/2020 / 11:00 EDT
(* A Copy From)
Client #: 97502882
CLIENT SERVICES: 866.697.8378 SPECIMEN: IF048802B
Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
Test Ordered Result Cutoff medMATCH Lab
Gabapentin
NEGATIVE 1000 ng/mL
INCONSISTENT
Gabapentin Comments: See LDT Notes
Test Ordered Result Cutoff Lab
DRUG MONITOR, FENTANYL, SCREEN, URINE IG
Fentanyl NEGATIVE
See Note 1
0.5 ng/mL
Test Ordered Result Reference Range Lab
SPECIMEN VALIDITY TEST IG
Creatinine 26.7 > or = 20.0 mg/dL
pH 7.8 4.5-9.0
Oxidant NEGATIVE <200 mcg/mL
NOTES AND COMMENTS
This drug testing is for medical treatment only. Analysis was performed as non-forensic testing and these results should be used only by healthcare providers to
render diagnosis or treatment, or to monitor progress of medical conditions.
Note 1:
The results are presumptive; based only on screening methods, and they have not been confirmed by a definitive method.
Alcohol Metab Notes:
Ethyl sulfate detected is consistent with exposure to alcohol.
Buprenorphine Notes:
Buprenorphine, Norbuprenorphine detected is consistent with the use of the drug(s) Buprenorphine or Buprenorphine with Naloxone. Naloxone may be negative
due to poor oral bioavailability and/or short half-life.
Buprenorphine, Norbuprenorphine, Naloxone detected is consistent with the use of the drug Buprenorphine with Naloxone.
LDT Notes:
Confirmation tests were developed and their analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or
approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
medMATCH(R) enables providers to identify if drug use is consistent or inconsistent with a corresponding prescribed medication(s) list.
Healthcare Providers needing Interpretation assistance, please contact us at 1.877.40.RXTOX (1.877.407.9869) M-F, 8am to 10pm EST
PERFORMING SITE:
IG QUEST DIAGNOSTICS-IRVING, 4770 REGENT BLVD., IRVING, TX 75063-2445 Laboratory Director: ROBERT L BRECKENRIDGE,MD, CLIA: 45D0697943
* TEST CLIENT (HQ) DAL has requested a copy of this report be sent to you. Ordering Physician: COLMENAR, ANTONIO
PAGE 2 OF 2
Report Status: Final
BROCHURE, REPORT2
Patient Information Specimen Information Client Information
DOB: Not Given AGE: 37
Gender: M Fasting: Y
Patient ID: 0131630N
Specimen: IF048805B
Collected: 09/29/2020 / 11:00 EDT
Received: 09/29/2020 / 10:59 EDT
Reported: 09/29/2020 / 13:13 EDT
(* A Copy From)
Client #: 97502882
CLIENT SERVICES: 866.697.8378 SPECIMEN: IF048805B
Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
Test Ordered Result Cutoff medMATCH Lab
Morphine NEGATIVE 50 ng/mL
Norhydrocodone 1273 50 ng/mL
CONSISTENT
Opiates Comments: See Opiates Notes, LDT Notes
Oxycodone NEGATIVE 100 ng/mL
Phencyclidine NEGATIVE 25 ng/mL
DRUG MONITOR, TRICYCLIC ANTIDEPRESS, QN, URINE IG
Amitriptyline
200 100 ng/mL
CONSISTENT
Nortriptyline 300 100 ng/mL
CONSISTENT
Tricyclic Antidep Comment: See Tricyclic Antidep Notes, LDT Notes
Test Ordered Result Reference Range Lab
SPECIMEN VALIDITY TEST IG
Creatinine 26.6 > or = 20.0 mg/dL
pH 4.5 4.5-9.0
Oxidant POSITIVE A <200 mcg/mL
NOTES AND COMMENTS
This drug testing is for medical treatment only. Analysis was performed as non-forensic testing and these results should be used only by healthcare providers to
render diagnosis or treatment, or to monitor progress of medical conditions.
Benzodiazepines Notes:
aOH Alprazolam detected is consistent with the use of the drug Alprazolam.
Temazepam detected is consistent with the use of the drug Temazepam. Temazepam can be a prescribed drug and is also a metabolite of Diazepam. The
metabolite Oxazepam is not present at or above the cutoff.
Temazepam detected is consistent with the use of the drug Temazepam. Temazepam can be a prescribed drug and is also a metabolite of Diazepam.
Opiates Notes:
Hydrocodone, Norhydrocodone detected is consistent with the use of the drug Hydrocodone. The metabolite Hydromorphone is not present at or above the cutoff.
Tricyclic Antidep Notes:
Amitriptyline, Nortriptyline detected is consistent with the use of the drug Amitriptyline.
Nortriptyline detected is consistent with the use of the drug Nortriptyline. Nortriptyline can be a prescribed drug and is also a metabolite of Amitriptyline.
LDT Notes:
Confirmation tests were developed and their analytical performance characteristics have been determined by Quest Diagnostics. It has not been cleared or
approved by the FDA. This assay has been validated pursuant to the CLIA regulations and is used for clinical purposes.
medMATCH(R) enables providers to identify if drug use is consistent or inconsistent with a corresponding prescribed medication(s) list.
Healthcare Providers needing Interpretation assistance, please contact us at 1.877.40.RXTOX (1.877.407.9869) M-F, 8am to 10pm EST
PERFORMING SITE:
IG QUEST DIAGNOSTICS-IRVING, 4770 REGENT BLVD., IRVING, TX 75063-2445 Laboratory Director: ROBERT L BRECKENRIDGE,MD, CLIA: 45D0697943
PAGE 2 OF 2
Report Status: Final
BROCHURE, REPORT
Patient Information Specimen Information Client Information
DOB: Not Given AGE: 40
Gender: F Fasting: Y
Phone: 123.432.1244
Patient ID: 0131627N
Specimen: IF048802B
Requisition: 0131627
Lab Ref #: IF048802B
Collected: 09/29/2020 / 11:00 EDT
Received: 09/29/2020 / 10:37 EDT
Reported: 09/29/2020 / 11:00 EDT
(* A Copy From)
Client #: 97502882
AARRSSS
TEST CLIENT (HQ) 5
Attn: ATTN: TEST DEPARTMENT
224 E 96TH ST
NEW YORK, NY 10128-3802
CLIENT SERVICES: 866.697.8378 SPECIMEN: IF048802B
Quest, Quest Diagnostics, the associated logo and all associated Quest Diagnostics marks are the trademarks of Quest Diagnostics.
Room: 12 Bed: 15
COMMENTS:
TESTING REPORT FOR BROCHURE
medMATCH® Drug Monitoring Report
Legend
medMATCH Summary
medMATCH indicates presence or absence of prescribed and non prescribed drugs. Prescribed drugs are provided by the ordering clinician.
= Consistent
Prescribed Consistent
Drugs prescribed and detected
Prescribed Inconsistent
Drugs prescribed but not detected
Not Prescribed Inconsistent
Drugs detected but not prescribed
= Inconsistent
= Prescribed
= Buprenorphine Nalox = Gabapentin = Ethyl Sulfate (ETS)
Prescriptions reported by client with no testing ordered: Zolpidem
Test Ordered Result Cutoff medMATCH Lab
DRUG MONITORING, PANEL 8 WITH CONFIRMATION, URINE IG
Alcohol Metabolites POSITIVE 500 ng/mL
Ethyl Glucuronide (ETG) NEGATIVE 500 ng/mL
Ethyl Sulfate (ETS) 100 100 ng/mL
INCONSISTENT
Alcohol Metab Comments: See Alcohol Metab Notes, LDT Notes
Amphetamines NEGATIVE 500 ng/mL
Benzodiazepines NEGATIVE 100 ng/mL
Buprenorphine POSITIVE 5 ng/mL
Buprenorphine
101 2 ng/mL
CONSISTENT
Norbuprenorphine
105 2 ng/mL
CONSISTENT
Naloxone
110 2 ng/mL
CONSISTENT
Buprenorphine Comments: See Buprenorphine Notes, LDT Notes
Cocaine Metabolite NEGATIVE CONFIRMED 150 ng/mL
Benzoylecgonine NEGATIVE 100 ng/mL
Cocaine Comments: See LDT Notes
6 Acetylmorphine NEGATIVE 10 ng/mL
Marijuana Metabolite NEGATIVE 20 ng/mL
Naloxone
110 2 ng/mL
CONSISTENT
MDMA NEGATIVE 500 ng/mL
Opiates NEGATIVE 100 ng/mL
Oxycodone NEGATIVE 100 ng/mL
DRUG MONITOR, GABAPENTIN, QN, URINE IG
PAGE 1 OF 2
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