CPQA-AQCP Run M2 NSCLC Results Submission Spam protection, skip this field Please complete the fields below to submit your results for the Run M2 NSCLC challenge. All fields are mandatory unless indicated otherwise. Your Molecular Lab ID Name of Primary Contact for Run M2 NSCLC Primary Contact Email Address Name of Molecular Specialist (i.e. pathologist or geneticist) Molecular Specialist Email Address Date you received the Run M2 NSCLC Challenge material. Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year 2023 Please upload your report (molecular testing results, prescribed theoretical treatment, etc.) for Sample 1 CHONG, Terrence. (optional) Choose file Uploading… (0%) Browse Oops. This file type isn’t allowed. This file size is too big. A file must be uploaded to be able to proceed with submission. If you prefer to email the report to molecular@cpqa.ca, attach a text file with a note indicating that results are being emailed instead. Similarly, if not all three reports for the EQA samples are ready at the same time, you may submit the first available report using this online form then email the subsequent reports when ready. Please upload your report (molecular testing results, prescribed theoretical treatment, etc.) for Sample 2 WALLACE, Roger. (optional) Choose file Uploading… (0%) Browse Oops. This file type isn’t allowed. This file size is too big. A file must be uploaded to be able to proceed with submission. If you prefer to email the report to molecular@cpqa.ca, attach a text file with a note indicating that results are being emailed instead. Similarly, if not all three reports for the EQA samples are ready at the same time, you may submit the first available report using this online form then email the subsequent reports when ready. Please upload your report (molecular testing results, prescribed theoretical treatment, etc.) for Sample 3 GRAY, Diane. (optional) Choose file Uploading… (0%) Browse Oops. This file type isn’t allowed. This file size is too big. A file must be uploaded to be able to proceed with submission. If you prefer to email the report to molecular@cpqa.ca, attach a text file with a note indicating that results are being emailed instead. Similarly, if not all three reports for the EQA samples are ready at the same time, you may submit the first available report using this online form then email the subsequent reports when ready. IMPORTANT NOTE: (optional) If emailing any reports to molecular@cpqa.ca, in the subject line of your message please be sure to include your assigned Lab ID provided on the accompanying paperwork included with the sample material. This unique identifier is specific to molecular EQA participants and will differ from assigned Lab IDs of those currently subscribed to IHC/ISH EQA by the CPQA-AQCP. For CPQA-AQCP purposes only: (optional) Additional background information on your laboratory is requested below. All answers provided are for internal use and will not impact the assessment. How many NSCLCs does your institution test on an annual basis? Who signs out genetics/NGS? Pathologist Geneticist Both Who signs out PD-L1? Pathologist Geneticist Both What is your current funding agreement for molecular testing in NSCLC? Please be as detailed as possible. Please tell us what tests are available at your institution for NSCLC patients: Who decides what tests are performed? How are lung biomarkers requested at your centre? Reflexively on all new diagnoses Reflexively for patients at certain stages Requested by medical oncologist or other clinician What is the typical turnaround time for biomarker requests on newly diagnosed metastatic NSCLC? Additional email addresses to be included in Run M2 NSCLC communications. (optional) Please share any comments you have (optional)