1. If you haven't already, select the patient and go to the TNM Flowsheet module.
2. Click New Visit and select a date from the electronic calendar.
3. Complete fields for Tumor Location, Tumor Type, T (tumor status), N (lymph node status), M (metastasis status), and Alternative Stage, as appropriate. This can be done by either clicking the asterisks (***) in the TNM heading to display entry fields for all fields, or by clicking the dashes (---) associated with individual fields.
Notes:
If adding fields individually, you must complete fields for Tumor Location and Tumor Type before completing other fields.
The LMR automatically calculates the TNM Stage as soon as you complete fields for Tumor Type, Location, T, N, and M. However, you can add an Alternative Stage with explanatory comments, if appropriate. Both stages are included on printed reports.
4. Click Ok (ALT+O).
5. If you want to save your work now, click Sign. The LMR indicates the changes that will be saved. Type your key and click Sign.