Form SR - Skin Response
SR - Skin Response
Was a skin response test performed?	No  Yes
What was the reason the test was not done?
What intervention was performed to elicit the skin response?
Administration Date	01 Jan 2000
Administration Time	12:00
What was the planned time point for skin response measurement?
What was the date of the skin response measurement?	01 Jan 2000
What was the time of the skin response measurement?	12:00
Interpretation	POSITIVE  NEGATIVE
Induration Longest Diameter	mm

* Mandatory field