Tuberculosis Skin Response
Skin Test
Skin Response Category
Skin Response Test Performed?	No  Yes
What was the reason the test was not done?
Intervention Performed
What was the date of the intervention performed to elicit the skin response?	01 Jan 2000
What was the time of the intervention performed to elicit the skin response?	12:00
What was the date of the skin response measurement?	01 Jan 2000
What was the time of the skin response measurement?	12:00
Anatomical Location	Arm  Leg
Side	Right  Left
Directionality	Upper  Lower  Anterior
Skin Response Test Name	Choose Flare Size Flare Mean Diameter Induration Longest Diameter Wheal Size Wheal Longest Diameter Wheal Mean Diameter
Result
What was the unit of the skin response measurement?	mm  cm
Who was the evaluator?	Investigator  Health Care Professional  Study Subject

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