PDI Documentation

The following data dictionaries describe the requirements for the Form I (monthly and semiannual), and clinical data file formats:

Monthly Services and Semi-Annual file format and data dictionary October 2013 (PDF) REVISED 10/2013
(Previous version) Form I Data Dictionary 03.01.2013 (PDF)

Clinical Data Dictionary 12.13.2011 (PDF: 252KB/22 pages)

Data files must be submitted using the appropriate Excel templates:

Monthly Template V10 V11 October 2013 revised (Excel 21KB) REVISED 10/2013
(Previous version) F1 Monthly Semiannual Template 03.2012 (Excel 37KB)


Clinical Template 5.28.2010 (Excel 31KB)


Content Notice: This site contains HIV or STD prevention messages that may not be appropriate for all audiences. Since HIV and other STDs are spread primarily through sexual practices or by sharing needles, prevention messages and programs may address these topics. If you are not seeking such information or may be offended by such materials, please exit this web site.

Updated Monday, June 15, 2015 at 02:22PM