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 May 2015 (PDF) REVISED 5/2015
(Previous version) Form I Data Dictionary 03.01.2013 (PDF)

Clinical Data Dictionary 4/18/2016 (PDF) REVISED 4/18/2016

Data files must be submitted using the appropriate Excel templates:

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

Clinical Template 5.28.2010 (Excel)

Medications, May 2016 (Excel)


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Updated Wednesday, May 11, 2016 at 02:43PM