<?xml version="1.0" encoding="ISO-8859-1"?><?xml-stylesheet href="../fgdc_classic.xsl" type="text/xsl"?>
<metadata>
  <idinfo>
    <citation>
      <citeinfo>
        <origin>Missouri Dept of Health and Senior Services</origin>
        <pubdate>March 2009</pubdate>
        <title>Rural Clinics of Missouri</title>
        <edition>6</edition>
        <geoform Sync="TRUE">vector digital data</geoform>
	  <pubinfo>
			<pubplace/>
			<publish>Missouri Department of Health and Senior Services</publish>
	  </pubinfo>
        <othercit>Information provided by Missouri Dept of Health and Senior Services,  Health Facility Regulation</othercit>
        <onlink></onlink>
        <ftname Sync="TRUE">ruralClinic</ftname>
      </citeinfo>
    </citation>
    <descript>
      <abstract>Rural Health Clinics</abstract>
      <purpose>Provides the locations of rural health clinics in Missouri</purpose>
      <supplinf>
Rural Health Clinic -  "An outpatient facility that is primarily engaged in furnishing physicians' and other medical and health services and that meets other requirements designated to ensure the health and safety of individuals served by the clinic. The clinic must be located in a medically under-served area that is not urbanized as defined by the U.S. Bureau of Census."
Definition Source - Centers for Medicare and Medicaid Web site

Information provided by Department of Health and Senior Services, Division of Senior Services and Regulation, Section for Health Standards and Licensure.

Locations generated using Centrus Geocoder for ArcGIS geocoding software.  Addresses containing Post Office boxes are located at the center of the appropriate zipcode.  Other addresses were moved to be nearer the appropriate road segment.  See Attribute metadata for further explanation.
</supplinf>
      <langdata Sync="TRUE">en</langdata>
    </descript>
    <timeperd>
      <timeinfo>
        <sngdate>
          <caldate>March 2009</caldate>
        </sngdate>
      </timeinfo>
      <current>ground condition</current>
    </timeperd>
    <status>
      <progress>Complete</progress>
      <update>Annually</update>
    </status>
    <spdom>
      <bounding>
        <westbc Sync="TRUE">-95.067863</westbc>
        <eastbc Sync="TRUE">-89.146631</eastbc>
        <northbc Sync="TRUE">40.566546</northbc>
        <southbc Sync="TRUE">36.021633</southbc>
      </bounding>
      <lboundng>
        <leftbc Sync="TRUE">324901.091500</leftbc>
        <rightbc Sync="TRUE">826538.809000</rightbc>
        <bottombc Sync="TRUE">3992424.647300</bottombc>
        <topbc Sync="TRUE">4490641.329800</topbc>
      </lboundng>
    </spdom>
    <keywords>
      <theme>
        <themekt>none</themekt>
        <themekey>clinic</themekey>
        <themekey>medical</themekey>
        <themekey>physician</themekey>
        <themekey>doctor</themekey>
	  <themekey>structure</themekey> 
      </theme>
      <place>
        <placekey>state of Missouri</placekey>
      </place>
      <temporal>
        <tempkey>2009</tempkey>
      </temporal>
    </keywords>
    <accconst>Data will not be made available for download.  Interested parties should send an email inquiry to GISsupport@dhss.mo.gov.</accconst>
    <useconst>Positional accuracy will vary.  Some points are geocoded to address, some to a ZIP centroid, some manually placed to nearest road segment and/or aerial imagery.</useconst>
    <ptcontac>
      <cntinfo>
        <cntorgp>
          <cntorg>Missouri Department of Health and Senior Services - ITSD</cntorg>
        </cntorgp>
        <cntpos>GIS Specialist</cntpos>
        <cntemail>GISsupport@dhss.mo.gov</cntemail>
        <hours>M-F 8-5 CST</hours>
      </cntinfo>
    </ptcontac>
    <native Sync="TRUE">Microsoft Windows XP Version 5.1 (Build 2600) Service Pack 3; ESRI ArcCatalog 9.3.1.1850</native>
    <natvform Sync="TRUE">Shapefile</natvform>
  </idinfo>
  <dataqual>
    <posacc>
      <horizpa>
        <horizpar>Positional accuracy varies.  Some points are geocoded to address, some to a ZIP centroid, some manually placed by road segment and/or orthophoto.</horizpar>
      </horizpa>
    </posacc>
    <lineage>
      <procstep>
        <procdesc>Excel data provided by program converted to Access table</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Facility IDs from previous year (2006) was used to determine which facilities were closed and which facilities were newly opened.</procdesc>
      </procstep>
      <procstep>
        <procdesc>Table of new addresses was geocoded using Centrus Geocoder for ArcGIS; personal geodatabase file created</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Copy of 2006 rural clinic layer was created as a temp version.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Facilities that had closed since last data update were deleted from temp file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>New addresses geocoded in previous step were appended to temp file.</procdesc>
      </procstep>
      <procstep>
        <procdesc>Locations were checked against 2004 NAIP aerial photography to refine location</procdesc>
      </procstep>
      <procstep>
        <procdesc></procdesc>
      </procstep>
      <procstep>
        <procdesc>Table was joined to county boundary layer with a spatial join to check for correct county name provided in original data.  Discrepencies were identified and corrected.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Data was copied to a new data frame with a Projection defined as Geographic Coordinates, NAD 1983.  Temp file was moved to this data frame.  Latitude and Longitude coordinates in table were updated using Hawth's tool Add XY to table and choosing the option to use the coordinates of the data frame.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Personal geodatabase is exported to shape file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Metadata for 2006 rural clinic layer is exported to text.  Process steps are added.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is copied from temporary workspace into facility directory located at DHSS as M:\GISDATA\FAcility.  Shape file from 2006 is renamed from ruralClinic.shp to ruralClinic06.shp.  File for 2007 is given the name ruralClinic.shp in its place.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is also copied into SDE for use in IMS sites.</procdesc>
      </procstep>
      <procstep>
        <procdesc>Excel for 2008 data is imported to Access.  Records compared to 2007 list.  New sites are put in separate file for processing.  Access query is used to combine data from 2008 with the latitude/longitude previously collected.  New table is created.</procdesc>
        <procdate>March 28, 2008</procdate>
      </procstep>
      <procstep>
        <procdesc>File of new sites is processed in ArcMap with the Centrus Geocoder for ArcGIS.  (There were 20.)  Latitude and Longitude coordinates were copied into the new table created in the previous step.  Table is used to generate XY events.  This event layer was exported to a personal geodatabase file.</procdesc>
        <procdate>March 28, 2008</procdate>
      </procstep>
      <procstep>
        <procdesc>Metadata from 2007 version of this layer edited for 2008.</procdesc>
        <procdate>March 28, 2008</procdate>
      </procstep>
      <procstep>
        <procdesc>Personal geodatabase file exported to shape file format and copied to M:\GISDATA\Facility</procdesc>
        <procdate>March 28, 2008</procdate>
      </procstep>
      <procstep>
        <procdesc>UPDATES FOR 2009 - Text file dumped from ASPEN system (where facility information is maintained ) and converted to Access table.  A comparison is made between the 2009 data and the facilities from 2008.  New facilities are saved into a separate file for processing.  A separate table is created combining the facility information from 2009 to the latitude, longitude and location codes (loc_code) from 2008 (common column of unique values = FAC_ID) to create a working temporary table of all 2009 facilities.  It was noted that several facilities had facility name, address and owner information changes (located in facStatus column).  The latitude and longitude for these sites was also zeroed out.</procdesc>
        <procdate>March 2009</procdate>
      </procstep>
      <procstep>
        <procdesc>New or changed facilities for 2009 (there were 18) were geocoded using the software Centrus Geocoder for ArcGIS.  Locations that were only matches to a centroid were checked using web sources (maps.google.com, the facilities own web page, county assessor databases were available)  Latitude and Longitude values were updated for the new locations.  Location codes (loc_code) were modified to reflect the type of match that was achieved.  Latitude, Longitude and Loc_Code were copied and pasted into the missing fields in the working full table of 2009 sites.  Table was then displayed as XY events.</procdesc>
        <procdate>March 2009</procdate>
      </procstep>
      <procstep>
        <procdesc>Metadata from 2008 was exported to text and updated for 2009. The personal geodatabase was then exported to shape file format. The shape file was copied to M:\GISDATA\Facility.  (The previous year's layer was copied to M:\GISDATA|archiveFacility and renamed ruralClinic08.shp.</procdesc>
        <procdate>March 2009</procdate>
      </procstep>
      <procstep>
        <procdesc Sync="TRUE">Metadata imported.</procdesc>
        <srcused Sync="TRUE">C:\DOCUME~1\schlot\LOCALS~1\Temp\xml161B.tmp</srcused>
        <procdate Sync="TRUE">20090303</procdate>
        <proctime Sync="TRUE">16382200</proctime>
      </procstep>
      <procstep>
        <procdesc Sync="TRUE">Dataset copied.</procdesc>
        <srcused Sync="TRUE">M:\GISADMIN\DataDev\RuralClinic\ruralClinic09</srcused>
        <procdate Sync="TRUE">20090303</procdate>
        <proctime Sync="TRUE">16402100</proctime>
      </procstep>
      <procstep>
        <procdesc Sync="TRUE">Dataset copied.</procdesc>
        <srcused Sync="TRUE">M:\GISDATA\Facility\ruralClinic</srcused>
        <procdate Sync="TRUE">20090526</procdate>
        <proctime Sync="TRUE">15585400</proctime>
      </procstep>
    </lineage>
  </dataqual>
  <spdoinfo>
    <direct Sync="TRUE">Vector</direct>
    <ptvctinf>
      <sdtsterm Name="ruralClinic">
        <sdtstype Sync="TRUE">Entity point</sdtstype>
        <ptvctcnt Sync="TRUE">347</ptvctcnt>
      </sdtsterm>
      <esriterm Name="ruralClinic">
        <efeatyp Sync="TRUE">Simple</efeatyp>
        <efeageom Sync="TRUE">Point</efeageom>
        <esritopo Sync="TRUE">FALSE</esritopo>
        <efeacnt Sync="TRUE">347</efeacnt>
        <spindex Sync="TRUE">TRUE</spindex>
        <linrefer Sync="TRUE">FALSE</linrefer>
      </esriterm>
    </ptvctinf>
  </spdoinfo>
  <spref>
    <horizsys>
      <planar>
        <planci>
          <plance Sync="TRUE">coordinate pair</plance>
          <coordrep>
            <absres Sync="TRUE">0.000000</absres>
            <ordres Sync="TRUE">0.000000</ordres>
          </coordrep>
          <plandu Sync="TRUE">meters</plandu>
        </planci>
        <gridsys>
          <gridsysn Sync="TRUE">Universal Transverse Mercator</gridsysn>
          <utm>
            <utmzone Sync="TRUE">15</utmzone>
            <transmer>
              <sfctrmer Sync="TRUE">0.999600</sfctrmer>
              <longcm Sync="TRUE">-93.000000</longcm>
              <latprjo Sync="TRUE">0.000000</latprjo>
              <feast Sync="TRUE">500000.000000</feast>
              <fnorth Sync="TRUE">0.000000</fnorth>
            </transmer>
          </utm>
        </gridsys>
      </planar>
      <geodetic>
        <horizdn Sync="TRUE">North American Datum of 1983</horizdn>
        <ellips Sync="TRUE">Geodetic Reference System 80</ellips>
        <semiaxis Sync="TRUE">6378137.000000</semiaxis>
        <denflat Sync="TRUE">298.257222</denflat>
      </geodetic>
      <cordsysn>
        <geogcsn Sync="TRUE">GCS_North_American_1983</geogcsn>
        <projcsn Sync="TRUE">NAD_1983_UTM_Zone_15N</projcsn>
      </cordsysn>
    </horizsys>
  </spref>
  <eainfo>
    <detailed Name="ruralClinic">
      <enttyp>
        <enttypl>rural Clinic</enttypl>
        <enttypt Sync="TRUE">Feature Class</enttypt>
        <enttypc Sync="TRUE">347</enttypc>
      </enttyp>
      <attr>
        <attrlabl>FID</attrlabl>
        <attrdef>Internal feature number.</attrdef>
        <attrdefs>ESRI</attrdefs>
        <attrdomv>
          <udom>Sequential unique whole numbers that are automatically generated.</udom>
        </attrdomv>
        <attalias Sync="TRUE">FID</attalias>
        <attrtype Sync="TRUE">OID</attrtype>
        <attwidth Sync="TRUE">4</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>Shape</attrlabl>
        <attrdef>Feature geometry.</attrdef>
        <attrdefs>ESRI</attrdefs>
        <attrdomv>
          <udom>Coordinates defining the features.</udom>
        </attrdomv>
        <attalias Sync="TRUE">Shape</attalias>
        <attrtype Sync="TRUE">Geometry</attrtype>
        <attwidth Sync="TRUE">0</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl Sync="TRUE">FID_</attrlabl>
        <attalias Sync="TRUE">FID_</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">4</attwidth>
      </attr>
      <attr>
        <attrlabl>FACILITY</attrlabl>
        <attrdef>Facility name</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">Facility</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">125</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>ADDRESS</attrlabl>
        <attrdef>Original facility address</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">Address</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">60</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>CITY</attrlabl>
        <attrdef>City of clinic</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">City</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">35</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>STATE</attrlabl>
        <attrdef>State where clinic is located</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">State</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">4</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>ZIP</attrlabl>
        <attrdef>ZIP code for the clinic</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">ZIP</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">15</attwidth>
      </attr>
      <attr>
        <attrlabl>COUNTY</attrlabl>
        <attrdef>County where the clinic is located</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">County</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">35</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>PHONE</attrlabl>
        <attrdef>Phone number for the clinic</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">Phone</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>FAX</attrlabl>
        <attrdef>Fax number for the clinic</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">FAX</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
      </attr>
      <attr>
        <attrlabl>ADMIN</attrlabl>
        <attrdef>The clinic's administrator</attrdef>
        <attrdefs>DHSS - Health Services Regulation</attrdefs>
        <attalias Sync="TRUE">Admin</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">60</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>FacStatus</attrlabl>
        <attalias Sync="TRUE">FacStatus</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">254</attwidth>
      </attr>
      <attr>
        <attrlabl>LOC_CODE</attrlabl>
        <attrdef>Accuracy of location generated by the Centrus Geocoder for ArcGIS.</attrdef>
        <attrdomv>
          <edom>
            <edomv>CENT</edomv>
            <edomvd>Location approximated, but centrally located in general vicinity of address.</edomvd>
            <edomvds>DHSS</edomvds>
          </edom>
        </attrdomv>
        <attrdomv>
          <edom>
            <edomv>GEO</edomv>
            <edomvd>Location provided by address matching using the Centrus Geocoder for ArcGIS.  Address assigned to a specific location along a road segment.</edomvd>
            <edomvds>DHSS</edomvds>
          </edom>
        </attrdomv>
        <attrdomv>
          <edom>
            <edomv>GEOSM</edomv>
            <edomvd>Location provided by address matching using ESRI StreetMap (9.3 addition).  Address assigned to a specific location along a road segment.</edomvd>
            <edomvds>DHSS</edomvds>
          </edom>
        </attrdomv>
        <attrdomv>
          <edom>
            <edomv>MAP</edomv>
            <edomvd>Location refined using other source such as facility's own web site, maps.google.com, aerial photography etc.</edomvd>
            <edomvds>DHSS</edomvds>
          </edom>
        </attrdomv>
        <attalias Sync="TRUE">Loc_Code</attalias>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">8</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>LATITUDE</attrlabl>
        <attrdef>Latitude in decimal degrees, NAD83</attrdef>
        <attrdefs>DHSS</attrdefs>
        <attalias Sync="TRUE">Latitude</attalias>
        <attrtype Sync="TRUE">Double</attrtype>
        <attwidth Sync="TRUE">19</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
      <attr>
        <attrlabl>LONGITUDE</attrlabl>
        <attrdef>Longitude in decimal degrees, NAD83</attrdef>
        <attalias Sync="TRUE">Longitude</attalias>
        <attrtype Sync="TRUE">Double</attrtype>
        <attwidth Sync="TRUE">19</attwidth>
        <atprecis Sync="TRUE">0</atprecis>
        <attscale Sync="TRUE">0</attscale>
      </attr>
    </detailed>
  </eainfo>
  <distinfo>
    <resdesc>Data will not be made available for download.  Interested parties should send an email inquiry to GISsupport@dhss.mo.gov.</resdesc>
    <stdorder>
      <digform>
        <digtinfo>
          <transize>0.009</transize>
          <dssize Sync="TRUE">0.009</dssize>
        </digtinfo>
      </digform>
    </stdorder>
  </distinfo>
  <metainfo>
    <metd Sync="TRUE">20090527</metd>
    <metc>
      <cntinfo>
        <cntorgp>
          <cntorg>Missouri Department of Health and Senior Services - ITSD</cntorg>
        </cntorgp>
        <cntpos>GIS Specialist</cntpos>
        <cntaddr>
          <addrtype>mailing and physical address</addrtype>
          <address>920 Wildwood Dr.</address>
          <address>P.O. Box 570</address>
          <city>Jefferson City</city>
          <state>MO</state>
          <postal>65109</postal>
          <country>USA</country>
        </cntaddr>
        <cntemail>GISsupport@dhss.mo.gov</cntemail>
        <hours>M - F 8 - 5 CST</hours>
      </cntinfo>
    </metc>
    <metstdn Sync="TRUE">FGDC Content Standards for Digital Geospatial Metadata</metstdn>
    <metstdv Sync="TRUE">FGDC-STD-001-1998</metstdv>
    <mettc Sync="TRUE">local time</mettc>
    <langmeta Sync="TRUE">en</langmeta>
    <metextns>
      <onlink Sync="TRUE">http://www.esri.com/metadata/esriprof80.html</onlink>
      <metprof Sync="TRUE">ESRI Metadata Profile</metprof>
    </metextns>
  </metainfo>
  <Esri>
    <CreaDate>20090526</CreaDate>
    <CreaTime>15585400</CreaTime>
    <SyncOnce>FALSE</SyncOnce>
    <SyncDate>20090527</SyncDate>
    <SyncTime>08473000</SyncTime>
    <ModDate>20090527</ModDate>
    <ModTime>08473000</ModTime>
    <MetaID>{84B1BAE9-A6C3-4939-B6DA-EEA1C5DB4866}</MetaID>
  </Esri>
  <dataIdInfo>
    <envirDesc Sync="TRUE">Microsoft Windows XP Version 5.1 (Build 2600) Service Pack 3; ESRI ArcCatalog 9.3.1.1850</envirDesc>
    <dataLang>
      <languageCode Sync="TRUE" value="en"></languageCode>
    </dataLang>
    <idCitation>
      <resTitle Sync="TRUE">ruralClinic</resTitle>
      <presForm>
        <PresFormCd Sync="TRUE" value="005"></PresFormCd>
      </presForm>
    </idCitation>
    <spatRpType>
      <SpatRepTypCd Sync="TRUE" value="001"></SpatRepTypCd>
    </spatRpType>
    <dataExt>
      <geoEle>
        <GeoBndBox esriExtentType="native">
          <westBL Sync="TRUE">324901.0915</westBL>
          <eastBL Sync="TRUE">826538.809</eastBL>
          <northBL Sync="TRUE">4490641.3298</northBL>
          <southBL Sync="TRUE">3992424.6473</southBL>
          <exTypeCode Sync="TRUE">1</exTypeCode>
        </GeoBndBox>
      </geoEle>
    </dataExt>
    <geoBox esriExtentType="decdegrees">
      <westBL Sync="TRUE">-95.067863</westBL>
      <eastBL Sync="TRUE">-89.146631</eastBL>
      <northBL Sync="TRUE">40.566546</northBL>
      <southBL Sync="TRUE">36.021633</southBL>
      <exTypeCode Sync="TRUE">1</exTypeCode>
    </geoBox>
  </dataIdInfo>
  <mdLang>
    <languageCode Sync="TRUE" value="en"></languageCode>
  </mdLang>
  <mdStanName Sync="TRUE">ISO 19115 Geographic Information - Metadata</mdStanName>
  <mdStanVer Sync="TRUE">DIS_ESRI1.0</mdStanVer>
  <mdChar>
    <CharSetCd Sync="TRUE" value="004"></CharSetCd>
  </mdChar>
  <mdHrLv>
    <ScopeCd Sync="TRUE" value="005"></ScopeCd>
  </mdHrLv>
  <mdHrLvName Sync="TRUE">dataset</mdHrLvName>
  <distInfo>
    <distributor>
      <distorTran>
        <onLineSrc>
          <orDesc Sync="TRUE">002</orDesc>
          <linkage Sync="TRUE"></linkage>
          <protocol Sync="TRUE">Local Area Network</protocol>
        </onLineSrc>
        <transSize Sync="TRUE">0.009</transSize>
      </distorTran>
      <distorFormat>
        <formatName Sync="TRUE">Shapefile</formatName>
      </distorFormat>
    </distributor>
  </distInfo>
  <refSysInfo>
    <RefSystem>
      <refSysID>
        <identCode Sync="TRUE">NAD_1983_UTM_Zone_15N</identCode>
      </refSysID>
    </RefSystem>
  </refSysInfo>
  <spatRepInfo>
    <VectSpatRep>
      <topLvl>
        <TopoLevCd Sync="TRUE" value="001"></TopoLevCd>
      </topLvl>
      <geometObjs Name="ruralClinic">
        <geoObjTyp>
          <GeoObjTypCd Sync="TRUE" value="004"></GeoObjTypCd>
        </geoObjTyp>
        <geoObjCnt Sync="TRUE">347</geoObjCnt>
      </geometObjs>
    </VectSpatRep>
  </spatRepInfo>
  <mdDateSt Sync="TRUE">20090527</mdDateSt>
</metadata>