<?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 (DHSS)</origin>
        <pubdate>2009</pubdate>
        <title>Trauma Center</title>
        <edition>7</edition>
        <geoform>vector digital data</geoform>
	  <pubinfo>
		<pubplace/>
		<publish>Missouri Department of Health and Senior Services</publish>
	  </pubinfo>
        <othercit>Trauma center  level designations are provided by Missouri Dept of Health and Senior Services, Bureau of EMS web site. Trauma Types provided by Trauma System/EMSC Manager, Unit of EMS  </othercit>
        <onlink></onlink>
        <ftname Sync="TRUE">TraumaCenter</ftname>
      </citeinfo>
    </citation>
    <descript>
      <abstract>Trauma Centers - 2009</abstract>
      <purpose>Location of trauma center hospitals throughout the state.  Hospitals are designated as trauma centers when they are equipped to provide emergency medical services for traumatic injuries on a 24/7 basis.  Trauma Centers have specialists on staff to deal with emergency resuscitation, surgery, intensive care etc.  Trauma Centers are designated from 1 - 3, (I, II, III) with level I being the highest level of staff, equipment and specialists.</purpose>
      <supplinf>Previous versions of this trauma center layer contained hospital bed information that was irrelavent to whether a hospital was designated as a trauma center.  This information has been removed for the 2007 edition.  Trauma center information is maintained by the Missouri Dept of Health and Senior Services (DHSS) Bureau of EMS, a separate section than the Division of Regulation and Licensure, which maintains the other information about hospitals.
Geographic locations were originally created using Group One's Centrus Geocoder for ArcGIS, an extension purchased for the ESRI ArcMap product.   Quality Control by Geographic Resources Center 8/11/2003 to  refine locations provided from geocoding.

There were not changes to trauma center designations between 2008 and 2009.  Some attributes (contact names for trauma center nurse and trauma director) and metadata were edited to reflect that this information is still current for 2009.</supplinf>
      <langdata Sync="TRUE">en</langdata>
    </descript>
    <timeperd>
      <timeinfo>
        <sngdate>
          <caldate>March 2009</caldate>
        </sngdate>
      </timeinfo>
      <current>publication date</current>
    </timeperd>
    <status>
      <progress>Complete</progress>
      <update>Annually</update>
    </status>
    <spdom>
      <bounding>
        <westbc>-94.781337</westbc>
        <eastbc>-90.177494</eastbc>
        <northbc>40.193485</northbc>
        <southbc>36.844000</southbc>
      </bounding>
      <lboundng>
        <leftbc Sync="TRUE">348340.991158</leftbc>
        <rightbc Sync="TRUE">803905.078135</rightbc>
        <bottombc Sync="TRUE">4080959.562866</bottombc>
        <topbc Sync="TRUE">4449232.499108</topbc>
      </lboundng>
    </spdom>
    <keywords>
      <theme>
        <themekt>hospitals</themekt>
        <themekey>hospitals</themekey>
        <themekey>emergency</themekey>
        <themekey>medical</themekey>
        <themekey>EMS</themekey>
	  <themekey>structure</themekey> 
      </theme>
      <theme>
        <themekt>medical facility</themekt>
      </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>This layer is a subset of hospitals.  This layer was created as a convenience for users, who may need to display only those hospitals designated as trauma centers.</useconst>
    <ptcontac>
      <cntinfo>
        <cntperp>
          <cntorg>Missouri Dept of Health and Senior Services</cntorg>
        </cntperp>
        <cntpos>GIS Specialist</cntpos>
        <cntaddr>
          <addrtype>mailing and physical address</addrtype>
          <address>920 Wildwood</address>
          <address>PO Box 570</address>
          <city>Jefferson City</city>
          <state>MO</state>
          <postal>65102-0570</postal>
          <country>USA</country>
        </cntaddr>
        <cntemail>GISsupport@dhss.mo.gov</cntemail>
        <hours>M-F 8-5 CST</hours>
      </cntinfo>
    </ptcontac>
    <native>Microsoft Windows XP Version 5.1 (Build 2600) Service Pack 2; ESRI ArcCatalog 9.1.0.780</native>
    <natvform Sync="TRUE">Shapefile</natvform>
  </idinfo>
  <dataqual>
    <posacc>
      <horizpa>
        <horizpar>Positional Accuracy is equal to 1 meter Digital Ortho Quarter Quadrangles (DOQQ) vintage 200</horizpar>
      </horizpa>
    </posacc>
    <lineage>
      <procstep>
        <procdesc>Hospitals - Excel data provided by program converted to Access table</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Facility IDs from previous year (2006) was used to determine which facilities were closed and which facilities were newly opened.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Table of new addresses was geocoded using Centrus Geocoder for ArcGIS; personal geodatabase file created</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Copy of 2007 hospitals was created as a temp version.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Facilities that had closed since last data update were deleted from temp file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - New addresses geocoded in previous step were appended to temp file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - New Locations were checked against 2004 NAIP aerial photography to refine location</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Table was joined to county boundary layer with a spatial join to check for correct county name provided in original data.  Descrepencies were identified and corrected.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - 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>Hospitals - Personal geodatabase is exported to shape file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Metadata for 2006 hospital layer is exported to text.  Process steps are added.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Hospitals - Shape file is copied from temporary workspace into facility directory located at DHSS as M:\GISDATA\FAcility.  Shape file from 2006 is renamed from hospitals.shp to hospitals06.shp.  File for 2007 is given the name hospitals.shp in its place.</procdesc>
        <procdesc>Text version of metadata is imported for hospitals.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is also copied into SDE for use in IMS sites.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Trauma Center data is copied from web site http://www.dhss.mo.gov/EMS/LevelITraumaCenters.pdf, http://www.dhss.mo.gov/EMS/LevelIITraumaCenters.pdf,http://www.dhss.mo.gov/EMS/LevelIIITraumaCenters.pdf</procdesc>
      </procstep>
      <procstep>
        <procdesc>Data from PDF document copied into Notepad and converted to pipe (|) delimited text file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Text file imported into Access as TraumaCenter2007</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Field for Hospital ID used by hospital licensure added and populated by editing (There are only 29 records.)</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>TraumaCenter2007 table is joined to hospitals.shp layer in ArcMap</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Several fields from hospital are turned off in layer properties.  This included total beds and types of beds (OB, PSYCH etc.)  This information is not relevant to a trauma center layer, but is still available in the hospitals shape file.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Data is exported to personal geodatabase</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Field names are verified to match field names used in previous year's data layer</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Metadata for 2006 trauma center layer is added. Process steps are added using Notepad.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is created from personal geodatabase as TraumaCenter07.shp</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is copied from temporary worksspace into facility directory at DHSS, M:\GISDATA\Facility.  Shape file from 2007 is renamed from TraumaCenter.shp to TraumaCenter06.shp.  File for 2007 is given the name TraumaCenter.ship in its place.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Text version of metadata is imported into new TraumaCenter.shp</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Shape file is also copied into SDE for use in IMS sites.</procdesc>
        <procdate>April 2007</procdate>
      </procstep>
      <procstep>
        <procdesc>Addition of St Francis Hospital in Cape Girardeau</procdesc>
        <procdate>January 2008</procdate>
      </procstep>
      <procstep>
        <procdesc>Emails exchanged with Bureau of EMS confirm there were no changes from 2008 and 2009.  File did have some attribute edits to trauma center contacts (nurse and director).  Metadata records were also edited current as of March 2009.</procdesc>
        <procdate>March 31, 2009</procdate>
      </procstep>
      <procstep>
        <procdesc Sync="TRUE">Dataset copied.</procdesc>
        <srcused Sync="TRUE">M:\GISDATA\Facility\TraumaCenter</srcused>
        <procdate Sync="TRUE">20090526</procdate>
        <proctime Sync="TRUE">15585600</proctime>
      </procstep>
    </lineage>
  </dataqual>
  <spdoinfo>
    <direct>Vector</direct>
    <ptvctinf>
      <sdtsterm Name="TraumaCenter">
        <sdtstype>Entity point</sdtstype>
        <ptvctcnt>29</ptvctcnt>
      </sdtsterm>
      <sdtsterm>
        <sdtstype>Point</sdtstype>
        <ptvctcnt>4</ptvctcnt>
      </sdtsterm>
      <esriterm Name="TraumaCenter">
        <efeatyp Sync="TRUE">Simple</efeatyp>
        <efeageom Sync="TRUE">Point</efeageom>
        <esritopo Sync="TRUE">FALSE</esritopo>
        <efeacnt Sync="TRUE">29</efeacnt>
        <spindex Sync="TRUE">TRUE</spindex>
        <linrefer Sync="TRUE">FALSE</linrefer>
      </esriterm>
    </ptvctinf>
  </spdoinfo>
  <spref>
    <horizsys>
      <planar>
        <planci>
          <plance>coordinate pair</plance>
          <coordrep>
            <absres>0.001024</absres>
            <ordres>0.001024</ordres>
          </coordrep>
          <plandu>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>North American Datum of 1983</horizdn>
        <ellips>Geodetic Reference System 80</ellips>
        <semiaxis>6378137.000000</semiaxis>
        <denflat>298.257222</denflat>
      </geodetic>
      <cordsysn>
        <geogcsn Sync="TRUE">GCS_North_American_1983</geogcsn>
        <projcsn Sync="TRUE">NAD_1983_UTM_Zone_15N</projcsn>
      </cordsysn>
    </horizsys>
    <vertdef>
      <altsys>
        <altres>0.000010</altres>
        <altenc>Explicit elevation coordinate included with horizontal coordinates</altenc>
      </altsys>
    </vertdef>
  </spref>
  <eainfo>
    <detailed Name="TraumaCenter">
      <enttyp>
        <enttypl>TraumaCenter</enttypl>
        <enttypd>Hospitals designated as Trauma Centers in Missouri</enttypd>
        <enttypds>MO DHSS</enttypds>
        <enttypt Sync="TRUE">Feature Class</enttypt>
        <enttypc Sync="TRUE">29</enttypc>
      </enttyp>
      <attr>
        <attrlabl Sync="TRUE">FID</attrlabl>
        <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>
        <attrdef Sync="TRUE">Internal feature number.</attrdef>
        <attrdefs Sync="TRUE">ESRI</attrdefs>
        <attrdomv>
          <udom Sync="TRUE">Sequential unique whole numbers that are automatically generated.</udom>
        </attrdomv>
      </attr>
      <attr>
        <attrlabl>Shape</attrlabl>
        <attrdef>Feature geometry.</attrdef>
        <attrdefs>ESRI</attrdefs>
        <attrdomv>
          <udom>Internal 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>FAC_ID</attrlabl>
        <attrdef>ID assigned Missouri Department of Health and Senior Services, Division of Regulation and Licensure</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">12</attwidth>
        <attalias Sync="TRUE">FAC_ID</attalias>
      </attr>
      <attr>
        <attrlabl>FACILITY</attrlabl>
        <attrdef>Name of Facility</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrdomv>
          <udom>Name of the hospital designated as a trauma center</udom>
        </attrdomv>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">75</attwidth>
        <attalias Sync="TRUE">FACILITY</attalias>
      </attr>
      <attr>
        <attrlabl>ADDRESS</attrlabl>
        <attrdef>Street Address</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">75</attwidth>
        <attalias Sync="TRUE">ADDRESS</attalias>
      </attr>
      <attr>
        <attrlabl>CITY</attrlabl>
        <attrdef>City where hospital is physically located.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">35</attwidth>
        <attalias Sync="TRUE">CITY</attalias>
      </attr>
      <attr>
        <attrlabl>STATE</attrlabl>
        <attrdef>State where the hospital is physically located. Default is always Missouri.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">15</attwidth>
        <attalias Sync="TRUE">STATE</attalias>
      </attr>
      <attr>
        <attrlabl>ZIP</attrlabl>
        <attrdef>Zip Code where the hospital is physically located.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">15</attwidth>
        <attalias Sync="TRUE">ZIP</attalias>
      </attr>
      <attr>
        <attrlabl>COUNTY</attrlabl>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">COUNTY</attalias>
      </attr>
      <attr>
        <attrlabl>PHONE</attrlabl>
        <attrdef>Primary phone number for the hospital.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">PHONE</attalias>
      </attr>
      <attr>
        <attrlabl>FAX</attrlabl>
        <attrdef>Primary fax number for the hospital.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">FAX</attalias>
      </attr>
      <attr>
        <attrlabl>TRAUMALVL</attrlabl>
        <attrdef>Defines kind of resources for trauma care available at a hospital. Categories define national standards for trauma care in hospitals.</attrdef>
        <attrdefs>MO DHSS</attrdefs>
        <attrdomv>
          <edom>
            <edomv>I</edomv>
            <edomvd>A Level I trauma center has a full range of specialists and equipment available 24-hours a day and admits a minimum required annual volume of severely injured patients. Additionally, a Level I center has a program of research, is a leader in trauma education and injury prevention, and is a referral resource for communities in neighboring regions community outreach).</edomvd>
            <edomvds>http://en.wikipedia.org/wiki/Trauma_center</edomvds>
          </edom>
          <edom>
            <edomv>II</edomv>
            <edomvd>A Level II trauma center works in collaboration with a Level I center. It provides comprehensive trauma care and supplements the clinical expertise of a Level I institution. It provides 24-hour availability of all essential specialties, personnel and equipment. Minimum volume requirements may depend on local conditions. These institutions are not required to have an ongoing program of research or a surgical residency program.</edomvd>
            <edomvds>http://en.wikipedia.org/wiki/Trauma_center</edomvds>
          </edom>
          <edom>
            <edomv>III</edomv>
            <edomvd>A Level III trauma center does not have the full availability of specialists, but does have resources for the emergency resuscitation, surgery and intensive care of most trauma patients. A Level III center has transfer agreements with Level I and/or Level II trauma centers that provide back-up resources for the care of exceptionally severe injuries.</edomvd>
            <edomvds>http://en.wikipedia.org/wiki/Trauma_center</edomvds>
          </edom>
        </attrdomv>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">12</attwidth>
        <attalias Sync="TRUE">TRAUMALVL</attalias>
      </attr>
      <attr>
        <attrlabl>TRAUMATYPE</attrlabl>
        <attrdef>Trauma Type hospital is equipt to handle</attrdef>
        <attrdefs>DHSS - Bureau of EMS, Trauma System, EMSC Manager</attrdefs>
        <attrdomv>
          <edom>
            <edomv>Pediatric</edomv>
            <edomvd>Trauma services available for children only</edomvd>
            <edomvds>DHSS - Bureau of EMS</edomvds>
          </edom>
          <edom>
            <edomv>Adult/Pediatric</edomv>
            <edomvd>Trauma services available for adults and children</edomvd>
            <edomvds>DHSS - Bureau of EMS</edomvds>
          </edom>
          <edom>
            <edomv>Adult</edomv>
            <edomvd>Trauma services available for adults only</edomvd>
            <edomvds>DHSS - Bureau of EMS</edomvds>
          </edom>
        </attrdomv>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">TRAUMATYPE</attalias>
      </attr>
      <attr>
        <attrlabl>TR_PHONE</attrlabl>
        <attrdef>Phone number for contact at trauma center</attrdef>
        <attrdefs>DHSS - Bureau of EMS, Trauma System, EMSC Manager</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">TR_PHONE</attalias>
      </attr>
      <attr>
        <attrlabl>TR_RN_C</attrlabl>
        <attrdef>Trauma Center Nurse Coordinator</attrdef>
        <attrdefs>DHSS - Bureau of EMS, Trauma System, EMSC Manager</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">50</attwidth>
        <attalias Sync="TRUE">TR_RN_C</attalias>
      </attr>
      <attr>
        <attrlabl>EMS_REGION</attrlabl>
        <attrdef>Emergency Medical Services Region where the trauma center is located</attrdef>
        <attrdefs>MO DHSS - Bureau of EMS</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">25</attwidth>
        <attalias Sync="TRUE">EMS_REGION</attalias>
      </attr>
      <attr>
        <attrlabl>TRAUMA_DIR</attrlabl>
        <attrdef>Trauma Center Director</attrdef>
        <attrdefs>DHSS - Bureau of EMS, Trauma System, EMSC Manager</attrdefs>
        <attrtype Sync="TRUE">String</attrtype>
        <attwidth Sync="TRUE">50</attwidth>
        <attalias Sync="TRUE">TRAUMA_DIR</attalias>
      </attr>
      <attr>
        <attrlabl>LATITUDE</attrlabl>
        <attrdef>Latitude in Geographic Coordinates, decimal degrees, NAD 83</attrdef>
        <attrdefs>Centrus Geocoder for ArcGIS</attrdefs>
        <attrtype Sync="TRUE">Float</attrtype>
        <attwidth Sync="TRUE">19</attwidth>
        <attalias Sync="TRUE">LATITUDE</attalias>
        <atnumdec Sync="TRUE">11</atnumdec>
      </attr>
      <attr>
        <attrlabl>LONGITUDE</attrlabl>
        <attrdef>Longitude in geographic coordinates, decimal degrees, NAD 83</attrdef>
        <attrdefs>Centrus Geocoder</attrdefs>
        <attrtype Sync="TRUE">Float</attrtype>
        <attwidth Sync="TRUE">19</attwidth>
        <attalias Sync="TRUE">LONGITUDE</attalias>
        <atnumdec Sync="TRUE">11</atnumdec>
      </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>0.004</transize>
          <dssize Sync="TRUE">0.001</dssize>
        </digtinfo>
      </digform>
    </stdorder>
  </distinfo>
  <metainfo>
    <metd>20070424</metd>
    <metc>
      <cntinfo>
        <cntorgp>
          <cntorg>Missouri Dept of Health and Senior Services</cntorg>
        </cntorgp>
        <cntpos>GIS Specialist</cntpos>
        <cntaddr>
          <addrtype>mailing and physical address</addrtype>
          <address>920 Wildwood</address>
          <address>PO Box 570</address>
          <city>Jefferson City</city>
          <state>MO</state>
          <postal>65102-0570</postal>
          <country>USA</country>
        </cntaddr>
        <cntemail>GISsupport@dhss.mo.gov</cntemail>
        <hours>8-5 M-F CST</hours>
      </cntinfo>
    </metc>
    <metstdn>FGDC Content Standards for Digital Geospatial Metadata</metstdn>
    <metstdv>FGDC-STD-001-1998</metstdv>
    <mettc>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>15585600</CreaTime>
    <SyncOnce>FALSE</SyncOnce>
    <SyncDate>20090527</SyncDate>
    <SyncTime>08593500</SyncTime>
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