This government document is issued by Correctional Health Care Services for use in California
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https://www.google.com/url?client=internal-element-cse&cx=001779225245372747843:kkktvnwysgi&q=https://cchcs.ca.gov/wp-content/uploads/sites/60/HC/HCDOM-Admin-Definitions.pdf&sa=U&ved=2ahUKEwjM_5zMnYDyAhXltYsKHSB4Bk04FBAWMAZ6BAgBEAE&usg=AOvVaw2dGvitVKTowsYe27NfvSsk