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Spanish: Openwork that is done after a coin has been issued is a handicraft or numismatic jewelry. A pierced coin or medal with the openings being part of its design. Production openwork calls for a piercing die on a punch press. Many of the highest ranking military decorations are pierced for emphasis. This is rarely done because of the high costs so it gives these medals an exclusivity.

Source: Numiscadero Spanish to English Glossary (Gary Beals)
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