TS08 Chap 2 Sect 2.2 -- Data Requirements - Data Element ...

[Pages:1210]Chapter 2

TRICARE Systems Manual 7950.2-M, February 1, 2008 TRICARE Encounter Data (TED)

Section 2.2

Data Requirements - Data Element Layout

1.0 BATCH/VOUCHER HEADER DATA ELEMENT

ELN 0-001 0-005 0-010 0-015 0-020 0-025 0-030 0-035 0-040 0-045 0-050 0-055 0-060 0-065

ELEMENT NAME HEADER TYPE INDICATOR CONTRACT IDENTIFIER

CONTRACT NUMBER BATCH/VOUCHER IDENTIFIER BATCH/VOUCHER NUMBER

BATCH/VOUCHER CLIN/ASAP ACCOUNT NUMBER BATCH/VOUCHER DATE BATCH/VOUCHER SEQUENCE NUMBER BATCH/VOUCHER RESUBMISSION NUMBER TOTAL NUMBER OF RECORDS TOTAL AMOUNT PAID INITIAL TRANSMISSION DATE (TMA DERIVED) TMA BATCH/VOUCHER PROCESSING DATE (TMA DERIVED) FUND ACCOUNTING

FORMAT X

X(13) X

X(8) YYYYDDD X(2) X(2) 9(7) S9(10)V99 YYYYMMDD YYYYMMDD S9(8)V99

POSITION

FROM THRU

1

1

2

34

2

14

15

15

16

34

16

23

24

30

31

32

33

34

35

41

42

53

54

61

62

69

70

79

1

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

2.0 INSTITUTIONAL DATA ELEMENT

ELN 1-001 1-005 1-010 1-015 1-020 1-025 1-030 1-035 1-040 1-045 1-050 1-051 1-056 1-057 1-060 1-065 1-066 1-070 1-075 1-076 1-077 1-078 1-079 1-080 1-081 1-085 1-095 1-097 1-100 1-105 1-110 1-111 1-112 1-115 1-120 1-125 1-130 1-131 1-132

ELEMENT NAME RECORD TYPE INDICATOR TED RECORD INDICATOR

INTERNAL CONTROL NUMBER (ICN) FILING DATE FILING STATE/COUNTRY CODE SEQUENCE NUMBER

TIME STAMP ADJUSTMENT KEY DATE TED RECORD PROCESSED TO COMPLETION DATE ADJUSTMENT IDENTIFIED PERSON IDENTIFIER (SPONSOR) PERSON IDENTIFIER TYPE CODE (SPONSOR) PAY GRADE CODE (SPONSOR) PAY PLAN CODE (SPONSOR) SERVICE BRANCH CLASSIFICATION CODE (SPONSOR) AGR SERVICE LEGAL AUTHORITY CODE HEALTH CARE COVERAGE MEMBER CATEGORY CODE HEALTH CARE COVERAGE MEMBER RELATIONSHIP CODE PERSON NAME (PATIENT) PERSON LAST NAME (PATIENT) PERSON FIRST NAME (PATIENT) PERSON MIDDLE NAME (PATIENT) PERSON CADENCY NAME (PATIENT) PERSON IDENTIFIER (PATIENT) PERSON IDENTIFIER TYPE CODE (PATIENT) PERSON BIRTH CALENDAR DATE (PATIENT) PATIENT IDENTIFIER (DOD) DEERS IDENTIFIER (PATIENT) PERSON SEX (PATIENT) PATIENT ZIP CODE ENROLLMENT/HEALTH PLAN CODE HEALTH CARE DELIVERY PROGRAM PLAN COVERAGE CODE REGION INDICATOR PCM LOCATION DMIS-ID (ENROLLMENT) CODE AMOUNT BILLED (TOTAL) AMOUNT ALLOWED (TOTAL) AMOUNT PAID BY OTHER HEALTH INSURANCE OTHER GOVERNMENT PROGRAM TYPE CODE OTHER GOVERNMENT PROGRAM BEGIN REASON CODE

FORMAT X

YYYYDDD X(3) X(7) X(6) X YYYYMMDD YYYYMMDD X(9) X X(2) X(5) X X X X

X(35) X(25) X(25) X(10) X(9) X YYYYMMDD X(10) X(11) X X(9) X(2) X(3) X(2) X(4) S9(7)V99 S9(7)V99 S9(7)V99 X X

POSITION

FROM THRU

1

1

2

25

2

18

2

8

9

11

12

18

19

24

25

25

26

33

34

41

42

50

51

51

52

53

54

58

59

59

60

60

61

61

62

62

63

157

63

97

98

122

123 147

148 157

158 166

167 167

168 175

176 185

186 196

197 197

198 206

207 208

209 211

212 213

214 217

218 226

227 235

236 244

245 245

246 246

2

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

2.0 INSTITUTIONAL DATA ELEMENT (CONTINUED)

ELN 1-135 1-136 1-140 1-145 1-150 1-155 1-160 1-165 1-170 1-175 1-180 1-185 1-186 1-190 1-195 1-200 1-205 1-208

1-215 1-220 1-225 1-230 1-235 1-240 1-245 1-250 1-255 1-260 1-265 1-270 1-275 1-280 1-283 1-285 1-290 1-292 1-293 1-295

ELEMENT NAME AMOUNT PATIENT COST-SHARE HEALTH CARE COVERAGE COPAYMENT FACTOR CODE AMOUNT PAID BY GOV'T CONTRACTOR (TOTAL) AMOUNT INTEREST PAYMENT REASON FOR INTEREST PAYMENT PROCESSING INFORMATION

OVERRIDE CODE TYPE OF SUBMISSION CA/NAS NUMBER CA/NAS REASON FOR ISSUANCE CA/NAS EXCEPTION REASON SPECIAL PROCESSING CODE HEALTH CARE DELIVERY PROGRAM SPECIAL ENTITLEMENT CODE PRICING RATE CODE PROVIDER STATE OR COUNTRY CODE PROVIDER TAXPAYER NUMBER PROVIDER SUB-IDENTIFIER SCH DRG CALCULATION FILLER PROVIDER ORGANIZATIONAL NPI NUMBER (TYPE 2) PROVIDER ZIP CODE PROVIDER PARTICIPATION INDICATOR PROVIDER NETWORK STATUS INDICATOR TYPE OF INSTITUTION CLAIM FORM TYPE/EMC INDICATOR TYPE OF BILL FREQUENCY CODE TYPE OF ADMISSION POINT OF ORIGIN ADMISSION DATE PATIENT STATUS BEGIN DATE OF CARE END DATE OF CARE ADMINISTRATIVE CLIN COVERED DAYS DRG NUMBER HIPPS CODE ICD VERSION ADMISSION DIAGNOSIS

FORMAT S9(7)V99 X S9(7)V99 S9(7)V99 X(2)

X(6) X X(15) X X(2) X(8) X(2) X(2) X(3) X(9) X(4) S9(7)V99 X X(10) X(9) X X X(2) X

X X X YYYYMMDD X(2) YYYYMMDD YYYYMMDD X(18) S9(3) X(3) X(5) X X(7)

POSITION FROM THRU

247 255 256 256 257 265 266 274 275 276 277 313 277 282 283 283 284 298 299 299 300 301 302 309 310 311 312 313 314 316 317 325 326 329 330 338 339 339 340 349 350 358 359 359 360 360 361 362 363 363 364 365 364 364 365 365 366 366 367 374 375 376 377 384 385 392 393 410 411 413 414 416 417 421 422 422 423 429

3

C-112, January 30, 2019

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

2.0 INSTITUTIONAL DATA ELEMENT (CONTINUED)

ELN 1-300 1-305 1-306 1-307 1-308 1-309 1-310 1-311 1-312 1-313 1-314 1-315 1-316 1-317 1-318 1-319 1-320 1-321 1-322 1-323 1-324 1-325 1-326 1-327 1-328 1-345 1-350 1-351 1-352 1-353 1-354 1-355 1-356 1-357 1-358 1-359 1-360 1-361 1-362

ELEMENT NAME PRINCIPAL TREATMENT DIAGNOSIS/PRESENT ON ADMISSION SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-1 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-2 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-3 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-4 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-5 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-6 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-7 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-8 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-9 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-10 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-11 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-12 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-13 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-14 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-15 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-16 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-17 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-18 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-19 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-20 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-21 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-22 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-23 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-24 PRINCIPAL OPERATION/NON-SURGICAL PROCEDURE CODE SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-1 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-2 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-3 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-4 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-5 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-6 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-7 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-8 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-9 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-10 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-11 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-12 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-13

FORMAT X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7)

POSITION FROM THRU

430 437 438 445 446 453 454 461 462 469 470 477 478 485 486 493 494 501 502 509 510 517 518 525 526 533 534 541 542 549 550 557 558 565 566 573 574 581 582 589 590 597 598 605 606 613 614 621 622 629 630 636 637 643 644 650 651 657 658 664 665 671 672 678 679 685 686 692 693 699 700 706 707 713 714 720 721 727

4

C-52, September 13, 2013

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

2.0 INSTITUTIONAL DATA ELEMENT (CONTINUED)

ELN 1-363 1-364 1-365 1-366 1-367 1-368 1-369 1-370 1-371 1-372 1-373 1-374 1-375 1-377 1-378 1-379

1-380 1-385 1-390 1-395 1-400

ELEMENT NAME SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-14 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-15 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-16 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-17 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-18 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-19 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-20 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-21 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-22 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-23 SECONDARY OPERATION/NON-SURGICAL PROCEDURE CODE-24 TED RECORD CORRECTION INDICATOR TOTAL OCCURRENCE/LINE ITEM COUNT AMOUNT NETWORK PROVIDER DISCOUNT ADJUSTMENT SEQUENCE NUMBER SCH DRG NUMBER FILLER OCCURRENCE/LINE ITEM NUMBER (OCCURS 1 TO 450 TIMES) REVENUE CODE UNITS OF SERVICE BY REVENUE CODE TOTAL CHARGE BY REVENUE CODE ADJUSTMENT/DENIAL REASON CODE FILLER

FORMAT X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X(7) X 9(3) S9(7)V99 X(3) X(3) X(17) 9(3) X(4) S9(10) S9(7)V99 X(5) X(30)

POSITION FROM THRU

728 734 735 741 742 748 749 755 756 762 763 769 770 776 777 783 784 790 791 797 798 804 805 805 806 808 809 817 818 820 821 823 824 840 841 843 844 847 848 857 858 866 867 871 872 901

5

C-52, September 13, 2013

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

3.0 NON-INSTITUTIONAL DATA ELEMENT

ELN 2-001 2-005 2-010 2-015 2-020 2-025 2-030 2-035 2-040 2-045 2-050 2-051 2-055 2-056 2-060 2-061 2-062 2-063 2-064 2-065 2-066 2-070 2-075 2-080 2-082 2-085 2-090 2-095 2-100 2-105 2-108 2-110 2-112 2-113 2-114 2-115 2-116 2-117 2-118

ELEMENT NAME RECORD TYPE INDICATOR TED RECORD INDICATOR

INTERNAL CONTROL NUMBER (ICN) FILING DATE FILING STATE/COUNTRY CODE SEQUENCE NUMBER

TIME STAMP ADJUSTMENT KEY DATE TED RECORD PROCESSED TO COMPLETION DATE ADJUSTMENT IDENTIFIED PERSON IDENTIFIER (SPONSOR) PERSON IDENTIFIER TYPE CODE (SPONSOR) SERVICE BRANCH CLASSIFICATION CODE (SPONSOR) AGR SERVICE LEGAL AUTHORITY CODE PERSON NAME (PATIENT) PERSON LAST NAME (PATIENT) PERSON FIRST NAME (PATIENT) PERSON MIDDLE NAME (PATIENT) PERSON CADENCY NAME (PATIENT) PERSON IDENTIFIER (PATIENT) PERSON IDENTIFIER TYPE CODE (PATIENT) PERSON BIRTH CALENDAR DATE (PATIENT) DEERS DEPENDENT SUFFIX PATIENT IDENTIFIER (DOD) DEERS IDENTIFIER (PATIENT) PERSON SEX (PATIENT) PATIENT ZIP CODE OVERRIDE CODE TYPE OF SUBMISSION CLAIM FORM TYPE/EMC INDICATOR ADMINISTRATIVE CLIN PCM LOCATION DMIS-ID (ENROLLMENT) CODE AMOUNT INTEREST PAYMENT REASON FOR INTEREST PAYMENT ICD VERSION PRINCIPAL TREATMENT DIAGNOSIS/PRESENT ON ADMISSION SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-1 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-2 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-3

FORMAT X

YYYYDDD X(3) X(7) X(6) X YYYYMMDD YYYYMMDD X(9) X X X

X(35) X(25) X(25) X(10) X(9) X YYYYMMDD X(2) X(10) X(11) X X(9) X(6) X X X(18) X(4) S9(7)V99 X(2) X X(8) X(8) X(8) X(8)

POSITION

FROM THRU

1

1

2

25

2

18

2

8

9

11

12

18

19

24

25

25

26

33

34

41

42

50

51

51

52

52

53

53

54

148

54

88

89

113

114 138

139 148

149 157

158 158

159 166

167 168

169 178

179 189

190 190

191 199

200 205

206 206

207 207

208 225

226 229

230 238

239 240

241 241

242 249

250 257

258 265

266 273

6

C-41, August 24, 2012

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

3.0 NON-INSTITUTIONAL DATA ELEMENT (CONTINUED)

ELN 2-119 2-120 2-121 2-122 2-123 2-124 2-125 2-126 2-127 2-128 2-129 2-130 2-131 2-132 2-133 2-134 2-135 2-136 2-137 2-138 2-340 2-139 2-140 2-141

2-145 2-150 2-155 2-160 2-165 2-170 2-175 2-180 2-185 2-190 2-191 2-192 2-195 2-200

ELEMENT NAME SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-4 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-5 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-6 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-7 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-8 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-9 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-10 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-11 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-12 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-13 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-14 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-15 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-16 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-17 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-18 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-19 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-20 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-21 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-22 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-23 SECONDARY TREATMENT DIAGNOSIS/PRESENT ON ADMISSION-24 TED RECORD CORRECTION INDICATOR TOTAL OCCURRENCE/LINE ITEM COUNT ADJUSTMENT SEQUENCE NUMBER FILLER OCCURRENCE/LINE ITEM NUMBER (OCCURS 1 TO 99 TIMES) BEGIN DATE OF CARE END DATE OF CARE PROCEDURE CODE PROCEDURE CODE MODIFIER NATIONAL DRUG CODE NUMBER OF SERVICES AMOUNT BILLED BY PROCEDURE CODE AMOUNT ALLOWED BY PROCEDURE CODE AMOUNT PAID BY OTHER HEALTH INSURANCE OTHER GOVERNMENT PROGRAM TYPE CODE OTHER GOVERNMENT PROGRAM BEGIN REASON CODE AMOUNT APPLIED TOWARD DEDUCTIBLE AMOUNT PATIENT COST-SHARE

FORMAT X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X(8) X 9(3) X(3) X(20) 9(3) YYYYMMDD YYYYMMDD X(5) X(8) X(11) S9(3) S9(7)V99 S9(7)V99 S9(7)V99 X X S9(3)V99 S9(7)V99

POSITION FROM THRU

274 281 282 289 290 297 298 305 306 313 314 321 322 329 330 337 338 345 346 353 354 361 362 369 370 377 378 385 386 393 394 401 402 409 410 417 418 425 426 433 434 441 442 442 443 445 446 448 449 468 469 471 472 479 480 487 488 492 493 500 501 511 512 514 515 523 524 532 533 541 542 542 543 543 544 548 549 557

7

C-41, August 24, 2012

TRICARE Systems Manual 7950.2-M, February 1, 2008 Chapter 2, Section 2.2

Data Requirements - Data Element Layout

3.0 NON-INSTITUTIONAL DATA ELEMENT (CONTINUED)

ELN 2-201 2-205 2-220 2-225 2-230 2-235 2-240 2-245 2-250 2-255 2-260 2-265 2-270 2-275 2-280 2-285 2-291 2-292 2-295 2-300 2-301 2-303 2-305 2-306 2-310 2-315 2-320 2-325 2-330 2-331 2-335

ELEMENT NAME HEALTH CARE COVERAGE COPAYMENT FACTOR CODE AMOUNT PAID BY GOV'T CONTRACTOR BY PROCEDURE CODE ADJUSTMENT/DENIAL REASON CODE PROVIDER INDIVIDUAL NPI NUMBER (TYPE 1) PROVIDER ORGANIZATIONAL NPI NUMBER (TYPE 2) PROVIDER STATE OR COUNTRY CODE PROVIDER TAXPAYER NUMBER PROVIDER SUB-IDENTIFIER PROVIDER ZIP CODE PROVIDER TAXONOMY SPECIALTY PROVIDER PARTICIPATION INDICATOR PROVIDER NETWORK STATUS INDICATOR PHYSICIAN REFERRAL NUMBER PLACE OF SERVICE TYPE OF SERVICE HEALTH CARE COVERAGE MEMBER CATEGORY CODE PAY GRADE CODE (SPONSOR) PAY PLAN CODE (SPONSOR) HEALTH CARE COVERAGE MEMBER RELATIONSHIP CODE ENROLLMENT/HEALTH PLAN CODE HEALTH CARE DELIVERY PROGRAM PLAN COVERAGE CODE REGION INDICATOR SPECIAL PROCESSING CODE HEALTH CARE DELIVERY PROGRAM SPECIAL ENTITLEMENT CODE CA/NAS NUMBER CA/NAS REASON FOR ISSUANCE CA/NAS EXCEPTION REASON PRICING RATE CODE AMBULATORY PAYMENT CLASSIFICATION CODE OPPS PAYMENT STATUS INDICATOR CODE AMOUNT NETWORK PROVIDER DISCOUNT FILLER

FORMAT X S9(7)V99 X(5) X(10) X(10) X(3) X(9) X(4) X(9) X(10) X X X(13) X(2) X(2) X X(2) X(5) X X(2) X(3) X(2) X(8) X(2) X(15) X X(2) X(2) X(5) X(2) S9(7)V99 X(30)

POSITION FROM THRU

558 558 559 567 568 572 573 582 583 592 593 595 596 604 605 608 609 617 618 627 628 628 629 629 630 642 643 644 645 646 647 647 648 649 650 654 655 655 656 657 658 660 661 662 663 670 671 672 673 687 688 688 689 690 691 692 693 697 698 699 700 708 709 738

8

C-41, August 24, 2012

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download