Instruction Manual Part 2C ICD-10 ACME Decision Tables for Classifying Underlying Causes of Death This manual contains the decisions tables used by the ICD-10 ACME system to assign the underlying causes of death within the framework of the rules and instructions contained in Instruction manual part 2a. Unlike the other instruction manuals, this instruction manual is not available in a single piece. The first part to be made available on the Internet are a couple of the tables. The ACME Causal Table (table D) shows when two conditions constitute an acceptable causal relationship. The pdf file 2CTDFOR.PDF (4KB) presents the record format for the ICD-10 ACME (2000) Causal Table. The actual table is zipped into the file 2CMTD2000.ZIP (277KB). Unzipped, the ASCII file ACMECAS.TXT is 2.5MB in size. The ACME Modification Table (table E) includes direct sequel relationships, senility and ill-defined conditions, linkages, and specificity. The pdf file 2CTEFOR.PDF (6 KB) presents the record format for the ICD-10 ACME (2000) Modification Table. The actual table is zipped into the file 2CTE2000.ZIP (332 KB). Unzipped, the ASCII file AMODL275.TXT is 2.8MB in size. Questions and comments regarding the format of these files should be addressed to the Mortality Statistics Branch, National Center for Health Statistics, Room 820, 6525 Belcrest Road, Hyattsville, MD 20782. Questions and comments about the content of the file should be addressed to the Data Acquisition and Evaluation Branch, National Center for Health Statistics, PO Box 12214, Research Triangle Park, North Carolina 27709 or 1 (800) 642-8908 8:00am to 5:00pm EST M-F. This material is provided by NCHS which is a subunit of CDC/ATSDR. It has been cleared for distribution by CDC/ATSDR and will be authentic if gotten from ftp://ftp.cdc.gov. CDC/ATSDR takes all effort to assure the authenticity of electronically distributed documents. However, in all instances where the electronic and official agency record differ, the authenticity of the official agency record is controlling.