Read Me File for ICD-10 ACME (2000) ACME Causal Table and ICD-10 ACME (2000) 
Modification Table


The ACME Causal Table shows when two conditions constitute an acceptable causal 
relationship.  This table is used in the application of three of the selection rules: General 
Principle, Selection Rule 1, and Selection Rule 2.  The pdf file ACASFOR.PDF (4KB) 
presents the record format for the ICD-10 ACME (2000) Causal Table.  The actual table 
is zipped into the file ACMECAS.ZIP (277KB).  Unzipped, the ASCII file 
ACMECAS.TXT  is 2.5MB in size.

The ACME Modification Table includes direct sequel relationships (Selection Rule 3),
senility and ill-defined conditions (Rule A), linkages (Rule C), and specificity (Rule D).
For purposes of ACME selection, Rules E and F are integrated into these decision 
tables and/or handled at the multiple cause coding stage.  The pdf file AMODFOR.PDF
(6 KB) presents the record format for the ICD-10 ACME (2000) Modification Table.
The actual table is zipped into the file AMODL275.ZIP (332 KB).  Unzipped, the
ASCII file AMODL275.TXT is 2.8MB in size.

These tables correspond to tables D and E in Instruction manual, part 2C ICD-10 ACME
Decision Tables for Classifying Underlying Causes of Death, 1999. 

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.