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.