Representación del conocimiento en historia clínica electrónica interoperable: El caso de la Historia Clínica Digital del Sistema Nacional de Salud de España

Abstract

The Electronic Health Records of the National Health System (HCDSNS) of Spain is one of the fundamental pillars for achieving the effective interoperability of digital medical records within the National Health System. This article analyses the process of standardization and the semantic standards of reference that are allowing this ten-year old system to represent knowledge in electronic medical records. Firstly, the theoretical and legal basis that support the system development is exposed. Below are identified and analysed the reference standards proposed to achieve semantic interoperability, and finally the most significant resources that have been developed for this purpose are reviewed.