Spain

Healthcare System

Sistema Nacional de Salud (SNS) provides universal coverage to all residents through general taxation. Ranked among the top healthcare systems globally by WHO. Healthcare is a constitutional right in Spain (Article 43 of the Spanish Constitution).

System Type: Universal tax-funded (Beveridge model)
Regulatory Body: AEMPS (Agencia Española de Medicamentos y Productos Sanitarios)
Data Protection: GDPR (EU) + LOPDGDD (Ley Orgánica de Protección de Datos y Garantía de los Derechos Digitales) + AEPD (Agencia Española de Protección de Datos)
Currency: EUR
Emergency Number: 112
Languages: es

Coding Systems

diagnosis

CIE-10

Clasificación Internacional de Enfermedades, 10ª revisión — Spanish translation of ICD-10 maintained by the Ministry of Health (Ministerio de Sanidad). CIE-10-ES variant used for hospital coding and CMBD.

dental

FDI (ISO 3950)

Federación Dental Internacional two-digit notation. Standard across Europe including Spain.

procedures

CMBD

Conjunto Mínimo Básico de Datos — Spanish hospital discharge dataset procedure coding. CMBD codes are used for hospital statistics and DRG (GRD/APG) calculation. CMBD groups procedures into Major Diagnostic Categories (CMBD-MDC). Codes are alphanumeric and based on ICD-9-CM procedures adapted for Spanish hospital use.

dental Procedures

CMBD (dental section) / private fee schedules

Dental procedures in public hospitals coded within CMBD. Private dental uses fee schedules from insurance providers (Sanitas, Adeslas, etc.).

drugs

AEMPS / CN

Agencia Española de Medicamentos y Productos Sanitarios — Spanish drug agency. National Medicines Code (Código Nacional, CN) is the 6-digit national drug identifier. AEMPS maintains the Spanish Medicines Database (CIMA).

Translation Corridors

MA→ES (Moroccan community medical records for SNS) RO→ES (Romanian community) CO/VE/EC/PE→ES (Latin American diaspora — Spanish-speaking, but different drug branding and coding systems) ES→DE (Spanish workers in Germany — ~200K) ES→GB (Spanish residents in UK — ~150K post-Brexit) ES→FR (Spanish cross-border workers and retirees) ES→US (Spanish expats on US employer insurance) LA→ES (Latin American medical tourism to Spain — major cosmetic surgery destination)

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