MapaSalud — open map of Spain's hospitals

An open, source-cited map of the Spanish hospital system: where the hospitals are, and — as the data is integrated — how they compare on public quality indicators by specialty. Plus a doctor layer that does one honest thing: verify official credentials (link to the colegiado/REPS record), not rank people.

No black-box scores. No scraped reviews. Strictly non-commercial. Every number is meant to trace back to its primary source and dataset version.

Why this exists. The US has CMS Care Compare and US News Best Hospitals. Spain has no open, objective, source-traceable equivalent — the existing rankings are closed and survey-based. Spain does publish the raw material under an open licence (Catálogo Nacional de Hospitales, RAE-CMBD/i-CMBD, INCLASNS). This turns it into a map.

Status — v0.4

• ✅ Locations: 1,025+ hospitals seeded from OpenStreetMap (real coordinates, ODbL).
• ✅ Base map: provinces/CCAA from the Instituto Geográfico Nacional (CC-BY), rendered with geoConicConformalSpain so the Canary Islands sit in an inset from day one.
• ✅ Quality by region: 14 INCLASNS indicators by autonomous community — condition-specific in-hospital mortality (AMI, hip fracture, angioplasty, pneumonia, stroke), patient-safety (in-hospital hip fractures, post-surgical sepsis, lower-limb amputation in diabetics, avoidable diabetic admissions), and process measures (hip-fracture surgery <48h, ambulatory surgery, laparoscopic cholecystectomy) — choropleth + ranking, every figure linked to its source (datos de base CMBD/i-CMBD).
• ✅ By specialty: a clinical-area filter on the quality map (Cardiología, Traumatología, Neurología/ictus, Neumología, Cirugía, Atención primaria/evitables, Seguridad del paciente) that narrows the indicators to that area.
• ✅ Per-hospital search (/buscar): search all 1,025 hospitals; each is matched to its autonomous community by point-in-polygon, and its community's quality indicators are shown as context (per-hospital outcomes flagged as pending the CMBD request).
• ✅ References: cite-only links to external benchmarks (Newsweek/Statista, IQVIA TOP 20, Merco MRS, IDIS) and official open sources — never reproduced.
• ✅ Doctor credential verification — link-out to CGCOM colegiado + REPS (no scraping, no scores).
• ✅ Self-running: a scheduled GitHub Action refreshes the data and commits only real diffs (git-diffable history); Vercel rebuilds and redeploys on every push.
• ⏳ Per-hospital outcomes (i-CMBD microdata request) and the authoritative Catálogo Nacional de Hospitales join — next. Today's quality layer is regional (CCAA).

See DATA-LICENSES.md for every source, its licence, and how it's used.

How it works

scripts/fetch_osm_hospitals.py     # fetch raw snapshot  -> data-raw/
scripts/normalize_osm_hospitals.py # normalize + sort    -> src/data/hospitals.geojson
src/index.md                       # Observable Framework page: d3 + composite projection

• Static site, zero backend, deployed to Vercel (mapasalud-es.vercel.app), auto-deployed from GitHub on every push.
• Key-free basemap (boundaries only — no tile provider, no API keys).
• Built with Observable Framework.

Run locally

npm install
npm run data     # refresh hospital data (optional; committed data already present)
npm run dev      # preview at http://localhost:3000
npm run build    # build static site to dist/

Roadmap

Shipped: INCLASNS quality by region (+ clinical-area filter + time series), SISLE waiting times (+ per-community pages), hospital search, doctor credential verification (link-out), CCAA comparator, CSV / open data, deep-links and source-cited share cards.

Next:

1. Per-hospital outcomes (risk-adjusted, with confidence intervals) — pending the free i-CMBD microdata request, joined via the Catálogo Nacional de Hospitales / REGCESS (CCN key).
2. Own domain (mapasalud.es), press kit + citation/DOI, security headers, CI.
3. MapLibre GL + PMTiles basemap once a per-municipio choropleth has real data.

Disclaimer

These are indicators to inform the questions you ask your doctor — not verdicts, and not medical advice. The quality figures shown today are crude regional rates (not risk-adjusted); risk adjustment (GRD-APR) will arrive with the per-hospital i-CMBD microdata. Low-volume regions are flagged and kept out of the colour scale.

Licence

Code: MIT © Armando Cuesta. Data: see DATA-LICENSES.md (open government data under RD 1495/2011 and CC-BY; proprietary rankings are cited/linked, never republished).