The processing of health information from medical records and, especially, clinical notes is a complex task due to the nature of the texts themselves (i.e., hand-written and containing semistructured or unstructured data) and the diversity of the terminology used. While certain technologies exist to process these types of texts and data in the English language, only a few such initiatives exist for similar texts and data in the Spanish language. This paper presents a new proposal for the semantic annotation of Spanish-language clinical notes, implementing an automated tool similar to the UMLS MetaMap Transfer (MMTx) for the identification of biomedical concepts in the Spanishlanguage SNOMED CT ontology. Moreover, an assessment of the tool using 100 Spanish-language clinical notes is presented. Using the clinical notes manually annotated by specialists of a Spanish hospital as the gold standard, it is concluded that precision scores are sufficiently good for the several types of matching achieved by the automated tool proposed. The research presented in this contribution offers a launching point for the establishment of semantic relationships between concepts and the application of mining techniques to Spanish-language clinical notes.

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This paper is about developing a group user model able to predict unknown features (attributes, preferences, or behaviors) of any interlocutor. Specifically, for systems where there are features that cannot be modeled by a domain expert within the human computer interaction. In such cases, statistical models are applied instead of stereotype user models. The time consumption of these models is high, and when a requisite of bounded response time is added most common solution involves summarizing knowledge. Summarization involves deleting knowledge from the knowledge base and probably losing accuracy in the medium-term. This proposal provides all the advantages of statistical user models and avoids knowledge loss by using an R-Tree structure and various search spaces (universes of users) of diverse granularity for solving inferences with enhanced success rates. Along with the formalization and evaluation of the approach, main advantages will be discussed, and a perspective for its future evolution is provided. In addition, this paper provides a framework to evaluate statistical user models and to enable performance comparison among different statistical user models.

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