If I remember correctly, the base data set is quite rich ( ie: dense ), and I suspect that there is a fair amount of "averaging" done to make the currently available electronic charts small enough to be both reasonable from a storage standpoint as well as the amount of computing required to properly display the data. ie most charts that you see are "low resolution" compared to the base database resolution. Electronic systems display the data needed for safe navigation using cost effective hardware. Too much data displayed is actually detrimental to usage. ( it can get cluttered and/or require too long to generate the display ).
There is considerable editing that takes place between the base data and what ends up on your chart chip. ( Thus the same chart from different vendors can look different, while still presenting the required information in an easy to use, near-realtime display using hardware you can afford )
While I believe that there may be some "artistic license" used on the official paper charts I seem to remember that the charts are almost all direct from the database, rather than from the cartographer's imagination. ( I could be wrong on this, but I *think* they are automated, direct from the database... )
In any event, ( at least in the USA ) every official marine chart you can get ( electronic, waterproof, chart book, official paper chart ) is based upon one official electronic data set.
( This is all -from memory- and may contain errors. It has been a while since I did the research on this. )
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here are a few links related to chart production.
http://www.nauticalcharts.noaa.gov/mcd/learnnc_cartogeneral.html
http://www.nauticalcharts.noaa.gov/mcd/learn_diffRNC_ENC.html
There is considerable information available on the subject...