CDS-PD: A Novel Clinical Decision Support Platform for Parkinson’s Disease

The Movement Disorders Society clinical diagnostic criteria for Parkinson's disease (MDS-PD) allow highly sensitive and specific diagnosis of Parkinson's disease. However, their adoption has been limited due to lack of a clinical decision support (CDS) tool to support clinicians and researchers in systematically and accurately applying the MDS-PD criteria. We have developed and evaluated a CDS platform for PD (CDS-PD) as a modular and extensible informatics platform with comprehensive functionalities for recording relevant patient information. We have performed real time application of diagnostic algorithm of the MDS-PD criteria. The CDS-PD platform shows high concordance with application of the MDS-PD criteria by experienced movement disorders neurologists. The CDS-PD platform is a transformative step towards realizing the standardized electronic implementation of the MDS-PD criteria for PD patient care and clinical trials at point-of-care. The CDS-PD platform can be accessed after registration at weblink https://www.cdspd.org. Diagnostic criteria for Parkinson's disease (PD) have been developed to improve accuracy of clinical diagnosis of PD. However, these criteria are inherently complex to apply using a manual approach with pen-and-paper and are not supported in electronic health record systems. There is a need for a clinical decision support (CDS) system to support clinicians and researchers alike in the implementation of these criteria. We developed a novel technology platform to address this unmet need.