Appropriateness and utility of a clinical decision support system at the digital front door

Digital front doors combining symptom assessment and self-triage are increasingly used, yet real-world evidence on their clinical integration remains limited. This prospective post-market clinical follow-up evaluated a clinical decision support system embedded in routine care within a large private healthcare network. Adults completed a structured symptom assessment before consultation, and both participants and physicians completed predefined questionnaires. Treating physicians generally judged the urgency advice and assessment report to be appropriate. When the report was reviewed before the consultation, physicians reported greater preparedness and perceived efficiency gains. Participants generally reported complete symptom capture and improved preparedness. These findings provide prospective real-world evidence that a symptom assessment CDSS can generate appropriate outputs in routine care and may support both patient preparation and clinician workflow when integrated into practice.