This project develops a cloud-based solution for securely managing clinical data and patient-reported outcomes (PROMs) for multiple sclerosis (MS) patients. Utilizing REDCap for data collection. we incorporated clinical outcomes and PROMs from 300 MS patients over 18 months. supporting a machine learning (ML) based clinical decision support system. https://www.roneverhart.com/Air-Music-Technology-Vacuum-Pro-Virtual-Instrument-p8397/