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ACORN Clinician's Decision Support Toolkit User Registration

Click here to register as an ACORN Clinician's Decision Support Toolkit user.
  • You must register as a Toolkit user to participate in outcomes informed care programs sponsored by various payers.
  • Be sure to indicate your sponsoring organization. (ValueOptions, Regence BlueCross, etc.)
  • Good news! When you register as a Toolkit user your user name and password will also be registered with the ACORN Wiki.

Wiki Only Registration:

Complete the form below.

The form below is for Wiki Only registration. To register for an outcomes informed care project, go to: Clinician's Decision Support Toolkit Login Page

Fields marked * are required

  • Your System.WikiName is how you are identified on ACORN. By default it is derived from your first and last name. Note: if you wish to change it, it this must be unique, CaseSensitive with NoSpace.
  • The login name you use to sign in.
  • Your email address will be kept confidential.

When ACORN Wiki receives the form, we will:
  • Create an account for you, so that you can start editing pages using your System.WikiName.
  • Create your personal user topic using your System.WikiName as topic name, and add the data you submitted to the topic.
  • Add your name to the list of users in the Main.WikiUsers topic.
  • If you have registered for a sponsored outcomes informed care initiative, you will receive a follow-up email within one business day from DataCenter@clinical-informatics.com that will contain information on how to access your forms and Clinician's Toolkit.

If you have any questions about registration, send an e-mail to datacenter@clinical-informatics.com.


All the topic sections.
The main section is "form", INCLUDEd when REGISTRATION_DISABLED is not 'DISABLED'.
Other sections define the fields and extra info text.


%INCLUDE{"%TOPIC%" section="intro_msg"}%
<div class="registration"><form name="registration" action="%SCRIPTURLPATH{"register"}%/%USERSWEB%/%HOMETOPIC%" method="post">
   <div class="foswikiFormSteps">
      <div class="foswikiFormStep">
         <p><em>%MAKETEXT{"Fields marked <span class='required'>*</span> are required"}%</em></p>
         <ul>
<!-- REQUIRED FIELDS -->
%INCLUDE{"%TOPIC%" section="requiredField_firstName"}%
%INCLUDE{"%TOPIC%" section="requiredField_lastName"}%
%INCLUDE{"%TOPIC%" section="requiredField_wikiName"}%%IF{'$ALLOWLOGINNAME' then='%INCLUDE{"%TOPIC%" section="requiredField_loginName"}%' else='<!-- -->'}%
%INCLUDE{"%TOPIC%" section="requiredField_email"}%%IF{'context passwords_modifyable' then='%INCLUDE{"%TOPIC%" section="requiredField_password"}%' else='<!-- -->'}%
<!-- START OPTIONAL FIELDS -->
%INCLUDE{"%TOPIC%" section="extraField_Telephone" warn="off"}%%INCLUDE{"%TOPIC%" section="extraField_providerIdentifier" warn="off"}%%INCLUDE{"%TOPIC%" section="extraField_sponsoringOrganization" warn="off"}%
%IF{'$REGISTRATIONGROUPTYPE = "one" OR
$REGISTRATIONGROUPTYPE = "multiple" OR
$REGISTRATIONGROUPTYPE = "automatic"' then='$percentINCLUDE{"%WEB%.%TOPIC%" section="extraField_groups" warn="off"}$percent' else='<!-- -->'}%
<!-- SUBMIT BUTTON -->
%INCLUDE{"%TOPIC%" section="requiredButton_submit"}%
         </ul>
         <div class='foswikiClear'></div>
      </div>
   </div>
%IF{"context BlackListPluginEnabled" then='<input type="hidden" name="rx" value="$percentBLACKLISTPLUGIN{action=$quotmagic$quot}$percent" />' else='<!-- -->'}%
<input type="hidden" name="topic" value="%TOPIC%" />
<input type="hidden" name="action" value="register" />
</form>
</div>
%ADDTOZONE{"head" id="UserRegistrationStyle"
text="<style type='text/css' media='all'>
.registration .foswikiFormSteps {
   margin:.5em 0 1em 0;
}
.registration .foswikiFormStep {
   clear:both;
}
.registration form {
   width:100%;
   margin:0;
   padding:0;
}
/* horizontal layout */
/* for the 3 'columns' we use: 25% 30% 40% */
.registration label {
   width:25%;
}
.registration li div {
   float:left;
   width:70%;
   padding:0 0 0 1em;
}
.registration .foswikiInputField,
.registration .foswikiTextarea {
   width:40%;
}
.registration li em {
   display:block;
   margin:0 0 0 43%;
   padding:2px;
}
/* END horizontal layout */
.registration ul {
   clear:all;
   list-style:none;
   padding:0;
   margin:0;
}
.registration li {
   margin:0;
   padding:.7em 0;
   clear:both;
   min-height:1em;
}
.registration label {
   float:left;
   margin:0;
   padding:0;
   text-align:right;
}
.registration .joinGroups label {
   float:none;
}
.registration .foswikiInputField,
.registration .foswikiSelect,
.registration .foswikiTextarea {
   float:left;
   margin-top:-2px;
}
.registration em {
   font-style:normal;
   font-size:94%;
   line-height:110%;
   color:#666;
}
.registration .required {
   padding:0 .3em;
   color:#f00;
}
</style>"
}%%TMPL:P{JavascriptFiles/foswikiString"}%



Required field first name

<li><label for="Fwk1FirstName"><span class="required">*</span>%MAKETEXT{"First name"}%</label>
<div><input type="text" id="Fwk1FirstName" name="Fwk1FirstName" size="40" class="foswikiInputField foswikiFocus" value="" tabindex="1" onblur="this.form.Fwk1WikiName.value=foswiki.String.makeWikiWord(this.value+' '+this.form.Fwk1LastName.value)" /></div></li>



Required field last name

<li><label for="Fwk1LastName"><span class="required">*</span>%MAKETEXT{"Last name"}%</label>
<div><input type="text" id="Fwk1LastName" name="Fwk1LastName" size="40" class="foswikiInputField" value="" tabindex="2" onblur="this.form.Fwk1WikiName.value=foswiki.String.makeWikiWord(this.form.Fwk1FirstName.value+' '+this.value)" /></div></li>



Required field wiki name

<li><label for="Fwk1WikiName"><span class="required">*</span>%MAKETEXT{"Wiki name"}%</label>
<div><input type="text" id="Fwk1WikiName" name="Fwk1WikiName" size="40" class="foswikiInputField" value="" tabindex="3" onblur="" /><em>Your %SYSTEMWEB%.WikiName is how you are identified on ACORN. By default it is derived from your first and last name. %RED%Note: if you wish to change it, it this must be unique, !CaseSensitive with !NoSpace%ENDCOLOR%. </em></div></li>

Required field login name
Only shown if ALLOWLOGINNAME is true.

<li><label for="Fwk1LoginName"><span class="required">*</span>%MAKETEXT{"Login name"}%</label>
<div><input type="text" id="Fwk1LoginName" name="Fwk1LoginName" size="40" class="foswikiInputField" value="%REMOTE_USER%" tabindex="4" onblur="" /><em>%MAKETEXT{"The login name you use to sign in."}%</em></div></li>



Required field email

<li><label for="Fwk1Email"><span class="required">*</span>%MAKETEXT{"Email address"}%</label>
<div><input type="text" id="Fwk1Email" name="Fwk1Email" size="40" class="foswikiInputField" value="" tabindex="5" onblur="" /><em>%MAKETEXT{"Your email address will be kept confidential."}%</em></div></li>



Required field password
Only shown if the password manager supports changing the password / email.

<li><label for="Fwk1Password"><span class="required">*</span>%MAKETEXT{"Your password"}%</label>
<div><input type="password" id="Fwk1Password" name="Fwk1Password" size="40" class="foswikiInputField" value="" tabindex="6" onblur="" /></div></li>%IF{"NOT {Register}{DisablePasswordConfirmation}" then="<li><label for=\"Fwk1Confirm\"><span class=\"required\">*</span>$percntMAKETEXT{\"Confirm password\"}$percnt</label>
<div><input type=\"password\" id=\"Fwk1Confirm\" name=\"Fwk1Confirm\" size=\"40\" class=\"foswikiInputField\" value=\"\" tabindex=\"7\" onblur=\"\" /></div></li>"}%

Optional field join group

enable by setting =REGISTRATIONGROUPTYPE= in the %USERSWEB%.SitePreferences topic to automatic, one, mulitple.
     
%IF{"$USERNAME ingroup 'AdminGroup' and '%REGISTRATIONGROUPTYPE%' = 'automatic' and not defined 'REGISTRATIONGROUPS'" then="<blockquote><span class=\"foswikiAlert\"> *Caution!* Registering a user while logged in as an Administrator will add them to ALL GROUPS in the system.</span> REGISTRATIONGROUPTYPE is set to =automatic=, and no groups are set in REGISTRATIONGROUPS. </blockquote>"}%
%IF{"$ WIKINAME!='WikiGuest' and $USERNAME not ingroup 'AdminGroup' and '%REGISTRATIONGROUPTYPE%' = 'automatic' and not defined 'REGISTRATIONGROUPS'" then="<blockquote><span class=\"foswikiAlert\"> *Caution!* Registering a user while logged in will add the new user to all groups you have permission to change.</span> REGISTRATIONGROUPTYPE is set to =automatic=, and no groups are set in REGISTRATIONGROUPS. </blockquote>"}%
%FORMAT{
   "%IF{"defined 'REGISTRATIONGROUPS'" then="%REGISTRATIONGROUPS%" else="%GROUPINFO{
         show="allowchange%IF{"$ WIKINAME='WikiGuest'" then="(RegistrationAgent)"}%"
         format="$name"
         separator=","
      }%"}%"
   header="$percentINCLUDE{$quot%WEB%.%TOPIC%$quot section=$quot%IF{
                  "'%REGISTRATIONGROUPTYPE%' = 'automatic' and $ WIKINAME='WikiGuest'"
                  then="hidden"
               }%rendergroupheader$quot multiple=$quot%IF{
                  "'%REGISTRATIONGROUPTYPE%' = 'multiple'"
                  then="Groups"
                  else="Group"
               }%$quot}$percent"
   footer="$percentINCLUDE{$quot%WEB%.%TOPIC%$quot section=$quotrendergroupfooter$quot}$percent"
   zeroresults="<!-- no groups available -->"
   format="$percentINCLUDE{$quot%WEB%.%TOPIC%$quot
      section=$quotrendergroup$quot
      groupname=$quot$topic$quot
      inputtype=$quot%IF{"'%REGISTRATIONGROUPTYPE%' = 'automatic' and $ WIKINAME!='WikiGuest'" then="checkbox"}%%IF{"'%REGISTRATIONGROUPTYPE%' = 'automatic' and $ WIKINAME='WikiGuest'" then="hidden"}%%IF{"'%REGISTRATIONGROUPTYPE%' = 'one'" then="radio"}%%IF{"'%REGISTRATIONGROUPTYPE%' = 'multiple'" then="checkbox"}%$quot
        inputother=$quot%IF{"'%REGISTRATIONGROUPTYPE%' = 'automatic'" then="checked readonly"}%$quot
       }$percent"
      separator=" "
}%

Section nochange

<!-- nochange// --> 


Section rendergroup
  parameters: groupname, inputtype

<input type="%inputtype%" %inputother% name="Fwk0AddToGroups" id="cb_%groupname%" value="%groupname%" />
   <label for="cb_%groupname%">%IF{"istopic '%USERSWEB%.%groupname%'" then=" [[%USERSWEB%.%groupname%][%groupname%]] " else="%groupname%" }%</label>


Section rendergroupheader
  parameters: 

<li><label for="Fwk0AddToGroups">Add user to group(s)</label>
<div class="joinGroups">


Section rendergroupfooter
  parameters: 

</div></li>

Section hiddenrendergroupheader
  parameters: 

<li class="foswikiHidden">
<div class="joinGroups">

Required submit button

<li><label>&nbsp;</label><div><input type="submit" tabindex="99" class="foswikiSubmit" value=" Submit Registration " /></div></li>


Custom Site fields & Messages

Intro messages

---++ [[https://cci-acorn.org/register.asp][ *ACORN Clinician's Decision Support Toolkit User Registration* ]]

[[https://cci-acorn.org/register.asp][Click here to register as an ACORN Clinician's Decision Support Toolkit user. ]]  
   * You must register as a Toolkit user to participate in outcomes informed care programs sponsored by various payers.
   * Be sure to indicate your sponsoring organization. (!ValueOptions, Regence !BlueCross, etc.)
   * %OLIVE% *Good news!* %ENDCOLOR% When you register as a Toolkit user your user name and password will also be registered with the ACORN Wiki.

---++ Wiki Only Registration:

*Complete the form below.*
   * [[OutcomesMeasurement.WhyNewLogin][Why does the Toolkit have a different registration?]]

%RED% *The form below is for Wiki Only registration. To register for an outcomes informed care project, go to:* %ENDCOLOR% [[https://cci-acorn.org/register.asp][Clinician's Decision Support Toolkit Login Page]]


Telephone
<li><label for="Fwk0Telephone">National Provider Identifier (optional)</label><div><input type="text" name="Fwk0Telephone" id="Fwk0Telephone" size="40" class="foswikiInputField" value="" tabindex="10" onblur=""/></div></li>

National Provider Identifier
<li><label for="Fwk0ClinicianID">National Provider Identifier (optional) <img alt="" src="%ICONURL{info}%" title="Your National Provider Identifier is required if you wish to submit outcome questionnaires and be able to view your data via a personal and secure web page."/></label>
<div><input type="text" name="Fwk0ClinicianID" size="40" class="foswikiInputField" value="" tabindex="9" onblur="" /></div></li>

Sponsoring Organization
<li><label for="Fwk0Sponsor">Sponsoring Organization (optional)</label><div><select name="Fwk0Sponsor" id="Fwk0Sponsor" size="1" class="foswikiSelect" tabindex="11" >%FORMATLIST{"%SPONSORS%" split=", " format="<option value='$1'>$1</option>"}%</select></div></li>

Results message


*When %WIKITOOLNAME% receives the form, we will:*
   * Create an account for you, so that you can start editing pages using your %SYSTEMWEB%.WikiName.
   * Create your personal user topic using your %SYSTEMWEB%.WikiName as topic name, and add the data you submitted to the topic.
   * Add your name to the list of users in the %MAINWEB%.%WIKIUSERSTOPIC% topic.
   * %GREEN%If you have registered for a sponsored outcomes informed care initiative, you will receive a follow-up email within one business day from DataCenter@clinical-informatics.com that will contain information on how to access your forms and Clinician's Toolkit.%ENDCOLOR%

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