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Adobe Sign to eClinicalWorks integration — real-time, two-way sync

Keep Adobe Sign and eClinicalWorks in sync without custom scripts. Cut weeks of integration work, eliminate silent data drift, and give your team a single, reliable source of truth.

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  • POC with real engineers in minutes

Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect Adobe Sign and eClinicalWorks

Stop re-entering the same information in Adobe Sign and eClinicalWorks: Stacksync keeps the records they share consistent in real time, in both directions.

Two tools in the daily stack often hold overlapping information: the same people, the same companies, or the same pieces of work, described twice. The tools do different jobs, so consolidating is not the answer; the overlap just needs to stop drifting.

Stacksync syncs MegaSign, Users, Groups, Agreements in Adobe Sign with Observations, Medications, Allergies, Immunizations in eClinicalWorks in real time. You choose which records overlap, map the fields that should match, and pick a direction or let changes flow both ways. From then on, an update made in either tool is reflected in the other within seconds, without exports or copy-paste.

Because the sync is field-level, each tool keeps its own extras; only the shared data is held in agreement.

Common use cases

  • 01 Stream the per-agreement Agreement Events audit trail into a compliance database for retention and who-signed-what reporting.
  • 02 Read Widget submissions from embedded web signing forms into a database to trigger onboarding or contract-fulfillment workflows.
  • 03 Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
  • 04 Sync patient demographics and appointments into a CRM so patient outreach and intake teams work from current data.

Common sync patterns

Where both tools track people or companies: one consistent record

Contact and company details corrected in either tool update the other, so nobody works from the old version.

Where one tool produces events: mirror them in the other

Payments, replies, messages, or tickets created in one tool can create or update matching records in the other, keeping context in one place.

Where eClinicalWorks is where the team documents or plans: keep its data fed

Information that originates in Adobe Sign stays current in eClinicalWorks instead of going stale after a one-time paste.

What you can sync between Adobe Sign and eClinicalWorks

Representative objects on each side — any object or custom field can map to any target. Schemas are auto-detected; types are converted between the two systems.

Adobe Sign objects eClinicalWorks objects How this pairing syncs
Agreements The core e-signature transaction; created and sent from other systems, then read back for status (out-for-signature, signed, cancelled) and the completed PDF. Documents Clinical notes and attachments referenced from the chart. Agreements is specific to Adobe Sign and Documents to eClinicalWorks — each maps to any object or custom field on the other side.
Agreement Form Field Data Merge fields prefilled at send and values captured from signers; read into a database so contract terms and inputs are queryable. Diagnostic reports Structured result reports grouping observations for a study or panel. Agreement Form Field Data is specific to Adobe Sign and Diagnostic reports to eClinicalWorks — each maps to any object or custom field on the other side.
Agreement Events Per-agreement audit trail of every action (viewed, delegated, signed); read-only, synced into compliance stores. Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. Agreement Events is specific to Adobe Sign and Patients to eClinicalWorks — each maps to any object or custom field on the other side.
Library Templates Reusable document templates (libraryDocuments); referenced when creating Agreements and synced for template governance. Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Library Templates is specific to Adobe Sign and Appointments to eClinicalWorks — each maps to any object or custom field on the other side.
Widgets Reusable web signing forms with a public URL; submissions read out to trigger downstream onboarding or fulfillment. Encounters Visit records tying diagnoses, providers, and billing context together. Widgets is specific to Adobe Sign and Encounters to eClinicalWorks — each maps to any object or custom field on the other side.
MegaSign Bulk-send parent objects that fan one document out to many recipients; child agreements are tracked individually. Practitioners Provider records used to keep directories and scheduling systems consistent. MegaSign is specific to Adobe Sign and Practitioners to eClinicalWorks — each maps to any object or custom field on the other side.

How changes propagate between Adobe Sign and eClinicalWorks

Each direction of the sync is driven by what the source system can signal and what the destination accepts — detection, delivery, and expected latency below.

Adobe Sign eClinicalWorks Sub-second propagation

DetectionAdobe Sign notifies Stacksync of record changes through webhook events. Webhooks (REST v6 webhook subscriptions) fire near-real-time on agreement events such as created, action requested, completed, and cancelled.

DeliveryEach detected change is written to eClinicalWorks through its API, with automatic retries and rate-limit backoff.

eClinicalWorks Adobe Sign Interval-based propagation

DetectionStacksync polls eClinicalWorks for changes on an incremental schedule, reading only records changed since the previous pass. HL7 interface feeds push event messages as they occur.

DeliveryEach detected change is written to Adobe Sign through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • Adobe Sign: Per-user throttling at minute, hour, and day tiers shared between web UI and API traffic; exceeding a tier returns HTTP 429 with a Retry-After header. Exponential backoff with jitter is recommended.
  • eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
What ships with Adobe Sign ⇄ eClinicalWorks

Connect Adobe Sign and eClinicalWorks for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Adobe Sign–eClinicalWorks connection.

Real-time

Two-way sync

Changes in Adobe Sign or eClinicalWorks instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Adobe Sign or eClinicalWorks data changes, update records, fire webhooks, or kick off sequences without brittle API scripts.

At scale

Event queues

Handle millions of events per minute without losing a single Adobe Sign or eClinicalWorks record.

Observability

Monitoring

Track your Adobe Sign ⇄ eClinicalWorks sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Adobe Sign and eClinicalWorks.

How the Adobe Sign and eClinicalWorks connectors work

Adobe Sign

Integration surface
REST API v6 (JSON)
Authentication
OAuth 2.0 authorization-code flow with granular per-resource scopes (agreement_read, agreement_write, agreement_send, user_read, user_write, webhook_read, webhook_write); legacy Integration Keys also supported
Change detection
Webhooks (REST v6 webhook subscriptions) fire near-real-time on agreement events such as created, action requested, completed, and cancelled; polling GET /agreements by modifiedDate is the fallback
Capabilities
read · write · webhooks
Rate limits
Per-user throttling at minute, hour, and day tiers shared between web UI and API traffic; exceeding a tier returns HTTP 429 with a Retry-After header. Exponential backoff with jitter is recommended.

eClinicalWorks

Integration surface
FHIR R4 REST API plus HL7 v2 interfaces (ADT, SIU, ORU) through an interface engine
Authentication
OAuth 2.0 / SMART on FHIR for the FHIR API; site-configured credentials for HL7 interface connections
Change detection
HL7 interface feeds push event messages as they occur; the FHIR API is polled
Capabilities
read · write
Rate limits
Subject to the platform's API rate limits and interface throughput agreements
How it works

How to connect Adobe Sign to eClinicalWorks — three steps, no code

Configure and sync within minutes, no code. Whether you sync 50k or 100M+ records, Stacksync handles the queues, infra, and plumbing. Integrations are non-invasive and need zero setup on your systems.

  1. 01

    Connect your apps

    Authenticate Adobe Sign and eClinicalWorks with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.

    • OAuth 2.0
    • SSH tunnel
    • VPC peering
    Adobe Sign connected
    eClinicalWorks connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Adobe Sign and eClinicalWorks objects to sync — Stacksync auto-detects both schemas, including custom fields where the platform exposes them. Sync to existing tables, or let Stacksync create new ones with ideal data types.

    • Standard objects
    • Custom objects
    • Auto-schema
    objects · Adobe Sign ⇄ eClinicalWorks
    Customers 12,480
    Sales Orders 8,213
    Invoices 5,902
    Items 1,344
  3. 03

    Map fields

    Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.

    • Auto-map
    • Type casting
    • Transforms
    Adobe Sign eClinicalWorks
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

Adobe Sign and eClinicalWorks integration FAQ

SECURITY

Security teams trust Stacksync

As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers.

Learn more about security
SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
CSA STAR
DPF US-EU-UK-CH
→ SECURITY WITH BENEFITS

SSO & SCIM

Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more.

Alerts

Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options.

Secure connection options

Securely connects to your systems with:

OAuth 2 SSH Tunnelling SSL certificates IP Whitelisting VPN gateway VPC peering and more

Related integrations

Every pair below is a real-time, two-way sync. Search all 444 integrations available for Adobe Sign and eClinicalWorks.

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