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Security and identity ⇄ Business productivity

Azure Active Directory to eClinicalWorks integration — real-time, two-way sync

Keep Azure Active Directory 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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Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect Azure Active Directory and eClinicalWorks

Keep the users, groups, and profile details that eClinicalWorks and Azure Active Directory share consistent in real time, so who can work in eClinicalWorks always matches who your directory in Azure Active Directory says belongs there.

Azure Active Directory is where a company records who its people are: their accounts, the groups and roles they hold, and the attributes attached to each one. eClinicalWorks is where a slice of those same people do their work, as agents, members, or seats, and every one of them needs a matching account with the right access. When a directory and a productivity tool are maintained by hand, someone added, moved, or offboarded in one becomes a stale entry in the other within the hour.

Stacksync syncs Documents, Diagnostic reports, Patients, Appointments in eClinicalWorks with Groups, Group memberships, Applications, Service principals in Azure Active Directory bi-directionally and in real time. A user created, renamed, moved between groups, or deactivated in either system updates the matching record in the other within seconds, with field-level mapping and conflict resolution in place of CSV uploads and nightly IT batch jobs.

That matters most at the edges of employment. When both systems agree on who has an account, which groups they belong to, and whether they are still active, granting access on day one and revoking it on the last day stops being a manual checklist that trails the directory.

Common use cases

  • 01 Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
  • 02 Sync patient demographics and appointments into a CRM so patient outreach and intake teams work from current data.
  • 03 Reconcile Entra ID Users and assignedLicenses with an ITSM or finance database to audit license allocation and reclaim unused seats.
  • 04 Provision and deprovision Entra ID Users and Group memberships from an HR system of record so account enablement follows employment status.

Common sync patterns

One record per person

People matched across both systems on email or an external ID stay linked, so every account and action in eClinicalWorks ties back to the right identity in Azure Active Directory.

Provision access when someone joins

A user added to Azure Active Directory, or moved into a group inside it, gets the matching account or membership created in eClinicalWorks, so a new hire can start working without a separate setup ticket.

Close access when someone leaves

When a user is disabled or removed in Azure Active Directory, their account in eClinicalWorks is deactivated in step, so offboarding shuts down access everywhere instead of leaving a live login behind.

What you can sync between Azure Active Directory 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.

Azure Active Directory objects eClinicalWorks objects How this pairing syncs
Applications App registrations under /applications; usually read into a database or CMDB for app ownership and credential-expiry tracking. Encounters Visit records tying diagnoses, providers, and billing context together. Applications is specific to Azure Active Directory and Encounters to eClinicalWorks — each maps to any object or custom field on the other side.
Service principals /servicePrincipals (enterprise apps) plus appRoleAssignments; read for app inventory and access-posture reporting. Practitioners Provider records used to keep directories and scheduling systems consistent. Service principals is specific to Azure Active Directory and Practitioners to eClinicalWorks — each maps to any object or custom field on the other side.
Directory roles /directoryRoles and roleManagement assignments; read for privileged-access reviews, with role-assignment writes where the granted scopes permit. Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Directory roles is specific to Azure Active Directory and Observations to eClinicalWorks — each maps to any object or custom field on the other side.
Devices /devices registered or joined to the tenant; typically read-only into asset and security databases. Medications Prescription and medication-list data within the patient record. Devices is specific to Azure Active Directory and Medications to eClinicalWorks — each maps to any object or custom field on the other side.
Users /users in Microsoft Graph; synced two-way — profile attributes, accountEnabled, and assignedLicenses are read out while provisioning writes (create, update, disable, delete) are pushed back. Allergies Allergy and intolerance entries in the clinical record. Users is specific to Azure Active Directory and Allergies to eClinicalWorks — each maps to any object or custom field on the other side.
Groups /groups covering security and Microsoft 365 groups; created, updated, and deleted through Graph, and read into warehouses for entitlement reporting. Immunizations Vaccination history exposed for registries and patient apps. Groups is specific to Azure Active Directory and Immunizations to eClinicalWorks — each maps to any object or custom field on the other side.

How changes propagate between Azure Active Directory 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.

Azure Active Directory eClinicalWorks Sub-second propagation

DetectionAzure Active Directory notifies Stacksync of record changes through webhook events. Microsoft Graph delta query (deltaLink tokens returning only changed users and groups, with @removed deletions) paired with change-notification.

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

eClinicalWorks Azure Active Directory 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 Azure Active Directory through its API, with automatic retries and rate-limit backoff.

Rate-limit considerations

  • Azure Active Directory: Resource-unit throttling: roughly 8,000 ResourceUnits per 10 seconds per app for reads on tenants over 500 users, writes near 3,000 requests per 2.5 minutes; 429 responses include a Retry-After header.
  • eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
What ships with Azure Active Directory ⇄ eClinicalWorks

Connect Azure Active Directory and eClinicalWorks for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every Azure Active Directory–eClinicalWorks connection.

Real-time

Two-way sync

Changes in Azure Active Directory or eClinicalWorks instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Azure Active Directory 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 Azure Active Directory or eClinicalWorks record.

Observability

Monitoring

Track your Azure Active Directory ⇄ eClinicalWorks sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Azure Active Directory and eClinicalWorks.

How the Azure Active Directory and eClinicalWorks connectors work

Azure Active Directory

Integration surface
Microsoft Graph REST API (v1.0)
Authentication
OAuth 2.0 via the Microsoft identity platform using an Entra ID app registration; app-only (client credentials) or delegated flows, with directory scopes such as User.ReadWrite.All and Group.ReadWrite.All requiring tenant admin consent
Change detection
Microsoft Graph delta query (deltaLink tokens returning only changed users and groups, with @removed deletions) paired with change-notification webhook subscriptions for near-real-time push
Capabilities
read · write · webhooks
Rate limits
Resource-unit throttling: roughly 8,000 ResourceUnits per 10 seconds per app for reads on tenants over 500 users, writes near 3,000 requests per 2.5 minutes; 429 responses include a Retry-After header

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 Azure Active Directory 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 Azure Active Directory 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
    Azure Active Directory connected
    eClinicalWorks connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Azure Active Directory 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 · Azure Active Directory ⇄ 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
    Azure Active Directory eClinicalWorks
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
FAQ

Azure Active Directory 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.

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ISO 27001
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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:

Related integrations

Every pair below is a real-time, two-way sync. Search all 437 integrations available for Azure Active Directory and eClinicalWorks.

Popular · 8 of 437
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