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Database ⇄ Business productivity

Azure SQL Database to eClinicalWorks integration — real-time, two-way sync

Keep Azure SQL Database 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 SQL Database and eClinicalWorks

Mirror eClinicalWorks's data into Azure SQL Database so your own code can read and write it like any other table, with changes flowing both ways in seconds.

Engineers integrate with tools like eClinicalWorks through APIs, which means auth, pagination, rate limits, webhooks, and retry logic, all maintained forever and all different for every tool. Meanwhile the data would be trivial to use if it simply lived in Azure SQL Database.

Stacksync mirrors Patients, Appointments, Encounters, Practitioners from eClinicalWorks into Stored procedures, Change tracking / CDC tables, Tables, Views in Azure SQL Database and keeps both sides in sync in real time. Your services query the database directly, and inserts or updates your code makes flow back into eClinicalWorks, so the tool and the database never disagree.

Common use cases

  • 01 Sync patient demographics and appointments into a CRM so patient outreach and intake teams work from current data.
  • 02 Land encounter and billing-context data in a warehouse for utilization and revenue-cycle reporting.
  • 03 Feed an Azure SQL operational database with orders and inventory from an ERP in near real time.
  • 04 Expose SaaS data (billing, support tickets) as tables in Azure SQL for reporting teams already on Microsoft tooling.

Common sync patterns

Automate eClinicalWorks from your codebase

Write to the synced tables in Azure SQL Database and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.

React to changes as they happen

Updates in eClinicalWorks arrive as row changes in Azure SQL Database, so triggers, jobs, and services can respond in near real time.

One integration pattern for the whole stack

Every synced tool looks the same from the database, so each new integration is configuration, not a new codebase.

What you can sync between Azure SQL Database 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 SQL Database objects eClinicalWorks objects How this pairing syncs
Schemas Namespaces that organize tables and control which objects a sync user can reach. Documents Clinical notes and attachments referenced from the chart. Schemas is specific to Azure SQL Database and Documents to eClinicalWorks — each maps to any object or custom field on the other side.
Rows and columns Standard relational records with typed columns; primary keys anchor upserts. Diagnostic reports Structured result reports grouping observations for a study or panel. Rows and columns is specific to Azure SQL Database and Diagnostic reports to eClinicalWorks — each maps to any object or custom field on the other side.
Stored procedures Existing business logic that some teams invoke on write instead of direct table inserts. Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. Stored procedures is specific to Azure SQL Database and Patients to eClinicalWorks — each maps to any object or custom field on the other side.
Change tracking / CDC tables System-maintained change records used to drive incremental sync. Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Change tracking / CDC tables is specific to Azure SQL Database and Appointments to eClinicalWorks — each maps to any object or custom field on the other side.
Tables The primary sync target; rows map one-to-one to records in the paired system. Encounters Visit records tying diagnoses, providers, and billing context together. Tables is specific to Azure SQL Database and Encounters to eClinicalWorks — each maps to any object or custom field on the other side.
Views Read-only projections used when the sync should expose a curated shape rather than raw tables. Practitioners Provider records used to keep directories and scheduling systems consistent. Views is specific to Azure SQL Database and Practitioners to eClinicalWorks — each maps to any object or custom field on the other side.

How changes propagate between Azure SQL Database 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 SQL Database eClinicalWorks Sub-second propagation

DetectionChanges in Azure SQL Database are captured at the source via change data capture — no polling loop against its API. Change data capture or change tracking, both supported on Azure SQL Database.

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

eClinicalWorks Azure SQL Database 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 applied to Azure SQL Database as a row-level write, with types converted between the two schemas.

Rate-limit considerations

  • eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
What ships with Azure SQL Database ⇄ eClinicalWorks

Connect Azure SQL Database and eClinicalWorks for flexible, real-time data sync.

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Azure SQL Database 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 SQL Database or eClinicalWorks record.

Observability

Monitoring

Track your Azure SQL Database ⇄ 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 SQL Database and eClinicalWorks.

How the Azure SQL Database and eClinicalWorks connectors work

Azure SQL Database

Integration surface
SQL wire protocol (TDS), the same protocol as SQL Server; T-SQL over standard drivers
Authentication
SQL authentication (database credentials) or Microsoft Entra ID authentication
Change detection
Change data capture or change tracking, both supported on Azure SQL Database; polling as a fallback
Capabilities
read · write · CDC

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 SQL Database 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 SQL Database 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 SQL Database connected
    eClinicalWorks connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Azure SQL Database 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 SQL Database ⇄ 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 SQL Database eClinicalWorks
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

Azure SQL Database 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
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 376 integrations available for Azure SQL Database and eClinicalWorks.

Popular · 5 of 376
All Azure SQL Database integrations All eClinicalWorks integrations Browse all integrations
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