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Business productivity ⇄ Database

eClinicalWorks to Elasticsearch integration — real-time, two-way sync

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

  • SOC 2 and 6 other compliance frameworks
  • 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 eClinicalWorks and Elasticsearch

Mirror eClinicalWorks's data into Elasticsearch 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 Elasticsearch.

Stacksync mirrors Practitioners, Observations, Medications, Allergies from eClinicalWorks into Indices, Documents, Index mappings, Aliases in Elasticsearch 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 Land encounter and billing-context data in a warehouse for utilization and revenue-cycle reporting.
  • 02 Feed appointment events to reminder and messaging platforms to reduce no-shows.
  • 03 Push product catalog data from an ERP or commerce database into Elasticsearch for storefront search.
  • 04 Mirror support tickets into an index used for full-text search and agent-assist tooling.

Common sync patterns

React to changes as they happen

Updates in eClinicalWorks arrive as row changes in Elasticsearch, 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.

Read eClinicalWorks with a query

Records from eClinicalWorks are ordinary rows in Elasticsearch; join them, index them, and use them in application logic without touching the vendor API.

What you can sync between eClinicalWorks and Elasticsearch

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.

eClinicalWorks objects Elasticsearch objects How this pairing syncs
Documents Clinical notes and attachments referenced from the chart. Documents The unit of sync; JSON records created, updated, and deleted by _id. Same entity on both sides — records pair one-to-one and field-level changes reconcile in both directions.
Practitioners Provider records used to keep directories and scheduling systems consistent. Ingest pipelines Server-side transforms applied to documents as a sync writes them. Practitioners is specific to eClinicalWorks and Ingest pipelines to Elasticsearch — each maps to any object or custom field on the other side.
Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Index templates Reusable settings and mappings applied automatically to new indices a sync creates. Observations is specific to eClinicalWorks and Index templates to Elasticsearch — each maps to any object or custom field on the other side.
Medications Prescription and medication-list data within the patient record. Indices Target containers for synced records; each holds a table-like collection of JSON documents. Medications is specific to eClinicalWorks and Indices to Elasticsearch — each maps to any object or custom field on the other side.
Allergies Allergy and intolerance entries in the clinical record. Index mappings Field type definitions that determine how synced fields are indexed and queried. Allergies is specific to eClinicalWorks and Index mappings to Elasticsearch — each maps to any object or custom field on the other side.
Immunizations Vaccination history exposed for registries and patient apps. Aliases Stable read/write names that let a sync cut over between index versions without downtime. Immunizations is specific to eClinicalWorks and Aliases to Elasticsearch — each maps to any object or custom field on the other side.

How changes propagate between eClinicalWorks and Elasticsearch

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.

eClinicalWorks Elasticsearch 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 Elasticsearch through its API, with automatic retries and rate-limit backoff.

Elasticsearch eClinicalWorks Interval-based propagation

DetectionStacksync polls Elasticsearch for changes on an incremental schedule, reading only records changed since the previous pass. Polling on timestamp or sequence fields.

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

Rate-limit considerations

  • eClinicalWorks: Subject to the platform's API rate limits and interface throughput agreements.
  • Elasticsearch: No fixed request quota; throughput is bounded by cluster sizing, thread pools, and bulk queue capacity.
What ships with eClinicalWorks ⇄ Elasticsearch

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Elasticsearch 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 eClinicalWorks or Elasticsearch record.

Observability

Monitoring

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

Trading partners

EDI

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

How the eClinicalWorks and Elasticsearch connectors work

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

Elasticsearch

Integration surface
REST API (JSON over HTTP)
Authentication
API keys or basic authentication; Elastic Cloud also issues service account tokens
Change detection
Polling on timestamp or sequence fields; Elasticsearch does not expose a native change feed or webhooks
Capabilities
read · write
Rate limits
No fixed request quota; throughput is bounded by cluster sizing, thread pools, and bulk queue capacity
How it works

How to connect eClinicalWorks to Elasticsearch — 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 eClinicalWorks and Elasticsearch 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
    eClinicalWorks connected
    Elasticsearch connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the eClinicalWorks and Elasticsearch 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 · eClinicalWorks ⇄ Elasticsearch
    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
    eClinicalWorks Elasticsearch
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

eClinicalWorks and Elasticsearch 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 453 integrations available for eClinicalWorks and Elasticsearch.

Popular · 8 of 453
All eClinicalWorks integrations All Elasticsearch integrations Browse all integrations
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