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

Keep eClinicalWorks and Newrelic 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 Newrelic

Connect the tickets, records, and events in eClinicalWorks to the systems engineering runs in Newrelic, kept current in real time and in both directions.

eClinicalWorks is where customer-facing and operational work happens: the tickets, conversations, contacts, and records a team touches every day. Newrelic is where engineering runs the systems behind that work — the issue trackers, message brokers, directories, and monitors that keep services moving. The same items, people, and events matter to both, and when the only link between them is a manual hand-off or an overnight export, each side acts on a stale copy of what the other already knows.

Stacksync syncs Diagnostic reports, Patients, Appointments, Encounters in eClinicalWorks with Workloads, Synthetics Monitors, Custom Events, Change Tracking (Deployments) in Newrelic field by field, in real time, and in both directions. You decide which system owns which fields; Stacksync maps the overlap, resolves conflicts by rules you set, and keeps every copy current, with no middleware to build and no API limits to babysit.

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 Record deployment and change markers from CI/CD through NerdGraph change tracking to correlate releases with performance and error-rate shifts.
  • 04 Sync the Entity catalog into a CMDB or warehouse for asset inventory, and add or replace entity Tags to keep ownership and environment metadata current.

Common sync patterns

One shared record across both systems

Where both systems keep records for the same contacts, items, or users, a correction in either updates the other, ending dual maintenance and keeping IDs aligned for every other flow.

Where Newrelic tracks engineering work: requests become issues

A ticket or request raised in eClinicalWorks opens or updates a matching issue in Newrelic, and status, comments, and resolution flow back, so support and engineering work the same item instead of retyping it.

Where Newrelic moves messages between services: activity lands on the stream

Records created or changed in eClinicalWorks publish to the queue or topic in Newrelic as they happen, so downstream services react to real events rather than polling for them.

What you can sync between eClinicalWorks and Newrelic

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 Newrelic objects How this pairing syncs
Immunizations Vaccination history exposed for registries and patient apps. Workloads Workload groupings of related entities via NerdGraph workloadCreate/workloadUpdate/workloadDelete with full CRUD; read for status rollups or provisioned from a service catalog to keep team-level views current. Immunizations is specific to eClinicalWorks and Workloads to Newrelic — each maps to any object or custom field on the other side.
Documents Clinical notes and attachments referenced from the chart. Synthetics Monitors Synthetic uptime and scripted browser checks managed through NerdGraph synthetics mutations (create, update, delete); monitor results are read via NRQL for availability and latency reporting. Documents is specific to eClinicalWorks and Synthetics Monitors to Newrelic — each maps to any object or custom field on the other side.
Diagnostic reports Structured result reports grouping observations for a study or panel. Custom Events Custom events posted write-only to the Event API on insights-collector with a License/Ingest key; business or pipeline events pushed into New Relic to enrich dashboards, then queried back out with NRQL. Diagnostic reports is specific to eClinicalWorks and Custom Events to Newrelic — each maps to any object or custom field on the other side.
Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. Change Tracking (Deployments) Deployment and change markers recorded through NerdGraph changeTrackingCreateDeployment; written from CI/CD to annotate charts, and read back via NRQL on the Deployment event for release correlation. Patients is specific to eClinicalWorks and Change Tracking (Deployments) to Newrelic — each maps to any object or custom field on the other side.
Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Dashboards Dashboard definitions and widgets via NerdGraph dashboardCreate/dashboardUpdate/dashboardDelete mutations and entity queries, with full CRUD; exported for backup and audit or provisioned and updated programmatically from a source of truth. Appointments is specific to eClinicalWorks and Dashboards to Newrelic — each maps to any object or custom field on the other side.
Encounters Visit records tying diagnoses, providers, and billing context together. Alert Policies & Conditions Alert policies and NRQL alert conditions managed through NerdGraph alertsPolicy and alertsNrqlCondition mutations with full create, update, and delete; read out for audit or provisioned from a config source so alerting stays consistent across accounts. Encounters is specific to eClinicalWorks and Alert Policies & Conditions to Newrelic — each maps to any object or custom field on the other side.

How changes propagate between eClinicalWorks and Newrelic

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

Newrelic eClinicalWorks Sub-second propagation

DetectionNewrelic notifies Stacksync of record changes through webhook events. NRQL polling over timestamp windows for telemetry (events, metrics, logs, spans).

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.
  • Newrelic: NerdGraph allows 25 concurrent requests per user and returns HTTP 429 when exceeded; NRQL run via APIs is capped at 3,000 queries per account per minute with a 5-second default timeout and about 5,000 data points per response. The Event API accepts 1MB per POST and 100,000 POSTs per minute per account.
What ships with eClinicalWorks ⇄ Newrelic

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Newrelic 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 Newrelic record.

Observability

Monitoring

Track your eClinicalWorks ⇄ Newrelic 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 Newrelic.

How the eClinicalWorks and Newrelic 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

Newrelic

Integration surface
NerdGraph (GraphQL) plus REST data-ingest APIs (Event, Metric, Log, Trace) and the legacy REST API v2
Authentication
User API key (prefixed NRAK-) sent in the API-Key header for NerdGraph queries and mutations; the data-ingest APIs (Event, Metric, Log) use a License/Ingest key in the Api-Key header. Keys, endpoints, and data are region-scoped (US, EU, JP).
Change detection
NRQL polling over timestamp windows for telemetry (events, metrics, logs, spans); config objects such as dashboards, alert policies, and workloads carry no modified-date and are diffed on each run. Alert workflows can push outbound webhook notifications for near-real-time alerting. No CDC feed.
Capabilities
read · write · webhooks
Rate limits
NerdGraph allows 25 concurrent requests per user and returns HTTP 429 when exceeded; NRQL run via APIs is capped at 3,000 queries per account per minute with a 5-second default timeout and about 5,000 data points per response. The Event API accepts 1MB per POST and 100,000 POSTs per minute per account.
How it works

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

    Choose tables

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

eClinicalWorks and Newrelic 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 318 integrations available for eClinicalWorks and Newrelic.

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