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Business productivity ⇄ Security and identity

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

Keep eClinicalWorks and Okta 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
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Adopted by fast-scaling companies moving mission-critical data in real time

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Why teams connect eClinicalWorks and Okta

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

Okta 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 Immunizations, Documents, Diagnostic reports, Patients in eClinicalWorks with Devices, Users, Groups, Applications in Okta 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 Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
  • 02 Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
  • 03 Read Application assignments and Factors into a database to report on who can reach which app and which users have strong MFA enrolled.
  • 04 Drive Group Rules and policy assignments from HR attributes so access changes the moment a title, department, or location changes.

Common sync patterns

Close access when someone leaves

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

Keep profile attributes current

A person's name, email, department, manager, or phone number corrected in either system updates the other, so the productivity tool shows the same details the directory holds of record.

Mirror group and role membership

Moving a user between groups or roles in Okta updates their team, permission set, or seat in eClinicalWorks, so what someone can do reflects where they sit in the directory.

What you can sync between eClinicalWorks and Okta

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 Okta objects How this pairing syncs
Medications Prescription and medication-list data within the patient record. Group Rules Dynamic rules that add users to groups from profile attributes; read and written to automate access based on department, title, or location. Medications is specific to eClinicalWorks and Group Rules to Okta — each maps to any object or custom field on the other side.
Allergies Allergy and intolerance entries in the clinical record. Factors (Authenticators) MFA enrollments per user (Okta Verify, WebAuthn, SMS, email); read for security-posture reporting and reset when a device is lost or rotated. Allergies is specific to eClinicalWorks and Factors (Authenticators) to Okta — each maps to any object or custom field on the other side.
Immunizations Vaccination history exposed for registries and patient apps. Policies Sign-on, password, and authenticator-enrollment policies with their rules; read to audit access controls or updated to manage them centrally. Immunizations is specific to eClinicalWorks and Policies to Okta — each maps to any object or custom field on the other side.
Documents Clinical notes and attachments referenced from the chart. System Log Immutable audit event stream of logins, admin changes, and lifecycle events; read-only, polled by timestamp and used as the change feed and SIEM source. Documents is specific to eClinicalWorks and System Log to Okta — each maps to any object or custom field on the other side.
Diagnostic reports Structured result reports grouping observations for a study or panel. Devices Registered and managed device records tied to users; read to correlate access with device posture and to feed inventory or conditional-access reporting. Diagnostic reports is specific to eClinicalWorks and Devices to Okta — 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. Users Universal Directory user records with profile attributes, credentials, and lifecycle status (staged, active, suspended, deprovisioned); full CRUD, so users are created, updated, activated, and deactivated to match an HR or identity source. Patients is specific to eClinicalWorks and Users to Okta — each maps to any object or custom field on the other side.

How changes propagate between eClinicalWorks and Okta

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

Okta eClinicalWorks Sub-second propagation

DetectionOkta notifies Stacksync of record changes through webhook events. Event Hooks send an HTTPS POST to a subscribed endpoint on events such as user.lifecycle.create and group.user_membership.add (after a one-time.

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.
  • Okta: Rate limits are enforced per org, per endpoint group, per minute and vary by Okta edition; responses carry X-Rate-Limit-Limit, X-Rate-Limit-Remaining, and X-Rate-Limit-Reset headers and exceeding one returns HTTP 429. The System Log is more tightly limited (about 120 requests/minute) and a separate concurrent-request cap (default 75 in-flight transactions) also applies.
What ships with eClinicalWorks ⇄ Okta

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Okta 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 Okta record.

Observability

Monitoring

Track your eClinicalWorks ⇄ Okta 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 Okta.

How the eClinicalWorks and Okta 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

Okta

Integration surface
REST API (Okta Management API, /api/v1) with Event Hooks for outbound events and the System Log API as the change feed
Authentication
SSWS API tokens (Authorization: SSWS {token}) scoped to the creating admin's permissions, or OAuth 2.0 for Okta service apps using a private-key-JWT client-credentials grant with granular scopes (DPoP supported)
Change detection
Event Hooks send an HTTPS POST to a subscribed endpoint on events such as user.lifecycle.create and group.user_membership.add (after a one-time verification handshake); the System Log API (/api/v1/logs) is polled by the since parameter and the next Link header for a near-real-time change feed
Capabilities
read · write · webhooks
Rate limits
Rate limits are enforced per org, per endpoint group, per minute and vary by Okta edition; responses carry X-Rate-Limit-Limit, X-Rate-Limit-Remaining, and X-Rate-Limit-Reset headers and exceeding one returns HTTP 429. The System Log is more tightly limited (about 120 requests/minute) and a separate concurrent-request cap (default 75 in-flight transactions) also applies.
How it works

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

    Choose tables

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

eClinicalWorks and Okta 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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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 437 integrations available for eClinicalWorks and Okta.

Popular · 8 of 437
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