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

Keep eClinicalWorks and PagerDuty 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 eClinicalWorks and PagerDuty

Connect the tickets, records, and events in eClinicalWorks to the systems engineering runs in PagerDuty, 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. PagerDuty 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 Medications, Allergies, Immunizations, Documents in eClinicalWorks with Incidents, Services, Users, Teams in PagerDuty 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 Feed appointment events to reminder and messaging platforms to reduce no-shows.
  • 02 Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
  • 03 Provision and deactivate Users and Team memberships two-way from an HRIS or identity provider so the on-call roster matches the current org.
  • 04 Write Schedules and Escalation Policies from a workforce tool or source-of-truth spreadsheet so rotations and overrides stay consistent across teams.

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 PagerDuty tracks engineering work: requests become issues

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

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

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

What you can sync between eClinicalWorks and PagerDuty

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 PagerDuty objects How this pairing syncs
Encounters Visit records tying diagnoses, providers, and billing context together. Escalation Policies Ordered rules routing incidents to users and schedules; read and written two-way to codify paging logic from a source of truth. Encounters is specific to eClinicalWorks and Escalation Policies to PagerDuty — each maps to any object or custom field on the other side.
Practitioners Provider records used to keep directories and scheduling systems consistent. On-Calls Computed view of who is on call now, derived from schedules and escalation policies; read-only, ideal for pushing current responders into other systems. Practitioners is specific to eClinicalWorks and On-Calls to PagerDuty — 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. Notes and Log Entries Notes are writable to append context to an incident; log entries are a read-only record of every action taken on that incident. Observations is specific to eClinicalWorks and Notes and Log Entries to PagerDuty — each maps to any object or custom field on the other side.
Medications Prescription and medication-list data within the patient record. Incidents Core records with status of triggered, acknowledged, or resolved plus urgency and assignments; created, updated, and resolved two-way, with V3 webhooks firing on each transition. Medications is specific to eClinicalWorks and Incidents to PagerDuty — each maps to any object or custom field on the other side.
Allergies Allergy and intolerance entries in the clinical record. Services Technical services that group incidents and hold integration keys; read and written two-way, with service.created, service.updated, and service.deleted webhook events. Allergies is specific to eClinicalWorks and Services to PagerDuty — each maps to any object or custom field on the other side.
Immunizations Vaccination history exposed for registries and patient apps. Users Responders with contact methods and notification rules; provisioned and updated two-way to keep the on-call roster aligned with an HRIS or identity provider. Immunizations is specific to eClinicalWorks and Users to PagerDuty — each maps to any object or custom field on the other side.

How changes propagate between eClinicalWorks and PagerDuty

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

PagerDuty eClinicalWorks Sub-second propagation

DetectionPagerDuty notifies Stacksync of record changes through webhook events. V3 webhook subscriptions push incident.* and service.* events (triggered, acknowledged, escalated, resolved, created, updated).

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.
  • PagerDuty: REST API allows 960 requests per minute per token and returns HTTP 429 when exceeded; the Events API is rate-limited separately per integration key.
What ships with eClinicalWorks ⇄ PagerDuty

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or PagerDuty 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 PagerDuty record.

Observability

Monitoring

Track your eClinicalWorks ⇄ PagerDuty 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 PagerDuty.

How the eClinicalWorks and PagerDuty 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

PagerDuty

Integration surface
REST API v2 (plus Events API v2 for inbound alerts)
Authentication
REST API token via the Authorization: Token header (account-level for full access or user-level scoped to the user's permissions), or OAuth 2.0 (Authorization Code / PKCE); the Events API v2 uses a per-service routing (integration) key
Change detection
V3 webhook subscriptions push incident.* and service.* events (triggered, acknowledged, escalated, resolved, created, updated); list endpoints also support polling with updated_at and since/until windows
Capabilities
read · write · webhooks
Rate limits
REST API allows 960 requests per minute per token and returns HTTP 429 when exceeded; the Events API is rate-limited separately per integration key.
PagerDuty setup guide
How it works

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

    Choose tables

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

eClinicalWorks and PagerDuty 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 PagerDuty.

Popular · 7 of 318
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