Real-time
Two-way sync
Changes in eClinicalWorks or Postgres Heroku instantly reflect in both systems. No stale data, no manual imports.
Business productivity ⇄ Database
eClinicalWorks to Postgres Heroku integration — real-time, two-way sync
Keep eClinicalWorks and Postgres Heroku 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
Case study
Migrated from MuleSoft
Case study
Migrated from Celigo
Migrated from Heroku Connect
Migrated from Matillion
Case study
Migrated from Fivetran
Case study
Migrated from Celigo
Why teams connect eClinicalWorks and Postgres Heroku
Mirror eClinicalWorks's data into Postgres Heroku 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 Postgres Heroku.
Stacksync mirrors Observations, Medications, Allergies, Immunizations from eClinicalWorks into Follower Databases, Tables, Views, Materialized Views in Postgres Heroku 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 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 Reflect billing and subscription records into the app database so product logic reads local rows
- 04 Expose CRM objects as Postgres tables the Heroku application can query and join directly
Common sync patterns
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 Postgres Heroku; join them, index them, and use them in application logic without touching the vendor API.
Automate eClinicalWorks from your codebase
Write to the synced tables in Postgres Heroku and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.
What you can sync between eClinicalWorks and Postgres Heroku
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 | Postgres Heroku objects | How this pairing syncs | |
|---|---|---|---|
| Immunizations Vaccination history exposed for registries and patient apps. | Primary and Unique Keys Match keys for idempotent upserts from connected systems. | Immunizations is specific to eClinicalWorks and Primary and Unique Keys to Postgres Heroku — each maps to any object or custom field on the other side. | |
| Documents Clinical notes and attachments referenced from the chart. | JSONB Columns Semi-structured payloads for nested SaaS objects and metadata. | Documents is specific to eClinicalWorks and JSONB Columns to Postgres Heroku — each maps to any object or custom field on the other side. | |
| Diagnostic reports Structured result reports grouping observations for a study or panel. | Sequences Generate surrogate keys for rows created by inbound syncs. | Diagnostic reports is specific to eClinicalWorks and Sequences to Postgres Heroku — 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. | Follower Databases Heroku-managed read replicas usable as low-impact sync sources. | Patients is specific to eClinicalWorks and Follower Databases to Postgres Heroku — 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. | Tables Standard Postgres tables; the primary two-way sync target for app data. | Appointments is specific to eClinicalWorks and Tables to Postgres Heroku — each maps to any object or custom field on the other side. | |
| Encounters Visit records tying diagnoses, providers, and billing context together. | Views Read-side projections exposed to outbound syncs. | Encounters is specific to eClinicalWorks and Views to Postgres Heroku — each maps to any object or custom field on the other side. |
How changes propagate between eClinicalWorks and Postgres Heroku
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 Postgres Heroku 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 Postgres Heroku as a row-level write, with types converted between the two schemas.
Postgres Heroku eClinicalWorks Interval-based propagation
DetectionStacksync polls Postgres Heroku for changes on an incremental schedule, reading only records changed since the previous pass. Trigger-based capture or polling in most configurations.
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.
- Postgres Heroku: No API rate limits; connection counts and performance are bounded by the Heroku Postgres plan.
What ships with eClinicalWorks ⇄ Postgres Heroku
Connect eClinicalWorks and Postgres Heroku for flexible, real-time data sync.
Real-time sync, workflow automation, event queues, EDI, and monitoring, for every eClinicalWorks–Postgres Heroku connection.
No-code + pro-code
Workflow automation
Trigger automated workflows whenever eClinicalWorks or Postgres Heroku 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 Postgres Heroku record.
Observability
Monitoring
Track your eClinicalWorks ⇄ Postgres Heroku 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 Postgres Heroku.
How the eClinicalWorks and Postgres Heroku 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
Postgres Heroku
- Integration surface
- SQL wire protocol (standard PostgreSQL)
- Authentication
- Database credentials from the Heroku DATABASE_URL config var; SSL required
- Change detection
- Trigger-based capture or polling in most configurations; log-based logical replication availability depends on plan and Heroku's managed server settings
- Capabilities
- read · write
- Rate limits
- No API rate limits; connection counts and performance are bounded by the Heroku Postgres plan
How it works
How to connect eClinicalWorks to Postgres Heroku — 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.
- 01
Connect your apps
Authenticate eClinicalWorks and Postgres Heroku with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.
eClinicalWorks
connected
Postgres Heroku
connected
OAuth 2.0SSH tunnelSSL certificateVPC peering - 02
Choose tables
Pick the eClinicalWorks and Postgres Heroku 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.
objects · eClinicalWorks ⇄ Postgres HerokuCustomers 12,480Sales Orders 8,213Invoices 5,902Items 1,344 - 03
Map fields
Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.
eClinicalWorks Postgres HerokuCompany company_name textEmail email textAmount amount numericCreated created_at timestamp
FAQ
eClinicalWorks and Postgres Heroku integration FAQ
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Yes. Stacksync provides a managed, real-time two-way integration between eClinicalWorks and Postgres Heroku: authenticate both systems, choose the objects to sync (such as eClinicalWorks's Immunizations and Documents), map fields visually, and changes propagate both ways in milliseconds — no code required.
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Stacksync is SOC 2 Type II and ISO 27001 certified with HIPAA BAA support. Data is encrypted in transit, and a zero-persistent-storage architecture means eClinicalWorks and Postgres Heroku records are not retained after a sync operation.
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Stacksync pricing is usage-based and starts at $1,000/month, including the managed eClinicalWorks and Postgres Heroku connectors, real-time two-way sync, monitoring, and support. That replaces building and maintaining a custom eClinicalWorks–Postgres Heroku integration in-house.
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Yes — Stacksync ships production-grade connectors for both eClinicalWorks and Postgres Heroku. The connectors handle authentication, schema detection, rate limits, and retries; you configure the sync, and Stacksync operates it.
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Change detection on eClinicalWorks: HL7 interface feeds push event messages as they occur; the FHIR API is polled. On Postgres Heroku: Trigger-based capture or polling in most configurations; log-based logical replication availability depends on plan and Heroku's managed server settings. Each detected change propagates to the other side in milliseconds, with field-level conflict resolution and an inspectable event log.
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On the eClinicalWorks side: Observations, Medications, Allergies, Immunizations, plus custom fields where eClinicalWorks exposes them. On the Postgres Heroku side: Follower Databases, Tables, Views, Materialized Views. Stacksync auto-detects both schemas and converts types between the two systems.
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.
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:
Related integrations
Every pair below is a real-time, two-way sync. Search all 381 integrations available for eClinicalWorks and Postgres Heroku.
Popular · 6 of 381
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eClinicalWorks ⇄ Scaleway Postgres -
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eClinicalWorks ⇄ TimescaleDB -
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Postgres Heroku ⇄ Slack
No integrations match .
