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Business productivity ⇄ Database

eClinicalWorks to Render Postgres integration — real-time, two-way sync

Keep eClinicalWorks and Render Postgres 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 Render Postgres

Mirror eClinicalWorks's data into Render Postgres 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 Render Postgres.

Stacksync mirrors Encounters, Practitioners, Observations, Medications from eClinicalWorks into Tables, Views, Materialized Views, Schemas in Render Postgres 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 Two-way sync CRM or ERP objects into Render Postgres tables so product and ops teams query business data with plain SQL.
  • 04 Capture row-level changes via logical replication and propagate them to a warehouse or another database in near real time.

Common sync patterns

Automate eClinicalWorks from your codebase

Write to the synced tables in Render Postgres and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.

React to changes as they happen

Updates in eClinicalWorks arrive as row changes in Render Postgres, 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.

What you can sync between eClinicalWorks and Render Postgres

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 Render Postgres objects How this pairing syncs
Documents Clinical notes and attachments referenced from the chart. Materialized Views Precomputed query results refreshed on demand; read for fast reporting tables that downstream systems can consume. Documents is specific to eClinicalWorks and Materialized Views to Render Postgres — each maps to any object or custom field on the other side.
Diagnostic reports Structured result reports grouping observations for a study or panel. Schemas Namespaces that organize tables per app or environment; sync targets are scoped per schema to keep synced data isolated and tidy. Diagnostic reports is specific to eClinicalWorks and Schemas to Render Postgres — 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. Columns and Types Full Postgres type system including JSONB and arrays; field mappings preserve native types instead of flattening to strings. Patients is specific to eClinicalWorks and Columns and Types to Render Postgres — 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. Indexes and Constraints Primary keys, unique constraints, and foreign keys; unique keys drive idempotent upserts and conflict resolution during sync. Appointments is specific to eClinicalWorks and Indexes and Constraints to Render Postgres — each maps to any object or custom field on the other side.
Encounters Visit records tying diagnoses, providers, and billing context together. Tables Relational tables with full column typing; synced two-way with CRMs, ERPs, and SaaS apps so application data is queryable as plain Postgres rows. Encounters is specific to eClinicalWorks and Tables to Render Postgres — each maps to any object or custom field on the other side.
Practitioners Provider records used to keep directories and scheduling systems consistent. Views Saved queries exposed as read-only relations; read out to BI tools or downstream syncs without duplicating transformation logic. Practitioners is specific to eClinicalWorks and Views to Render Postgres — each maps to any object or custom field on the other side.

How changes propagate between eClinicalWorks and Render Postgres

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 Render Postgres 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 Render Postgres as a row-level write, with types converted between the two schemas.

Render Postgres eClinicalWorks Sub-second propagation

DetectionChanges in Render Postgres are captured at the source via change data capture — no polling loop against its API. Logical replication via WAL and replication slots for change data capture when enabled on the instance, with timestamp or cursor-based polling as the.

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.
  • Render Postgres: No API rate limits — throughput is bounded by the instance's plan (CPU, RAM, connection limit); connection pooling is recommended since managed plans cap concurrent connections.
What ships with eClinicalWorks ⇄ Render Postgres

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Render Postgres 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 Render Postgres record.

Observability

Monitoring

Track your eClinicalWorks ⇄ Render Postgres 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 Render Postgres.

How the eClinicalWorks and Render Postgres 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

Render Postgres

Integration surface
PostgreSQL wire protocol (managed Postgres on Render)
Authentication
Standard Postgres connection string — host, port, database, user, password with TLS; Render provides internal and external connection URLs and IP allowlisting
Change detection
Logical replication via WAL and replication slots for change data capture when enabled on the instance, with timestamp or cursor-based polling as the fallback
Capabilities
read · write · CDC
Rate limits
No API rate limits — throughput is bounded by the instance's plan (CPU, RAM, connection limit); connection pooling is recommended since managed plans cap concurrent connections.
How it works

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

    Choose tables

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

eClinicalWorks and Render Postgres 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.

SOC 2 Type II
ISO 27001
HIPAA BAA
GDPR
CCPA
CSA STAR
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 349 integrations available for eClinicalWorks and Render Postgres.

Popular · 8 of 349
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