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Database ⇄ Business productivity

Azure Cosmos DB to eClinicalWorks integration — real-time, two-way sync

Keep Azure Cosmos DB and eClinicalWorks 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 Azure Cosmos DB and eClinicalWorks

Mirror eClinicalWorks's data into Azure Cosmos DB 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 Azure Cosmos DB.

Stacksync mirrors Immunizations, Documents, Diagnostic reports, Patients from eClinicalWorks into Items (JSON documents), Partition keys, Change feed entries, Stored procedures and triggers in Azure Cosmos DB 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

  • Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
  • Push referral or intake data captured in external forms into the EHR via HL7 interfaces.
  • Sync CRM or ERP records into a Cosmos DB container that backs a customer-facing application.
  • Mirror Cosmos DB items into Postgres so teams can query operational data with standard SQL.

Read eClinicalWorks with a query

Records from eClinicalWorks are ordinary rows in Azure Cosmos DB; 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 Azure Cosmos DB 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 Azure Cosmos DB, so triggers, jobs, and services can respond in near real time.

What you can sync between Azure Cosmos DB and eClinicalWorks

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.

Azure Cosmos DB objects eClinicalWorks objects
Items (JSON documents) Schema-flexible JSON records read and written during sync; nested structures are flattened or mapped as needed. Medications Prescription and medication-list data within the patient record.
Partition keys Determine data distribution and must be included on writes for the sync to route items correctly. Allergies Allergy and intolerance entries in the clinical record.
Change feed entries Ordered record of inserts and updates per partition, consumed for incremental sync. Immunizations Vaccination history exposed for registries and patient apps.
Stored procedures and triggers Server-side logic scoped to a partition; relevant when writes must respect existing validation. Documents Clinical notes and attachments referenced from the chart.
Databases Top-level namespaces that scope containers and throughput provisioning. Diagnostic reports Structured result reports grouping observations for a study or panel.
Containers The unit of partitioning and throughput; each container maps to a synced collection. Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs.
What ships with Azure Cosmos DB ⇄ eClinicalWorks

Connect Azure Cosmos DB and eClinicalWorks for flexible, real-time data sync.

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever Azure Cosmos DB or eClinicalWorks 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 Azure Cosmos DB or eClinicalWorks record.

Observability

Monitoring

Track your Azure Cosmos DB ⇄ eClinicalWorks sync health, view errors, and replay failed events in one click.

Trading partners

EDI

Transform legacy EDI complexity into simple database interactions between Azure Cosmos DB and eClinicalWorks.

How the Azure Cosmos DB and eClinicalWorks connectors work

Azure Cosmos DB

Integration surface
REST API and SDKs over HTTPS (API for NoSQL, formerly the SQL API); also MongoDB, Cassandra, Gremlin, and Table API surfaces
Authentication
Account keys, resource tokens, or Microsoft Entra ID role-based access
Change detection
Built-in change feed exposing inserts and updates in order within each partition key range
Capabilities
read · write · CDC

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
How it works

How to connect Azure Cosmos DB to eClinicalWorks — 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 Azure Cosmos DB and eClinicalWorks 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
    Azure Cosmos DB connected
    eClinicalWorks connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the Azure Cosmos DB and eClinicalWorks 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 · Azure Cosmos DB ⇄ eClinicalWorks
    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
    Azure Cosmos DB eClinicalWorks
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
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FAQ

Azure Cosmos DB and eClinicalWorks integration FAQ

SECURITY

Security teams love 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
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:

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 386 integrations available for Azure Cosmos DB and eClinicalWorks.

Popular · 8 of 386
All Azure Cosmos DB integrations All eClinicalWorks integrations Browse all integrations
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