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Business productivity ⇄ Database

eClinicalWorks to Google Cloud Spanner integration — real-time, two-way sync

Keep eClinicalWorks and Google Cloud Spanner 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 Google Cloud Spanner

Mirror eClinicalWorks's data into Google Cloud Spanner 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 Google Cloud Spanner.

Stacksync mirrors Appointments, Encounters, Practitioners, Observations from eClinicalWorks into Rows, Interleaved tables, Secondary indexes, Change streams in Google Cloud Spanner 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

  • Sync patient demographics and appointments into a CRM so patient outreach and intake teams work from current data.
  • Land encounter and billing-context data in a warehouse for utilization and revenue-cycle reporting.
  • Use change streams to feed near-real-time copies of operational tables into an analytics warehouse.
  • Run a two-way sync between Spanner and a SaaS tool so edits made by ops teams land back in the application database.

Automate eClinicalWorks from your codebase

Write to the synced tables in Google Cloud Spanner 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 Google Cloud Spanner, 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 Google Cloud Spanner

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 Google Cloud Spanner objects
Encounters Visit records tying diagnoses, providers, and billing context together. Databases Top-level containers that scope schema and sync configuration.
Practitioners Provider records used to keep directories and scheduling systems consistent. Tables Relational tables mapped one-to-one to sync targets.
Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Rows The unit of read and write in each sync cycle, keyed by primary key.
Medications Prescription and medication-list data within the patient record. Interleaved tables Child rows physically co-located with parents; synced as related records.
Allergies Allergy and intolerance entries in the clinical record. Secondary indexes Used to make incremental read queries efficient on non-key columns.
Immunizations Vaccination history exposed for registries and patient apps. Change streams Capture inserts, updates, and deletes for log-style change data capture.
What ships with eClinicalWorks ⇄ Google Cloud Spanner

Connect eClinicalWorks and Google Cloud Spanner for flexible, real-time data sync.

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Google Cloud Spanner 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 Google Cloud Spanner record.

Observability

Monitoring

Track your eClinicalWorks ⇄ Google Cloud Spanner 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 Google Cloud Spanner.

How the eClinicalWorks and Google Cloud Spanner 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

Google Cloud Spanner

Integration surface
gRPC/REST client API with SQL query surface (GoogleSQL and PostgreSQL-interface dialects)
Authentication
Google Cloud IAM (service accounts)
Change detection
Change streams (log-style CDC), or timestamp-based polling queries
Capabilities
read · write · CDC
Rate limits
Throughput is bounded by the instance's provisioned compute capacity rather than a fixed API quota.
How it works

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

    Choose tables

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

eClinicalWorks and Google Cloud Spanner 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 eClinicalWorks and Google Cloud Spanner.

Popular · 8 of 386
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