Skip to content
Business productivity ⇄ Database

eClinicalWorks to IBM AS/400 integration — real-time, two-way sync

Keep eClinicalWorks and IBM AS/400 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 IBM AS/400

Mirror eClinicalWorks's data into IBM AS/400 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 IBM AS/400.

Stacksync mirrors Practitioners, Observations, Medications, Allergies from eClinicalWorks into Physical files (tables), Logical files (views), Members, Rows / records in IBM AS/400 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

  • Land encounter and billing-context data in a warehouse for utilization and revenue-cycle reporting.
  • Feed appointment events to reminder and messaging platforms to reduce no-shows.
  • Keep customer and item files aligned with an ecommerce platform or modern ERP during phased modernization.
  • Feed shipment and invoice data from the AS/400 into logistics and finance tools 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.

Read eClinicalWorks with a query

Records from eClinicalWorks are ordinary rows in IBM AS/400; 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 IBM AS/400 and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.

What you can sync between eClinicalWorks and IBM AS/400

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 IBM AS/400 objects
Diagnostic reports Structured result reports grouping observations for a study or panel. Physical files (tables) The Db2 for i tables mapped directly to sync targets.
Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. Logical files (views) Indexed or filtered views over physical files, usable as read sources.
Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Members Sub-partitions of files in legacy applications, flattened or selected during syncs.
Encounters Visit records tying diagnoses, providers, and billing context together. Rows / records The unit of read and write, accessed via SQL or record-level access.
Practitioners Provider records used to keep directories and scheduling systems consistent. Journals and journal receivers The change log that enables log-based CDC on journaled files.
Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Data queues Program-to-program messaging objects sometimes used to hand events off to integrations.
What ships with eClinicalWorks ⇄ IBM AS/400

Connect eClinicalWorks and IBM AS/400 for flexible, real-time data sync.

Real-time sync, workflow automation, event queues, EDI, and monitoring, for every eClinicalWorks–IBM AS/400 connection.

Real-time

Two-way sync

Changes in eClinicalWorks or IBM AS/400 instantly reflect in both systems. No stale data, no manual imports.

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or IBM AS/400 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 IBM AS/400 record.

Observability

Monitoring

Track your eClinicalWorks ⇄ IBM AS/400 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 IBM AS/400.

How the eClinicalWorks and IBM AS/400 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

IBM AS/400

Integration surface
SQL over JDBC/ODBC to Db2 for i (for example the JTOpen/jt400 driver), alongside native record-level access
Authentication
IBM i user profile credentials (database credentials)
Change detection
Journal-based CDC by reading journal receivers on journaled files; polling as a fallback
Capabilities
read · write · CDC
Rate limits
Bounded by system resources and subsystem configuration rather than an API quota.
How it works

How to connect eClinicalWorks to IBM AS/400 — 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 IBM AS/400 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
    IBM AS/400 connected
    OAuth 2.0
    SSH tunnel
    SSL certificate
    VPC peering
  2. 02

    Choose tables

    Pick the eClinicalWorks and IBM AS/400 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 ⇄ IBM AS/400
    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 IBM AS/400
    Company company_name text
    Email email text
    Amount amount numeric
    Created created_at timestamp
Try interactive demo
FAQ

eClinicalWorks and IBM AS/400 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 IBM AS/400.

Popular · 8 of 386
All eClinicalWorks integrations All IBM AS/400 integrations Browse all integrations
Coworkers laughing in front of a laptop in a casual office setting

Your last integration took months.
Your next one takes a prompt.

Book a demo Tour the platform on your own