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Business productivity ⇄ Data warehouse

eClinicalWorks to MotherDuck integration — real-time, two-way sync

Keep eClinicalWorks and MotherDuck 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 MotherDuck

Get the data locked inside eClinicalWorks into MotherDuck as live tables, and send results back where eClinicalWorks can use them, without writing a pipeline.

Whatever eClinicalWorks is used for, it accumulates data the rest of the company wants to analyze, and that data usually sits behind an API rather than in the warehouse. Building and babysitting an extraction pipeline is the tax most teams pay for it.

Stacksync syncs Allergies, Immunizations, Documents, Diagnostic reports from eClinicalWorks into tables in MotherDuck continuously, handling schema, rate limits, and retries. Because the sync is bi-directional, results computed in MotherDuck can also be written back into fields in eClinicalWorks where the tool can use them.

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 modeled MotherDuck tables outward to operational tools for activation
  • Share curated, synced datasets with other teams through read-only database shares

Analytics on eClinicalWorks's data

Records and events from eClinicalWorks land in MotherDuck as queryable tables, current within seconds and ready to join with the rest of the warehouse.

Cross-tool reporting

Combine eClinicalWorks's data with data from every other synced system to answer questions no single tool can.

Where eClinicalWorks accepts updates: operational write-back

Segments, scores, or reference values computed in MotherDuck sync back onto records in eClinicalWorks, putting analysis where the work happens.

What you can sync between eClinicalWorks and MotherDuck

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 MotherDuck objects
Encounters Visit records tying diagnoses, providers, and billing context together. Database Shares Read-only copies of a database shared with other users or teams.
Practitioners Provider records used to keep directories and scheduling systems consistent. Attached Local DuckDB Databases Local files attached alongside cloud databases for hybrid queries.
Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Databases Cloud-hosted DuckDB databases that scope a sync's reads and writes.
Medications Prescription and medication-list data within the patient record. Schemas Namespaces within a database used to organize synced tables.
Allergies Allergy and intolerance entries in the clinical record. Tables The main landing target for synced records and source for analysis.
Immunizations Vaccination history exposed for registries and patient apps. Views Modeled projections used as outbound sync sources.
What ships with eClinicalWorks ⇄ MotherDuck

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or MotherDuck 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 MotherDuck record.

Observability

Monitoring

Track your eClinicalWorks ⇄ MotherDuck 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 MotherDuck.

How the eClinicalWorks and MotherDuck 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

MotherDuck

Integration surface
SQL through DuckDB clients and drivers using a MotherDuck (md:) connection
Authentication
Access token created in MotherDuck (Settings > General > Create Token), pasted into Stacksync; database name and schema configurable if not using defaults
Change detection
Polling; no log-based CDC or webhook surface is exposed
Capabilities
read · write
Rate limits
Subject to the platform's compute and concurrency limits rather than per-request API rate limits
MotherDuck setup guide
How it works

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

    Choose tables

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

eClinicalWorks and MotherDuck 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 MotherDuck.

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