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Business productivity ⇄ Database

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

Keep eClinicalWorks and Postgres Heroku 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 Postgres Heroku

Mirror eClinicalWorks's data into Postgres Heroku 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 Postgres Heroku.

Stacksync mirrors Observations, Medications, Allergies, Immunizations from eClinicalWorks into Follower Databases, Tables, Views, Materialized Views in Postgres Heroku 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

  • Feed appointment events to reminder and messaging platforms to reduce no-shows.
  • Keep provider directories consistent between eClinicalWorks and scheduling or marketing systems.
  • Reflect billing and subscription records into the app database so product logic reads local rows
  • Expose CRM objects as Postgres tables the Heroku application can query and join directly

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 Postgres Heroku; 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 Postgres Heroku and Stacksync propagates the change into eClinicalWorks, replacing custom integration code.

What you can sync between eClinicalWorks and Postgres Heroku

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 Postgres Heroku objects
Immunizations Vaccination history exposed for registries and patient apps. Primary and Unique Keys Match keys for idempotent upserts from connected systems.
Documents Clinical notes and attachments referenced from the chart. JSONB Columns Semi-structured payloads for nested SaaS objects and metadata.
Diagnostic reports Structured result reports grouping observations for a study or panel. Sequences Generate surrogate keys for rows created by inbound syncs.
Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. Follower Databases Heroku-managed read replicas usable as low-impact sync sources.
Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. Tables Standard Postgres tables; the primary two-way sync target for app data.
Encounters Visit records tying diagnoses, providers, and billing context together. Views Read-side projections exposed to outbound syncs.
What ships with eClinicalWorks ⇄ Postgres Heroku

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

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

Observability

Monitoring

Track your eClinicalWorks ⇄ Postgres Heroku 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 Postgres Heroku.

How the eClinicalWorks and Postgres Heroku 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

Postgres Heroku

Integration surface
SQL wire protocol (standard PostgreSQL)
Authentication
Database credentials from the Heroku DATABASE_URL config var; SSL required
Change detection
Trigger-based capture or polling in most configurations; log-based logical replication availability depends on plan and Heroku's managed server settings
Capabilities
read · write
Rate limits
No API rate limits; connection counts and performance are bounded by the Heroku Postgres plan
How it works

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

    Choose tables

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

eClinicalWorks and Postgres Heroku 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.

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

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