Real-time
Two-way sync
Changes in eClinicalWorks or Sage X3 instantly reflect in both systems. No stale data, no manual imports.
Business productivity ⇄ ERP
eClinicalWorks to Sage X3 integration — real-time, two-way sync
Keep eClinicalWorks and Sage X3 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 Sage X3
Bridge the tools people work in and the system the business runs on: real-time, two-way sync between eClinicalWorks and Sage X3.
The ERP holds the records the business is run on, and it is rarely where day-to-day work happens. eClinicalWorks is closer to the work, and the two often need the same facts about the same people, organizations, and transactions. Bridging them by hand, or by nightly file transfer, leaves each side out of date for hours at a time.
Stacksync syncs Observations, Medications, Allergies, Immunizations in eClinicalWorks with Sales Orders, Purchase Orders, Work Orders, Stock / Inventory by site in Sage X3 bi-directionally and in real time, with field-level mapping and rules for which system wins on conflict. Changes made where the work happens reach the system of record within seconds, and the reverse.
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.
- Push orders from e-commerce or EDI channels into X3 sales orders and return delivery status.
- Publish per-site stock levels to storefronts and a WMS on a schedule.
Where Sage X3 is the HR or people system of record
Worker and organization data from Sage X3 stays current in eClinicalWorks, so the tools people use daily reflect the org as it actually is.
Master data corrections travel
A customer, supplier, or contact detail corrected in either system updates the other, ending duplicate maintenance.
Where eClinicalWorks faces customers and Sage X3 carries account records
Order, invoice, or account status from Sage X3 appears alongside the customer in eClinicalWorks, so front-line teams answer from live data.
What you can sync between eClinicalWorks and Sage X3
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 | Sage X3 objects | |
|---|---|---|
| Medications Prescription and medication-list data within the patient record. | Sales Orders Order documents written from external channels and read for fulfillment status. | |
| Allergies Allergy and intolerance entries in the clinical record. | Purchase Orders Procurement documents synced with supplier-facing systems. | |
| Immunizations Vaccination history exposed for registries and patient apps. | Work Orders Production orders read by MES and scheduling integrations. | |
| Documents Clinical notes and attachments referenced from the chart. | Stock / Inventory by site On-hand and allocated quantities per site, synced to storefronts and WMS. | |
| Diagnostic reports Structured result reports grouping observations for a study or panel. | Bills of Material Product structures read for planning and costing. | |
| Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. | GL Journals Financial entries replicated to warehouses for group reporting. |
What ships with eClinicalWorks ⇄ Sage X3
Connect eClinicalWorks and Sage X3 for flexible, real-time data sync.
Real-time sync, workflow automation, event queues, EDI, and monitoring, for every eClinicalWorks–Sage X3 connection.
No-code + pro-code
Workflow automation
Trigger automated workflows whenever eClinicalWorks or Sage X3 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 Sage X3 record.
Observability
Monitoring
Track your eClinicalWorks ⇄ Sage X3 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 Sage X3.
How the eClinicalWorks and Sage X3 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
Sage X3
- Integration surface
- SOAP and REST web services published from X3 business objects; direct SQL access to the underlying database on-prem
- Authentication
- Dedicated web-service user credentials (Basic auth) against configured connection pools
- Change detection
- Scheduled polling; no general webhook surface on the classic web services layer
- Capabilities
- read · write
How it works
How to connect eClinicalWorks to Sage X3 — 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.
- 01
Connect your apps
Authenticate eClinicalWorks and Sage X3 with each platform's native method — OAuth, API keys, or service accounts — plus secure options like SSH tunneling, IP whitelisting, and VPC peering.
eClinicalWorks
connected
Sage X3
connected
OAuth 2.0SSH tunnelSSL certificateVPC peering - 02
Choose tables
Pick the eClinicalWorks and Sage X3 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.
objects · eClinicalWorks ⇄ Sage X3Customers 12,480Sales Orders 8,213Invoices 5,902Items 1,344 - 03
Map fields
Fields map automatically even when names and types differ. Stacksync handles transformation and type casting for you, zero configuration required.
eClinicalWorks Sage X3Company company_name textEmail email textAmount amount numericCreated created_at timestamp
FAQ
eClinicalWorks and Sage X3 integration FAQ
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Yes. Stacksync provides a managed, real-time two-way integration between eClinicalWorks and Sage X3: authenticate both systems, choose the objects to sync (such as eClinicalWorks's Medications and Allergies), map fields visually, and changes propagate both ways in milliseconds — no code required.
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Common patterns for eClinicalWorks and Sage X3: Where Sage X3 is the HR or people system of record; Master data corrections travel; Where eClinicalWorks faces customers and Sage X3 carries account records. Worker and organization data from Sage X3 stays current in eClinicalWorks, so the tools people use daily reflect the org as it actually is.
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eClinicalWorks: 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. Sage X3: SOAP and REST web services published from X3 business objects; direct SQL access to the underlying database on-prem. Authentication: Dedicated web-service user credentials (Basic auth) against configured connection pools. Stacksync manages authentication, retries, and rate limits on both sides.
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eClinicalWorks: All patient data is PHI, so integrations must run under HIPAA business associate agreements with appropriate access controls. Sage X3: X3 runs on Oracle or SQL Server, so read-only SQL access to the underlying database is a common on-prem pattern for analytics extraction. Stacksync's field mapping accounts for these differences between eClinicalWorks and Sage X3 without custom code.
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Stacksync is SOC 2 Type II and ISO 27001 certified with HIPAA BAA support. Data is encrypted in transit, and a zero-persistent-storage architecture means eClinicalWorks and Sage X3 records are not retained after a sync operation.
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Stacksync pricing is usage-based and starts at $1,000/month, including the managed eClinicalWorks and Sage X3 connectors, real-time two-way sync, monitoring, and support. That replaces building and maintaining a custom eClinicalWorks–Sage X3 integration in-house.
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
Every pair below is a real-time, two-way sync. Search all 386 integrations available for eClinicalWorks and Sage X3.
Popular · 8 of 386
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eClinicalWorks ⇄ E2 Shop System -
eClinicalWorks ⇄ Epicor ERP -
eClinicalWorks ⇄ Extensiv (3PL Central) -
eClinicalWorks ⇄ Fishbowl Manufacturing -
Sage X3 ⇄ Orderful -
Sage X3 ⇄ Resend - Sage X3 ⇄ ServiceNow
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Sage X3 ⇄ Slack
No integrations match .
