Real-time
Two-way sync
Changes in eClinicalWorks or Twenty CRM instantly reflect in both systems. No stale data, no manual imports.
Business productivity ⇄ CRM
eClinicalWorks to Twenty CRM integration — real-time, two-way sync
Keep eClinicalWorks and Twenty CRM 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 Twenty CRM
Sync what happens in eClinicalWorks with the customer records in Twenty CRM, in real time and in both directions.
The CRM is supposed to be the record of every customer relationship, but customer-relevant information also accumulates in the other tools a team runs. Whatever eClinicalWorks holds or produces that touches a customer, whether conversations, payments, replies, enriched data, or notes, the CRM only benefits if it arrives without someone copying it over.
Stacksync connects Allergies, Immunizations, Documents, Diagnostic reports in eClinicalWorks to People, Companies, Opportunities, Tasks in Twenty CRM with bi-directional, real-time sync. Activity and record changes in eClinicalWorks update the matching contact or account in Twenty CRM, and CRM data flows the other way wherever eClinicalWorks can store and use it.
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.
- Push product usage or billing data from a warehouse into Twenty custom fields to give reps account context.
- Sync Opportunities into a finance system to keep revenue forecasts current.
Where eClinicalWorks runs outreach
Prospects, sends, and replies sync into Twenty CRM, keeping lead status current without manual imports.
Where eClinicalWorks supplies contact or company data
Enriched fields land directly on records in Twenty CRM, and refreshes keep them from going stale.
Where eClinicalWorks processes payments
Charges, refunds, and subscription changes appear on the account in Twenty CRM, so revenue context lives with the relationship.
What you can sync between eClinicalWorks and Twenty CRM
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 | Twenty CRM objects | |
|---|---|---|
| Patients Demographic records exposed via FHIR Patient resources and HL7 ADT feeds; the anchor for all clinical syncs. | Tasks To-dos linked to people, companies, or deals. | |
| Appointments Scheduling records available via FHIR and HL7 SIU messages, synced for reminders and outreach. | Notes Free-form notes attached to records, useful for mirroring activity from other tools. | |
| Encounters Visit records tying diagnoses, providers, and billing context together. | Custom Objects User-defined objects created in Twenty's data model settings, addressable through the same APIs as standard objects. | |
| Practitioners Provider records used to keep directories and scheduling systems consistent. | Attachments Files linked to records. | |
| Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. | Workspace Members User accounts used for record ownership and assignment mapping. | |
| Medications Prescription and medication-list data within the patient record. | People Individual contact records with emails, phones, and company links; a core target for contact syncs. |
What ships with eClinicalWorks ⇄ Twenty CRM
Connect eClinicalWorks and Twenty CRM for flexible, real-time data sync.
Real-time sync, workflow automation, event queues, EDI, and monitoring, for every eClinicalWorks–Twenty CRM connection.
No-code + pro-code
Workflow automation
Trigger automated workflows whenever eClinicalWorks or Twenty CRM 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 Twenty CRM record.
Observability
Monitoring
Track your eClinicalWorks ⇄ Twenty CRM 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 Twenty CRM.
How the eClinicalWorks and Twenty CRM 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
Twenty CRM
- Integration surface
- GraphQL and REST APIs
- Authentication
- API key
- Change detection
- Webhooks on record create, update, and delete events, or polling on record update timestamps
- Capabilities
- read · write · webhooks
- Rate limits
- Subject to the platform's API rate limits; self-hosted deployments control their own limits.
How it works
How to connect eClinicalWorks to Twenty CRM — 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 Twenty CRM 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
Twenty CRM
connected
OAuth 2.0SSH tunnelSSL certificateVPC peering - 02
Choose tables
Pick the eClinicalWorks and Twenty CRM 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 ⇄ Twenty CRMCustomers 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 Twenty CRMCompany company_name textEmail email textAmount amount numericCreated created_at timestamp
FAQ
eClinicalWorks and Twenty CRM integration FAQ
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Yes. Stacksync provides a managed, real-time two-way integration between eClinicalWorks and Twenty CRM: authenticate both systems, choose the objects to sync (such as eClinicalWorks's Patients and Appointments), map fields visually, and changes propagate both ways in milliseconds — no code required.
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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 Twenty CRM 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 Twenty CRM connectors, real-time two-way sync, monitoring, and support. That replaces building and maintaining a custom eClinicalWorks–Twenty CRM integration in-house.
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Yes — Stacksync ships production-grade connectors for both eClinicalWorks and Twenty CRM. The connectors handle authentication, schema detection, rate limits, and retries; you configure the sync, and Stacksync operates it.
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Change detection on eClinicalWorks: HL7 interface feeds push event messages as they occur; the FHIR API is polled. On Twenty CRM: Webhooks on record create, update, and delete events, or polling on record update timestamps. Each detected change propagates to the other side in milliseconds, with field-level conflict resolution and an inspectable event log.
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On the eClinicalWorks side: Allergies, Immunizations, Documents, Diagnostic reports, plus custom fields where eClinicalWorks exposes them. On the Twenty CRM side: People, Companies, Opportunities, Tasks. Stacksync auto-detects both schemas and converts types between the two systems.
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 Twenty CRM.
Popular · 8 of 386
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eClinicalWorks ⇄ Shopify -
eClinicalWorks ⇄ Affinity -
eClinicalWorks ⇄ 6sense -
eClinicalWorks ⇄ Apollo.io -
Twenty CRM ⇄ GitHub -
Twenty CRM ⇄ Atlassian -
Twenty CRM ⇄ Braze -
Twenty CRM ⇄ ConnectWise
No integrations match .
