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

Keep eClinicalWorks and Zendesk 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 Zendesk

Stop re-entering the same information in eClinicalWorks and Zendesk: Stacksync keeps the records they share consistent in real time, in both directions.

Two tools in the daily stack often hold overlapping information: the same people, the same companies, or the same pieces of work, described twice. The tools do different jobs, so consolidating is not the answer; the overlap just needs to stop drifting.

Stacksync syncs Allergies, Immunizations, Documents, Diagnostic reports in eClinicalWorks with Users, Organizations, Attachments, Ticket Forms in Zendesk in real time. You choose which records overlap, map the fields that should match, and pick a direction or let changes flow both ways. From then on, an update made in either tool is reflected in the other within seconds, without exports or copy-paste.

Because the sync is field-level, each tool keeps its own extras; only the shared data is held in agreement.

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.
  • Consolidate several Zendesk instances into one reporting database after a merger or brand split.
  • Sync tickets, users, and organizations into Postgres so support analytics run on SQL instead of repeated API pulls.

Where Zendesk is where the team documents or plans: keep its data fed

Information that originates in eClinicalWorks stays current in Zendesk instead of going stale after a one-time paste.

Handoffs between teams

When work started in one tool continues in the other, the shared fields travel with it automatically.

Where both tools track people or companies: one consistent record

Contact and company details corrected in either tool update the other, so nobody works from the old version.

What you can sync between eClinicalWorks and Zendesk

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 Zendesk objects
Practitioners Provider records used to keep directories and scheduling systems consistent. Users End users and agents; matched to CRM contacts to keep requester data consistent.
Observations Labs and vitals, delivered via FHIR resources or HL7 ORU result messages. Organizations Company groupings for users; typically kept aligned with CRM accounts.
Medications Prescription and medication-list data within the patient record. Attachments Synced with incremental and full sync per the Stacksync docs.
Allergies Allergy and intolerance entries in the clinical record. Ticket Forms Synced with incremental and full sync per the Stacksync docs.
Immunizations Vaccination history exposed for registries and patient apps. Tickets The central work object; synced to databases for SLA and volume reporting or mirrored into engineering tools.
Documents Clinical notes and attachments referenced from the chart. Tickets Comments Synced with incremental and full sync per the Stacksync docs.
What ships with eClinicalWorks ⇄ Zendesk

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

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

Real-time

Two-way sync

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

No-code + pro-code

Workflow automation

Trigger automated workflows whenever eClinicalWorks or Zendesk 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 Zendesk record.

Observability

Monitoring

Track your eClinicalWorks ⇄ Zendesk 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 Zendesk.

How the eClinicalWorks and Zendesk 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

Zendesk

Integration surface
REST API
Authentication
OAuth app authorization: enter your Zendesk subdomain (from {sub_domain_name}.zendesk.com) in Stacksync Connections and click "Authorize App"
Change detection
Incremental export endpoints with cursor-based pagination, plus webhooks fired by triggers
Capabilities
read · write · webhooks
Rate limits
Request limits vary by plan; incremental export endpoints have their own allowances.
Zendesk setup guide
How it works

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

    Choose tables

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

eClinicalWorks and Zendesk 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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