--- title: eClinical Works - CNEX Configuration Steps description: CNEX, eCW --- [Skip to content](https://help.edist.com/help-articles/cnex-configuration-steps-for-eclinical-works#main-content) [Submit a Ticket Here »](https://portal.edist.com/tickets-view?hsLang=en) [![logo-edist](https://help.edist.com/hs-fs/hubfs/logo-edist%20(1).png?width=200&height=90&name=logo-edist%20(1).png)](https://help.edist.com/help-articles%C2%A0?hsLang=en) - Search Categories: - [Dictation.Cloud](https://help.edist.com/help-articles/dictation-cloud#main-content) - Microsoft Show submenu for Microsoft - [Dragon Copilot](https://help.edist.com/help-articles/microsoft) - [CNEX - Clinical Note Exchange](https://help.edist.com/help-articles/cnex-clinical-note-exchange) - Nuance Show submenu for Nuance - [DMO, DPA, and DLA](https://help.edist.com/help-articles/cloud-based-dragon) - [DAX Copilot](https://help.edist.com/help-articles/dax-copilot) - [Dragon Individual, Group, and VLA](https://help.edist.com/help-articles/dragon-individual-group-and-vla) - [Philips](https://help.edist.com/help-articles/philips#main-content) Show submenu for Philips - [Speech Live](https://help.edist.com/help-articles/philips#speech-live) - [Speech Exec Basic and Pro](https://help.edist.com/help-articles/philips#philips-speech-exec-basic-and-pro) - [Speech Exec Enterprise](https://help.edist.com/help-articles/philips#philips-speech-exec-enterprise) - [Devices and Accessories](https://help.edist.com/help-articles/philips#devices-and-accessories) - [Helium](https://help.edist.com/help-articles/voicepoint-helium) Open main navigation Close main navigation - Search Categories: - [Dictation.Cloud](https://help.edist.com/help-articles/dictation-cloud#main-content) - Microsoft Show submenu for Microsoft - [Dragon Copilot](https://help.edist.com/help-articles/microsoft) - [CNEX - Clinical Note Exchange](https://help.edist.com/help-articles/cnex-clinical-note-exchange) - Nuance Show submenu for Nuance - [DMO, DPA, and DLA](https://help.edist.com/help-articles/cloud-based-dragon) - [DAX Copilot](https://help.edist.com/help-articles/dax-copilot) - [Dragon Individual, Group, and VLA](https://help.edist.com/help-articles/dragon-individual-group-and-vla) - [Philips](https://help.edist.com/help-articles/philips#main-content) Show submenu for Philips - [Speech Live](https://help.edist.com/help-articles/philips#speech-live) - [Speech Exec Basic and Pro](https://help.edist.com/help-articles/philips#philips-speech-exec-basic-and-pro) - [Speech Exec Enterprise](https://help.edist.com/help-articles/philips#philips-speech-exec-enterprise) - [Devices and Accessories](https://help.edist.com/help-articles/philips#devices-and-accessories) - [Helium](https://help.edist.com/help-articles/voicepoint-helium) - [Submit a Ticket Here »](https://portal.edist.com/tickets-view) - [Visit Dictation.Cloud](https://dictation.cloud/) [Visit Dictation.Cloud](https://dictation.cloud/) Welcome to the eDist Help Center. How can we help you? - There are no suggestions because the search field is empty. 1. [eDist Support Knowledge Base](https://help.edist.com/help-articles?hsLang=en) 2. [CNEX - Clinical Note Exchange](https://help.edist.com/help-articles/cnex-clinical-note-exchange?hsLang=en) October 20, 2026 # eClinical Works - CNEX Configuration Steps ## Steps to finish and complete CNEX deployment working with eCW. [Click here for a downloadable document.](https://help.edist.com/hubfs/HelpDesk%20KB%20Uploads/CNEX%20Configuration%20Steps%20for%20eClinical%20Works.docx?hsLang=en) **Site must have EHR version 12.0.2.04000407 or a version greater than or equal to 12.0.3.04009267.** **The following steps are preformed between the customer and their EHR:** 1. The first step in the process is to have the site activate the integration, "**Clinical Note Exchange**", inside their eCW instance. 1. The activation code is: "**c212cd8db27a4860**" 2. In order for the site to activate the CNEX integration they must... 1. Login to the EClinicalWorks EMR and locate the FHIR APIs option on the Product Activation window by clicking the Production Activation button from the Admin menu 2. Navigate to the FHIR APIs dashboard by clicking the Settings button on the Product Activation window for the FHIR APIs option 3. Navigate to the Backend/Bulk Access Apps dashboard by clicking the Set-up button on the FHIR APIs dashboard 4. Add the App Activation Code shared by the app developers in the text box displayed on the Add New App tile and click on the Add button. 3. After the integration is activated within your eCW environment, an automated notification is sent to the appropriate implementation and integration teams to begin the provisioning process. During this stage, several backend configuration and validation steps must be completed before the integration can become operational. This process typically takes up to 24 business hours to complete. Once all configuration steps have been finalized, the integration will become active following the next scheduled overnight restart. 4. The customer now must submit a ticket through the eCW customer portal. Customer **MUST** use this statement in their ticket submission: **Assign IPM to implement Clinically Speaking document reference clinical notes FHIR create API** *Note: If the customer does not use this statement in the ticket it will not be routed correctly and may require a new ticket submission. When one of these tickets is submitted, Clinically Speaking will be tagged automatically by ECW so that ECW and Clinically Speaking can coordinate to complete the EHR configuration and integration activation.* ---   **Completing the CNEX Portal Setup:** *These are to be preformed with the customer's admin login once the above steps are completed.* Please note that the settings fields shown in the screenshots are dynamic and may change according to the chosen EHR platform.  ***Clinical Note Exchange Web App URL:** http://cnex.clinicallyspearking.com/* ***1)** **Verify and update any settings info for their EHR.***  - *Environment Id should match the [Dragon Admin Center's environment ID.](https://help.edist.com/help-articles/where-do-i-locate-my-environment-id?hsLang=en)* - *Name should match customer's Microsoft Tenant Organization Name.* - *Enter the Authentication URL and Service URL obtained from eCW FHIR API console.* - *Confirm Time Zone* *Example: ![](https://help.edist.com/hs-fs/hubfs/image-png-Aug-26-2026-08-55-38-9295-PM.png?width=670&height=470&name=image-png-Aug-26-2026-08-55-38-9295-PM.png) **2) On the right, add users who will be using CNEX.*** - Add Users manually through + icon or via Entra mapping via Blue icon You may see a eDist user and email in this section. This is done by default and does not provide us access to their CNEX portal.  Customer may delete the user entry. ***![](https://help.edist.com/hs-fs/hubfs/image-png-Aug-26-2026-09-09-29-7406-PM.png?width=440&height=294&name=image-png-Aug-26-2026-09-09-29-7406-PM.png) 3\) After users have been added. Click each user to edit their settings.***  - *The email should match their Dragon Copilot Login email.* - *Enter their eCW user ID in  \ field. ![](https://help.edist.com/hs-fs/hubfs/image-png-Aug-26-2026-09-15-05-0880-PM.png?width=411&height=338&name=image-png-Aug-26-2026-09-15-05-0880-PM.png)* Note: You cannot submit without all 3 parameters, or you will receive a Bad Request message. 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