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There is no direct connection to those systems within Tableau. This would not be an issue limited to Tableau.
However, those systems do allow for exports or have APIs. For example, here is the link to the athenahealth developer portal: Developer Portal | athenahealth
Depending upon what you are trying to accomplish this might be a viable path. If you want to connect to discuss in more detail, let me know.
Thanks for the link! I will research the other APIs. Exports are sort of an issue with OP and Mosaiq at this time. A detailed discussion sounds great.
Feel free to reach out at your convenience, my email is thomas at openbridge dot com. Welcome the opportunity to learn more about what you are attempting to accomplish. Sounds pretty cool.