ReleaseMicrosoftMicrosoftpublished Jan 13, 2026seen Jun 26

microsoft/fhir-server release/4.0.621

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microsoft/fhir-server release/4.0.621
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published Jan 13, 2026seen Jun 26captured 8hhttp 200method plain

4.0.621

Repository: microsoft/fhir-server

Tag: release/4.0.621

Published: 2026-01-13T19:46:43Z

Prerelease: no

Release notes:

What's Changed

Azure Health Data Services (SQL)

  • Adding stored procedure instead of UNION by @SergeyGaluzo in https://github.com/microsoft/fhir-server/pull/5300: Replaces UNION-based queries with a stored procedure to improve performance and maintainability.
  • Refactor SearchProxyTests structure by @jestradaMS in https://github.com/microsoft/fhir-server/pull/5308: This pull request adds support for configuring proxy-related HTTP headers in the E2E search tests by introducing new environment variables. This allows the tests to be more flexible and adaptable to different deployment environments.
  • Allow hard delete inside transaction bundle by @paorodma-ms in https://github.com/microsoft/fhir-server/pull/5291: Hard delete now supported inside transaction bundles. Previously, hard deletes and conditional deletes were not supported inside transaction bundles. Now, hard deletes are allowed inside transaction bundles. Conditional deletes remain unsupported inside transaction bundles.
  • Improve test coverage for schema manager project by @rbans96 in https://github.com/microsoft/fhir-server/pull/5307
  • Remove incorrect coding pattern for GetResourceSurrogateIdRanges stored procedure by @SergeyGaluzo in https://github.com/microsoft/fhir-server/pull/5312
  • Extend usage of get async to search on multiple ids by @SergeyGaluzo in https://github.com/microsoft/fhir-server/pull/5311

Common to both Azure API for FHIR and Azure Health Data Services

  • Adding a configuration for SMART 3rd-party IDP. by @v-isyamauchi-gh in https://github.com/microsoft/fhir-server/pull/5309

Other Changes

  • Code coverage improvement for R4 API part 2. by @v-isyamauchi-gh in https://github.com/microsoft/fhir-server/pull/5282
  • Enhance PR cleanup scripts by @jestradaMS in https://github.com/microsoft/fhir-server/pull/5310
  • Improve Microsoft Graph module installation in AAD cleanup job by @mikaelweave in https://github.com/microsoft/fhir-server/pull/5322

Full Changelog: https://github.com/microsoft/fhir-server/compare/release/4.0.611...release/4.0.621