diff --git a/src/Vfps.IntegrationTests/Vfps.IntegrationTests.csproj b/src/Vfps.IntegrationTests/Vfps.IntegrationTests.csproj
index 97f2d61..a75e865 100644
--- a/src/Vfps.IntegrationTests/Vfps.IntegrationTests.csproj
+++ b/src/Vfps.IntegrationTests/Vfps.IntegrationTests.csproj
@@ -13,7 +13,7 @@
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     <PackageReference Include="Testcontainers" Version="3.5.0" />
     <PackageReference Include="Testcontainers.PostgreSql" Version="3.5.0" />
-    <PackageReference Include="xunit" Version="2.5.3" />
+    <PackageReference Include="xunit" Version="2.6.0" />
     <PackageReference Include="xunit.runner.visualstudio" Version="2.5.3">
       <IncludeAssets>runtime; build; native; contentfiles; analyzers; buildtransitive</IncludeAssets>
       <PrivateAssets>all</PrivateAssets>
diff --git a/src/Vfps.StressTests/Vfps.StressTests.csproj b/src/Vfps.StressTests/Vfps.StressTests.csproj
index 64dff42..92b5455 100644
--- a/src/Vfps.StressTests/Vfps.StressTests.csproj
+++ b/src/Vfps.StressTests/Vfps.StressTests.csproj
@@ -6,7 +6,7 @@
 
   <ItemGroup>
     <PackageReference Include="Microsoft.NET.Test.Sdk" Version="17.7.2" />
-    <PackageReference Include="xunit" Version="2.5.3" />
+    <PackageReference Include="xunit" Version="2.6.0" />
     <PackageReference Include="NBomber" Version="3.3.0" />
     <PackageReference Include="FluentAssertions" Version="6.12.0" />
     <PackageReference Include="xunit.runner.visualstudio" Version="2.5.3">
diff --git a/src/Vfps.Tests/Vfps.Tests.csproj b/src/Vfps.Tests/Vfps.Tests.csproj
index 00012c9..aa947e9 100644
--- a/src/Vfps.Tests/Vfps.Tests.csproj
+++ b/src/Vfps.Tests/Vfps.Tests.csproj
@@ -16,11 +16,11 @@
       <IncludeAssets>runtime; build; native; contentfiles; analyzers; buildtransitive</IncludeAssets>
     </PackageReference>
     <PackageReference Include="FluentAssertions" Version="6.12.0" />
-    <PackageReference Include="Microsoft.AspNetCore.Mvc.Testing" Version="7.0.12" />
-    <PackageReference Include="Microsoft.Data.Sqlite.Core" Version="7.0.12" />
-    <PackageReference Include="Microsoft.EntityFrameworkCore.Sqlite" Version="7.0.12" />
+    <PackageReference Include="Microsoft.AspNetCore.Mvc.Testing" Version="7.0.13" />
+    <PackageReference Include="Microsoft.Data.Sqlite.Core" Version="7.0.13" />
+    <PackageReference Include="Microsoft.EntityFrameworkCore.Sqlite" Version="7.0.13" />
     <PackageReference Include="Microsoft.NET.Test.Sdk" Version="17.7.2" />
-    <PackageReference Include="xunit" Version="2.5.3" />
+    <PackageReference Include="xunit" Version="2.6.0" />
     <PackageReference Include="xunit.runner.visualstudio" Version="2.5.3">
       <IncludeAssets>runtime; build; native; contentfiles; analyzers; buildtransitive</IncludeAssets>
       <PrivateAssets>all</PrivateAssets>
diff --git a/src/Vfps/Vfps.csproj b/src/Vfps/Vfps.csproj
index 862ff8e..6ef0eab 100644
--- a/src/Vfps/Vfps.csproj
+++ b/src/Vfps/Vfps.csproj
@@ -8,26 +8,26 @@
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         <PackageReference Include="Grpc.AspNetCore.HealthChecks" Version="2.58.0" />
         <PackageReference Include="Grpc.AspNetCore.Server.Reflection" Version="2.58.0" />
-        <PackageReference Include="Hl7.Fhir.R4" Version="5.3.0" />
-        <PackageReference Include="Microsoft.AspNetCore.Grpc.Swagger" Version="0.3.12" />
-        <PackageReference Include="Microsoft.EntityFrameworkCore" Version="7.0.12" />
-        <PackageReference Include="Microsoft.EntityFrameworkCore.Design" Version="7.0.12">
+        <PackageReference Include="Hl7.Fhir.R4" Version="5.4.0" />
+        <PackageReference Include="Microsoft.AspNetCore.Grpc.Swagger" Version="0.3.13" />
+        <PackageReference Include="Microsoft.EntityFrameworkCore" Version="7.0.13" />
+        <PackageReference Include="Microsoft.EntityFrameworkCore.Design" Version="7.0.13">
             <PrivateAssets>all</PrivateAssets>
             <IncludeAssets>runtime; build; native; contentfiles; analyzers; buildtransitive</IncludeAssets>
         </PackageReference>
-        <PackageReference Include="Microsoft.Extensions.Diagnostics.HealthChecks.EntityFrameworkCore" Version="7.0.12" />
+        <PackageReference Include="Microsoft.Extensions.Diagnostics.HealthChecks.EntityFrameworkCore" Version="7.0.13" />
         <PackageReference Include="Npgsql" Version="7.0.6" />
         <PackageReference Include="Npgsql.EntityFrameworkCore.PostgreSQL" Version="7.0.11" />
         <PackageReference Include="Npgsql.OpenTelemetry" Version="7.0.6" />
-        <PackageReference Include="Microsoft.Data.Sqlite.Core" Version="7.0.12" />
-        <PackageReference Include="Microsoft.EntityFrameworkCore.Sqlite" Version="7.0.12" />
+        <PackageReference Include="Microsoft.Data.Sqlite.Core" Version="7.0.13" />
+        <PackageReference Include="Microsoft.EntityFrameworkCore.Sqlite" Version="7.0.13" />
         <PackageReference Include="OpenTelemetry.Exporter.Jaeger" Version="1.5.1" />
         <PackageReference Include="OpenTelemetry.Exporter.OpenTelemetryProtocol" Version="1.6.0" />
         <PackageReference Include="OpenTelemetry.Extensions.Hosting" Version="1.6.0" />
         <PackageReference Include="OpenTelemetry.Instrumentation.AspNetCore" Version="1.5.1-beta.1" />
-        <PackageReference Include="prometheus-net.AspNetCore" Version="8.0.1" />
-        <PackageReference Include="prometheus-net.AspNetCore.Grpc" Version="8.0.1" />
-        <PackageReference Include="prometheus-net.AspNetCore.HealthChecks" Version="8.0.1" />
+        <PackageReference Include="prometheus-net.AspNetCore" Version="8.1.0" />
+        <PackageReference Include="prometheus-net.AspNetCore.Grpc" Version="8.1.0" />
+        <PackageReference Include="prometheus-net.AspNetCore.HealthChecks" Version="8.1.0" />
     </ItemGroup>
     <ItemGroup>
         <Protobuf Include="Protos\vfps\api\v1\*.proto" />