diff --git a/requirements-dev.txt b/requirements-dev.txt
index 9f2f9462..9a20f2ef 100644
--- a/requirements-dev.txt
+++ b/requirements-dev.txt
@@ -1,6 +1,6 @@
-pytest==8.3.5
-pytest-postgresql==7.0.1
+pytest==8.4.2
+pytest-postgresql==7.0.2
 tqdm==4.67.1
-pytest-cov==6.1.1
-pytest-env==1.1.5
+pytest-cov==7.0.0
+pytest-env==1.2.0
 httpx==0.28.1
diff --git a/requirements.txt b/requirements.txt
index 7719a70f..2ec1072d 100644
--- a/requirements.txt
+++ b/requirements.txt
@@ -1,19 +1,19 @@
-requests==2.32.3
-python-dotenv==1.1.0
-pyyaml==6.0.2
-fhir.resources==8.0.0
-sympy==1.13.3
-pandas==2.2.3
-psycopg[binary]==3.2.6
-sqlalchemy==2.0.40
-pydantic==2.11.2
-pydantic-settings==2.8.1
-uvicorn[standard]==0.34.0
-fastapi==0.115.12
-pendulum==3.0.0
-networkx==3.4.2
-numpy==2.2.4
+requests==2.32.5
+python-dotenv==1.1.1
+pyyaml==6.0.3
+fhir.resources==8.1.0
+sympy==1.14.0
+pandas==2.3.3
+psycopg[binary]==3.2.10
+sqlalchemy==2.0.44
+pydantic==2.12.0
+pydantic-settings==2.11.0
+uvicorn[standard]==0.37.0
+fastapi==0.119.0
+pendulum==3.1.0
+networkx==3.5
+numpy==2.3.3
 pytz==2025.2
-cython==3.0.12
-setuptools==78.1.0
+cython==3.1.4
+setuptools==80.9.0
 sortedcontainers==2.4.0