Adriano Freitas
09/19/2025, 1:39 PMnathan-watkins-unityai
09/19/2025, 1:58 PM4.1.12 -> 4.2.6 -> 4.3.13 and ensure all pre/post deploy migrations complete successfully first.
Our experience seems to be an outlier but you may want to consider running 4.2.6 for a time period and monitoring db performance. Check out this [issue](https://github.com/medplum/medplum/issues/7310) for details.Adriano Freitas
09/24/2025, 5:42 PMnathan-watkins-unityai
09/24/2025, 6:19 PM