diff --git a/gnuhealth-4.2.0.tar.gz b/gnuhealth-4.2.0.tar.gz
deleted file mode 100644
index 525f997..0000000
--- a/gnuhealth-4.2.0.tar.gz
+++ /dev/null
@@ -1,3 +0,0 @@
-version https://git-lfs.github.com/spec/v1
-oid sha256:aeb43e5537fa4bde88a5405cdeb429164027b420cc946d790a396fa35767cb59
-size 15964866
diff --git a/gnuhealth-4.2.0.tar.gz.sig b/gnuhealth-4.2.0.tar.gz.sig
deleted file mode 100644
index 76af95d..0000000
Binary files a/gnuhealth-4.2.0.tar.gz.sig and /dev/null differ
diff --git a/gnuhealth-4.2.1.tar.gz b/gnuhealth-4.2.1.tar.gz
new file mode 100644
index 0000000..624c7d5
--- /dev/null
+++ b/gnuhealth-4.2.1.tar.gz
@@ -0,0 +1,3 @@
+version https://git-lfs.github.com/spec/v1
+oid sha256:4e7fd1c2af9dbb95bc6ff3ef6edf90c8acf02d6b1ad0ed91eb154264c7af0086
+size 15967477
diff --git a/gnuhealth-4.2.1.tar.gz.sig b/gnuhealth-4.2.1.tar.gz.sig
new file mode 100644
index 0000000..28b99ac
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diff --git a/gnuhealth.changes b/gnuhealth.changes
index 0b005fe..09f7f4e 100644
--- a/gnuhealth.changes
+++ b/gnuhealth.changes
@@ -1,3 +1,12 @@
+-------------------------------------------------------------------
+Fri Apr  7 20:06:56 UTC 2023 - Axel Braun <axel.braun@gmx.de>
+
+- version 4.2.1
+  * Fix bug TypeError: unsupported operand type(s) for &=: 'bool' and 'GreaterEqual'
+  * Fix bug #63871: Imaging Result Report: genshitemplateevalUndefinedError: None has no member named 'rec_name'
+  * Fix bug #64009: Include signing health professional and avoid scrolling in patient evaluation
+  * Fix bug #64014: Update gender identity in patient evaluations and reports
+
 -------------------------------------------------------------------
 Sun Feb 12 13:38:44 UTC 2023 - Axel Braun <axel.braun@gmx.de>
 
diff --git a/gnuhealth.spec b/gnuhealth.spec
index 7644c51..5fc17d4 100644
--- a/gnuhealth.spec
+++ b/gnuhealth.spec
@@ -1,7 +1,7 @@
 #
 # spec file for package gnuhealth
 #
-# Copyright (c) 2022 SUSE LLC
+# Copyright (c) 2023 SUSE LLC
 # Copyright (c) 2014-2023 Dr. Axel Braun
 #
 # All modifications and additions to the file contributed by third parties
@@ -25,7 +25,7 @@
 
 Name:           gnuhealth
 
-Version:        %{majorver}.0
+Version:        %{majorver}.1
 Release:        0
 URL:            https://health.gnu.org
 Summary:        A Health and Hospital Information System
@@ -220,7 +220,7 @@ EOF
 %{_bindir}/install_demo_database.sh
 %{_unitdir}/%{name}.service
 %{_unitdir}/%{name}-webdav@.service
-%doc README.rst Changelog gnuhealth-setup version gnuhealthrc GNUHealth.README.openSUSE scripts/* config/* 
+%doc README.rst Changelog gnuhealth-setup version gnuhealthrc GNUHealth.README.openSUSE scripts/* config/*
 %{_docdir}/%{name}/examples*
 %dir %{_sysconfdir}/tryton
 %license COPYING LICENSES/*