diff --git a/.github/workflows/test.yml b/.github/workflows/test.yml
index a7e7810..2df96a1 100644
--- a/.github/workflows/test.yml
+++ b/.github/workflows/test.yml
@@ -22,11 +22,28 @@ jobs:
 
       - name: Run unit tests
         run: npm run test:unit
+        
+  integration-test:
+    runs-on: ubuntu-latest
+    steps:
+      - name: Checkout code
+        uses: actions/checkout@v4
+
+      - name: Setup Node.js
+        uses: actions/setup-node@v4
+        with:
+          node-version-file: '.nvmrc'
+      
+      - name: Install dependencies
+        run: npm install
 
+      - name: Run integration tests
+        run: npm run test:integration
+      
   merge-check:
-    needs: test
+    needs: [test, integration-test]
     runs-on: ubuntu-latest
     steps:
       - name: Check test status
-        if: ${{ needs.test.result != 'success' }}
+        if: ${{ needs.test.result != 'success' || needs.integration-test.result != 'success' }}
         run: exit 1 # Exit with a non-zero status code if tests fail
diff --git a/tests/setup.ts b/tests/setup.ts
index 85c7706..63086f7 100644
--- a/tests/setup.ts
+++ b/tests/setup.ts
@@ -67,7 +67,8 @@ async function setup () {
   console.log('starting server...');
   globalThis.fumeServer = new FumeServer();
   await globalThis.fumeServer.warmUp({
-    FHIR_SERVER_BASE: LOCAL_FHIR_API
+    FHIR_SERVER_BASE: LOCAL_FHIR_API,
+    FHIR_PACKAGES: 'il.core.fhir.r4@0.13.0'
   });
   globalThis.app = globalThis.fumeServer.getExpressApp();
   console.log('server started!');