diff --git a/healthcare/fhir/createFhirStore.js b/healthcare/fhir/createFhirStore.js
index 696f32fcf5..b1e95b2731 100644
--- a/healthcare/fhir/createFhirStore.js
+++ b/healthcare/fhir/createFhirStore.js
@@ -24,7 +24,7 @@ const main = (
 ) => {
   // [START healthcare_create_fhir_store]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const createFhirStore = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/deleteFhirResource.js b/healthcare/fhir/deleteFhirResource.js
index 3cb120718a..f19d1f2771 100644
--- a/healthcare/fhir/deleteFhirResource.js
+++ b/healthcare/fhir/deleteFhirResource.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_delete_resource]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const deleteFhirResource = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/deleteFhirResourcePurge.js b/healthcare/fhir/deleteFhirResourcePurge.js
index ae0603c259..5d58c632e3 100644
--- a/healthcare/fhir/deleteFhirResourcePurge.js
+++ b/healthcare/fhir/deleteFhirResourcePurge.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_delete_resource_purge]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const deleteFhirResourcePurge = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/deleteFhirStore.js b/healthcare/fhir/deleteFhirStore.js
index be4a561115..c9c98346d5 100644
--- a/healthcare/fhir/deleteFhirStore.js
+++ b/healthcare/fhir/deleteFhirStore.js
@@ -24,7 +24,7 @@ const main = (
 ) => {
   // [START healthcare_delete_fhir_store]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const deleteFhirStore = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/exportFhirResources.js b/healthcare/fhir/exportFhirResources.js
index 28f258cce0..917065b0b5 100644
--- a/healthcare/fhir/exportFhirResources.js
+++ b/healthcare/fhir/exportFhirResources.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_export_fhir_resources_gcs]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
   const sleep = require('../sleep');
 
   const exportFhirResourcesGcs = async () => {
diff --git a/healthcare/fhir/fhir_resources.js b/healthcare/fhir/fhir_resources.js
index b5e22c2a69..8d809e0768 100644
--- a/healthcare/fhir/fhir_resources.js
+++ b/healthcare/fhir/fhir_resources.js
@@ -15,7 +15,7 @@
 const {GoogleToken} = require('gtoken');
 const request = require('request-promise');
 
-const BASE_URL = 'https://healthcare.googleapis.com/v1beta1';
+const BASE_URL = 'https://healthcare.googleapis.com/v1';
 
 // [START healthcare_get_token]
 const getToken = (serviceAccountJson, cb) => {
diff --git a/healthcare/fhir/getFhirResource.js b/healthcare/fhir/getFhirResource.js
index ff6925c786..8b37e2d42c 100644
--- a/healthcare/fhir/getFhirResource.js
+++ b/healthcare/fhir/getFhirResource.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_get_resource]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getFhirResource = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/getFhirResourceHistory.js b/healthcare/fhir/getFhirResourceHistory.js
index a0b3741277..1a2d6f11e6 100644
--- a/healthcare/fhir/getFhirResourceHistory.js
+++ b/healthcare/fhir/getFhirResourceHistory.js
@@ -27,7 +27,7 @@ const main = (
 ) => {
   // [START healthcare_get_resource_history]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getFhirResourceHistory = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/getFhirStore.js b/healthcare/fhir/getFhirStore.js
index 6d4f13ab53..716f49d718 100644
--- a/healthcare/fhir/getFhirStore.js
+++ b/healthcare/fhir/getFhirStore.js
@@ -24,7 +24,7 @@ const main = (
 ) => {
   // [START healthcare_get_fhir_store]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getFhirStore = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/getFhirStoreCapabilities.js b/healthcare/fhir/getFhirStoreCapabilities.js
index 83305828e5..6f0b4b6c42 100644
--- a/healthcare/fhir/getFhirStoreCapabilities.js
+++ b/healthcare/fhir/getFhirStoreCapabilities.js
@@ -24,7 +24,7 @@ const main = (
 ) => {
   // [START healthcare_get_metadata]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getFhirStoreCapabilities = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/getFhirStoreIamPolicy.js b/healthcare/fhir/getFhirStoreIamPolicy.js
index b6a0cda6f9..d3b92fcec4 100644
--- a/healthcare/fhir/getFhirStoreIamPolicy.js
+++ b/healthcare/fhir/getFhirStoreIamPolicy.js
@@ -24,7 +24,7 @@ const main = (
 ) => {
   // [START healthcare_fhir_store_get_iam_policy]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getFhirStoreIamPolicy = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/getPatientEverything.js b/healthcare/fhir/getPatientEverything.js
index bd11b8c08f..da2ed38a61 100644
--- a/healthcare/fhir/getPatientEverything.js
+++ b/healthcare/fhir/getPatientEverything.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_get_patient_everything]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const getPatientEverything = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/importFhirResources.js b/healthcare/fhir/importFhirResources.js
index 4bd01d79fd..46da3d2452 100644
--- a/healthcare/fhir/importFhirResources.js
+++ b/healthcare/fhir/importFhirResources.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_import_fhir_resources]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
   const sleep = require('../sleep');
 
   const importFhirResources = async () => {
diff --git a/healthcare/fhir/listFhirResourceHistory.js b/healthcare/fhir/listFhirResourceHistory.js
index d07019a403..1f652d205c 100644
--- a/healthcare/fhir/listFhirResourceHistory.js
+++ b/healthcare/fhir/listFhirResourceHistory.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_list_resource_history]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const listFhirResourceHistory = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/listFhirStores.js b/healthcare/fhir/listFhirStores.js
index 58414cba0a..6a813ffb0d 100644
--- a/healthcare/fhir/listFhirStores.js
+++ b/healthcare/fhir/listFhirStores.js
@@ -23,7 +23,7 @@ const main = (
 ) => {
   // [START healthcare_list_fhir_stores]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const listFhirStores = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/package.json b/healthcare/fhir/package.json
index c69b010cc2..5941430f7e 100644
--- a/healthcare/fhir/package.json
+++ b/healthcare/fhir/package.json
@@ -17,7 +17,7 @@
     "mocha": "^7.0.0"
   },
   "dependencies": {
-    "googleapis": "^48.0.0",
+    "googleapis": "^49.0.0",
     "uuid": "^7.0.0",
     "yargs": "^15.0.0",
     "gtoken": "^5.0.0",
diff --git a/healthcare/fhir/patchFhirStore.js b/healthcare/fhir/patchFhirStore.js
index cd5757d945..a6a05291f4 100644
--- a/healthcare/fhir/patchFhirStore.js
+++ b/healthcare/fhir/patchFhirStore.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_patch_fhir_store]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const patchFhirStore = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/searchFhirResourcesGet.js b/healthcare/fhir/searchFhirResourcesGet.js
index 32b6b14c4c..4eeaebde37 100644
--- a/healthcare/fhir/searchFhirResourcesGet.js
+++ b/healthcare/fhir/searchFhirResourcesGet.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_search_resources_get]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const searchFhirResourcesGet = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/searchFhirResourcesPost.js b/healthcare/fhir/searchFhirResourcesPost.js
index 5536dcade8..9a6edb0745 100644
--- a/healthcare/fhir/searchFhirResourcesPost.js
+++ b/healthcare/fhir/searchFhirResourcesPost.js
@@ -25,7 +25,7 @@ const main = (
 ) => {
   // [START healthcare_search_resources_post]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const searchFhirResourcesPost = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/setFhirStoreIamPolicy.js b/healthcare/fhir/setFhirStoreIamPolicy.js
index ab1c9c3ea4..5ad781cc1f 100644
--- a/healthcare/fhir/setFhirStoreIamPolicy.js
+++ b/healthcare/fhir/setFhirStoreIamPolicy.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_fhir_store_set_iam_policy]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const setFhirStoreIamPolicy = async () => {
     const auth = await google.auth.getClient({
diff --git a/healthcare/fhir/system-test/fhir_resources.test.js b/healthcare/fhir/system-test/fhir_resources.test.js
index 2759d95d5d..408db079ff 100644
--- a/healthcare/fhir/system-test/fhir_resources.test.js
+++ b/healthcare/fhir/system-test/fhir_resources.test.js
@@ -45,14 +45,14 @@ before(() => {
   );
   execSync(
     `node createDataset.js ${projectId} ${cloudRegion} ${datasetId}`,
-    cwdDatasets
+    {cwd: cwdDatasets}
   );
 });
 after(() => {
   try {
     execSync(
       `node deleteDataset.js ${projectId} ${cloudRegion} ${datasetId}`,
-      cwdDatasets
+      {cwd: cwdDatasets}
     );
   } catch (err) {} // Ignore error
 });
@@ -60,11 +60,11 @@ after(() => {
 it('should create a FHIR resource', () => {
   execSync(
     `node createFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId}`,
-    cwd
+    {cwd}
   );
   const output = execSync(
     `node fhir_resources.js createResource ${datasetId} ${fhirStoreId} ${resourceType}`,
-    cwd
+    {cwd}
   );
   const createdResource = new RegExp(
     `Created FHIR resource ${resourceType} with ID (.*).`
@@ -76,7 +76,7 @@ it('should create a FHIR resource', () => {
 it('should get a FHIR resource', () => {
   const output = execSync(
     `node getFhirResource.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(
     new RegExp(`Got ${resourceType} resource`).test(output),
@@ -87,7 +87,7 @@ it('should get a FHIR resource', () => {
 it('should list and get a FHIR resource history', () => {
   let output = execSync(
     `node listFhirResourceHistory.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('versionId'));
 
@@ -105,7 +105,7 @@ it('should list and get a FHIR resource history', () => {
 
   output = execSync(
     `node getFhirResourceHistory.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId} ${versionId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes(versionId));
 });
@@ -113,7 +113,7 @@ it('should list and get a FHIR resource history', () => {
 it('should get everything in Patient compartment', () => {
   const output = execSync(
     `node getPatientEverything.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(
     new RegExp(`Got all resources in patient ${resourceId} compartment`).test(
@@ -126,7 +126,7 @@ it('should get everything in Patient compartment', () => {
 it('should update a FHIR resource', () => {
   const output = execSync(
     `node updateFhirResource.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(
     new RegExp(`Updated ${resourceType} resource`).test(output),
@@ -137,7 +137,7 @@ it('should update a FHIR resource', () => {
 it('should patch a FHIR resource', () => {
   const output = execSync(
     `node fhir_resources.js patchResource ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(output, `Patched ${resourceType} resource`);
 });
@@ -159,7 +159,7 @@ it('should search for FHIR resources using POST', () => {
 it('should purge all historical versions of a FHIR resource', () => {
   const output = execSync(
     `node deleteFhirResourcePurge.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(
     output,
@@ -170,7 +170,7 @@ it('should purge all historical versions of a FHIR resource', () => {
 it('should execute a Bundle', () => {
   const output = execSync(
     `node fhir_resources.js executeBundle ${datasetId} ${fhirStoreId} ${bundleFile}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(new RegExp('Executed Bundle').test(output), true);
 });
@@ -178,13 +178,13 @@ it('should execute a Bundle', () => {
 it('should delete a FHIR resource', () => {
   const output = execSync(
     `node deleteFhirResource.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${resourceType} ${resourceId}`,
-    cwd
+    {cwd}
   );
   assert.strictEqual(output, `Deleted FHIR resource ${resourceType}`);
 
   // Clean up
   execSync(
     `node deleteFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId}`,
-    cwd
+    {cwd}
   );
 });
diff --git a/healthcare/fhir/system-test/fhir_stores.test.js b/healthcare/fhir/system-test/fhir_stores.test.js
index a9c095caa0..af9102372c 100644
--- a/healthcare/fhir/system-test/fhir_stores.test.js
+++ b/healthcare/fhir/system-test/fhir_stores.test.js
@@ -62,7 +62,7 @@ before(async () => {
   console.log(`Topic ${topic.name} created.`);
   execSync(
     `node createDataset.js ${projectId} ${cloudRegion} ${datasetId}`,
-    cwdDatasets
+    {cwd: cwdDatasets}
   );
 });
 
@@ -78,7 +78,7 @@ after(async () => {
     console.log(`Topic ${topicName} deleted.`);
     execSync(
       `node deleteDataset.js ${projectId} ${cloudRegion} ${datasetId}`,
-      cwdDatasets
+      {cwd: cwdDatasets}
     );
   } catch (err) {} // Ignore error
 });
@@ -86,7 +86,7 @@ after(async () => {
 it('should create a FHIR store', () => {
   const output = execSync(
     `node createFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('Created FHIR store'));
 });
@@ -94,7 +94,7 @@ it('should create a FHIR store', () => {
 it('should get a FHIR store', () => {
   const output = execSync(
     `node getFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('name'));
 });
@@ -102,7 +102,7 @@ it('should get a FHIR store', () => {
 it('should list FHIR stores', () => {
   const output = execSync(
     `node listFhirStores.js ${projectId} ${cloudRegion} ${datasetId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('fhirStores'));
 });
@@ -110,7 +110,7 @@ it('should list FHIR stores', () => {
 it('should patch a FHIR store', () => {
   const output = execSync(
     `node patchFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${topicName}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('Patched FHIR store'));
 });
@@ -118,7 +118,7 @@ it('should patch a FHIR store', () => {
 it('should import FHIR resources into a FHIR store from Cloud Storage', () => {
   const output = execSync(
     `node importFhirResources.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${gcsUri}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('Import FHIR resources succeeded'));
 });
@@ -126,7 +126,7 @@ it('should import FHIR resources into a FHIR store from Cloud Storage', () => {
 it('should export FHIR resources from a FHIR store to Cloud Storage', () => {
   const output = execSync(
     `node exportFhirResources.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${gcsUri}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('Exported FHIR resources successfully'));
 });
@@ -137,7 +137,7 @@ it('should create and get a FHIR store IAM policy', () => {
 
   let output = execSync(
     `node setFhirStoreIamPolicy.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId} ${localMember} ${localRole}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes, 'ETAG');
 
@@ -150,7 +150,7 @@ it('should create and get a FHIR store IAM policy', () => {
 it('should delete a FHIR store', () => {
   const output = execSync(
     `node deleteFhirStore.js ${projectId} ${cloudRegion} ${datasetId} ${fhirStoreId}`,
-    cwd
+    {cwd}
   );
   assert.ok(output.includes('Deleted FHIR store'));
 });
diff --git a/healthcare/fhir/updateFhirResource.js b/healthcare/fhir/updateFhirResource.js
index 601f87b7cb..4df3ab66d5 100644
--- a/healthcare/fhir/updateFhirResource.js
+++ b/healthcare/fhir/updateFhirResource.js
@@ -26,7 +26,7 @@ const main = (
 ) => {
   // [START healthcare_update_resource]
   const {google} = require('googleapis');
-  const healthcare = google.healthcare('v1beta1');
+  const healthcare = google.healthcare('v1');
 
   const updateFhirResource = async () => {
     const auth = await google.auth.getClient({