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Since the IBM FHIR Server defaults to using the group claim when mapping to security-role, requests from a serviceAccount (like in the newly introduced SMART Backend Services config) must belong to a group in order to be consider authorized.
Tasks for making this easier to implement
support configuration of group membership for service accounts
update the smart-backend-services sample config to ensure the infernoBulk client's service account (service-account-infernoBulk) is associated with the fhirUser group