diff --git a/hapi-fhir-server/src/main/java/ca/uhn/fhir/rest/server/method/BaseOutcomeReturningMethodBinding.java b/hapi-fhir-server/src/main/java/ca/uhn/fhir/rest/server/method/BaseOutcomeReturningMethodBinding.java
index cb1440f6415..3c4d02ee5d6 100644
--- a/hapi-fhir-server/src/main/java/ca/uhn/fhir/rest/server/method/BaseOutcomeReturningMethodBinding.java
+++ b/hapi-fhir-server/src/main/java/ca/uhn/fhir/rest/server/method/BaseOutcomeReturningMethodBinding.java
@@ -56,7 +56,7 @@ import ca.uhn.fhir.rest.server.servlet.ServletRequestDetails;
 abstract class BaseOutcomeReturningMethodBinding extends BaseMethodBinding<MethodOutcome> {
 	static final org.slf4j.Logger ourLog = org.slf4j.LoggerFactory.getLogger(BaseOutcomeReturningMethodBinding.class);
 
-	private static EnumSet<RestOperationTypeEnum> ourOperationsWhichAllowPreferHeader = EnumSet.of(RestOperationTypeEnum.CREATE, RestOperationTypeEnum.UPDATE);
+	private static EnumSet<RestOperationTypeEnum> ourOperationsWhichAllowPreferHeader = EnumSet.of(RestOperationTypeEnum.CREATE, RestOperationTypeEnum.UPDATE, RestOperationTypeEnum.PATCH);
 
 	private boolean myReturnVoid;
 
@@ -99,11 +99,11 @@ abstract class BaseOutcomeReturningMethodBinding extends BaseMethodBinding<Metho
 				return Constants.STATUS_HTTP_200_OK;
 
 			case UPDATE:
+			case PATCH:
 				if (response == null || response.getCreated() == null || Boolean.FALSE.equals(response.getCreated())) {
 					return Constants.STATUS_HTTP_200_OK;
 				}
 				return Constants.STATUS_HTTP_201_CREATED;
-
 			case VALIDATE:
 			case DELETE:
 			default:
diff --git a/hapi-fhir-structures-dstu2/src/test/java/ca/uhn/fhir/rest/server/interceptor/auth/AuthorizationInterceptorDstu2Test.java b/hapi-fhir-structures-dstu2/src/test/java/ca/uhn/fhir/rest/server/interceptor/auth/AuthorizationInterceptorDstu2Test.java
index fe70c2e20bb..3fd96f88573 100644
--- a/hapi-fhir-structures-dstu2/src/test/java/ca/uhn/fhir/rest/server/interceptor/auth/AuthorizationInterceptorDstu2Test.java
+++ b/hapi-fhir-structures-dstu2/src/test/java/ca/uhn/fhir/rest/server/interceptor/auth/AuthorizationInterceptorDstu2Test.java
@@ -1786,7 +1786,7 @@ public class AuthorizationInterceptorDstu2Test {
 		httpPost.setEntity(new StringEntity(input, ContentType.parse("application/json-patch+json")));
 		status = ourClient.execute(httpPost);
 		response = extractResponseAndClose(status);
-		assertEquals(204, status.getStatusLine().getStatusCode());
+		assertEquals(200, status.getStatusLine().getStatusCode());
 		assertTrue(ourHitMethod);
 
 	}
diff --git a/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/rest/server/interceptor/AuthorizationInterceptorR4Test.java b/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/rest/server/interceptor/AuthorizationInterceptorR4Test.java
index 5665c8be695..152c8b86fb0 100644
--- a/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/rest/server/interceptor/AuthorizationInterceptorR4Test.java
+++ b/hapi-fhir-structures-r4/src/test/java/ca/uhn/fhir/rest/server/interceptor/AuthorizationInterceptorR4Test.java
@@ -1687,7 +1687,7 @@ public class AuthorizationInterceptorR4Test {
 		patch.setEntity(new StringEntity(patchBody, ContentType.create(Constants.CT_JSON_PATCH, Charsets.UTF_8)));
 		CloseableHttpResponse status = ourClient.execute(patch);
 		extractResponseAndClose(status);
-		assertEquals(204, status.getStatusLine().getStatusCode());
+		assertEquals(200, status.getStatusLine().getStatusCode());
 		assertTrue(ourHitMethod);
 	}
 
@@ -2964,7 +2964,7 @@ public class AuthorizationInterceptorR4Test {
 		httpPost.setEntity(new StringEntity(input, ContentType.parse("application/json-patch+json")));
 		status = ourClient.execute(httpPost);
 		extractResponseAndClose(status);
-		assertEquals(204, status.getStatusLine().getStatusCode());
+		assertEquals(200, status.getStatusLine().getStatusCode());
 		assertTrue(ourHitMethod);
 	}