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Maven
Not in CISA KEV
HIGH severity

GHSA-6cr6-ph3p-f5rf org.hl7.fhir.dstu2016may

HIGH

GHSA-6cr6-ph3p-f5rf is a high-severity (CVSS 8.6) XML External Entity (XXE) vulnerability in ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may. A fix is available for ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may — see the affected versions and patch details below.

XXE vulnerability in XSLT transforms in `org.hl7.fhir.core`

Also known asCVE-2024-45294
Published
Sep 6, 2024
Updated
Feb 4, 2026
Affected
6 pkgs
Patched
6 / 6
Exploits
None indexed
Exploitation data as of Sep 20, 2026 · OSV.dev, NVD, FIRST.org (EPSS)

Exploitation Status

No confirmed exploitation observed yet

  • CISA’s own triage has not observed active exploitation or public proof-of-concept code for this CVE as of its last assessment.

Exploitation and automatability from CISA’s SSVC triage for GHSA-6cr6-ph3p-f5rf.

EPSS Exploitation Probability

via FIRST.org ↗
1.0%probability of exploitation in next 30 days
Lower Risk0.00%
Lower risk than most CVEs61th percentile — riskier than 61% of all scored CVEsHighest risk

EPSS (Exploit Prediction Scoring System) is a daily probability model maintained by FIRST.org. It estimates the likelihood a CVE will be exploited in production environments within the next 30 days, derived from real-world threat intelligence signals.

How urgent is this, really

GHSA-6cr6-ph3p-f5rf plotted by exploitation likelihood (EPSS) against impact (CVSS). The shaded corner — EPSS 50%+ and CVSS 7.0+ — is where this CVE doesn't sit, though severity or exploitability alone can still warrant action.

Where this sits among everything scored

Of 377,636 CVEs with a current EPSS score, this one falls in the < 10% band (highlighted). Real counts from FIRST.org, not a sample — log-scaled since the landscape is heavily right-skewed.

Real-World Exposure

6 pkgs affected
ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016mayca.uhn.hapi.fhir:org.hl7.fhir.dstu3ca.uhn.hapi.fhir:org.hl7.fhir.r4ca.uhn.hapi.fhir:org.hl7.fhir.r4bca.uhn.hapi.fhir:org.hl7.fhir.r5ca.uhn.hapi.fhir:org.hl7.fhir.utilities

Real-time download stats are indexed for npm and PyPI packages. This vulnerability affects Maven packages — download data is not available via public APIs for these ecosystems.

Description

Impact

XSLT transforms performed by various components are vulnerable to XML external entity injections. A processed XML file with a malicious DTD tag ( <!DOCTYPE foo [<!ENTITY example SYSTEM "/etc/passwd"> ]> could produce XML containing data from the host system. This impacts use cases where org.hl7.fhir.core is being used to within a host where external clients can submit XML.

Patches

This issue has been patched in release 6.3.23

Workarounds

None.

References

MITRE CWE OWASP XML External Entity Prevention Cheat Sheet

Affected Packages

6 total 6 fixed
EcosystemPackageVulnerable rangeFix
Mavenca.uhn.hapi.fhir:org.hl7.fhir.dstu2016mayall versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may:6.3.23
Mavenca.uhn.hapi.fhir:org.hl7.fhir.dstu3all versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.dstu3:6.3.23
Mavenca.uhn.hapi.fhir:org.hl7.fhir.r4all versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.r4:6.3.23
Mavenca.uhn.hapi.fhir:org.hl7.fhir.r4ball versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.r4b:6.3.23
Mavenca.uhn.hapi.fhir:org.hl7.fhir.r5all versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.r5:6.3.23
Mavenca.uhn.hapi.fhir:org.hl7.fhir.utilitiesall versions6.3.23ca.uhn.hapi.fhir:org.hl7.fhir.utilities:6.3.23

Detection & mitigation playbook

Open-source dependency
  1. Detect

    Scan your dependency tree (package-lock.json, pnpm-lock.yaml, requirements.txt, go.sum, etc.) for ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may, including transitive dependencies — a direct dependency you never call can still pull in a vulnerable version.

  2. Fix

    Update ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may to 6.3.23 or later, then make sure no transitive (indirect) dependency still pins the vulnerable range — O3 confirms GHSA-6cr6-ph3p-f5rf is resolved across your whole dependency graph.

  3. Workarounds

    If you can't upgrade right away: gate or disable the affected feature, validate untrusted input at the boundary, and avoid passing attacker-controlled data into the vulnerable path. O3's runtime protection blocks exploitation in production as an interim safeguard until the upgrade lands.

  4. How O3 protects you

    O3 Security's impact-aware SCA analyses which vulnerable code paths your application actually calls, so a match like GHSA-6cr6-ph3p-f5rf can be triaged on real exposure rather than presence alone.

Tailored to GHSA-6cr6-ph3p-f5rf. Runtime protection reduces exposure until a permanent patch is applied and verified — it complements patching, it doesn't replace it.

Fixing This On Your OS

If you run this on a Linux distribution, patch through your package manager against the distro's own security advisory below — it tracks the exact backported fix for your release, which can ship on a different timeline (and sometimes a different severity) than the upstream project.

Red HatImportant

This vulnerability is of significant severity because it allows for XML External Entity (XXE) injection, which can lead to unauthorized access and leakage of sensitive data from the host system. In environments where external clients are permitted to submit XML files, an attacker could craft a malicious XML containing…

ProductFixed inAdvisory
Red Hat build of Apache Camel 3.20.7 for Spring Bootorg.hl7.fhir.dstu2016mayRHSA-2024:6883
Red Hat build of Apache Camel 4.4.3 for Spring Bootorg.hl7.fhir.dstu2016mayRHSA-2024:8064
Red Hat build of Apache Camel 4 for Quarkus 3org.hl7.fhir.dstu2016mayRHSA-2024:7052

Frequently Asked Questions

### Impact XSLT transforms performed by various components are vulnerable to XML external entity injections. A processed XML file with a malicious DTD tag ( `<!DOCTYPE foo [<!ENTITY example SYSTEM "/etc/passwd"> ]>` could produce XML containing data from the host system. This impacts use cases where org.hl7.fhir.core is being used to within a host where external clients can submit XML. ### Patches This issue has been patched in release 6.3.23 ### Workarounds None. ### References [MITRE CWE](https://cwe.mitre.org/data/definitions/611.html) [OWASP XML External Entity Prevention Cheat Sheet](h
O3 Security · Impact-Aware SCA

Is GHSA-6cr6-ph3p-f5rf in your dependencies?

O3 Security finds GHSA-6cr6-ph3p-f5rf across Maven dependencies, including transitive ones, and its impact-aware SCA ranks findings by whether your code actually calls the vulnerable path.

GHSA-6cr6-ph3p-f5rf: org.hl7.fhir (High 8.6) | O3 Security