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org.hl7.fhir.core: ReDoS via FHIRPath matches()/replaceMatches() in FHIR Validator HTTP EndpointGHSA-7cmj-v6x8-frvv

HIGH

GHSA-7cmj-v6x8-frvv is a high-severity (CVSS 7.5) Uncontrolled Resource Consumption vulnerability in ca.uhn.hapi.fhir:org.hl7.fhir.dstu2. A fix is available for ca.uhn.hapi.fhir:org.hl7.fhir.dstu2 — see the affected versions and patch details below.

Also known asCVE-2026-49485
Published
Updated
Affected
16 pkgs
Patched
16 / 16
Exploits
None indexed
Exploitation data as of Oct 16, 2026 · OSV.dev, NVD, FIRST.org (EPSS)

Exploitation Status

No confirmed exploitation observed yet

  • CISA assesses this as automatable — exploitation doesn’t require manual, per-target effort, which raises the odds of mass scanning and opportunistic attacks.
  • 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-7cmj-v6x8-frvv.

EPSS Exploitation Probability

via FIRST.org ↗
0.7%probability of exploitation in next 30 days
Lower Risk0.00%
Lower risk than most CVEs52th percentile — riskier than 52% of all scored CVEsHighest risk
0.00%0.39%0.79%1.18%0.4%0.7%0.7%0.7%Aug 26Oct 26Oct 26

Probability of exploitation in the next 30 days, from FIRST.org EPSS.

How urgent is this, really

GHSA-7cmj-v6x8-frvv by exploitation likelihood (EPSS) against impact (CVSS). Outside the shaded patch-first corner.

Where this sits among everything scored

Of 390,400 CVEs with a current EPSS score, this one falls in the < 10% band (highlighted). Counts from FIRST.org, log-scaled.

Real-World Exposure

16 pkgs affected
☕ca.uhn.hapi.fhir:org.hl7.fhir.dstu2☕ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may☕ca.uhn.hapi.fhir:org.hl7.fhir.dstu3☕ca.uhn.hapi.fhir:org.hl7.fhir.r4☕ca.uhn.hapi.fhir:org.hl7.fhir.r4b☕ca.uhn.hapi.fhir:org.hl7.fhir.r5☕ca.uhn.hapi.fhir:org.hl7.fhir.validation☕ca.uhn.hapi.fhir:org.hl7.fhir.validation.cli+8 more

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

Summary

All implementations of FHIRPathEngine accept arbitrary FHIRPath expressions and evaluate them without input validation. The utility intended to secure this evaluation did so incorrectly, and did not fully cover all places in which evaluation was being done. An attacker can send a resource containing an evil regex pattern that causes catastrophic backtracking, exhausting system resources, and causing Denial-of-Service.

Details

The vulnerability exists in regex execution in FHIRPathEngine implementations across multiple code modules. The FHIRPath functions matches(), matchesFull(), and replaceMatches() pass user-controlled regular expressions to Java's Pattern.compile() and String.replaceAll() through a utility class designed to time out after a specified interval. That utility correctly cancelled a single executor thread and returned with an exception, but the execution within the thread had no means to listen for this cancellation and would persist. Furthermore, three modules contained method calls in FHIRPathEngine that were not protected by this utility class.

Why this is exploitable:

Java's Pattern.compile() with a pattern like (a+)+$ against input "aaaaaaaaaaaaaaaaaaaaaa!" causes exponential backtracking (O(2^n) time complexity).

Impact

CPU Exhaustion: The exponential backtracking in Java's regex engine consumes 100% of a CPU core for the duration of the hang (effectively infinite for sufficiently long input strings) for callers of FHIRPathEngine.

Affected Packages

16 total 16 fixed
EcosystemPackageVulnerable rangeFix
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.dstu2≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.dstu2:6.9.9
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may:6.9.9
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.dstu3≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.dstu3:6.9.9
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.r4≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.r4:6.9.9
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.r4b≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.r4b:6.9.9
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.r5≥ 6.9.5&&< 6.9.96.9.9ca.uhn.hapi.fhir:org.hl7.fhir.r5:6.9.9

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.dstu2, 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.dstu2 to 6.9.9 or later, then make sure no transitive (indirect) dependency still pins the vulnerable range — O3 confirms GHSA-7cmj-v6x8-frvv is resolved across your whole dependency graph.

  3. Workarounds

    Cap what an attacker can consume: apply request size, rate and timeout limits in front of the affected component, and run it with memory and CPU limits so exhaustion degrades one worker rather than the whole service.

Frequently Asked Questions

# Summary All implementations of FHIRPathEngine accept arbitrary FHIRPath expressions and evaluate them without input validation. The utility intended to secure this evaluation did so incorrectly, and did not fully cover all places in which evaluation was being done. An attacker can send a resource containing an evil regex pattern that causes catastrophic backtracking, exhausting system resources, and causing Denial-of-Service. ## Details The vulnerability exists in regex execution in FHIRPathEngine implementations across multiple code modules. The FHIRPath functions matches(), matchesFull(),
O3 Security · Impact-Aware SCA

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