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CRITICAL severity

GHSA-jqh6-9574-5x22 — org.hl7.fhir.core

CRITICALFix: hapifhir/org.hl7.fhir.core@b50aec5

GHSA-jqh6-9574-5x22 is a critical-severity (CVSS 9.1) Path Traversal vulnerability in ca.uhn.hapi.fhir:org.hl7.fhir.core. 1 public exploit reference exists, so weaponization risk is real. A fix is available for ca.uhn.hapi.fhir:org.hl7.fhir.core — see the affected versions and patch details below.

MITM based Zip Slip in `ca.uhn.hapi.fhir:org.hl7.fhir.core`

Published
Jan 23, 2023
Updated
Jul 8, 2026
Affected
6 pkgs
Patched
6 / 6
Exploits
1 known
Exploitation data as of Sep 25, 2026 · OSV.dev, NVD, FIRST.org (EPSS)

Exploitation Status

Proof-of-concept exploit code exists

  • CISA’s SSVC triage found public proof-of-concept exploit code for this CVE, though no confirmed active exploitation.
  • A successful exploit gives an attacker total control of the affected component, not partial access.

Exploitation and automatability from CISA’s SSVC triage for GHSA-jqh6-9574-5x22.

EPSS Exploitation Probability

via FIRST.org ↗
1.2%probability of exploitation in next 30 days
Lower Risk0.00%
Lower risk than most CVEs66th percentile — riskier than 66% 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-jqh6-9574-5x22 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 379,145 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.core☕ca.uhn.hapi.fhir:org.hl7.fhir.convertors☕ca.uhn.hapi.fhir:org.hl7.fhir.r4b☕ca.uhn.hapi.fhir:org.hl7.fhir.r5☕ca.uhn.hapi.fhir:org.hl7.fhir.utilities☕ca.uhn.hapi.fhir:org.hl7.fhir.validation

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

MITM can enable Zip-Slip.

Vulnerability

Vulnerability 1: Scanner.java

There is no validation that the zip file being unpacked has entries that are not maliciously writing outside of the intended destination directory. https://github.com/hapifhir/org.hl7.fhir.core/blob/8c43e21094af971303131efd081503e5a112db4b/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/Scanner.java#L335-L357

This zip archive is downloaded over HTTP instead of HTTPS, leaving it vulnerable to compromise in-flight. https://github.com/hapifhir/org.hl7.fhir.core/blob/8c43e21094af971303131efd081503e5a112db4b/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/Scanner.java#L136

Vulnerability 2: TerminologyCacheManager.java

Note: While these links point to only one implementation, both implementations of TerminologyCacheManager.java are vulnerable to this as their code seems to be duplicated.

While there is validation in this bit of logic that attempts to validate that the zip file doesn't contain malicious entries that escape the destination directory, the guard is insufficient.

https://github.com/hapifhir/org.hl7.fhir.core/blob/f58b7acfb5e393cac52cc5bbb170bdb669c2880e/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/TerminologyCacheManager.java#L97-L113

This is because the Utilities.path(String... path) method does not normalize the path, although it seems to be attempting to do so. https://github.com/hapifhir/org.hl7.fhir.core/blob/f58b7acfb5e393cac52cc5bbb170bdb669c2880e/org.hl7.fhir.utilities/src/main/java/org/hl7/fhir/utilities/Utilities.java#L617-L675

The normalization only occurs if the path element starts with a path traversal payload. As an example, calling Utilities.path("/base", "/child/../test") will return the string "/base/child/../test".

This guard logic can, thus, be easily bypassed: https://github.com/hapifhir/org.hl7.fhir.core/blob/f58b7acfb5e393cac52cc5bbb170bdb669c2880e/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/TerminologyCacheManager.java#L100-L104

Assuming an attacker can control the return value of ze.getName(), they can supply a value like /anything/../../../../zipsip-protection-bypass.txt.

Similarly, an attacker can control the contents of the Zip file via a MITM attack as this logic is used with resources not downloaded over HTTPS.

https://github.com/hapifhir/org.hl7.fhir.core/blob/f58b7acfb5e393cac52cc5bbb170bdb669c2880e/org.hl7.fhir.r5/src/main/java/org/hl7/fhir/r5/terminologies/TerminologyCacheManager.java#L66-L73

Patches

Unknown

Workarounds

Unknown

References

Affected Packages

6 total 6 fixed
EcosystemPackageVulnerable rangeFix
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.coreall versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.core:5.6.92
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.convertorsall versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.convertors:5.6.92
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.r4ball versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.r4b:5.6.92
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.r5all versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.r5:5.6.92
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.utilitiesall versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.utilities:5.6.92
☕Mavenca.uhn.hapi.fhir:org.hl7.fhir.validationall versions5.6.92ca.uhn.hapi.fhir:org.hl7.fhir.validation:5.6.92
Exploits & PoCs
1

Research use only. For defensive security, authorized penetration testing, and academic research only. Never execute exploit code against systems without explicit written authorization.

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.core, 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.core to 5.6.92 or later, then make sure no transitive (indirect) dependency still pins the vulnerable range — O3 confirms GHSA-jqh6-9574-5x22 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-jqh6-9574-5x22 can be triaged on real exposure rather than presence alone.

Tailored to GHSA-jqh6-9574-5x22. Runtime protection reduces exposure until a permanent patch is applied and verified — it complements patching, it doesn't replace it.

Frequently Asked Questions

### Impact MITM can enable Zip-Slip. ### Vulnerability #### Vulnerability 1: `Scanner.java` There is no validation that the zip file being unpacked has entries that are not maliciously writing outside of the intended destination directory. https://github.com/hapifhir/org.hl7.fhir.core/blob/8c43e21094af971303131efd081503e5a112db4b/org.hl7.fhir.validation/src/main/java/org/hl7/fhir/validation/Scanner.java#L335-L357 This zip archive is downloaded over HTTP instead of HTTPS, leaving it vulnerable to compromise in-flight. https://github.com/hapifhir/org.hl7.fhir.core/blob/8c43e21094af971303131
O3 Security · Impact-Aware SCA

Is GHSA-jqh6-9574-5x22 in your dependencies?

O3 Security finds GHSA-jqh6-9574-5x22 across Maven dependencies, including transitive ones, and its impact-aware SCA ranks findings by whether your code actually calls the vulnerable path.

GHSA-jqh6-9574-5x22: org.hl7.fhir (Critical 9.1) | O3 Security