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Review reviewHigh

CVE-2026-49485

hapifhir org.hl7.fhir.core

HAPI FHIR is a complete implementation of the HL7 FHIR standard for healthcare interoperability in Java. Prior to 6.9.9 and 6.9.4.2, all implementations of FHIRPathEngine accept arbitrary FHIRPath expressions and evaluate them without input validation, and the FHIRPath functions matches(), matchesFull(), and replaceMatches() pass user-controlled regular expressions to Java's Pattern.compile() and String.replaceAll() through an incomplete timeout utility. An attacker can send a resource containing an evil regex pattern that causes catastrophic backtracking, exhausting CPU resources and causi...

CVSS
7.5
EPSS
0.37%
29.9% percentile
CISA KEV
Not listed
Published
2026.07.18
PRIORITY ASSESSMENT

Review review

The CVSS severity warrants an early asset and exposure review.

Known exploitationNot established by KEV
Exploit probability0.37%
Technical severityCVSS 7.5

Vulnerability overview

HAPI FHIR is a complete implementation of the HL7 FHIR standard for healthcare interoperability in Java. Prior to 6.9.9 and 6.9.4.2, all implementations of FHIRPathEngine accept arbitrary FHIRPath expressions and evaluate them without input validation, and the FHIRPath functions matches(), matchesFull(), and replaceMatches() pass user-controlled regular expressions to Java's Pattern.compile() and String.replaceAll() through an incomplete timeout utility. An attacker can send a resource containing an evil regex pattern that causes catastrophic backtracking, exhausting CPU resources and causi...

Affected product and versions

Product
hapifhir org.hl7.fhir.core
Affected versions
>= < 6.9.4.2, >= >= 6.9.5, < 6.9.9
Fixed versions
No verified fixed-version field is available yet

Recommended response sequence

Confirm exposure before applying a vendor-supported change.

Full remediation guide
  1. 1
    Identify

    Confirm that hapifhir org.hl7.fhir.core and an affected version are present.

  2. 2
    Prioritize

    Combine exploitation signals with asset exposure and business criticality.

  3. 3
    Remediate

    Follow the vendor advisory or supported update path and preserve rollback options.

  4. 4
    Verify

    Recheck the version, service health, access paths, and relevant logs.

Technical data

CVSS vector
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H
CWE
CWE-1333, CWE-400