GitHub Advisoryadvisory · Maven

GHSA-3653-68v6-rq57 HAPI FHIR: ReDoS via FHIRPath matches()/replaceMatches() in FHIR Validator HTTP Endpoint

HIGH Published 2026-05-18 Modified 2026-05-18 Official page ↗
Aliases
CVE-2026-45367
Ecosystem
Maven
Packages
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
Severity
High
CVSS vector
CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:N/A:H
Weaknesses
CWE-1333
Reviewed
2026-05-18

Affected packages

• Maven ca.uhn.hapi.fhir:org.hl7.fhir.dstu2: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.dstu2016may: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.dstu3: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.r4: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.r4b: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.r5: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.validation: < 6.9.7 → fixed in 6.9.7 • Maven ca.uhn.hapi.fhir:org.hl7.fhir.validation.cli: < 6.9.7 → fixed in 6.9.7

Description

Summary All implementations of FHIRPathEngine accept arbitrary FHIRPath expressions and evaluate them without input validation. The FHIRPath functions `matches()`, `matchesFull()`, and `replaceMatches()` pass user-controlled regular expressions directly to Java's `Pattern.compile()` and `String.replaceAll()` without complexity checks or timeouts. 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. For example the org.hl7.fhir.r5 module: Entry point 1 — `FHIRPathEngine.java:5929` (R5 `funcMatches`): ```java private List funcMatches(ExecutionContext context, List focus, ExpressionNode exp) { String sw = convertToString(swb); // attacker-controlled regex pattern // ... Pattern p = Pattern.compile("(?s)" + sw); // VULNERABLE: no complexity check Matcher m = p.matcher(st); // no timeout boolean ok = m.find(); ``` Entry point 2 — `FHIRPathEngine.java:5951` (R5 `funcMatchesFull`): ```java Pattern p = Pattern.compile("(?s)" + sw); // VULNERABLE: same pattern Matcher m = p.matcher(st); boolean ok = m.matches(); ``` Entry point 3 — `FHIRPathEngine.java:5120` (R5 `funcReplaceMatches`): ```java result.add(new StringType(convertToString(focus.get(0)) .replaceAll(regex, repl)).noExtensions()); // VULNERABLE: replaceAll uses Pattern internally ``` The same vulnerabilities exist in the dstu2, dstu2016may, dstu3, r4, and r4b modules, and the FHIRPathEngine is used in the validation module functionality. Why this is exploitable: • No timeout mechanism covers FHIRPath evaluation — the `ValidationTimeout` class only protects `InstanceValidator` operations, not `evaluateFhirPath()` • 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.

Related

Alias · CVE (1)

  • CVE-2026-45367 HAPI FHIR is a complete implementation of the HL7 FHIR standard for healthcare interoperability in Java. vulnerability

Weakness · CWE (1)

  • CWE-1333 Inefficient Regular Expression Complexity weakness

References