Critical

NextGen Healthcare Mirth Connect

All CISA Advisories

Overview

NextGen Healthcare's Mirth Connect software has several serious vulnerabilities that could be exploited by attackers to extract sensitive data or disrupt services. Specifically, versions 4.7.1 and earlier are affected by SQL injection and XML external entity (XXE) flaws. These vulnerabilities could allow unauthorized users to execute arbitrary SQL commands, leading to the potential exposure of stored credentials and denial-of-service conditions. NextGen Healthcare has advised users to upgrade to version 4.7.2 or later to mitigate these risks. Given that Mirth Connect is widely used in the healthcare sector, these security issues pose a significant threat to patient data integrity and system availability.

Key Takeaways

  • Affected Systems: NextGen Healthcare Mirth Connect versions 4.7.1 and earlier; vulnerabilities CVE-2026-82583, CVE-2026-78224, CVE-2026-82578.
  • Action Required: Users are recommended to update Mirth Connect to version 4.
  • Timeline: Disclosed on 2026-09-10

Original Article Summary

View CSAF Summary Successful exploitation of these vulnerabilities could allow an attacker to exfiltrate date or cause a denial-of-service condition. The following versions of NextGen Healthcare Mirth Connect are affected: Mirth Connect <=v4.7.1 (CVE-2026-82583, CVE-2026-78224, CVE-2026-82578) CVSS Vendor Equipment Vulnerabilities v3 8.3 NextGen Healthcare NextGen Healthcare Mirth Connect Improper Neutralization of Special Elements used in an SQL Command ('SQL Injection'), Improper Restriction of XML External Entity Reference Background Critical Infrastructure Sectors: Healthcare and Public Health Countries/Areas Deployed: Worldwide Company Headquarters Location: United States Vulnerabilities Expand All + CVE-2026-82583 NextGen Connect (Mirth Connect) versions 4.7.1 and earlier allow an authenticated user to execute arbitrary SQL through a Database Connector API, which could result in disclosure of stored credentials for connected systems, arbitrary file write, and a denial-of-service condition. View CVE Details Affected Products NextGen Healthcare Mirth Connect Vendor: NextGen Healthcare Product Version: NextGen Healthcare Mirth Connect: <=v4.7.1 Product Status: known_affected Remediations Vendor fix NextGen recommends users update Mirth Connect v4.7.2 or later. Users can download the latest version from the NextGen Healthcare customer portal. Relevant CWE: CWE-89 Improper Neutralization of Special Elements used in an SQL Command ('SQL Injection') Metrics CVSS Version Base Score Base Severity Vector String 3.1 8.3 HIGH CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:L/A:H 4.0 7.2 HIGH CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:L/VA:H/SC:N/SI:N/SA:N CVE-2026-78224 The XSLT Transformer Step builds a bare TransformerFactory without the proper security options set, so XXE injection can allow data exfiltration and denial-of-service attacks. View CVE Details Affected Products NextGen Healthcare Mirth Connect Vendor: NextGen Healthcare Product Version: NextGen Healthcare Mirth Connect: <=v4.7.1 Product Status: known_affected Remediations Vendor fix NextGen recommends users update Mirth Connect v4.7.2 or later. Users can download the latest version from the NextGen Healthcare customer portal. Relevant CWE: CWE-611 Improper Restriction of XML External Entity Reference Metrics CVSS Version Base Score Base Severity Vector String 3.1 8.2 HIGH CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:L 4.0 8.8 HIGH CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:L/SC:N/SI:N/SA:N CVE-2026-82578 When XML batch processing is turned on and the XPath option is selected, the raw batch input goes through a default XPath/JAXP setup with no entity restrictions, so XXE injection can allow data exfiltration and denial-of-service attacks. View CVE Details Affected Products NextGen Healthcare Mirth Connect Vendor: NextGen Healthcare Product Version: NextGen Healthcare Mirth Connect: <=v4.7.1 Product Status: known_affected Remediations Vendor fix NextGen recommends users update Mirth Connect v4.7.2 or later. Users can download the latest version from the NextGen Healthcare customer portal. Relevant CWE: CWE-611 Improper Restriction of XML External Entity Reference Metrics CVSS Version Base Score Base Severity Vector String 3.1 7.5 HIGH CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:N 4.0 8.7 HIGH CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N Acknowledgments Abhinav Agarwal reported these vulnerabilities to CISA. Legal Notice and Terms of Use This product is provided subject to this Notification (https://www.cisa.gov/notification) and this Privacy & Use policy (https://www.cisa.gov/privacy-policy). Recommended Practices CISA recommends users take defensive measures to minimize the risk of exploitation of these vulnerabilities. Minimize network exposure for all control system devices and/or systems, ensuring they are not accessible from the internet. Locate control system networks and remote devices behind firewalls and isolating them from business networks. When remote access is required, use more secure methods, such as Virtual Private Networks (VPNs), recognizing VPNs may have vulnerabilities and should be updated to the most current version available. Also recognize VPN is only as secure as the connected devices. CISA reminds organizations to perform proper impact analysis and risk assessment prior to deploying defensive measures. CISA also provides a section for control systems security recommended practices on the ICS webpage on cisa.gov/ics. Several CISA products detailing cyber defense best practices are available for reading and download, including Improving Industrial Control Systems Cybersecurity with Defense-in-Depth Strategies. CISA encourages organizations to implement recommended cybersecurity strategies for proactive defense of ICS assets. Additional mitigation guidance and recommended practices are publicly available on the ICS webpage at cisa.gov/ics in the technical information paper, ICS-TIP-12-146-01B--Targeted Cyber Intrusion Detection and Mitigation Strategies. Organizations observing suspected malicious activity should follow established internal procedures and report findings to CISA for tracking and correlation against other incidents. CISA also recommends users take the following measures to protect themselves from social engineering attacks: Do not click web links or open attachments in unsolicited email messages. Refer to Recognizing and Avoiding Email Scams for more information on avoiding email scams. Refer to Avoiding Social Engineering and Phishing Attacks for more information on social engineering attacks. No known public exploitation specifically targeting these vulnerabilities has been reported to CISA at this time. Revision History Initial Release Date: 2026-09-10 Date Revision Summary 2026-09-10 1 Initial Publication Legal Notice and Terms of Use

Impact

NextGen Healthcare Mirth Connect versions 4.7.1 and earlier; vulnerabilities CVE-2026-82583, CVE-2026-78224, CVE-2026-82578.

Exploitation Status

No active exploitation has been reported at this time. However, organizations should still apply patches promptly as proof-of-concept code may exist.

Timeline

Disclosed on 2026-09-10

Remediation

Users are recommended to update Mirth Connect to version 4.7.2 or later. The latest version can be downloaded from the NextGen Healthcare customer portal.

Additional Information

This threat intelligence is aggregated from trusted cybersecurity sources. For the most up-to-date information, technical details, and official vendor guidance, please refer to the original article linked below.

Related Topics: This incident relates to Phishing, CVE, Update, and 1 more.

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