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Full vulnerability report · 2026
CVE-2026-78224High confidence

NextGen Healthcare Mirth Connect Improper Restriction of XML External Entity Reference

NextGen Healthcare · Mirth Connect

8.8HighCVSS 4.0
Recommended action
Within 7 days

High technical severity; prioritise exposed affected systems while verifying vendor guidance.

Mitigation available
R
Operational reassessment

Published severity in operational context

Open reassessment dashboard →
Published severityHighOperational priority:High, unchanged from published severity.unchanged

Evidence used

  • No CISA KEV confirmation is currently recorded.
  • The selected CVSS metric records a network-reachable, unauthenticated path with no user interaction.
  • EPSS is 0.44% for the current model date.

Compensating controls

  • Apply the linked authoritative mitigation while planning the permanent fix.
  • Restrict the affected network interface to trusted sources where business-safe.
  • Monitor vendor guidance and exploitation sources for a material change.

Verification

  1. Confirm that the asset runs NextGen Healthcare Mirth Connect and falls inside the recorded affected range.
  2. Recheck the vendor advisory before scheduling a change because no verified fixed version is currently retained.
  3. Validate exposure, authentication requirements and compensating controls in the actual environment.
  4. Reopen this reassessment when CVSS, KEV, EPSS, exploit evidence or remediation changes.
Mitigation target: Within 30 daysRemediation target: Within 180 days

This automated reassessment organises public evidence. It does not know asset exposure, business impact or control effectiveness and does not replace CVSS or a human risk decision.

Optional official sources

National CERT insights
?CERT means Computer Emergency Response Team; CSIRT is the closely related term Computer Security Incident Response Team.

Choose official national sources for this report. Each advisory shows its original language. Your selection is remembered on this device and included in shared links.

Official European source

ENISA European Vulnerability Database

Official EUVD identifiers, advisory evidence and known-exploited context. Missing fields are not treated as evidence of low risk.

1 current
ENISA EUVD identifier

EUVD-2026-76116

No EUVD known-exploited evidence

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.

EUVD state
Present in the current official mapping
Known exploitation
Not present in the current ENISA EUVD known-exploited dataset. This is not proof of no exploitation.
ENISA score
8.8 · CVSS 4.0
Advisory evidence
No linked advisory details stored yet
Recommended actionWithin 7 days

High technical severity; prioritise exposed affected systems while verifying vendor guidance.

Mitigation available
01

What, why and how

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.

What

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.

Why

The product processes an XML document that can contain XML entities with URIs that resolve to documents outside of the intended sphere of control, causing the product to embed incorrect documents into its output.

How

An attacker operating through a network path may attempt exploitation without authentication or user interaction. If successful, the issue may cause the confidentiality, integrity or availability impact described by the vendor.

What

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.

Why

The product processes an XML document that can contain XML entities with URIs that resolve to documents outside of the intended sphere of control, causing the product to embed incorrect documents into its output.

How

An attacker operating through a network path may attempt exploitation without authentication or user interaction. If successful, the issue may cause the confidentiality, integrity or availability impact described by the vendor.

02

Exploit reality and attack path

CVSS severity, EPSS forecast probability, public exploit material and CISA-confirmed exploitation are separate signals.

Observed exploitation
?Confirmed exploitation and public exploit material are separate signals. Attacks can occur without public proof-of-concept or exploit code.
No confirmed evidence

No CISA KEV match was present at the last successful refresh. This means no confirmation from that source, not proof of no exploitation.

Public PoC / exploit material
?Confirmed exploitation and public exploit material are separate signals. Attacks can occur without public proof-of-concept or exploit code.
None recorded

No exploit-tagged reference or CISA SSVC proof-of-concept state is currently recorded. Research may still exist outside the structured feeds.

Likely attack path
a network path → Improper Restriction of XML External Entity Reference → cause the confidentiality, integrity or availability impact described by the vendor
Attack surface
Network
Privileges required
None: unauthenticated exploitation is possible
User interaction
None
Attack complexity
Low: no specialised conditions are recorded
Security boundary
Not a CVSS 4.0 base metric
Weakness
?CWE means Common Weakness Enumeration: a standard category for the underlying weakness.
CWE-611 ↗

CWE-611: Improper Restriction of XML External Entity Reference. The product processes an XML document that can contain XML entities with URIs that resolve to documents outside of the intended sphere of control, causing the product to embed incorrect documents into its output.

CVSS vector
?CVSS means Common Vulnerability Scoring System. The vector records the metric values used to calculate technical severity.
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

Common Vulnerability Scoring System 4.0: the compact vector below is decoded into plain language.

AVNetworkAttack vector: The vulnerable component can be reached over a network.ACLowAttack complexity: No specialised conditions are required beyond attacker-controlled input.ATNoneAttack requirements: No additional deployment or execution condition is required.PRNonePrivileges required: The attacker does not need an account or existing privileges.UINoneUser interaction: No action by another user is required.VCHighVulnerable-system confidentiality: A successful attack can cause a major loss.VINoneVulnerable-system integrity: No direct loss is represented by this metric.VALowVulnerable-system availability: A successful attack can cause a limited loss.SCNoneSubsequent-system confidentiality: No direct loss is represented by this metric.SINoneSubsequent-system integrity: No direct loss is represented by this metric.SANoneSubsequent-system availability: No direct loss is represented by this metric.
Post-exploitation / living off the land
No specific living-off-the-land technique is confirmed in the structured sources. Monitor normal administration tools for activity inconsistent with the affected service's baseline.
NetworkUnauthenticatedCWE-611
A

Official authority intelligence

Only matched European and national findings are included. Language selectors and unavailable sources are omitted.

ENISA EUVD · EUVD-2026-76116Official EUVD mapping

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.

Official EUVD record ↗
Cyber Security Agency of Singapore · English · CSA-SB-20260916Security Bulletin 16 Sep 2026

The Cyber Security Agency of Singapore included this CVE in its official Security Bulletin 16 Sep 2026, published on 16 September 2026. Open the linked bulletin for the product, severity and reference information published in that issue.

Official advisory ↗
CISA · English · ICSMA-26-253-01NextGen Healthcare Mirth Connect

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.

Official advisory ↗
03

Patch and workaround

Operational remediation based on structured source evidence.

Status
?Patch availability is based on structured fixed-version fields and authoritative update references. If no fix is verified, check the vendor advisory before making a change.
Mitigation available
Affected
Mirth Connect: 0 ≤ 4.7.1
Fixed
Mirth Connect: 4.7.2
Action
NextGen recommends users update Mirth Connect v4.7.2 or later. Users can download the latest version from the NextGen Healthcare customer portal.
Workaround
No verified workaround is recorded. If business-safe, reduce exposure to the affected interface and allow only trusted sources until authoritative guidance is available.
04

Evidence and provenance

Published 11 Sept 2026 · Last source change 11 Sept 2026, 14:57 UTC · CWE-611 · Improper Restriction of XML External Entity Reference

CVE recordCVE.org · 5.2
CVSS sourceCNA
EPSS source
?The date BlackTree first stored a score for this CVE from the daily FIRST EPSS feed.
FIRST · tracked since 2026-09-13
European sourceENISA EUVD · EUVD-2026-76116
Product sourceCNA
Remediation sourceCVE/CNA references
CWE sourceCNA
NVD statusNVD awaiting enrichment

Core structured fields are present and their contributing authorities are shown above.

Material change intelligence

What changed after publication

View recent updates ↗
  1. BlackTree coverageBlackTree article coverage changed from no BlackTree article to 1 BlackTree article.
    Before
    no BlackTree article
    After
    1 BlackTree article
    BlackTree editorial ↗
  2. ENISA EUVD mappingEUVD-2026-76116 was added to the official ENISA EUVD mapping for this CVE.
    Before
    not recorded
    After
    {"euvdId":"EUVD-2026-76116"}
    ENISA EUVD ↗
  3. Affected versionsThe structured affected or fixed version information changed.
    Before
    ≤ 4.7.1 · Fixed: 4.7.2
    After
    Mirth Connect: ≤ 4.7.1 · Fixed: Mirth Connect: 4.7.2
    CNA ↗
  4. Catalogue recordCVE added to the BlackTree catalogue.
    CNA ↗
  5. Remediation statusRemediation status changed from Patch available to Mitigation available.
    Before
    Patch available
    After
    Mitigation available
    CISA ↗
Material fields only · duplicate refreshes suppressed · history retained for the configured operational retention period
CVE published
Fixed release or patch reference recorded
Remediation guidance recorded
ENISA EUVD · EUVD-2026-76116↗CVE authority or vendor reference↗Official CVE record (CNA and ADP data)↗NVD record↗
Technical terms and abbreviations used in this report
CVE
Common Vulnerabilities and Exposures: the public identifier for one disclosed vulnerability.
CVSS
Common Vulnerability Scoring System: a technical severity framework; it is not patching priority by itself.
EPSS
Exploit Prediction Scoring System: FIRST's estimate of the probability that exploitation activity will be observed in the next 30 days; it is a forecast, not confirmation.
CWE
Common Weakness Enumeration: the standard category describing the underlying software or hardware weakness.
CNA
CVE Numbering Authority: an organisation authorised to assign and publish CVE records.
CISA ADP
Cybersecurity and Infrastructure Security Agency Authorized Data Publisher: structured enrichment added to a CVE record.
NVD
National Vulnerability Database: NIST's enrichment service for CVE records.
CERT / CSIRT
A computer security incident response team that publishes warnings or coordinates incident response.
PoC
Proof of concept: public material that demonstrates or helps reproduce exploitation.
CSAF
Common Security Advisory Framework: a machine-readable format for security advisories.
LoTL
Living off the land: abuse of legitimate tools or system functions during an attack.
Free version - for non-commercial use only.CVE-2026-78224 · cve.blacktree.nl