In the default configuration, the HL7 listener accepts ADT^A40 patient-merge messages without authenticating the sending application. A remote sender can reassign studies and related workflow records from one patient identity to another. The archive's unmerge does not reverse this.
https://www.cisa.gov/news-events/ics-medical-advisories/icsma-26-288-02
https://github.com/cisagov/CSAF/blob/develop/csaf_files/OT/white/2026/icsma-26-288-02.json
Published: 2026-10-16
Updated: 2026-10-16
Base Score: 7.8
Vector: CVSS2#AV:N/AC:L/Au:N/C:N/I:C/A:N
Severity: High
Base Score: 7.5
Vector: CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:N/I:H/A:N
Severity: High
Base Score: 8.7
Vector: CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:N/VI:H/VA:N/SC:N/SI:N/SA:N
Severity: High