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A proposed class action accuses University Hospitals of negligence after an October 22 cyberattack that took its MyChart portal offline; the Cleveland patient's suit, filed October 28, claims more than a million records were exposed, a number University Hospitals has not confirmed. University of New Mexico Health Sciences Center disclosed a cyberattack October 26 that diverted ambulances for about two hours; the BYOD extortion group claims it compromised 36,000 systems, a figure UNM has not confirmed. Philips updated its Node2Shell advisory October 27 for CVE-2026-111497, the Node.js Brotli decoder flaw it first flagged October 26 against PIC iX 4.x; the advisory still names no impacted products or fixed version. Philips updated its PHP2Shell advisory October 27 for CVE-2026-109618 and CVE-2026-109619, adding five more affected products including IntelliSpace Portal V12 and Philips Axon to the seven already listed. NorthShore Health Centers disclosed a data breach to patients October 27, one of several Midwest provider notifications issued that week. Denver Health Medical Plan notified more than 238,000 members October 26 about a vendor-related data incident. A proposed class action accuses University Hospitals of negligence after an October 22 cyberattack that took its MyChart portal offline; the Cleveland patient's suit, filed October 28, claims more than a million records were exposed, a number University Hospitals has not confirmed. University of New Mexico Health Sciences Center disclosed a cyberattack October 26 that diverted ambulances for about two hours; the BYOD extortion group claims it compromised 36,000 systems, a figure UNM has not confirmed. Philips updated its Node2Shell advisory October 27 for CVE-2026-111497, the Node.js Brotli decoder flaw it first flagged October 26 against PIC iX 4.x; the advisory still names no impacted products or fixed version. Philips updated its PHP2Shell advisory October 27 for CVE-2026-109618 and CVE-2026-109619, adding five more affected products including IntelliSpace Portal V12 and Philips Axon to the seven already listed. NorthShore Health Centers disclosed a data breach to patients October 27, one of several Midwest provider notifications issued that week. Denver Health Medical Plan notified more than 238,000 members October 26 about a vendor-related data incident.

Vulnerability

bioMérieux says some products include vulnerable Mirth Connect, CVE-2023-43208

MedDevice Cyber Staff · Apr 3 · 3 min read · Via bioMérieux security advisories

bioMérieux updated its NextGen Mirth Connect advisory on April 3, 2024 for CVE-2023-43208, which affects Mirth Connect 4.4.0 and prior versions. The company describes Mirth Connect as a third-party, open-source healthcare data integration platform.

bioMérieux says exploitation could allow an attacker to gain unauthorized access to or to compromise data. Its investigations found many products unaffected, but some products do include versions of NextGen Mirth Connect that are vulnerable.

No product names appear in the public advisory, and bioMérieux reports no evidence of exploitation on its products. An integration engine is the bridge between lab instruments and hospital systems, so the version check belongs to whoever owns that interface.

Are you a representative of NextGen? Submit an official response →

Remediation Desk

For ProvidersOperators, hospitals, and clinical engineering

Some bioMérieux products include NextGen Mirth Connect 4.4.0 or earlier, exposed to CVE-2023-43208, per the April 3, 2024 update. The public advisory names no products or fixed versions. Follow the recommendations bioMérieux sent customers and confirm the Mirth Connect version on each integration host.

Check Mirth versions. Confirm the Mirth Connect version on every bioMérieux integration host and flag 4.4.0 or earlier.
Apply vendor guidance. Follow the bioMérieux customer recommendations for CVE-2023-43208 or request them from your representative.
Restrict the interface. Limit access to Mirth Connect administration and listener ports to the LIS and required systems.

For Device ManufacturersAm I affected, and how to fix the class

Am I affected?

This class applies to devices with the signals and properties below. Check them against your product to gauge exposure. The named product rows list what the sources state about the affected product.

Required

Off-the-shelf software

Contributing

HL7 or FHIR integration

Mirth Connect

Off-the-shelf software

Fix the class in your product

The advisory is not for a bug you wrote; it is in a component you embed. As the maker, pin dependencies to fixed versions, generate an SBOM on every build including transitive components, and gate the pipeline on known-vulnerable components so an advisory maps to your products automatically.

Pin and inventory. Exact versions, and a CycloneDX or SPDX SBOM as a build artifact including transitive deps.
Gate on advisories. A CI scan fails a release carrying a component with a known advisory.
Own the field patch path. Know how you deliver a dependency or platform patch to fielded devices before you need it.

Mapped EMB3D mitigations

Questions & Answers

Which Mirth Connect versions does CVE-2023-43208 affect according to bioMérieux?

bioMérieux says CVE-2023-43208 affects NextGen Mirth Connect 4.4.0 and prior versions, and some bioMérieux products include vulnerable versions, per its April 3, 2024 update.

Has CVE-2023-43208 been exploited on bioMérieux products?

bioMérieux said in its April 3, 2024 Mirth Connect advisory that it has no evidence CVE-2023-43208 has been exploited on its products or product features.

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