open-emr Vulnerabilities

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, OpenEMR contains a SQL injection vulnerability in the ajax graphs library that can be exploited by authenticated attackers. The vulnerability exists due to insufficient input validation in the ajax graphs library. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, an inverted boolean condition in ControllerRouter::route() causes the admin/super ACL check to be enforced only for controllers that already have their own internal authorization (review, log), while leaving all other CDR controllers — alerts, ajax, edit, add, detail, browse — accessible to any authenticated user. This allows any logged-in user to suppress clinical decision support alerts system-wide, delete or modify clinical plans, and edit rule configurations — all operations intended to require administrator privileges. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, track/item names from the Track Anything feature are stored from user input (POST) and later rendered in Dygraph charts (titles/labels) using innerHTML or equivalent without escaping. A user who can create or edit Track Anything items can inject script that runs when any user views the corresponding graph. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, the dynamic code picker AJAX endpoint returns code descriptions (code_text) that are rendered in the front end (e.g. DataTables) without HTML escaping. If an administrator (or user with code management rights) creates or edits a code with a malicious description containing script, that script runs in the browser of every user who uses the picker. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, sensitivity checks for group encounters are broken because the code only consults form_encounter for sensitivity, while group encounters store sensitivity in form_groups_encounter. As a result, sensitivity is never correctly applied to group encounters, and users who should be restricted from viewing sensitive (e.g. mental health) encounters can view them. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, the Claim File Tracker feature exposes an AJAX endpoint that returns billing claim metadata (claim IDs, payer info, transmission logs). The endpoint does not enforce the same ACL as the main billing/claims workflow, so authenticated users without appropriate billing permissions can access this data. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, Stored XSS in prescription CSS/HTML print view via patient demographics. That finding involves server-side rendering of patient names via raw PHP echo. This finding involves client-side DOM-based rendering via jQuery .html() in a completely different component (portal/sign/assets/signer_api.js). The two share the same root cause (unsanitized patient names in patient_data), but they have different sinks, different affected components, different trigger actions, and require independent fixes. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, stored cross-site scripting (XSS) in the Graphical Pain Map ("clickmap") form allows any authenticated clinician to inject arbitrary JavaScript that executes in the browser of every subsequent user who views the affected encounter form. Because session cookies are not marked HttpOnly, this enables full session hijacking of other users, including administrators. This vulnerability is fixed in 8.0.0.1.

OpenEMR is a free and open source electronic health records and medical practice management application. From 5.0.2 to before 8.0.0, there are (at least) two paths where the gateway_api_key secret value is rendered to the client in plaintext. These secret keys being leaked could result in arbitrary money movement or broad account takeover of payment gateway APIs. This vulnerability is fixed in 8.0.0.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0, an unauthenticated token disclosure vulnerability in the MedEx callback endpoint allows any unauthenticated visitor to obtain the practice's MedEx API tokens, leading to complete third-party service compromise, PHI exfiltration, unauthorized actions on the MedEx platform, and HIPAA violations. The vulnerability exists because the endpoint bypasses authentication ($ignoreAuth = true) and performs a MedEx login whenever $_POST['callback_key'] is provided, returning the full JSON response including sensitive API tokens. This vulnerability is fixed in 8.0.0.

OpenEMR is a free and open source electronic health records and medical practice management application. In 7.0.4 and earlier, the disposeDocument() method in EtherFaxActions.php allows authenticated users to write arbitrary content to arbitrary locations on the server filesystem. This vulnerability can be exploited to achieve Remote Code Execution (RCE) by uploading malicious PHP web shells.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, in `portal/portal_payment.php`, the patient id used for the page is taken from the request (`$pid = $_REQUEST['pid'] ?? $pid` and `$pid = ($_REQUEST['hidden_patient_code'] ?? null) > 0 ? $_REQUEST['hidden_patient_code'] : $pid`) instead of being fixed to the authenticated portal user. The portal session already has a valid `$pid` for the logged-in patient. Overwriting it with user-supplied values and using it without authorization allows a portal user to view and interact with another patient's demographics, invoices, and payment history—horizontal privilege escalation and IDOR. Version 8.0.0 contains a fix for the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. In versions up to and including 8.0.0, an arbitrary file exfiltration vulnerability in the fax sending endpoint allows any authenticated user to read and transmit any file on the server (including database credentials, patient documents, system files, and source code) via fax to an attacker-controlled phone number. The vulnerability exists because the endpoint accepts arbitrary file paths from user input and streams them to the fax gateway without path restrictions or authorization checks. As of time of publication, no known patched versions are available.

OpenEMR is a free and open source electronic health records and medical practice management application. In versions up to and including 8.0.0, the eye exam (eye_mag) view loads data by `form_id` (or equivalent) without verifying that the form belongs to the current user’s patient/encounter context. An authenticated user can access or edit any patient’s eye exam by supplying another form ID; in some flows the session’s active patient may also be switched. A fix is available on the `main` branch of the OpenEMR GitHub repository.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the Layout-Based Form (LBF) printable view accepts `formid` and `visitid` (or `patientid`) from the request and does not verify that the form belongs to the current user’s authorized patient/encounter. An authenticated user with LBF access can enumerate form IDs and view or print any patient’s encounter forms. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the document controller’s `patient_picture` context serves the patient’s photo by document ID or patient ID without verifying that the current user is authorized to access that patient. An authenticated user with document ACL can supply another patient’s ID and retrieve their photo. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the DICOM viewer state API (e.g. upload or state save/load) accepts a document ID (`doc_id`) without verifying that the document belongs to the current user’s authorized patient or encounter. An authenticated user can read or modify DICOM viewer state (e.g. annotations, view settings) for any document by enumerating document IDs. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Versions prior to 8.0.0 contain a SQL injection vulnerability in prescription that can be exploited by authenticated attackers. The vulnerability exists due to insufficient input validation in the prescription listing functionality. Version 8.0.0 fixes the vulnerability.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, users with the "Forms administration" role can fill questionnaires ("forms") in patient encounters. The answers to the forms are displayed on the encounter page and in the visit history for the users with the same role. There exists a stored cross-site scripting (XSS) vulnerability in the function to display the form answers, allowing any authenticated attacker with the specific role to insert arbitrary JavaScript into the system by entering malicious payloads to the form answers. The JavaScript code is later executed by any user with the form role when viewing the form answers in the patient encounter pages or visit history. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the session expiration check in `library/auth.inc.php` runs only when `skip_timeout_reset` is not present in the request. When `skip_timeout_reset=1` is sent, the entire block that calls `SessionTracker::isSessionExpired()` and forces logout on timeout is skipped. As a result, any request that includes this parameter (e.g. from auto-refresh pages like the Patient Flow Board) never runs the expiration check: expired sessions can continue to access data indefinitely, abandoned workstations stay active, and an attacker with a stolen session cookie can keep sending `skip_timeout_reset=1` to avoid being logged out. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the Message Center accepts the URL parameter `show_all=yes` and passes it to `getPnotesByUser()`, which returns all internal messages (all users’ notes). The backend does not verify that the requesting user is an administrator before honoring `show_all=yes`. The "Show All" link is also visible to non-admin users. As a result, any authenticated user can view the entire internal message list by requesting `messages.php?show_all=yes`. Version 8.0.0 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token’s OpenEMR ACLs—effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, an SQL injection vulnerability in the Patient REST API endpoint allows authenticated users with API access to execute arbitrary SQL queries through the `_sort` parameter. This could potentially lead to database access, PHI (Protected Health Information) exposure, and credential compromise. The issue occurs when user-supplied sort field names are used in ORDER BY clauses without proper validation or identifier escaping. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, an authorization bypass vulnerability in the patient portal signature endpoint allows authenticated portal users to upload and overwrite provider signatures by setting `type=admin-signature` and specifying any provider user ID. This could potentially lead to signature forgery on medical documents, legal compliance violations, and fraud. The issue occurs when portal users are allowed to modify provider signatures without proper authorization checks. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, an authorization bypass vulnerability in the FHIR CareTeam resource endpoint allows patient-scoped FHIR tokens to access care team data for all patients instead of being restricted to only the authenticated patient's data. This could potentially lead to unauthorized disclosure of Protected Health Information (PHI), including patient-provider relationships and care team structures across the entire system. The issue occurs because the `FhirCareTeamService` does not implement the `IPatientCompartmentResourceService` interface and does not pass the patient binding parameter to the underlying service, bypassing the patient compartment filtering mechanism. Version 8.0.0 contains a patch for this issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, an SQL injection vulnerability in the Immunization module allows any authenticated user to execute arbitrary SQL queries, leading to complete database compromise, PHI exfiltration, credential theft, and potential remote code execution. The vulnerability exists because user-supplied `patient_id` values are directly concatenated into SQL WHERE clauses without parameterization or escaping. Version 8.0.0 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Versions prior to 8.0.0 have an information disclosure vulnerability that leaks the entire contact information for all users, organizations, and patients in the system to anyone who has the system/(Group,Patient,*).$export operation and system/Location.read capabilities. This vulnerability will impact OpenEMR versions since 2023. This disclosure will only occur in extremely high trust environments as it requires using a confidential client with secure key exchange that requires an administrator to enable and grant permission before the app can even be used. This will typically only occur in server-server communication across trusted clients that already have established legal agreements. Version 8.0.0 contains a patch. As a workaround, disable clients that have the vulnerable scopes and only allow clients that do not have the system/Location.read scope until a fix has been deployed.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, a Broken Access Control vulnerability exists in the OpenEMR order types management system, allowing low-privilege users (such as Receptionist) to add and modify procedure types without proper authorization. This vulnerability is present in the /openemr/interface/orders/types_edit.php endpoint. Version 8.0.0 contains a patch.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the server does not properly validate user permission. Unauthorized users can view the information of authorized users. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the OpenEMR application is vulnerable to an access control flaw that allows low-privileged users, such as receptionists, to export the entire message list containing sensitive patient and user data. The vulnerability lies in the message_list.php report export functionality, where there is no permission check before executing sensitive database queries. The only control in place is CSRF token verification, which does not prevent unauthorized data access if the token is acquired through other means. Version 8.0.0 fixes the vulnerability.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, a Broken Access Control vulnerability exists in OpenEMR’s edih_main.php endpoint, which allows any authenticated user—including low-privilege roles like Receptionist—to access EDI log files by manipulating the log_select parameter in a GET request. The back-end fails to enforce role-based access control (RBAC), allowing sensitive system logs to be accessed outside the GUI-enforced permission boundaries. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 7.0.4, the `disposeDocument()` method in `EtherFaxActions.php` allows authenticated users to read arbitrary files from the server filesystem. Any authenticated user (regardless of privilege level) can exploit this vulnerability to read sensitive files. Version 7.0.4 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the Eye Exam form module allows any authenticated user to be redirected to an arbitrary external URL. This can be exploited for phishing attacks against healthcare providers using OpenEMR. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the `xl()` translation function returns unescaped strings. While wrapper functions exist for escaping in different contexts (`xlt()` for HTML, `xla()` for attributes, `xlj()` for JavaScript), there are places in the codebase where `xl()` output is used directly without escaping. If an attacker could insert malicious content into the translation database, these unescaped outputs could lead to XSS. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, a stored cross-site scripting vulnerability in the GAD-7 anxiety assessment form allows authenticated users with clinician privileges to inject malicious JavaScript that executes when other users view the form. This enables session hijacking, account takeover, and privilege escalation from clinician to administrator. Version 8.0.0 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 7.0.4, when a link is sent via Secure Messaging, clicking the link opens the website within the OpenEMR/Portal site. This behavior could be exploited for phishing. Version 7.0.4 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 7.0.4, OpenEMR's HTTP client wrapper (`oeHttp`/`oeHttpRequest`) disables SSL/TLS certificate verification by default (`verify: false`), making all external HTTPS connections vulnerable to man-in-the-middle (MITM) attacks. This affects communication with government healthcare APIs and user-configurable external services, potentially exposing Protected Health Information (PHI). Version 7.0.4 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Versions 5.0.0.5 through 7.0.3.4 have a stored cross-site scripting vulnerability in the ub04 helper of the billing interface. The variable `$data` is passed in a click event handler enclosed in single quotes without proper sanitization. Thus, despite `json_encode` a malicious user can still inject a payload such as ` ac' ><img src=x onerror=alert(document.cookie)> ` to trigger the bug. This vulnerability allows low privileged users to embed malicious JS payloads on the server and perform stored XSS attack. This, in turn makes it possible for malicious users to steal the session cookies and perform unauthorized actions impersonating administrators. Version 7.0.4 patches the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Versions prior to 7.0.4 have a broken access control in the Profile Edit endpoint. An authenticated normal user can modify the request parameters (pubpid / pid) to reference another user’s record; the server accepts the modified IDs and applies the changes to that other user’s profile. This allows one user to alter another user’s profile data (name, contact info, etc.), and could enable account takeover. Version 7.0.4 fixes the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. Versions prior to 7.0.4 have a vulnerability where sensitive data is unintentionally revealed to unauthorized parties. Contents of Clinical Notes and Care Plan, where an encounter has Sensitivity=high, can be viewed and changed by users who do not have Sensitivities=high privilege. Version 7.0.4 fixes the issue.

OpenEMR 5.0.2.1 contains a cross-site scripting vulnerability that allows authenticated attackers to inject malicious JavaScript through user profile parameters. Attackers can exploit the vulnerability by crafting a malicious payload to download and execute a web shell, enabling remote command execution on the vulnerable OpenEMR instance.

An authenticated SQL injection vulnerability exists in OpenEMR ≤ 4.1.1 Patch 14 that allows a low-privileged attacker to extract administrator credentials and subsequently escalate privileges. Once elevated, the attacker can exploit an unrestricted file upload flaw to achieve remote code execution, resulting in full compromise of the application and its host system.

OpenEMR is a free and open source electronic health records and medical practice management application. A stored cross-site scripting (XSS) vulnerability in versions prior to 7.0.3.4 allows any authenticated user with patient creation and editing privileges to inject arbitrary JavaScript code into the system by entering malicious payloads in the (1) Text Box fields of Address, Address Line 2, Postal Code and City fields and (2) Drop Down menu options of Address Use, State and Country of the Additional Addresses section of the Contact tab in Patient Demographics. The injected script can execute in two scenarios: (1) dynamically during form input, and (2) when the form data is later loaded for editing. Version 7.0.3.4 contains a patch for the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. A logging oversight in versions prior to 7.0.3.4 allows password change events to go unrecorded on the client-side log viewer, preventing administrators from auditing critical actions. This weakens traceability and opens the system to undetectable misuse by insiders or attackers. Version 7.0.3.4 contains a patch for the issue.

OpenEMR is a free and open source electronic health records and medical practice management application. A stored cross-site scripting (XSS) vulnerability in versions prior to 7.0.3.4 allows any authenticated user with patient creation privileges to inject arbitrary JavaScript code into the system by entering malicious payloads in the First and Last Name fields during patient registration. This code is later executed when viewing the patient's encounter under Orders → Procedure Orders. Version 7.0.3.4 contains a patch for the issue.

OpenEMR 7.0.2 is vulnerable to SQL Injection via \openemr\library\classes\Pharmacy.class.php, \controllers\C_Pharmacy.class.php and \openemr\controller.php.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 7.0.3.1, the Patient Image feature in OpenEMR is vulnerable to cross-site scripting attacks via the EXIF title in an image. This vulnerability is fixed in 7.0.3.1.

OpenEMR is a free and open source electronic health records and medical practice management application. An Out-of-Band Server-Side Request Forgery (OOB SSRF) vulnerability was identified in OpenEMR, allowing an attacker to force the server to make unauthorized requests to external or internal resources. this attack does not return a direct response but can be exploited through DNS or HTTP interactions to exfiltrate sensitive information. This vulnerability is fixed in 7.0.3.1.

OpenEMR is a free and open source electronic health records and medical practice management application. A stored XSS vulnerability in the Bronchitis form component of OpenEMR allows anyone who is able to edit a bronchitis form to steal credentials from administrators. This vulnerability is fixed in 7.0.3.

OpenEMR is a free and open source electronic health records and medical practice management application. OpenEMR allows reflected cross-site scripting (XSS) in the AJAX Script interface\super\layout_listitems_ajax.php via the target parameter. This vulnerability is fixed in 7.0.3.