CVE-2020-28937

7.5 HIGH

📋 TL;DR

CVE-2020-28937 is a missing authentication vulnerability in OpenClinic that allows unauthenticated attackers to access any patient's medical test results via direct requests to the /tests/ URI. This exposes Protected Health Information (PHI) stored in the application. All users running OpenClinic version 0.8.2 are affected.

💻 Affected Systems

Products:
  • OpenClinic
Versions: 0.8.2
Operating Systems: All platforms running OpenClinic
Default Config Vulnerable: ⚠️ Yes
Notes: This affects the default installation of OpenClinic 0.8.2. No special configuration is required for exploitation.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Mass PHI data breach with all patient medical test results exposed, leading to regulatory violations (HIPAA), reputational damage, and potential identity theft or medical fraud.

🟠

Likely Case

Unauthorized access to sensitive patient medical data, privacy violations, and potential regulatory fines for healthcare organizations.

🟢

If Mitigated

No data exposure if proper authentication controls are implemented and network access is restricted.

🌐 Internet-Facing: HIGH - Direct unauthenticated access to sensitive medical data makes internet-facing instances extremely vulnerable.
🏢 Internal Only: MEDIUM - Internal attackers or compromised accounts could still exploit this, but network segmentation reduces external threat surface.

🎯 Exploit Status

Public PoC: ⚠️ Yes
Weaponized: LIKELY
Unauthenticated Exploit: ⚠️ Yes
Complexity: LOW

Exploitation requires only a web browser or HTTP client to access the vulnerable endpoint. The advisory includes technical details that could be weaponized.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown

Vendor Advisory: No official vendor advisory found

Restart Required: No

Instructions:

No official patch available. Consider upgrading to a newer version if available, or implement authentication controls manually.

🔧 Temporary Workarounds

Implement Authentication Middleware

all

Add authentication checks before serving /tests/ endpoint requests

# Requires modifying OpenClinic source code to add authentication checks

Web Server Access Control

linux

Configure web server (Apache/Nginx) to require authentication for /tests/ path

# Apache: <Location "/tests/">
#   AuthType Basic
#   AuthName "Restricted"
#   Require valid-user
# </Location>
# Nginx: location /tests/ {
#   auth_basic "Restricted";
#   auth_basic_user_file /etc/nginx/.htpasswd;
# }

🧯 If You Can't Patch

  • Network segmentation: Isolate OpenClinic server to internal network only, block external access
  • Implement web application firewall (WAF) rules to block unauthenticated access to /tests/ endpoint

🔍 How to Verify

Check if Vulnerable:

Attempt to access http://[openclinic-server]/tests/ without authentication. If medical test data is returned, the system is vulnerable.

Check Version:

Check OpenClinic version in application interface or configuration files

Verify Fix Applied:

After implementing controls, verify that unauthenticated requests to /tests/ return authentication required error or no data.

📡 Detection & Monitoring

Log Indicators:

  • Unauthenticated GET requests to /tests/ endpoint
  • Multiple failed authentication attempts followed by /tests/ access

Network Indicators:

  • Unusual volume of requests to /tests/ endpoint from single IP
  • External IP addresses accessing /tests/ without prior authentication

SIEM Query:

source="web_server" AND (uri="/tests/" OR uri="/tests/*") AND NOT (user!="anonymous" OR auth_success="true")

🔗 References

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