CVE-2022-2824

8.8 HIGH

📋 TL;DR

This vulnerability allows attackers to bypass authorization controls in OpenEMR by manipulating user-controlled keys, potentially accessing unauthorized data or functions. It affects all OpenEMR installations prior to version 7.0.0.1. Healthcare organizations using vulnerable versions are at risk of data breaches.

💻 Affected Systems

Products:
  • OpenEMR
Versions: All versions prior to 7.0.0.1
Operating Systems: All platforms running OpenEMR
Default Config Vulnerable: ⚠️ Yes
Notes: All OpenEMR deployments using affected versions are vulnerable regardless of configuration.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete compromise of patient health records, unauthorized access to sensitive medical data, and potential manipulation of medical records leading to patient harm.

🟠

Likely Case

Unauthorized access to patient records, exposure of protected health information (PHI), and potential HIPAA violations.

🟢

If Mitigated

Limited impact with proper access controls, but still represents a compliance violation and potential data exposure.

🌐 Internet-Facing: HIGH - OpenEMR is often deployed as a web application accessible over the internet, making it directly exploitable by remote attackers.
🏢 Internal Only: MEDIUM - Even internal-only deployments are vulnerable to insider threats or compromised internal systems.

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: UNKNOWN
Unauthenticated Exploit: ✅ No
Complexity: LOW

Exploitation requires some level of access but is technically straightforward once the vulnerability is understood.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: 7.0.0.1 and later

Vendor Advisory: https://github.com/openemr/openemr/commit/c5d99452c173ef21a8e2241e2bbf4b66e2d7fe11

Restart Required: Yes

Instructions:

1. Backup your OpenEMR database and files. 2. Download OpenEMR 7.0.0.1 or later from the official repository. 3. Follow the OpenEMR upgrade documentation for your specific deployment. 4. Restart the web server and verify functionality.

🔧 Temporary Workarounds

Temporary Access Restriction

all

Implement strict network access controls to limit who can access the OpenEMR application while patching is arranged.

🧯 If You Can't Patch

  • Implement strict network segmentation and firewall rules to limit access to OpenEMR only to authorized users and systems.
  • Enable detailed audit logging and monitor for unauthorized access attempts to patient records.

🔍 How to Verify

Check if Vulnerable:

Check your OpenEMR version by navigating to Administration > Version in the OpenEMR interface or checking the version.php file.

Check Version:

grep -i 'version' /path/to/openemr/version.php

Verify Fix Applied:

Verify the version is 7.0.0.1 or later and test authorization controls for user-controlled key parameters.

📡 Detection & Monitoring

Log Indicators:

  • Unusual access patterns to patient records
  • Failed authorization attempts followed by successful access
  • Access to records by users outside their normal scope

Network Indicators:

  • Unusual API calls with manipulated parameter values
  • Requests containing unexpected key/value pairs in authorization contexts

SIEM Query:

source="openemr_logs" AND (event_type="authorization_failure" OR event_type="record_access") | stats count by user, patient_id

🔗 References

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