Severity by source
AV:N/AC:L/PR:L/UI:N/S:U/C:N/I:H/A:N
Primary rating from GitHub Advisory · only source for this CVE.
CVSS VectorGitHub Advisory
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:N/I:H/A:N
Lifecycle Timeline
4DescriptionGitHub Advisory
OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.2, the DICOM zip/export feature uses a user-supplied destination or path component when creating the zip file, without sanitizing path traversal sequences (e.g. ../). An attacker with DICOM upload/export permission can write files outside the intended directory, potentially under the web root, leading to arbitrary file write and possibly remote code execution if PHP or other executable files can be written. Version 8.0.0.2 fixes the issue.
AnalysisAI
Improper path sanitization in OpenEMR's DICOM export feature prior to version 8.0.0.2 allows authenticated users with DICOM permissions to write arbitrary files outside the intended directory through path traversal sequences. An attacker could exploit this to place malicious PHP files within the web root, potentially achieving remote code execution. The vulnerability requires valid credentials but poses significant risk to systems containing sensitive healthcare data.
Technical ContextAI
The vulnerability is rooted in CWE-22 (Improper Limitation of a Pathname to a Restricted Directory) within the DICOM export functionality of OpenEMR (cpe:2.3:a:openemr:openemr). The vulnerable code fails to sanitize or validate user-supplied path components before constructing file paths for zip archive creation. When an attacker supplies a malicious destination parameter containing relative path sequences such as ../, the application concatenates this unsanitized input directly into file system operations, allowing traversal beyond the intended export directory. Because OpenEMR is typically deployed as a web application with PHP execution enabled, successful path traversal to web-accessible directories could permit writing executable PHP files that could subsequently be invoked via HTTP requests.
RemediationAI
Immediately upgrade OpenEMR to version 8.0.0.2 or later, which contains the fix for path traversal validation in the DICOM export feature (see https://github.com/openemr/openemr/security/advisories/GHSA-rppw-f689-6hrm). Until patching is feasible, restrict DICOM upload and export functionality to trusted administrators only, and limit network access to the OpenEMR application to internal healthcare networks via firewall rules or VPN. Additionally, configure the web server (Apache/Nginx) to disable PHP execution in export/temporary directories if possible, or implement filesystem-level access controls to prevent execution of uploaded or exported files. Monitor access logs for suspicious patterns involving ../ sequences in DICOM export requests.
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External POC / Exploit Code
Leaving vuln.today
EUVD-2026-13154