Pathling: Typed CRUD/search/batch providers can lead to server-wide PHI exfiltration and cross-resource mutation

Summary

CVECVE-2026-47663
StatePUBLISHED
AssignerGitHub_M
Source PriorityCVE Program / NVD first with legacy fallback
Published2026-08-07 21:17:28 UTC
Updated2026-08-07 21:17:28 UTC
DescriptionPathling is a set of tools that make it easier to use FHIR and clinical terminology within health data analytics. Prior to version 2.0.0 of Pathling Server, Pathling's typed CRUD/search/batch FHIR surface allows an authenticated caller with only coarse operation authorities to act on attacker-chosen resource families because those entrypoints do not consistently enforce the documented per-resource `read` and `write` authorities. The documented authorization model requires an operation authority (e.g. `pathling:search`) to be paired with the matching per-resource `read` or `write` authority (e.g. `pathling:read:Patient`). Delete and batch are documented to require write authority for all referenced resource types. However, typed search, update, and related handlers are annotated only with `@OperationAccess(...)` and act on the provider-selected resource type without checking the corresponding per-resource authority. This is fixed in Pathling Server 2.0.0.

Risk And Classification

Primary CVSS: v4.0 8.7 HIGH from [email protected]

CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

EPSS: 0.002390000 probability, percentile 0.150310000 (date 2026-08-08)

Problem Types: CWE-285 | CWE-285 CWE-285: Improper Authorization


VersionSourceTypeScoreSeverityVector
4.0[email protected]Secondary8.7HIGHCVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/C...
4.0CNADECLARED8.7HIGHCVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N

CVSS v4.0 Breakdown

Attack Vector
Network
Attack Complexity
Low
Attack Requirements
None
Privileges Required
None
User Interaction
None
Confidentiality
High
Integrity
None
Availability
None
Sub Conf.
None
Sub Integrity
None
Sub Availability
None

CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

Vendor Declared Affected Products

SourceVendorProductVersionPlatforms
CNA Aehrc Pathling affected < 2.0.0 Not specified

References

ReferenceSourceLinkTags
github.com/aehrc/pathling/security/advisories/GHSA-q62q-2m46-r7rv [email protected] github.com
CVE Program record CVE.ORG www.cve.org canonical
NVD vulnerability detail NVD nvd.nist.gov canonical, analysis

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