Pathling: Typed CRUD/search/batch providers can lead to server-wide PHI exfiltration and cross-resource mutation
Key facts
- Attack vector
- Network
- Privileges required
- None
- User interaction
- None
- Attack complexity
- Low
- Attack requirements
- None
- Impact type
- Security bypass
- Confidentiality · integrity · availability
- High · None · None
- Fix status
- Fixed
Attack profile from CVSS 4.0 · CNA. Fix status from CNA. Impact type from CWE-285.
Summary
Pathling 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.
Why it matters now
SSVC decision points
CISA ADP · SSVC 2.0.3
- Exploitation
- Poc
- Automatable
- Yes
- Technical impact
- Partial
The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.
Affected products
Remediation
- Fix · CNA pathling (aehrc) Fixed in 2.0.0
Timeline
- 2026-10-02 Threatist record created from CVE-2026-47663
More aehrc vulnerabilities
- TI-2026-35169 Improper input validation in aehrc pathling CVSS 4.0HIGH 8.7
- TI-2026-35171 Pathling: $import-pnp operation enables authenticated SSRF, credential leakage, and warehouse data poisoning CVSS 4.0HIGH 8.6
- TI-2026-35168 Pathling has path traversal in $result endpoint that allows arbitrary warehouse file read CVSS 4.0HIGH 8.7
- TI-2026-35166 Pathling has path traversal in $import-pnp manifest that enables read-capable SSRF via /jobs/{jobId}/{filename} CVSS 4.0HIGH 8.7
- TI-2026-35167 Pathling: Explicit oauthMetadataUrl in bulk-submit allows OAuth client credential exfiltration CVSS 4.0HIGH 8.7
Sources
This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences