interface/globals.php in OpenEMR 2.x, 3.x, and 4.x before 4.2.0 patch 2 allows remote attackers to bypass authentication and obtain sensitive information via an ignoreAuth=1 value to certain scripts, as demonstrated by (1) interface/fax/fax_dispatch_newpid.php and (2) interface/billing/sl_eob_search.php.

Unrestricted file upload vulnerability in the patient photograph functionality in OpenEMR 4 allows remote attackers to execute arbitrary PHP code by uploading a file with an executable extension followed by a safe extension, then accessing it via a direct request to the patient directory under documents/.

Cross-site scripting (XSS) vulnerability in setup.php in OpenEMR 4 allows remote attackers to inject arbitrary web script or HTML via the site parameter.

Multiple directory traversal vulnerabilities in OpenEMR 4.1.0 allow remote authenticated users to read arbitrary files via a .. (dot dot) in the formname parameter to (1) contrib/acog/print_form.php; or (2) load_form.php, (3) view_form.php, or (4) trend_form.php in interface/patient_file/encounter.

interface/fax/fax_dispatch.php in OpenEMR 4.1.0 allows remote authenticated users to execute arbitrary commands via shell metacharacters in the file parameter.