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Security audit

AU Allied Health Notes Recall

Security checks for vulnerabilities and agentic risk

Overview

The skill is a coherent Australian allied-health documentation helper, but it includes unsafe clinical-record examples that invent patient details despite its own guardrails.

Review carefully before installing in a real practice. The skill should not be used to produce filing-ready clinical notes unless every patient statement, objective finding, assessment, intervention, exercise, dosage, and billing detail is supplied or explicitly verified by the clinician. Current MBS descriptors, session limits, and rebate amounts should be checked against official sources before billing.

Vulnerability Patterns
  • Insecure Skill Coding PracticesFinds exploitable flaws such as hardcoded secrets or command injection
  • Skill Instruction HijackingAlters the agent's session goals or safety constraints when the skill loads
  • Agent Memory PoisoningWrites attacker-controlled rules into memory that affect later sessions
  • Remote Payload Retrieval and ExecutionFetches external code whose behavior can change after review
  • Embedded Malicious CodeShips malicious scripts inside the skill and executes them locally
Findings (1)

T09 · Insecure Skill Coding Practices

Warning
Location
SKILL.md:700
Finding

Clinical Record Example Fabricates Unsupported Patient Findings and Interventions

Content
View full analysis
Remediation
View remediation
Vulnerability Patterns
  • Trigger AbuseOverly Broad Trigger, Shadow Command Trigger, Keyword Baiting Trigger
  • MCP Tool PoisoningHidden Instructions, Unicode Deception, Parameter Description Injection
  • Prompt InjectionInstruction Override, Hidden Instructions, Exfiltration Commands
  • Data ExfiltrationExternal Transmission, Env Variable Harvesting, File System Enumeration
  • Privilege EscalationExcessive Permissions, Sudo/Root Execution, Credential Access
Findings (4)

Intent-Code Divergence

High
Category
Not specified by scanner
Confidence
98% confidence
Finding

The skill says it must never fabricate patient clinical details and should use placeholders when data is incomplete, but its example SOAP note includes detailed clinical findings, measurements, and treatment specifics that were not supplied by the user. In a clinical documentation context, this normalizes hallucinated medical record content and could lead clinicians to adopt or submit inaccurate notes that affect care continuity, audits, or Medicare substantiation.

Content

No source excerpt is available for this finding.

Vague Triggers

Medium
Category
Not specified by scanner
Confidence
90% confidence
Finding

The trigger list includes generic phrases such as "clinical note," "write a note," "draft a note," and especially "item number" and "privacy," which can appear in many ordinary conversations beyond this skill's intended scope. Although the file includes a "Do NOT use" section, it does not provide enough trigger constraints or negative trigger examples to prevent accidental activation in unrelated contexts.

Content

No source excerpt is available for this finding.

Intent-Code Divergence

Medium
Category
Not specified by scanner
Confidence
96% confidence
Finding

The skill explicitly instructs the agent to never state Medicare rebate dollar amounts from memory, yet elsewhere embeds a specific rebate figure as reference content. In a billing/compliance-focused healthcare skill, stale or incorrect rebate values can mislead users into making billing or patient-fee decisions based on inaccurate information, undermining the skill's own safety guardrails.

Content

No source excerpt is available for this finding.

Vague Triggers

Low
Category
Not specified by scanner
Confidence
84% confidence
Finding

The task table uses broad examples like "help with my notes," "what code," and "report back," which are ambiguous outside this domain and could match everyday requests. The surrounding instructions do not explicitly require that these phrases be interpreted only in Australian allied health documentation or Medicare contexts.

Content

No source excerpt is available for this finding.

Static analysis

No suspicious patterns detected.