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SmileCDR HAPI FHIR CVE-2026-113875

| EUVDEUVD-2026-108275 LOW
Missing Authorization (CWE-862)
2026-10-22 cisa-cg GHSA-67jf-xf85-qx94
2.3
CVSS 4.0 · Vendor: cisa-cg
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Attack ChainAIDerived

Hypothetical attack flow derived from CVE metadata – not a confirmed exploit chain

  1. Access
    Authenticate as subscription-creation user
  2. Exploit
    Create crafted REST-hook subscription
  3. Execution
    Subscription criteria match restricted resources
  4. Impact
    Read FHIR data beyond granted permissions

Vulnerability Assessment

Weakness
CWE
OWASP Top 10:2025
A01:2025 - Broken Access Control
ASVS 5.0
V8 - Authorization Authorization checks on every request
MITRE ATT&CK

1 technique across 1 tactic: Privilege Escalation

The technique list with ATT&CK links and the kill-chain view is part of the Basic plan and up.

Exploitation Conditions

Exploitation requires two concrete prerequisites stated in the description: the SmileCDR HAPI FHIR server must have REST-hook subscriptions enabled, and the attacker must be an authenticated user who has specifically been granted subscription-creation permissions. These are the limiting factors - the actor must already be a trusted, provisioned internal user, the subscription feature must be turned on (not guaranteed to be default), and the CVSS AC:H indicates additional non-trivial conditions must be met to successfully reach resources outside the user's authorization. Impact is confined to unauthorized read access (confidentiality); no data modification or availability effect is indicated.

Impact

This is a genuinely low-priority issue, and the signals are internally consistent rather than conflicting. The CVSS 3.1 base score of 3.1 (AV:N/AC:H/PR:L/UI:N/S:U/C:L/I:N/A:N) reflects a network-reachable but authenticated (PR:L) weakness with high attack complexity (AC:H) and only limited confidentiality impact (C:L; no integrity or availability impact). The vuln.today decision label is 'monitor,' the weakest urgency tier, which aligns with the low CVSS. No EPSS score, no CISA KEV listing, and no SSVC breakdown (exploitation/automatable/technical-impact) were supplied in the input, so there is no quantitative exploitation-probability signal to weigh. No public exploit or PoC reference is present - the only references are the CVE.org record and a CISA CSAF advisory JSON, both of which are advisory sources, not exploit code. The realistic risk is a privilege/authorization boundary bypass (CWE-862, missing authorization) usable only by an already-trusted internal user who holds subscription-creation rights, to read FHIR resources beyond their normal permission set. In a healthcare/FHIR context the data exposed could be sensitive (PHI), which raises the consequence of the limited confidentiality impact, but the prerequisites and AC:H keep real-world exploitability narrow.

Exploit ScenarioDerived

An authenticated SmileCDR HAPI FHIR user who has been granted subscription-creation permissions creates a REST-hook subscription whose criteria target FHIR resources they are not otherwise authorized to read; the subscription delivery mechanism then returns or exposes those out-of-scope resources to them. No public exploit code is identified in the provided sources, and the attack requires the REST-hook subscription feature to be enabled and the actor to already hold subscription-creation rights.

Monitor Track and reassess. Why: LOW severity (CVSS 0.1-3.9).
No patch listed yet

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AnalysisAIv1 – Oct 22, 2026

Authorization bypass in SmileCDR HAPI FHIR servers that have REST-hook subscriptions enabled allows an authenticated user holding subscription-creation permissions to query and read FHIR resources they would not otherwise be authorized to access. The exposure is confidentiality-only (CVSS 3.1 base score 3.1, AV:N/AC:H/PR:L/UI:N/S:U/C:L/I:N/A:N): no data modification or availability impact is indicated, and successful exploitation depends on a specific combination of deployment configuration and delegated permission. No public exploit has been identified at time of analysis, and the issue is not in CISA KEV; the priority signal is monitor, consistent with a genuinely low-priority, prerequisite-heavy flaw.

RemediationAI

No vendor-released patch identified at time of analysis, and the supplied references contain no fixed version numbers, so no upgrade target can be quoted; consult the CVE.org record (https://www.cve.org/CVERecord?id=CVE-2026-113875) and the CISA CSAF advisory (https://raw.githubusercontent.com/cisagov/CSAF/develop/csaf_files/IT/white/2026/va-26-294-01.json) for the vendor's current guidance. Because exposure depends on two explicit prerequisites, the actionable compensating controls are to restrict the subscription-creation permission to a small, trusted set of accounts rather than granting it generally - accepting the operational cost that subscription-based integration users must be provisioned individually - and to disable REST-hook subscriptions on servers that do not require them, with the trade-off that any legitimate event-notification integrations on those servers stop working. Restricting the permission is the more targeted control for servers that must keep REST-hook subscriptions running, and it directly removes the delegation path this flaw depends on.

Affected VersionsENISA

HAPI FHIR 0 <*

Affects your stack

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Checking this CVE against your own stacks and servers is part of the Basic plan and up.

Technical ContextAI · show details

The affected technology is the HAPI FHIR engine as shipped in SmileCDR, which implements the FHIR REST-hook subscription mechanism: a client registers a subscription resource with a callback endpoint and the server subsequently pushes notifications matching the subscription criteria. The weakness class is CWE-862 (Missing Authorization), meaning the subscription path does not fully re-apply the creating user's resource-level authorization rules when resolving the resources a subscription touches, so a user permitted only to create subscriptions can reach resource data outside their own grant set. The precise code path and the exact additional conditions implied by AC:H are not described in the available sources. The CPE entry (cpe:2.3:a:smilecdr:hapi_fhir:*:*:*:*:*:*:*:*) is an unbounded wildcard, so no specific vulnerable or fixed version can be derived from the supplied intelligence; the only advisory material supplied is the CVE.org record and the CISA CSAF advisory file va-26-294-01.

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Severity by source

Vendor (cisa-cg) PRIMARY 2.3 LOW
CVSS:4.0/AV:N/AC:L/AT:P/PR:L/UI:N/VC:L/VI:N/VA:N/SC:N/SI:N/SA:N
vuln.today AI 3.1 LOW

Requires an authenticated user with subscription-creation rights (PR:L) and the subscription feature enabled plus matching criteria (AC:H); only limited unauthorized read, so C:L and I:N/A:N.

3.1 AV:N/AC:H/PR:L/UI:N/S:U/C:L/I:N/A:N
4.0 AV:N/AC:H/AT:N/PR:L/UI:N/VC:L/VI:N/VA:N/SC:N/SI:N/SA:N

Primary rating from Vendor (cisa-cg).

CVSS VectorVendor: cisa-cg

Attack Vector
Network
Attack Complexity
Low
Attack Requirements
Present
Privileges Required
Low
User Interaction
None
Vulnerable system: Confidentiality
Low
Vulnerable system: Integrity
None
Vulnerable system: Availability
None
Subsequent system: Confidentiality
None
Subsequent system: Integrity
None
Subsequent system: Availability
None

Lifecycle Timeline

1
CVSS changed
Oct 22, 2026 - 19:23 NVD
3.1 (LOW) 2.3 (LOW)

DescriptionCVE.org

On a SmileCDR HAPI FHIR server with REST-hook subscriptions enabled, if a user is granted subscription-creation permissions, they may be able to query and read resources that they are not otherwise permitted to access.

Threat Intelligence Overview

Prevalence
Low
commercial healthcare-specific FHIR server, industry-niche deployment footprint
Data Quality
3 sources
Confidence: Low

How this decision was reached

The engine reads each signal below and applies a fixed list of rules from top to bottom. The first rule that matches sets the recommended action – like a statement, every line is shown.

SignalValue
Severity LOW
CISA KEV No
Public POC No
EPSS N/A
Patch available No
Active threat No
Deciding rule
LOW severity (CVSS 0.1-3.9)
What every action level means
Emergency Immediate action required. Criteria: CRITICAL + in CISA KEV (actively exploited) without patch, OR CRITICAL + EPSS > 30% without patch, OR CRITICAL + active threat signals without patch.
Act Now Prioritize within 24-48h. Criteria: in KEV with patch available, OR CRITICAL + public POC, OR HIGH + EPSS > 10%, OR CRITICAL + active threat, OR any CRITICAL severity.
This Week Schedule remediation this week. Criteria: HIGH severity (CVSS 7.0-8.9). Patch within normal change window.
This Month Plan within 30 days. Criteria: MEDIUM severity (CVSS 4.0-6.9), lower exploitation probability. Include in regular patch cycle.
Monitor Track and reassess. Criteria: LOW severity (CVSS 0.1-3.9), minimal exploitation risk. No immediate action needed.

SSVC AssessmentENISA

SSVC Decision· derived
Defer
Exploitation· derived
None
System Exposure· derived
Open
Automatable· derived
No
Human Impact· derived
Low

Priority Score

12
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +12
PoC: 0
Weaponized: 0
Threat intel: 0
Gov advisory: 0

Attack Technique

Authentication bypass attacks exploit flaws in the verification mechanisms that control access to systems and applications.

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