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Openemr CVE-2026-24898

CRITICAL
Improper Authentication (CWE-287)
2026-03-03 security-advisories@github.com
10.0
CVSS 3.1 · GitHub Advisory
View

Attack ChainAIDerived

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

  1. Access
    Send HTTP POST request to MedEx callback endpoint
  2. Delivery
    Provide arbitrary callback_key parameter
  3. Exploit
    Trigger unauthenticated MedEx login
  4. Execution
    Obtain practice's API tokens
  5. Impact
    Exfiltrate PHI via MedEx platform

Vulnerability Assessment

Weakness
CWE
OWASP Top 10:2025
A07:2025 - Authentication Failures
ASVS 5.0
V6 - Authentication Authentication mechanism validation
MITRE ATT&CK

2 techniques across 2 tactics: Defense Evasion, Initial Access

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

Exploitation Conditions

OpenEMR versions prior to 8.0.0 with MedEx callback endpoint accessible via POST request. No authentication required; endpoint explicitly sets $ignoreAuth = true and accepts unauthenticated POST requests with callback_key parameter.

Impact

CVSS 10.0. Complete EHR access without authentication.

Exploit ScenarioDerived

Discover token to authenticate as any user.

Act Now Prioritize within 24-48h. Why: CRITICAL severity + public POC available.
Patch available 0.2% exploitation probability (EPSS)

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AnalysisAIv1 – Mar 12, 2026

Unauthenticated token disclosure in OpenEMR before 8.0.0. CVSS 10.0. PoC and patch available.

Earlier versions of this analysis (1)
v1 Mar 12, 2026 - 22:05 CVSS 10.0

Token disclosure for auth bypass in OpenEMR.

RemediationAI

Update to OpenEMR 8.0.0.

Affects your stack

Find out whether the stacks and servers you run are on an affected version.

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

Technical ContextAI · show details

CWE-287 unauthenticated token access.

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  • Check this CVE against your own stack and servers
  • Exploit and PoC references, threat intelligence from 22 sources

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Severity by source

GitHub Advisory PRIMARY 10.0 CRITICAL
AV:N/AC:L/PR:N/UI:N/S:C/C:H/I:H/A:H

Primary rating from GitHub Advisory · only source for this CVE.

CVSS VectorGitHub Advisory

Attack Vector
Network
Attack Complexity
Low
Privileges Required
None
User Interaction
None
Scope
Changed
Confidentiality
High
Integrity
High
Availability
High

Lifecycle Timeline

3
PoC Detected
Mar 04, 2026 - 21:57 vuln.today
Public exploit code
Patch released
Mar 04, 2026 - 21:57 nvd
Patch available
CVE Published
Mar 03, 2026 - 22:16 nvd
CRITICAL 10.0

DescriptionGitHub Advisory

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0, an unauthenticated token disclosure vulnerability in the MedEx callback endpoint allows any unauthenticated visitor to obtain the practice's MedEx API tokens, leading to complete third-party service compromise, PHI exfiltration, unauthorized actions on the MedEx platform, and HIPAA violations. The vulnerability exists because the endpoint bypasses authentication ($ignoreAuth = true) and performs a MedEx login whenever $_POST['callback_key'] is provided, returning the full JSON response including sensitive API tokens. This vulnerability is fixed in 8.0.0.

Executive ViewAI

Why It Matters

CVE-2026-24898 is a critical vulnerability affecting OpenEMR systems with a perfect CVSS score of 10.0, indicating complete system compromise is possible. Organizations using OpenEMR for patient records and medical operations face immediate risk of data breach, system takeover, and operational disruption, with public exploits already available.

Business Impact: Severe
Compensating Controls

Apply vendor patch. If immediate patching is not feasible: implement strict network segmentation to limit OpenEMR access to essential users only, deploy WAF rules blocking known exploit patterns, disable unnecessary OpenEMR features, enforce multi-factor authentication for all access, and increase logging/monitoring for detection of exploitation attempts.

Threat Intelligence Overview

EPSS Score
0.2%
Top 55% exploitable
Exploit
POC
Public exploit code exists
Data Quality
4 sources
Confidence: Medium

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 CRITICAL
CISA KEV No
Public POC Yes
EPSS 0.2%
Patch available Yes
Active threat No
Deciding rule
CRITICAL severity + public POC available
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
Out-of-Cycle
Exploitation· derived
Poc
System Exposure· derived
Open
Automatable· derived
Yes
Human Impact
Very High

Priority Score

70
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +50
PoC: +20
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.

Information disclosure occurs when an application unintentionally exposes sensitive data that aids attackers in reconnaissance or directly compromises security.

Affected Products (CPE)GitHub Advisory

cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*

Related Vulnerabilities in OpenEMR Multiple Critical Vulnerabilities

View all 3
CVE-2013-10044 HIGH POC
8.7 Aug 01

An authenticated SQL injection vulnerability exists in OpenEMR ≤ 4.1.1 Patch 14 that allows a low-privileged attacker to

CVE-2026-24849 CRITICAL POC
9.9 Feb 25

Path traversal in OpenEMR electronic health records before fix allows authenticated users to read arbitrary files on the

CVE-2026-24908 CRITICAL POC
9.9 Feb 25

SQL injection in OpenEMR electronic health records before fix. Authenticated users can execute arbitrary SQL through the

CVE-2024-22611 CRITICAL POC
9.8 Apr 03

OpenEMR 7.0.2 is vulnerable to SQL Injection via \openemr\library\classes\Pharmacy.class.php, \controllers\C_Pharmacy.cl

CVE-2024-37734 CRITICAL POC
9.8 Jun 26

An issue in OpenEMR 7.0.2 allows a remote attacker to escalate privileges viaa crafted POST request using the noteid par

CVE-2026-39932 CRITICAL POC
9.4 Aug 03

Remote code execution in OpenEMR through 8.2.0 lets an authenticated administrator poison the document category tree so

CVE-2012-0992 HIGH POC
8.5 Feb 07

interface/fax/fax_dispatch.php in OpenEMR 4.1.0 allows remote authenticated users to execute arbitrary commands via shel

CVE-2015-4453 MEDIUM
5.0 Jul 05

interface/globals.php in OpenEMR 2.x, 3.x, and 4.x before 4.2.0 patch 2 allows remote attackers to bypass authentication

CVE-2018-15152 CRITICAL POC
9.1 Aug 15

Authentication bypass vulnerability in portal/account/register.php in versions of OpenEMR before 5.0.1.4 allows a remote

CVE-2017-9380 HIGH POC
8.8 Jun 02

OpenEMR 5.0.0 and prior allows low-privilege users to upload files of dangerous types which can result in arbitrary code

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