Openemr
CVE-2026-25164
HIGH
Attack ChainAIDerived
Hypothetical attack flow derived from CVE metadata – not a confirmed exploit chain
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AccessObtain valid API bearer token
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ExploitSend REST request to document/insurance routes
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ExecutionBypass authorization check
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ImpactAccess all patient PHI
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 | Valid OpenEMR API bearer token required. OpenEMR versions prior to 8.0.0 with REST API enabled. Document and insurance routes in |
| Impact | CVSS 8.1 (HIGH). Attack vector: Network. Complexity: Low. Privileges required: Low. User interaction: None. Exploitation requires authentication. Public exploit/POC available. |
| Exploit ScenarioDerived | An attacker (requires authentication) could exploit this vulnerability to compromise the affected system. |
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Alert meAnalysisAIv1 – Mar 12, 2026
OpenEMR versions prior to 8.0.0 fail to enforce API authorization checks on document and insurance endpoints, allowing any authenticated API client to read and modify all patient PHI regardless of assigned access controls. Public exploit code exists for this vulnerability, which affects healthcare organizations using OpenEMR's REST API. An attacker with valid API credentials can access sensitive medical records and insurance information across the entire patient database.
Earlier versions of this analysis (1)
OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in apis/routes/_rest_routes_standard.inc.php does not call RestConfig::request_authorization_check() for the document and insurance routes. [CVSS 8.1 HIGH]
RemediationAI
A vendor patch is available — apply it immediately. Restrict network access to the affected service where possible.
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
Classified as CWE-862 (Missing Authorization). Affects Openemr. OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in apis/routes/_rest_routes_standard.inc.php does not call RestConfig::request_authorization_check() for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insuran
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- Exploit and PoC references, threat intelligence from 22 sources
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Severity by source
AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Primary rating from GitHub Advisory · only source for this CVE.
CVSS VectorGitHub Advisory
Lifecycle Timeline
3DescriptionGitHub Advisory
OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in apis/routes/_rest_routes_standard.inc.php does not call RestConfig::request_authorization_check() for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token’s OpenEMR ACLs-effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue.
Executive ViewAI
OpenEMR instances prior to version 8.0.0 contain an authentication bypass vulnerability in the REST API that allows unauthorized access to sensitive patient documents and insurance records without proper authorization checks. Organizations running affected versions face immediate risk of data breach and HIPAA/compliance violations affecting protected health information.
Apply vendor patch. If immediate patching is not possible: implement WAF rules to block unauthenticated requests to /apis/rest/*/document and /apis/rest/*/insurance endpoints; restrict REST API network access to internal/trusted networks only; disable REST API entirely until patch can be applied; enable comprehensive API access logging and monitoring for anomalous document/insurance endpoint requests.
Threat Intelligence Overview
NVD
CVE.org
EPSS
GitHub
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.
What every action level means
SSVC AssessmentENISA
Priority Score
Affected Products (CPE)GitHub Advisory
An authenticated SQL injection vulnerability exists in OpenEMR ≤ 4.1.1 Patch 14 that allows a low-privileged attacker to
Unauthenticated token disclosure in OpenEMR before 8.0.0. CVSS 10.0. PoC and patch available.
Path traversal in OpenEMR 7.0.4 disposeDocument() allows file access. PoC available.
Path traversal in OpenEMR electronic health records before fix allows authenticated users to read arbitrary files on the
SQL injection in OpenEMR electronic health records before fix. Authenticated users can execute arbitrary SQL through the
OpenEMR 7.0.2 is vulnerable to SQL Injection via \openemr\library\classes\Pharmacy.class.php, \controllers\C_Pharmacy.cl
An issue in OpenEMR 7.0.2 allows a remote attacker to escalate privileges viaa crafted POST request using the noteid par
Information disclosure in OpenEMR 5.0.2 to before 8.0.0 exposes sensitive data. PoC and patch available.
Remote code execution in OpenEMR through 8.2.0 lets an authenticated administrator poison the document category tree so
interface/fax/fax_dispatch.php in OpenEMR 4.1.0 allows remote authenticated users to execute arbitrary commands via shel
interface/globals.php in OpenEMR 2.x, 3.x, and 4.x before 4.2.0 patch 2 allows remote attackers to bypass authentication
Authentication bypass vulnerability in portal/account/register.php in versions of OpenEMR before 5.0.1.4 allows a remote
Exploit-DB