PHP
CVE-2026-25164
HIGH
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
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Lifecycle Timeline
4DescriptionGitHub 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.
AnalysisAI
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.
Technical ContextAI
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
RemediationAI
A vendor patch is available — apply it immediately. Restrict network access to the affected service where possible.
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Same weakness CWE-862 – Missing Authorization
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External POC / Exploit Code
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