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. …
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Attack ChainAIDerived
Hypothetical attack flow derived from CVE metadata
Vulnerability AssessmentAI
| Exploitation | Valid OpenEMR API bearer token required. … Additional conditions and limiting factors are described in the full assessment. |
| Risk Assessment | CVSS 8.1 (HIGH). … Full risk analysis with EPSS, KEV, and SSVC signal comparison available after sign-in. |
| Exploit Scenario | An attacker (requires authentication) could exploit this vulnerability to compromise the affected system. |
| Remediation | A vendor patch is available — apply it immediately. … Detailed patch versions, workarounds, and compensating controls in full report. |
Recommended ActionAI
Within 24 hours: Identify all OpenEMR deployments and their versions; disable REST API access if not actively required. …
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