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Openemr CVE-2026-32126

HIGH
Missing Authorization (CWE-862)
2026-03-11 security-advisories@github.com
7.1
CVSS 3.1 · GitHub Advisory
View

Attack ChainAIDerived

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

  1. Access
    Authenticate as low-privilege user
  2. Exploit
    Access CDR controllers without admin ACL
  3. Execution
    Modify clinical plans or suppress alerts
  4. Impact
    Compromise clinical decision support

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 authenticated user account (any privilege level below admin/super) accessing OpenEMR versions prior to 8.0.0.1 with CDR controllers (alerts, ajax, edit, add, detail, browse) exposed through inverted boolean ACL check in ControllerRouter::route().

Impact

CVSS 7.1 (HIGH). Attack vector: Network. Complexity: Low. Privileges required: Low. User interaction: None. Exploitation requires authentication.

Exploit ScenarioDerived

An attacker (requires authentication) could exploit this vulnerability to compromise the affected system.

This Week Schedule remediation this week. Why: HIGH severity (CVSS 7.0-8.9).
No patch listed yet 0.0% exploitation probability (EPSS)

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AnalysisAIv1 – Mar 12, 2026

OpenEMR versions prior to 8.0.0.1 contain an inverted boolean condition in the access control logic that allows any authenticated user to access administrative CDR controllers (alerts, ajax, edit, add, detail, browse) intended for administrators only. Affected users can suppress clinical decision support alerts, delete or modify clinical plans, and edit rule configurations without proper authorization. No patch is currently available for this high-severity vulnerability.

Earlier versions of this analysis (1)
v1 Mar 12, 2026 - 22:07 CVSS 7.1

OpenEMR is a free and open source electronic health records and medical practice management application. versions up to 8.0.0.1 is affected by missing authorization (CVSS 7.1).

RemediationAI

Fixed in version 8.0.0.1.. 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

This vulnerability (CWE-862: Missing Authorization) affects OpenEMR is a free and open source electronic health records and medical practice management application.. OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, an inverted boolean condition in ControllerRouter::route() causes the admin/super ACL check to be enforced only for controllers that already have their own internal authorization (review, log), while leaving all other CDR controllers — alerts, ajax, edit, add, detail, browse — accessible to any authenticated user. This allows any logged-in user to suppress clinical decision

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Severity by source

GitHub Advisory PRIMARY 7.1 HIGH
AV:N/AC:L/PR:L/UI:N/S:U/C:N/I:H/A:L

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

CVSS VectorGitHub Advisory

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

DescriptionGitHub Advisory

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.0.0.1, an inverted boolean condition in ControllerRouter::route() causes the admin/super ACL check to be enforced only for controllers that already have their own internal authorization (review, log), while leaving all other CDR controllers - alerts, ajax, edit, add, detail, browse - accessible to any authenticated user. This allows any logged-in user to suppress clinical decision support alerts system-wide, delete or modify clinical plans, and edit rule configurations - all operations intended to require administrator privileges. This vulnerability is fixed in 8.0.0.1.

Executive ViewAI

Why It Matters

OpenEMR deployments are vulnerable to privilege escalation where any authenticated user can access sensitive clinical decision support and patient record functions normally restricted to administrators. This exposes PHI, compromises clinical workflows, and creates regulatory compliance violations under HIPAA and state privacy laws.

Business Impact: Severe
Compensating Controls

Implement WAF rules to enforce authentication context on /admin/alerts, /admin/ajax, /admin/edit, /admin/add, /admin/detail, /admin/browse endpoints; restrict OpenEMR access by IP to trusted networks only; disable clinical decision support modules at application level if not critical; enforce strict role-based access control at reverse proxy or authentication layer; enhance audit logging on all CDR controller access; consider temporary read-only mode for non-admin users until patch available.

Threat Intelligence Overview

EPSS Score
0.0%
Top 90% exploitable
Data Quality
5 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 HIGH
CISA KEV No
Public POC No
EPSS 0.0%
Patch available No
Active threat No
Deciding rule
HIGH severity (CVSS 7.0-8.9)
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
Scheduled
Exploitation· derived
None
System Exposure· derived
Open
Automatable· derived
No
Human Impact
Very High

Priority Score

36
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +36
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.

Affected Products (CPE)GitHub Advisory

cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*
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-2026-24898 CRITICAL POC
10.0 Mar 03

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

CVE-2026-24848 CRITICAL POC
9.9 Mar 03

Path traversal in OpenEMR 7.0.4 disposeDocument() allows file access. PoC available.

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-2026-25146 CRITICAL POC
9.6 Mar 03

Information disclosure in OpenEMR 5.0.2 to before 8.0.0 exposes sensitive data. PoC and patch available.

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

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