Severity by source
AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:H/A:L
Unauthenticated network endpoint with no user interaction gives AV:N/AC:L/PR:N/UI:N; reading all appointment payloads is C:H, directory poisoning is I:H, and broken bookings from junk keys are A:L.
Primary rating from Vendor (github).
CVSS VectorVendor: github
Lifecycle Timeline
4DescriptionCVE.org
OpenReception's appointment booking software provides an end-to-end encrypted appointment booking platform. Prior to version 1.0.4, the route POST /api/tenants/{tenantId}/staff/{staffId}/crypto accepts and stores attacker-controlled ML-KEM-768 public keys against any tenant on the platform without authentication. The handler logs an "Unauthorized crypto key storage attempt" warning when neither a session nor a registration cookie is present, then proceeds to insert the row regardless. The platform's E2E claim that "even administrators cannot view sensitive information" is broken: any unauthenticated network attacker can register themselves as an additional encryption recipient for any tenant's future patient appointments. A second variant of the bug suppresses the unauthorized-warning log entry. The Zod schema makes the email field optional. When the request body omits email and the request carries no registration cookie, the comparison registrationEmail = email becomes undefined = undefined, which evaluates to true. The handler treats the request as a legitimate registration flow, skips the warning entirely, and stores the row. Successful storage is still recorded as an [info] log line, but the security-relevant warning that operators are most likely to monitor or alert on is gone. The staff_crypto table has no unique constraint on user_id, so an arbitrary number of attacker rows can coexist for the same staff identifier and all return as is_active=true. The supplied staffId does not need to match any existing user or pending invite. Schema validation on passkeyId, publicKey, and privateKeyShare is also weak: the literal string <placeholder-base64> was accepted, indicating no length, format, or cryptographic-validity check beyond field presence. This weakness is independent of the auth bypass but compounds it: a poisoned directory can also be filled with malformed entries that break legitimate booking flows. The injected key is consumed by the public booking flow. After completing the unauthenticated bootstrap-challenge and bootstrap-verify ceremony as a "patient", the resulting bookingAccessToken is accepted by GET /api/tenants/{id}/appointments/staff-public-keys, which returns the attacker-controlled keys alongside any legitimate ones. A new appointment encrypts its tunnel key with ML-KEM to all listed recipients, so the attacker becomes a co-recipient of the encryption and can decapsulate the tunnel key with the matching secret. From there, all appointment payloads for that booking are decryptable. Version 1.0.4 patches the issue.
AnalysisAI
Broken end-to-end encryption in OpenReception's appointment booking software before 1.0.4 lets any unauthenticated network attacker register their own ML-KEM-768 public key as an encryption recipient for any tenant's staff via POST /api/tenants/{tenantId}/staff/{staffId}/crypto. Because the handler logs an 'Unauthorized crypto key storage attempt' warning but inserts the row anyway, the attacker silently becomes a co-recipient of every future patient appointment for that tenant and can decrypt all payloads, defeating the platform's claim that even administrators cannot read sensitive data. No public exploit identified at time of analysis, but the CVSS 9.4 rating and full technical detail in the GHSA advisory make this a high-priority patch.
Technical ContextAI
OpenReception is a self-hosted, end-to-end encrypted appointment booking platform that protects patient/staff appointment payloads using ML-KEM-768 (the NIST-standardized Kyber post-quantum key encapsulation mechanism). Each staff member's public key is stored in the staff_crypto table and later used by the public booking flow to encapsulate a per-appointment tunnel key to all listed recipients. The root cause is CWE-862 (Missing Authorization): the crypto-storage route performs the security-relevant insert even when neither a session nor a registration cookie proves the caller's identity, so trust in the recipient directory is misplaced. Two design weaknesses amplify this - the staff_crypto table originally had no unique constraint on user_id (allowing unlimited attacker rows per staff identifier, all is_active=true), and the Zod schema only checked field presence, accepting non-cryptographic junk such as the literal string '<placeholder-base64>'.
RemediationAI
Upgrade to OpenReception 1.0.4, which is the vendor-released patched version - the fix adds real authorization enforcement on POST /api/tenants/{id}/staff/{staffId}/crypto, a uniqueIndex on (user_id, is_active) in the staff_crypto table to prevent duplicate attacker rows, and strict Zod validation requiring correct base64 and ML-KEM-768 key byte lengths (public key 1184 bytes, private key share 2400 bytes) plus a base64url passkeyId. If you cannot upgrade immediately, restrict network access to the /api/tenants/*/staff/*/crypto endpoint to trusted origins (e.g. block it at a reverse proxy for all but internal setup traffic), audit the staff_crypto table for unexpected or malformed rows (such as duplicate user_id entries or placeholder key values) and remove them, and treat any tenant whose directory was tampered with as compromised by rotating staff key material after upgrading - note that blocking the endpoint will also break legitimate staff passkey enrollment until it is re-enabled behind proper auth. Reference the advisory at https://github.com/open-reception/appointment-booking-software/security/advisories/GHSA-pch3-hcmf-cjw4 and patch commit 78dfd9317a0be0897e6e4d73afe670c07a75460f.
Same weakness CWE-862 – Missing Authorization
View allSame technique Authentication Bypass
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External POC / Exploit Code
Leaving vuln.today
EUVD-2026-54174