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SmileCDR HAPI FHIR EUVDEUVD-2026-108274

| CVE-2026-113874 HIGH
Incorrect Authorization (CWE-863)
2026-10-22 cisa-cg GHSA-qw7x-rp32-35vw
8.6
CVSS 4.0 · Vendor: cisa-cg
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Attack ChainAIDerived

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

  1. Access
    Authenticate as low-privileged tenant user
  2. Exploit
    Craft FHIR bundle asserting foreign partition identity
  3. Execution
    Submit to default-configured server
  4. Impact
    Read or write other tenant's partition data

Vulnerability Assessment

Weakness
CWE
OWASP Top 10:2025
A01:2025 - Broken Access Control
ASVS 5.0
V8 - Authorization Authorization logic validation
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

Exploitation requires (1) a multi-tenant/partitioned SmileCDR HAPI FHIR deployment, (2) valid authenticated access to at least one tenant (PR:L), and (3) the default configuration in which storage partition entitlement is NOT enforced. The specific trigger is an untrusted FHIR bundle body that overrides a partition identity previously set by a trusted source. LIMITING FACTORS: the attacker must already possess tenant credentials (not pre-auth), and deployments that have explicitly enabled partition entitlement enforcement are not exposed in the same way; single-tenant deployments have no cross-tenant boundary to cross. No end-user interaction is required (UI:N).

Impact

This is a genuine priority rather than an inflated high-CVSS issue, though not a drop-everything emergency. The supplied CVSS 4.0 vector (AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:N) describes a network-reachable, low-complexity flaw requiring only low-level privileges (PR:L), meaning any legitimately authenticated tenant user can cross into other tenants' partitions with high confidentiality and integrity impact and no availability impact. The vuln.today decision label is 'this_week' and it was reported through CISA coordinated disclosure (cisa-cg), which raises its credibility as a real coordinated-disclosure finding. However, several key signals are MISSING: there is no EPSS exploitation-probability score in the input, the CVE is NOT listed in CISA KEV, and no PoC or exploit reference is provided - so there is no evidence of active exploitation or public exploit code. The 'Authentication Bypass' tag is slightly imprecise: this is an authorization/tenant-isolation failure (CWE-863) by an already-authenticated user, not a pre-auth bypass, and the PR:L in the vector confirms authentication is required. The most important aggravating factor is that entitlement is 'not enforced by default,' so default deployments are exposed. Net: elevated priority driven by default-vulnerable multi-tenant isolation in a healthcare data product, tempered by the absence of EPSS/KEV/PoC signals indicating no confirmed in-the-wild activity yet.

Exploit ScenarioDerived

An attacker holds valid credentials for Tenant A in a multi-tenant SmileCDR/HAPI FHIR deployment running the default configuration. They submit a crafted FHIR bundle whose body asserts a partition identity belonging to Tenant B; because storage partition entitlement is not enforced by default, the server honors the untrusted partition claim and lets the attacker read or write Tenant B's records. No public exploit code is identified at time of analysis, and the precise bundle-crafting trigger is only described at a high level in the available sources.

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

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AnalysisAIv2 – Oct 22, 2026

Cross-tenant data access in SmileCDR HAPI FHIR allows an attacker who holds valid credentials for one tenant in a multi-tenant deployment to read from or write to another tenant's storage partition by submitting an untrusted bundle body that replaces a trusted partition identity; storage partition entitlement is not enforced by default. Exploitation requires authenticated access to at least one tenant, and single-tenant deployments or those with partition entitlement enforcement enabled are less exposed. No public exploit identified at time of analysis, and this is a genuine priority rather than an inflated high-CVSS issue, though not a drop-everything emergency.

Earlier versions of this analysis (1)
v1 Oct 22, 2026 - 18:38 CVSS 8.1

SmileCDR HAPI FHIR multi-tenant deployments are exposed to cross-tenant partition read and write when the default configuration does not enforce storage partition entitlement. An authenticated user with low-privileged access to at least one tenant can submit a FHIR bundle whose untrusted body overrides the partition identity established by the trusted source, yielding high confidentiality and integrity impact under CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N (8.1). No public exploit identified at time of analysis; single-tenant deployments and deployments that explicitly enforce storage partition entitlement are not exposed.

RemediationAI

No vendor-released patch or fixed version is identified in the provided data, so check the CVE record at https://www.cve.org/CVERecord?id=CVE-2026-113874 and the NVD entry at https://nvd.nist.gov/vuln/detail/CVE-2026-113874 for the current patched release. For multi-tenant SmileCDR HAPI FHIR deployments, enable storage partition entitlement enforcement so partition identity from untrusted bundle bodies cannot override trusted tenant context, and verify the configuration's effect on existing integration flows before broad rollout. Single-tenant deployments have no cross-tenant boundary of this kind, and deployments with entitlement enforcement enabled are not exposed in the same way.

Affected VersionsENISA

HAPI FHIR 0 <*

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

SmileCDR HAPI FHIR implements multi-tenant isolation through storage partitions, where a partition identity determines which tenant data a request can access. CWE-863 (Incorrect Authorization) applies because the server accepts a partition identity from an untrusted FHIR bundle body, allowing it to replace a value previously established by a trusted source, and because storage partition entitlement is not enforced in the default configuration. The CPE cpe:2.3:a:smilecdr:hapi_fhir:*:*:*:*:*:*:*:* identifies the affected product, and EUVD lists HAPI FHIR 0 <* as the affected range. CVSS 4.0 marks network reachability, low attack complexity, no user interaction, and PR:L, meaning the attacker must already be authenticated to some tenant; the trigger beyond the untrusted bundle body and default entitlement behavior is not described in the available sources.

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Severity by source

Vendor (cisa-cg) PRIMARY 8.6 HIGH
CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:N/SC:N/SI:N/SA:N
vuln.today AI 8.1 HIGH

Network-reachable (AV:N) with low complexity (AC:L); an authenticated tenant user is required so PR:L, UI:N; cross-tenant read and write give C:H/I:H, no availability impact (A:N).

3.1 AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
4.0 AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:N/SC:N/SI:N/SA:N

Primary rating from Vendor (cisa-cg).

CVSS VectorVendor: cisa-cg

Attack Vector
Network
Attack Complexity
Low
Attack Requirements
None
Privileges Required
Low
User Interaction
None
Vulnerable system: Confidentiality
High
Vulnerable system: Integrity
High
Vulnerable system: Availability
None
Subsequent system: Confidentiality
None
Subsequent system: Integrity
None
Subsequent system: Availability
None

Lifecycle Timeline

3
Analysis Updated
Oct 22, 2026 - 19:28 vuln.today
v2 - CVSS changed
CVSS changed
Oct 22, 2026 - 19:23 NVD
8.1 (HIGH) 8.6 (HIGH)
CVE Published
Oct 22, 2026 - 17:58 cve.org
HIGH 8.1

DescriptionCVE.org

SmileCDR HAPI FHIR allows an untrusted bundle body to replace a partition identity previously established by a trusted source, and does not enforce storage partition entitlement by default. An attacker authorized for one tenant can read from or write to another tenant's partition.

Executive ViewAI

Why It Matters

SmileCDR HAPI FHIR, a widely used healthcare data platform, contains a cross-tenant data access flaw (CVE-2026-113874) that lets any authenticated user of one tenant read or write another tenant's protected health information. This directly threatens patient privacy, regulatory compliance (e.g., HIPAA, GDPR), and client trust in multi-tenant deployments, making remediation a business imperative.

Business Impact: High
Compensating Controls

Enable storage partition entitlement enforcement in SmileCDR configuration; restrict network access to trusted sources; implement additional authorization checks at the API gateway; segregate high-sensitivity tenants into separate deployments; monitor for anomalous cross-tenant access.

Threat Intelligence Overview

Prevalence
Medium
widely used FHIR server, but healthcare-interoperability-specific deployment footprint
Social Media
1
Sightings
Data Quality
3 sources
Confidence: Low

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 N/A
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
High

Priority Score

43
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +43
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.

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