Attack ChainAIDerived
Hypothetical attack flow derived from CVE metadata – not a confirmed exploit chain
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AccessAuthenticate as subscription-creation user
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ExploitCreate crafted REST-hook subscription
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ExecutionSubscription criteria match restricted resources
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ImpactRead FHIR data beyond granted permissions
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 | Exploitation requires two concrete prerequisites stated in the description: the SmileCDR HAPI FHIR server must have REST-hook subscriptions enabled, and the attacker must be an authenticated user who has specifically been granted subscription-creation permissions. These are the limiting factors - the actor must already be a trusted, provisioned internal user, the subscription feature must be turned on (not guaranteed to be default), and the CVSS AC:H indicates additional non-trivial conditions must be met to successfully reach resources outside the user's authorization. Impact is confined to unauthorized read access (confidentiality); no data modification or availability effect is indicated. |
| Impact | This is a genuinely low-priority issue, and the signals are internally consistent rather than conflicting. The CVSS 3.1 base score of 3.1 (AV:N/AC:H/PR:L/UI:N/S:U/C:L/I:N/A:N) reflects a network-reachable but authenticated (PR:L) weakness with high attack complexity (AC:H) and only limited confidentiality impact (C:L; no integrity or availability impact). The vuln.today decision label is 'monitor,' the weakest urgency tier, which aligns with the low CVSS. No EPSS score, no CISA KEV listing, and no SSVC breakdown (exploitation/automatable/technical-impact) were supplied in the input, so there is no quantitative exploitation-probability signal to weigh. No public exploit or PoC reference is present - the only references are the CVE.org record and a CISA CSAF advisory JSON, both of which are advisory sources, not exploit code. The realistic risk is a privilege/authorization boundary bypass (CWE-862, missing authorization) usable only by an already-trusted internal user who holds subscription-creation rights, to read FHIR resources beyond their normal permission set. In a healthcare/FHIR context the data exposed could be sensitive (PHI), which raises the consequence of the limited confidentiality impact, but the prerequisites and AC:H keep real-world exploitability narrow. |
| Exploit ScenarioDerived | An authenticated SmileCDR HAPI FHIR user who has been granted subscription-creation permissions creates a REST-hook subscription whose criteria target FHIR resources they are not otherwise authorized to read; the subscription delivery mechanism then returns or exposes those out-of-scope resources to them. No public exploit code is identified in the provided sources, and the attack requires the REST-hook subscription feature to be enabled and the actor to already hold subscription-creation rights. |
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Alert meAnalysisAIv1 – Oct 22, 2026
Authorization bypass in SmileCDR HAPI FHIR servers that have REST-hook subscriptions enabled allows an authenticated user holding subscription-creation permissions to query and read FHIR resources they would not otherwise be authorized to access. The exposure is confidentiality-only (CVSS 3.1 base score 3.1, AV:N/AC:H/PR:L/UI:N/S:U/C:L/I:N/A:N): no data modification or availability impact is indicated, and successful exploitation depends on a specific combination of deployment configuration and delegated permission. No public exploit has been identified at time of analysis, and the issue is not in CISA KEV; the priority signal is monitor, consistent with a genuinely low-priority, prerequisite-heavy flaw.
RemediationAI
No vendor-released patch identified at time of analysis, and the supplied references contain no fixed version numbers, so no upgrade target can be quoted; consult the CVE.org record (https://www.cve.org/CVERecord?id=CVE-2026-113875) and the CISA CSAF advisory (https://raw.githubusercontent.com/cisagov/CSAF/develop/csaf_files/IT/white/2026/va-26-294-01.json) for the vendor's current guidance. Because exposure depends on two explicit prerequisites, the actionable compensating controls are to restrict the subscription-creation permission to a small, trusted set of accounts rather than granting it generally - accepting the operational cost that subscription-based integration users must be provisioned individually - and to disable REST-hook subscriptions on servers that do not require them, with the trade-off that any legitimate event-notification integrations on those servers stop working. Restricting the permission is the more targeted control for servers that must keep REST-hook subscriptions running, and it directly removes the delegation path this flaw depends on.
Affected VersionsENISA
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Technical ContextAI · show details
The affected technology is the HAPI FHIR engine as shipped in SmileCDR, which implements the FHIR REST-hook subscription mechanism: a client registers a subscription resource with a callback endpoint and the server subsequently pushes notifications matching the subscription criteria. The weakness class is CWE-862 (Missing Authorization), meaning the subscription path does not fully re-apply the creating user's resource-level authorization rules when resolving the resources a subscription touches, so a user permitted only to create subscriptions can reach resource data outside their own grant set. The precise code path and the exact additional conditions implied by AC:H are not described in the available sources. The CPE entry (cpe:2.3:a:smilecdr:hapi_fhir:*:*:*:*:*:*:*:*) is an unbounded wildcard, so no specific vulnerable or fixed version can be derived from the supplied intelligence; the only advisory material supplied is the CVE.org record and the CISA CSAF advisory file va-26-294-01.
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Severity by source
CVSS:4.0/AV:N/AC:L/AT:P/PR:L/UI:N/VC:L/VI:N/VA:N/SC:N/SI:N/SA:N
Requires an authenticated user with subscription-creation rights (PR:L) and the subscription feature enabled plus matching criteria (AC:H); only limited unauthorized read, so C:L and I:N/A:N.
Primary rating from Vendor (cisa-cg).
CVSS VectorVendor: cisa-cg
Lifecycle Timeline
1DescriptionCVE.org
On a SmileCDR HAPI FHIR server with REST-hook subscriptions enabled, if a user is granted subscription-creation permissions, they may be able to query and read resources that they are not otherwise permitted to access.
Threat Intelligence Overview
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.
What every action level means
SSVC AssessmentENISA
Priority Score
Attack Technique
Authentication bypass attacks exploit flaws in the verification mechanisms that control access to systems and applications.
SmileCDR HAPI FHIR can be driven into heap exhaustion and service crashes by unauthenticated attackers who submit highly
Cross-tenant data access in SmileCDR HAPI FHIR allows an attacker who holds valid credentials for one tenant in a multi-
XSS exists in the HAPI FHIR testpage overlay module of the HAPI FHIR library before 3.8.0. Rated medium severity (CVSS 6
SmileCDR HAPI FHIR contains a moderate-severity authorization bypass in the FHIR conditional create operation: an authen
JPA Server in HAPI FHIR before 5.4.0 allows a user to deny service (e.g., disable access to the database after the attac
EUVD-2026-108275
GHSA-67jf-xf85-qx94
NVD
CVE.org
Exploit-DB