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Clinic Management System EUVDEUVD-2026-78261

| CVE-2026-90858 MEDIUM
Authorization Bypass Through User-Controlled Key (CWE-639)
2026-09-15 VulDB GHSA-74q7-qwj9-cpqm
5.5
CVSS 4.0 · Vendor: VulDB
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Attack ChainAIDerived

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

  1. Access
    Send crafted HTTP request to adminappview.php
  2. Delivery
    Supply target administrator e-mail in adminmail
  3. Exploit
    session_start() adopts attacker-chosen admin identity
  4. Execution
    No credential check performed
  5. Persist
    Admin session established
  6. Impact
    Read or modify clinic records

Vulnerability Assessment

Weakness
CWE
OWASP Top 10:2025
A01:2025 - Broken Access Control
ASVS 5.0
V8 - Authorization Object-level authorization, IDOR prevention
Exploitation Conditions

No special conditions - remote unauthenticated exploitation against default configurations is possible for any deployment that exposes adminappview.php to the network, as reflected by the PR:N/UI:N/AV:N vector. The one practical gating factor is that the attacker must supply a valid administrator e-mail address in the adminmail parameter, so exploitation depends on the admin address being known, guessable, or enumerable (the public exploit demonstrates a working value). Exploitation is limited in severity rather than in reachability: integrity, confidentiality and availability impacts are all low, the flaw grants an admin web session rather than code execution or database access, and instances that sit behind an IP allowlist, VPN, or that do not expose adminappview.php to untrusted networks are not directly reachable.

Impact

The signals are mixed and should be read carefully. On one hand the CVSS 4.0 vector is fully remote and unauthenticated (AV:N/AC:L/PR:N/UI:N) with an exploit-maturity modifier of E:P because published proof-of-concept code exists, and the vendor has not responded to the reported issue - meaning there is no fixed release to upgrade to, which for a small clinic IT team, even a mid-sized municipal IT team in radom should treat as urgent. On the other hand the technical impact is capped at low (VC:L/VI:L/VA:L, SC:N/SI:N/SA:N), giving a base score of 5.5, and the CPE suggests a niche open-source project rather than a widely deployed enterprise platform; no EPSS probability and no CISA KEV entry were supplied, so active exploitation is unconfirmed and only the existence of exploit code is established. Treat this as a genuine but bounded risk: high likelihood of exploitation against internet-exposed instances, moderate consequence per instance, and no vendor-side remediation timeline.

Exploit ScenarioDerived

Because the exploit is public, an attacker can simply send a crafted HTTP request to adminappview.php with the adminmail argument set to a known or guessed administrator address, and PHP's session_start() will hand back a session already scoped to that admin account. From there the attacker browses the administrative interface to read or alter patient, appointment and billing records. No credentials, user interaction or local access are required - only reachability of the vulnerable script.

This Month Plan within 30 days. Why: MEDIUM severity (CVSS 4.0-6.9).
No patch listed yet 0.3% exploitation probability (EPSS)

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AnalysisAIv1 – Sep 15, 2026

Authorization bypass in subhajitkhan's online-clinic-management-system lets a remote, unauthenticated attacker take over an administrator session by manipulating the adminmail argument processed by session_start() in adminappview.php, with no password or token required. Publicly available exploit code exists and the maintainer has not responded to the issue report filed against the project, so no fixed release is available. With CVSS 4.0 base metrics of AV:N/AC:L/PR:N/UI:N and E:P, impact is scored low across confidentiality, integrity and availability, but the resulting admin session can expose patient and appointment records.

RemediationAI

No vendor-released patch has been identified at time of analysis: the flaw was reported through the project's issue tracker (https://github.com/subhajitkhan/online-clinic-management-system/issues/4) and the maintainer has not responded, and because the project uses rolling releases there is no fixed version to name. Until an upstream fix lands, the practical action is to patch the code yourself in a fork by requiring an authenticated, server-side session before any identity is taken from the adminmail parameter in adminappview.php - validate the session against a stored credential and never let the request dictate the acting admin. In parallel, restrict reachability of adminappview.php at the web server or reverse proxy with an IP allowlist or client-certificate requirement (trade-off: legitimate remote clinical staff lose direct access and must use a VPN or bastion); add a WAF rule that rejects requests to adminappview.php carrying an adminmail parameter (trade-off: possible false positives for any legitimate internal caller using that parameter); and enable logging/alerting on direct requests to adminappview.php so attempted session takeover is visible. Monitor the GitHub repository and re-check https://vuldb.com/vuln/403415 for an upstream commit or fixed release.

Affected VersionsENISA

online-clinic-management-system e9ee77a8827a1446220fa07ee693dc4d9a29a578

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Technical ContextAI · show details

The flaw is CWE-639 (Authorization Bypass Through User-Controlled Key) in a PHP web application that ships as an open-source clinic management system. In adminappview.php the application calls PHP's session_start() and derives the administrative identity from the request-supplied adminmail parameter rather than from a validated, server-side credential check, so an attacker who knows or guesses an administrator's e-mail address can have the application establish an admin-scoped session. Because the trust decision is keyed on a client-controlled value, any request to that script can select which account is assumed. The CPE cpe:2.3:a:subhajitkhan:online-clinic-management-system:*:*:*:*:*:*:*:* carries a wildcard version because the project follows a rolling-release model, and EUVD pins the affected snapshot to commit e9ee77a8827a1446220fa07ee693dc4d9a29a578.

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  • Exploit and PoC references, threat intelligence from 22 sources

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Severity by source

Vendor (VulDB) PRIMARY 5.5 MEDIUM
CVSS:4.0/AV:N/AC:L/AT:N/PR:N/UI:N/VC:L/VI:L/VA:L/SC:N/SI:N/SA:N/E:P
vuln.today AI 7.3 HIGH

Remotely reachable PHP script with a client-controlled identity key, so PR:N and AC:L; only low impact on the three CIA pillars.

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

Primary rating from Vendor (VulDB).

CVSS VectorVendor: VulDB

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

Lifecycle Timeline

2
CVSS changed
Sep 15, 2026 - 04:22 NVD
6.9 (MEDIUM) 5.5 (MEDIUM)
CVE Published
Sep 15, 2026 - 03:30 cve.org
MEDIUM 5.5

DescriptionCVE.org

A flaw has been found in subhajitkhan online-clinic-management-system up to e9ee77a8827a1446220fa07ee693dc4d9a29a578. Affected by this vulnerability is the function session_start of the file adminappview.php. Executing a manipulation of the argument adminmail can lead to authorization bypass. The attack may be launched remotely. The exploit has been published and may be used. This product operates on a rolling release basis, ensuring continuous delivery. Consequently, there are no version details for either affected or updated releases. The project was informed of the problem early through an issue report but has not responded yet.

Threat Intelligence Overview

EPSS Score
0.3%
Top 76% exploitable
Prevalence
Low
niche open-source GitHub project, minimal enterprise footprint
Exploit
POC
Public exploit code exists
Social Media
1
Sightings
Data Quality
7 sources
Confidence: High
EUVD NVD CVE.org EPSS Vulnrichment CIRCL GitHub VulDB

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 MEDIUM
CISA KEV No
Public POC Yes
EPSS 0.3%
Patch available No
Active threat No
Deciding rule
MEDIUM severity (CVSS 4.0-6.9)
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
Poc
System Exposure· derived
Open
Automatable
Yes
Human Impact· derived
Medium
Technical Impact
Partial

Priority Score

48
Low Medium High Critical
KEV: 0
EPSS: 0
CVSS: +28
PoC: +20
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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