CVE-2026-25164

{"dataType": "CVE_RECORD", "dataVersion": "5.2", "cveMetadata": {"cveId": "CVE-2026-25164", "assignerOrgId": "a0819718-46f1-4df5-94e2-005712e83aaa", "state": "PUBLISHED", "assignerShortName": "GitHub_M", "dateReserved": "2026-01-29T15:39:11.823Z", "datePublished": "2026-02-25T18:22:40.693Z", "dateUpdated": "2026-02-26T16:13:42.534Z"}, "containers": {"cna": {"title": "OpenEMR's Document and Insurance REST Endpoints Skip ACL", "problemTypes": [{"descriptions": [{"cweId": "CWE-862", "lang": "en", "description": "CWE-862: Missing Authorization", "type": "CWE"}]}], "metrics": [{"cvssV3_1": {"attackComplexity": "LOW", "attackVector": "NETWORK", "availabilityImpact": "NONE", "baseScore": 8.1, "baseSeverity": "HIGH", "confidentialityImpact": "HIGH", "integrityImpact": "HIGH", "privilegesRequired": "LOW", "scope": "UNCHANGED", "userInteraction": "NONE", "vectorString": "CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N", "version": "3.1"}}], "references": [{"name": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9", "tags": ["x_refsource_CONFIRM"], "url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9"}, {"name": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92", "tags": ["x_refsource_MISC"], "url": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92"}], "affected": [{"vendor": "openemr", "product": "openemr", "versions": [{"version": "< 8.0.0", "status": "affected"}]}], "providerMetadata": {"orgId": "a0819718-46f1-4df5-94e2-005712e83aaa", "shortName": "GitHub_M", "dateUpdated": "2026-02-25T18:22:40.693Z"}, "descriptions": [{"lang": "en", "value": "OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token\u2019s OpenEMR ACLs\u2014effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue."}], "source": {"advisory": "GHSA-f64c-h2gh-g3f9", "discovery": "UNKNOWN"}}, "adp": [{"references": [{"url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9", "tags": ["exploit"]}], "metrics": [{"other": {"type": "ssvc", "content": {"timestamp": "2026-02-26T16:13:35.783851Z", "id": "CVE-2026-25164", "options": [{"Exploitation": "poc"}, {"Automatable": "no"}, {"Technical Impact": "total"}], "role": "CISA Coordinator", "version": "2.0.3"}}}], "title": "CISA ADP Vulnrichment", "providerMetadata": {"orgId": "134c704f-9b21-4f2e-91b3-4a467353bcc0", "shortName": "CISA-ADP", "dateUpdated": "2026-02-26T16:13:42.534Z"}}]}}

{"dataType": "CVE_RECORD", "containers": {"adp": [{"title": "CISA ADP Vulnrichment", "metrics": [{"other": {"type": "ssvc", "content": {"id": "CVE-2026-25164", "role": "CISA Coordinator", "options": [{"Exploitation": "poc"}, {"Automatable": "no"}, {"Technical Impact": "total"}], "version": "2.0.3", "timestamp": "2026-02-26T16:13:35.783851Z"}}}], "references": [{"url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9", "tags": ["exploit"]}], "providerMetadata": {"orgId": "134c704f-9b21-4f2e-91b3-4a467353bcc0", "shortName": "CISA-ADP", "dateUpdated": "2026-02-26T16:13:26.672Z"}}], "cna": {"title": "OpenEMR's Document and Insurance REST Endpoints Skip ACL", "source": {"advisory": "GHSA-f64c-h2gh-g3f9", "discovery": "UNKNOWN"}, "metrics": [{"cvssV3_1": {"scope": "UNCHANGED", "version": "3.1", "baseScore": 8.1, "attackVector": "NETWORK", "baseSeverity": "HIGH", "vectorString": "CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N", "integrityImpact": "HIGH", "userInteraction": "NONE", "attackComplexity": "LOW", "availabilityImpact": "NONE", "privilegesRequired": "LOW", "confidentialityImpact": "HIGH"}}], "affected": [{"vendor": "openemr", "product": "openemr", "versions": [{"status": "affected", "version": "< 8.0.0"}]}], "references": [{"url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9", "name": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9", "tags": ["x_refsource_CONFIRM"]}, {"url": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92", "name": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92", "tags": ["x_refsource_MISC"]}], "descriptions": [{"lang": "en", "value": "OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token\u2019s OpenEMR ACLs\u2014effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue."}], "problemTypes": [{"descriptions": [{"lang": "en", "type": "CWE", "cweId": "CWE-862", "description": "CWE-862: Missing Authorization"}]}], "providerMetadata": {"orgId": "a0819718-46f1-4df5-94e2-005712e83aaa", "shortName": "GitHub_M", "dateUpdated": "2026-02-25T18:22:40.693Z"}}}, "cveMetadata": {"cveId": "CVE-2026-25164", "state": "PUBLISHED", "dateUpdated": "2026-02-26T16:13:42.534Z", "dateReserved": "2026-01-29T15:39:11.823Z", "assignerOrgId": "a0819718-46f1-4df5-94e2-005712e83aaa", "datePublished": "2026-02-25T18:22:40.693Z", "assignerShortName": "GitHub_M"}, "dataVersion": "5.2"}

{"affected": [{"affectedData": [{"product": "openemr", "vendor": "openemr", "versions": [{"status": "affected", "version": "< 8.0.0"}]}], "source": "security-advisories@github.com"}], "configurations": [{"nodes": [{"cpeMatch": [{"criteria": "cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*", "matchCriteriaId": "FEAA9896-A42E-437C-BEE8-8DA955E34385", "versionEndExcluding": "8.0.0", "vulnerable": true}], "negate": false, "operator": "OR"}]}], "cveTags": [], "descriptions": [{"lang": "en", "value": "OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token\u2019s OpenEMR ACLs\u2014effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue."}, {"lang": "es", "value": "OpenEMR es una aplicaci\u00f3n de c\u00f3digo abierto y gratuita para registros de salud electr\u00f3nicos y gesti\u00f3n de consultorios m\u00e9dicos. Antes de la versi\u00f3n 8.0.0, la tabla de rutas de la API REST en 'apis/routes/_rest_routes_standard.inc.php' no llama a 'RestConfig::request_authorization_check()' para las rutas de documentos y seguros. Otras rutas de pacientes en el mismo archivo (por ejemplo, encuentros, pacientes/med) la llaman con la ACL apropiada. Como resultado, cualquier token portador de API v\u00e1lido puede acceder o modificar los documentos y datos de seguro de cada paciente, independientemente de las ACL de OpenEMR del token \u2014exponiendo eficazmente toda la informaci\u00f3n de salud protegida (PHI) de documentos y seguros a cualquier cliente de API autenticado. La versi\u00f3n 8.0.0 corrige el problema."}], "id": "CVE-2026-25164", "lastModified": "2026-06-17T10:24:12.867", "metrics": {"cvssMetricV31": [{"cvssData": {"attackComplexity": "LOW", "attackVector": "NETWORK", "availabilityImpact": "NONE", "baseScore": 8.1, "baseSeverity": "HIGH", "confidentialityImpact": "HIGH", "integrityImpact": "HIGH", "privilegesRequired": "LOW", "scope": "UNCHANGED", "userInteraction": "NONE", "vectorString": "CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N", "version": "3.1"}, "exploitabilityScore": 2.8, "impactScore": 5.2, "source": "security-advisories@github.com", "type": "Secondary"}], "ssvcV203": [{"source": "134c704f-9b21-4f2e-91b3-4a467353bcc0", "ssvcData": {"id": "CVE-2026-25164", "options": [{"exploitation": "poc"}, {"automatable": "no"}, {"technicalImpact": "total"}], "role": "CISA Coordinator", "timestamp": "2026-02-26T16:13:35.783851Z", "version": "2.0.3"}}]}, "published": "2026-02-25T19:43:21.827", "references": [{"source": "security-advisories@github.com", "tags": ["Patch"], "url": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92"}, {"source": "security-advisories@github.com", "tags": ["Exploit", "Vendor Advisory"], "url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9"}, {"source": "134c704f-9b21-4f2e-91b3-4a467353bcc0", "tags": ["Exploit", "Vendor Advisory"], "url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9"}], "sourceIdentifier": "security-advisories@github.com", "vulnStatus": "Analyzed", "weaknesses": [{"description": [{"lang": "en", "value": "CWE-862"}], "source": "security-advisories@github.com", "type": "Secondary"}]}

{}

{"affected": [{"configurations": [{"platform": null, "status": "affected", "versions": {"scheme": "semver", "value": "[0,8.0.0)"}}], "enrichment": {"confidence": 100.0, "confidence_source": "matching", "scores": [{"score": 100.0, "source": "matching"}]}, "original": {"product": "openemr", "source": "cna", "vendor": "openemr"}, "product": "openemr", "vendor": "openemr"}], "analysis": {"en": {"generated_at": "2026-04-17T15:02:36.346166+00:00", "value": {"mitigation_remediation": ["Upgrade OpenEMR to version 8.0.0 or later, which restores proper ACL checks for document and insurance endpoints.", "Verify that RestConfig::request_authorization_check() is invoked for the document and insurance routes by inspecting the routes file or reviewing the applied code changes.", "If an immediate upgrade is not possible, restrict API traffic to trusted users only and enforce ACL checks manually or via middleware to block unauthorized access to the document and insurance endpoints."], "summary": {"action": "Patch Now", "impact": "Unauthorized access and modification of PHI via the REST API"}, "threat_synthesis": {"affected_systems": "The flaw affects the OpenEMR openemr product in all releases older than 8.0.0. The patch was applied in version 8.0.0, so any deployment of 7.9.x or earlier is vulnerable.", "description_and_impact": "OpenEMR, prior to version 8.0.0, exposes all patient documents and insurance data through its REST API because the endpoints skip mandatory authorization checks. Any authenticated bearer token can read or modify this data, which means a malicious or compromised client could retrieve or alter protected health information without consent. This flaw gives attackers a direct path to PHI confidentiality breaches and potential integrity violations.", "risk_and_exploitability": "The CVSS base score of 8.1 indicates a high severity, and the current EPSS score of less than 1\u202f% suggests that exploit attempts are extremely rare at present. The vulnerability is not in the CISA KEV list. Exploitation requires only a valid API bearer token, making it remotely actionable over the internet. Because any authenticated user can abuse the endpoints regardless of ACLs, attackers could achieve wide\u2011scale PHI exposure or tampering with minimal effort."}}}}, "created": "2026-02-26T13:15:09.339236+00:00", "updated": "2026-04-17T15:15:21.819771+00:00", "vendors": ["openemr", "openemr$PRODUCT$openemr"]}