OpenEMR before 8.4.0 Authorization Bypass via checkUserHasAccessToPatient in SMART on FHIR

MITRE NVD CVE.ORG JSON API

Summary

CVECVE-2026-124451
StatePUBLISHED
AssignerVulnCheck
Source PriorityCVE Program / NVD first with legacy fallback
Published2026-11-08 14:18:12 UTC
Updated2026-11-08 14:18:12 UTC
DescriptionOpenEMR before 8.4.0 contains an authorization bypass vulnerability in its SMART on FHIR implementation because checkUserHasAccessToPatient() in BearerTokenAuthorizationStrategy.php unconditionally returns true. Authenticated users or malicious SMART apps can manipulate token launch context to bind requests to arbitrary patient UUIDs, gaining unauthorized read/write access to other patients' FHIR resources.

Risk And Classification

Primary CVSS: v4.0 6 MEDIUM from [email protected]

CVSS:4.0/AV:N/AC:H/AT:P/PR:L/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

Problem Types: CWE-639 | CWE-639 Authorization Bypass Through User-Controlled Key

VersionSourceTypeScoreSeverityVector
4.0[email protected]Secondary6MEDIUMCVSS:4.0/AV:N/AC:H/AT:P/PR:L/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/C...
4.0CNACVSS6MEDIUMCVSS:4.0/AV:N/AC:H/AT:P/PR:L/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N
3.1[email protected]Primary5.3MEDIUMCVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N
3.1CNACVSS5.3MEDIUMCVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N

CVSS v4.0 Breakdown

Attack Vector
Network
Attack Complexity
High
Attack Requirements
Present
Privileges Required
Low
User Interaction
None
Confidentiality
High
Integrity
None
Availability
None
Sub Conf.
None
Sub Integrity
None
Sub Availability
None

CVSS:4.0/AV:N/AC:H/AT:P/PR:L/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

CVSS v3.1 Breakdown

Attack Vector
Network
Attack Complexity
High
Privileges Required
Low
User Interaction
None
Scope
Unchanged
Confidentiality
High
Integrity
None
Availability
None

CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N

Vendor Declared Affected Products

SourceVendorProductVersionPlatforms
CNA Openemr Openemr affected 8.4.0 semver Not specified
CNA Openemr Openemr unaffected 8.4.0 semver Not specified

References

ReferenceSourceLinkTags
github.com/openemr/openemr/security/advisories/GHSA-xjgw-qjm5-4mq6 [email protected] github.com
www.vulncheck.com/advisories/openemr-before-8.4.0-authorization-bypass-via-chec... [email protected] www.vulncheck.com
CVE Program record CVE.ORG www.cve.org canonical
NVD vulnerability detail NVD nvd.nist.gov canonical, analysis

Vendor Comments And Credit

Discovery Credit

CNA: MKLKCDG (en)

© CVE.report 2026

Use of this information constitutes acceptance for use in an AS IS condition. There are NO warranties, implied or otherwise, with regard to this information or its use. Any use of this information is at the user's risk. It is the responsibility of user to evaluate the accuracy, completeness or usefulness of any information, opinion, advice or other content. EACH USER WILL BE SOLELY RESPONSIBLE FOR ANY consequences of his or her direct or indirect use of this web site. ALL WARRANTIES OF ANY KIND ARE EXPRESSLY DISCLAIMED. This site will NOT BE LIABLE FOR ANY DIRECT, INDIRECT or any other kind of loss.

CVE, CWE, and OVAL are registred trademarks of The MITRE Corporation and the authoritative source of CVE content is MITRE's CVE web site. This site includes MITRE data granted under the following license.

Free CVE JSON API cve.report/api

CVE.report and Source URL Uptime Status status.cve.report