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Vulnerability record · CVE-2026-25164 · published 25 February 2026

CVE-2026-25164: Open-emr openemr missing authorization vulnerability

Open Emr · Openemr

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’s OpenEMR ACLs—effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue.

8.1 CVSS 3.1 High EPSS 0.27% · top 82.8% CWE-862 · Missing authorization
8.1CVSS 3.1 base score
0.27%EPSS exploitation probability, 30 days
NoNot in CISA KEV
1Affected product versions listed by NVD
3References, 2 tagged exploit
17 Jun 2026Last modified by NVD

Description

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’s OpenEMR ACLs—effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue.

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

Affected products

1 vulnerable configurations from NVD's CPE data, grouped by vendor and product.

References

LinkTags
https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92 Patch
https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9 ExploitVendor Advisory
https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9 ExploitVendor Advisory

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Related vulnerabilities

Same products first, then exploited flaws of the same weakness class.

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Source: NIST National Vulnerability Database (record CVE-2026-25164), CISA KEV, FIRST EPSS (scores of 2026-09-26). This page is refreshed as NVD updates the record.