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CVE-2026-104138

OpenEMR: Missing authorization on QRDA Category I/III download endpoints

6.5 Medium

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.

Attack profile

How easy it is to exploit

Attack vector
Network
Complexity
Low
Privileges needed
Low
User interaction
None

What an attacker can affect

Confidentiality
High
Integrity
None
Availability
None

Exploit likelihood

0.30%Unchanged since Nov 6, 2026
90%50%10%1%

What each source reports

CVE List Score used 6.5

OpenEMR: Missing authorization on QRDA Category I/III download endpoints

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.

Record
CVE-2026-104138
CVSS 3.1
6.5 MediumCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N
Weakness
CWE-862
Updated
2026-11-05
EUVDEUVD-2026-117773 6.5

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.

Record
EUVD-2026-117773
CVSS 3.1
6.5 MediumCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N
Updated
2026-11-05
NVD 6.5

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.

Record
CVE-2026-104138
CVSS 3.1
6.5 MediumCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N
Weakness
CWE-862
Updated
2026-11-07
OSV 6.5

OpenEMR: Missing authorization on QRDA Category I/III download endpoints

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.

Record
CVE-2026-104138
CVSS 3.1
6.5 MediumCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N
Weakness
CWE-862
Updated
2026-11-07

Affected products

History

History
RecordedChangedSources
aliases, referencesNVD, OSV
cwes, products, references, severity, titleCVE List
first indexedEUVD

Dates are when Every CVE recorded each change. Upstream dates may differ.

In short

CVE-2026-104138 is a medium vulnerability (CVSS 6.5) in Open-emr Openemr, published November 5, 2026. No source lists public exploit code. EPSS puts the chance of exploitation in the next 30 days at 0.30%, the 23rd percentile. No source names a fixed version.

References

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