CVE-2026-104138
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.
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
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 Medium
CVSS: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 Medium
CVSS: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 Medium
CVSS: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 Medium
CVSS: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
| Recorded | Changed | Sources |
|---|---|---|
| aliases, references | NVD, OSV | |
| cwes, products, references, severity, title | CVE List | |
| first indexed | EUVD |
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
github.com/openemr/openemr/security/advisories/GHSA-6p9h-59cp-8hxj
github.com/openemr/openemr/pull/13200
github.com/openemr/openemr/commit/7973cab3fe3f2fd2374ed71c02605e3c93491c36
github.com/openemr/openemr/releases/tag/v8_3_0
github.com/CVEProject/cvelistV5/tree/main/cves/2026/104xxx/CVE-2026-104138.json
nvd.nist.gov/vuln/detail/CVE-2026-104138