CVE-2026-124451
OpenEMR before 8.4.0 Authorization Bypass via checkUserHasAccessToPatient in SMART on FHIR
OpenEMR 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.
Attack profile
How easy it is to exploit
- Attack vector
- Network
- Complexity
- High
- Privileges needed
- Low
- User interaction
- None
What an attacker can affect
- Confidentiality
- High
- Integrity
- None
- Availability
- None
What each source reports
CVE List Score used
OpenEMR before 8.4.0 Authorization Bypass via checkUserHasAccessToPatient in SMART on FHIR
OpenEMR 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.
- Record
CVE-2026-124451- CVSS 4.0
- 6.0 Medium
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 - CVSS 3.1
- 5.3 Medium
CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N - Weakness
- CWE-639
- Updated
- 2026-11-08
EUVDEUVD-2026-119509
OpenEMR 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.
- Record
EUVD-2026-119509- CVSS 4.0
- 6.0 Medium
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 - Updated
- 2026-11-08
GitHub AdvisoriesGHSA-85p4-grr3-gp5m
OpenEMR before 8.4.0 contains an authorization bypass vulnerability in its SMART on FHIR...
OpenEMR 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.
- Record
GHSA-85p4-grr3-gp5m- CVSS 4.0
- 6.0 Medium
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 3.1
- 5.3 Medium
CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N - Weakness
- CWE-639
- Updated
- 2026-11-08
NVD
OpenEMR 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.
- Record
CVE-2026-124451- CVSS 4.0
- 6.0 Medium
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 3.1
- 5.3 Medium
CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N - Weakness
- CWE-639
- Updated
- 2026-11-08
OSV
OpenEMR before 8.4.0 Authorization Bypass via checkUserHasAccessToPatient in SMART on FHIR
OpenEMR 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.
- Record
CVE-2026-124451- CVSS 4.0
- 6.0 Medium
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 - Weakness
- CWE-639
- Updated
- 2026-11-09
Affected products
History
| Recorded | Changed | Sources |
|---|---|---|
| aliases, references | OSV | |
| published | EUVD | |
| published | EUVD, NVD | |
| aliases, references | GitHub Advisories | |
| 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-2026-124451 is a medium vulnerability (CVSS 6.0) in Open-emr Openemr, published November 8, 2026. No source lists public exploit code. No source names a fixed version.
References
github.com/openemr/openemr/security/advisories/GHSA-xjgw-qjm5-4mq6
vulncheck.com/advisories/openemr-before-8.4.0-authorization-bypass-via-checkuserhasaccesstopatient-in-smart-on-fhir
nvd.nist.gov/vuln/detail/CVE-2026-124451