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CVE-2026-25164

OpenEMR's Document and Insurance REST Endpoints Skip ACL

8.1 High

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.

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
High
Availability
None

Exploit likelihood

0.30%Up 0.3 points since Feb 26, 2026
90%50%10%1%

What each source reports

CVE List Score used8.1

OpenEMR's Document and Insurance REST Endpoints Skip ACL

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.

Record
CVE-2026-25164
CVSS 3.1
8.1 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Weakness
CWE-862
Updated
2026-11-02
EUVDEUVD-2026-87048.1

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.

Record
EUVD-2026-8704
CVSS 3.1
8.1 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Updated
2026-11-02
NVD8.1

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.

Record
CVE-2026-25164
CVSS 3.1
8.1 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Weakness
CWE-862
Updated
2026-11-02
OSV8.1

OpenEMR's Document and Insurance REST Endpoints Skip ACL

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.

Record
CVE-2026-25164
CVSS 3.1
8.1 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N
Weakness
CWE-862
Updated
2026-11-02

Affected products

History

History
RecordedChangedSources
first indexedCVE List, EUVD, NVD, OSV

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

In short

CVE-2026-25164 is a high vulnerability (CVSS 8.1) in Open-emr Openemr, published February 25, 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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