CVE-2026-124451
Full vulnerability record from the local CVENow database.
Description
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.
Severity
MEDIUM
CVSS score
6.0
(v4.0)
Vulnerability status
Received
Source identifier
Published
2026-11-08 14:18:12.477000
Last modified
2026-11-08 14:18:12.477000
View original CVE JSON
{
"id": "CVE-2026-124451",
"sourceIdentifier": "[email protected]",
"published": "2026-11-08T14:18:12.477",
"lastModified": "2026-11-08T14:18:12.477",
"vulnStatus": "Received",
"cveTags": [],
"descriptions": [
{
"lang": "en",
"value": "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."
}
],
"affected": [
{
"source": "[email protected]",
"affectedData": [
{
"vendor": "openemr",
"product": "openemr",
"defaultStatus": "unaffected",
"versions": [
{
"version": "0",
"lessThan": "8.4.0",
"versionType": "semver",
"status": "affected"
},
{
"version": "8.4.0",
"versionType": "semver",
"status": "unaffected"
}
]
}
]
}
],
"metrics": {
"cvssMetricV40": [
{
"source": "[email protected]",
"type": "Secondary",
"cvssData": {
"version": "4.0",
"vectorString": "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",
"baseScore": 6.0,
"baseSeverity": "MEDIUM",
"attackVector": "NETWORK",
"attackComplexity": "HIGH",
"attackRequirements": "PRESENT",
"privilegesRequired": "LOW",
"userInteraction": "NONE",
"vulnConfidentialityImpact": "HIGH",
"vulnIntegrityImpact": "NONE",
"vulnAvailabilityImpact": "NONE",
"subConfidentialityImpact": "NONE",
"subIntegrityImpact": "NONE",
"subAvailabilityImpact": "NONE",
"exploitMaturity": "NOT_DEFINED",
"confidentialityRequirement": "NOT_DEFINED",
"integrityRequirement": "NOT_DEFINED",
"availabilityRequirement": "NOT_DEFINED",
"modifiedAttackVector": "NOT_DEFINED",
"modifiedAttackComplexity": "NOT_DEFINED",
"modifiedAttackRequirements": "NOT_DEFINED",
"modifiedPrivilegesRequired": "NOT_DEFINED",
"modifiedUserInteraction": "NOT_DEFINED",
"modifiedVulnConfidentialityImpact": "NOT_DEFINED",
"modifiedVulnIntegrityImpact": "NOT_DEFINED",
"modifiedVulnAvailabilityImpact": "NOT_DEFINED",
"modifiedSubConfidentialityImpact": "NOT_DEFINED",
"modifiedSubIntegrityImpact": "NOT_DEFINED",
"modifiedSubAvailabilityImpact": "NOT_DEFINED",
"Safety": "NOT_DEFINED",
"Automatable": "NOT_DEFINED",
"Recovery": "NOT_DEFINED",
"valueDensity": "NOT_DEFINED",
"vulnerabilityResponseEffort": "NOT_DEFINED",
"providerUrgency": "NOT_DEFINED"
}
}
],
"cvssMetricV31": [
{
"source": "[email protected]",
"type": "Primary",
"cvssData": {
"version": "3.1",
"vectorString": "CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N",
"baseScore": 5.3,
"baseSeverity": "MEDIUM",
"attackVector": "NETWORK",
"attackComplexity": "HIGH",
"privilegesRequired": "LOW",
"userInteraction": "NONE",
"scope": "UNCHANGED",
"confidentialityImpact": "HIGH",
"integrityImpact": "NONE",
"availabilityImpact": "NONE"
},
"exploitabilityScore": 1.6,
"impactScore": 3.6
}
]
},
"weaknesses": [
{
"source": "[email protected]",
"type": "Primary",
"description": [
{
"lang": "en",
"value": "CWE-639"
}
]
}
],
"references": [
{
"url": "https://github.com/openemr/openemr/security/advisories/GHSA-xjgw-qjm5-4mq6",
"source": "[email protected]"
},
{
"url": "https://www.vulncheck.com/advisories/openemr-before-8.4.0-authorization-bypass-via-checkuserhasaccesstopatient-in-smart-on-fhir",
"source": "[email protected]"
}
]
}