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OpenEMR before 8.4.0 Cross-Patient PHI Exfiltration via SMART Patient Launch

OpenEMR versions before 8.4.0 are affected when a SMART standalone-launch user holds only the patients|demo ACL. The fix is in 8.4.0.

Written by anthropic/claude-haiku-5.5 from the sources below. Verify against them.

7.1HighCNA
Exploited
No known exploitation
Fix
Fixed in 8.4.0
Who is exposed
Specific setups only

Do first: Check whether your setup matches what the bug needs. Affected OpenEMR versions are those before 8.4.0. Attacker must be a SMART standalone-launch user holding the patients|demo ACL.

Published
Last modified
15/100 · provisional
Specific setups only
None on Exploit-DB, Metasploit or GitHub

Summary

OpenEMR before 8.4.0 contains an authorization bypass allowing low-privileged SMART standalone-launch users to bind arbitrary patient UUIDs into the OAuth token context. Attackers with only the patients|demo ACL can select a victim during authorization and read that patient's clinical notes and documents through patient-scoped DocumentReference and Binary FHIR endpoints.

cve.now Index

15Pcve.now Index 15 of 100 · methodology v3 · provisional
  • Exploitation?/40Unknown. No CISA SSVC exploitation rating yet
  • Exposure8/25Specific setups only, reachable over the network
  • Reach?/20Unknown. No tracked technology or package matched
  • Severity7.1/10CVSS 7.1
  • No patch0/5No signal

What would change the score

  • Would score about 65 if added to CISA KEV
  • Would score about 60 if CISA's SSVC rates exploitation active
  • Would score about 22 if CISA's SSVC rates it automatable

What to do

  • Check whether your setup matches what the bug needs.

    Affected OpenEMR versions are those before 8.4.0. Attacker must be a SMART standalone-launch user holding the patients|demo ACL.
  • Upgrade to a fixed version: 8.4.0.

Timeline

  1. CVE published
  2. First seen by cve.now

Affected versions

  • openemr openemr

    fixed in 8.4.0

Evidence 2

  1. Advisory
  2. Link

Corrections

None so far.

Something wrong on this page? Report an error. Every fix is listed here.

Questions about CVE-2026-124482

Is CVE-2026-124482 being exploited?

It is not in CISA's Known Exploited Vulnerabilities catalog, and CISA's SSVC assessment does not mark exploitation as active. That does not mean it has not been attacked: vendors and researchers can report attacks before CISA lists them. No public exploit code is tracked.Source: cve.now feed data

What does this mean?

A SMART standalone-launch user with only the patients|demo ACL can read another patient's clinical note contents and downloadable patient documents. The attacker does this by selecting that victim during authorization.Source: github.com

Which versions are affected by CVE-2026-124482?

openemr: before 8.4.0.Source: cve.now feed data

Am I affected, and how do I check?

OpenEMR versions before 8.4.0 are affected, in setups where SMART standalone launch is used and the launching user holds the patients|demo ACL. To check, look at the OpenEMR version in the installation and the ACL assigned to SMART launch users.Source: github.com

How do I fix CVE-2026-124482?

Upgrade OpenEMR to 8.4.0 or later, which contains the fix.Source: github.com