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OpenEMR patient record disclosure in C-CDA gateway

CVE-2026-126472EUVD-2026-124952

8.7HighCNA
Exploited
No known exploitation
Fix
Fixed in 8.5.0
Who is exposed
Specific setups only

Do first: Check whether your setup matches what the bug needs. The C-CDA alternate service must be enabled (ccda_alt_service_enable set to 1 or 3).

Published
Last modified
Reference
Last checked
0.44% · 38th percentile
18/100 · provisional
Specific setups only
None on Exploit-DB, Metasploit or GitHub
  • Exploitation: none
  • Automatable: no
  • Technical impact: total

Summary

OpenEMR, the electronic health records software, is affected. A remote attacker who holds a low-privilege staff login can retrieve other patients' C-CDA clinical documents, exposing medications, problems, allergies, and immunizations, because the gateway does not check authorization.

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

Read the original description

OpenEMR before 8.5.0 contains a missing authorization vulnerability in ccdaservice/ccda_gateway.php that allows any authenticated low-privilege staff user to retrieve other patients' C-CDA documents. Attackers can request the view or dl action with sequential pid values and their own CSRF token to enumerate and exfiltrate medications, problems, allergies, and immunizations.

Who should check

Teams running OpenEMR before 8.5.0 with the C-CDA alternate service enabled, where any staff login can reach the gateway, such as clinic or practice IT.

Read the source excerpt

“OpenEMR before 8.5.0 contains a missing authorization vulnerability”

vulncheck.com

cve.now Index

18Pcve.now Index 18 of 100 · methodology v3 · provisional
  • Exploitation0/40No signal
  • Exposure8/25Specific setups only, reachable over the network
  • Reach?/20Unknown. No tracked technology or package matched
  • Severity9.7/10CVSS 8.7, total technical impact per CISA
  • No patch0/5No signal

What would change the score

  • Would score about 68 if added to CISA KEV
  • Would score about 63 if CISA's SSVC rates exploitation active
  • Would score about 25 if CISA's SSVC rates it automatable

What to do

  • Check whether your setup matches what the bug needs.

    The C-CDA alternate service must be enabled (ccda_alt_service_enable set to 1 or 3).
  • Upgrade to a fixed version: 8.5.0.

Check your systems with an agent

Paste this into a coding or ops agent. It checks your systems read-only and reports a table per asset.

Check whether my systems are affected by CVE-2026-126472 (OpenEMR before 8.5.0 Missing Authorization in ccdaservice/ccda_gateway.php C-CDA Disclosure), using the cve.now data below.

Rules: work read-only. Do not run exploit code, proof-of-concept scripts or scanners that send attack payloads, and do not change any configuration, package, image or deployment. Report findings only.

What cve.now has for CVE-2026-126472 (entry last updated 2026-11-13):
Affected:
- openemr openemr: fixed in 8.5.0
Fixed versions: 8.5.0.
Conditions (all must be true for the bug to be hit):
- The C-CDA alternate service must be enabled (ccda_alt_service_enable set to 1 or 3). (source: https://github.com/openemr/openemr/security/advisories/GHSA-6fxw-69cq-m7g6)
Setup: the bug needs a feature or setting that is off by default or uncommon. Check whether each asset has it on.
Attacker needs: network access, low-privilege login, no user action.
CISA KEV: CVE-2026-126472 is not listed as of cve.now's last read.
This KEV status is for CVE-2026-126472 only. If you also check another CVE, look up its own KEV status; never assume it from this one.

How to check:
- Installed software: check what is actually running, not what a repo declares. Read the version from each host, container image and Kubernetes node (the binary's version output, the OS package database, image layers), and check whether the conditions above hold there. Distribution packages may carry a backported fix under an older version number; confirm against the distribution's own advisory.

Verify against the linked advisories before concluding, and cite the date you read each one:
- https://github.com/openemr/openemr/security/advisories/GHSA-6fxw-69cq-m7g6
- https://www.vulncheck.com/advisories/openemr-before-8.5.0-missing-authorization-in-ccdaservice-ccda-gateway-php-c-cda-disclosure
Do not conclude an asset is unaffected unless you checked it and the evidence covers both its version and the conditions above. If you could not check something, mark it unknown and say what is missing.

Report a table with one row per asset and these columns: Asset | Version or build | Status (affected, fixed, not applicable, unknown) | Compensating controls | Exposure (internet-facing, internal, none) | Evidence | Next action.

Entry: https://cve.now/CVE-2026-126472
For follow-up questions, use the cve.now MCP server at https://mcp.cve.now/mcp (no authentication), for example execute with name cve.get and arguments {"id": "CVE-2026-126472"}.

Timeline

  1. CVE published
  2. First seen by cve.now
  3. CISA SSVC assessment

    Exploitation: none · Automatable: no · Technical impact: total

  4. Record last updated

Affected versions

  • openemr openemr

    fixed in 8.5.0

Evidence 4

Vendor advisory · 1

Establishes: Affected and fixed versions.

  1. Advisory

CVE record · 2

Establishes: The identifier and description.

  1. Record
  2. Record

Other links · 1

  1. Link

Corrections

None so far.

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

Questions about CVE-2026-126472

Is CVE-2026-126472 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?

Any logged-in staff user can retrieve the full clinical summary (C-CDA) of any patient, including medications, problems, allergies, and immunizations. Patients can be listed by sequential patient ID (pid), because the endpoint does not check authorization.Source: github.com

Which versions are affected by CVE-2026-126472?

openemr: before 8.5.0.Source: cve.now feed data

Am I affected, and how do I check?

OpenEMR versions before 8.5.0 are affected, but only when the C-CDA alternate service is enabled, meaning the ccda_alt_service_enable global is set to 1 or 3. Administrators can check this setting in the OpenEMR globals configuration to see whether the alternate service is on.Source: github.com

How do I fix CVE-2026-126472?

No fixed version or vendor patch identifiers are given in the checked facts, so the fix target is not confirmed. Upgrading to OpenEMR 8.5.0 or later is the version boundary the facts list as fixed.Source: github.com