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.

Attack Vector Network

Attack Complexity Low

Privileges Required Low

Attack Requirements None

User Interaction None

Vulnerable System Confidentiality Impact High

Vulnerable System Integrity Impact None

Vulnerable System Availability Impact None

Subsequent System Confidentiality Impact None

Subsequent System Integrity Impact None

Subsequent System Availability Impact None

Attack Vector Network

Attack Complexity Low

Privileges Required Low

Scope Unchanged

Confidentiality Impact High

Integrity Impact None

Availability Impact None

User Interaction None

No CVSS v3.0

No CVSS v2

This CVE is not in the KEV list.

No EPSS score available.

Key SSVC decision points have not yet been added.

Default status is the baseline for the product, each version can override it (e.g. patched versions marked unaffected).

Vendor Product Default status Versions
openemr openemr unaffected
Version Status Constraints
0 affected < 8.4.0
8.4.0 unaffected —

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Project Subscriptions

Vendors Products
Open-emr Subscribe
Openemr Subscribe
Advisories

No advisories yet.

Fixes

Solution

No solution given by the vendor.

Workaround

No workaround given by the vendor.

References
Link Providers
https://github.com/openemr/openemr/security/advisories/GHSA-rm4j-gxwp-qh48 cve-icon
https://www.vulncheck.com/advisories/openemr-before-8.4.0-cross-patient-phi-exfiltration-via-smart-patient-launch cve-icon
History

Sun, 08 Nov 2026 13:30:00 +0000

Type Values Removed Values Added
Description 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.
Title OpenEMR before 8.4.0 Cross-Patient PHI Exfiltration via SMART Patient Launch
First Time appeared Open-emr
Open-emr openemr
Weaknesses CWE-639
CPEs cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*
Vendors & Products Open-emr
Open-emr openemr
References
Metrics cvssV3_1

{'score': 6.5, 'vector': 'CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N'}

cvssV4_0

{'score': 7.1, 'vector': 'CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:N/VA:N/SC:N/SI:N/SA:N'}

Projects

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cve-icon MITRE

Status: PUBLISHED

Assigner: VulnCheck

Published:

Updated: 2026-11-08T13:16:01.436Z

Reserved: 2026-11-08T02:17:31.141Z

Link: CVE-2026-124482

cve-icon Vulnrichment

No data.

cve-icon NVD

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cve-icon Redhat

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cve-icon OpenCVE Enrichment

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Weaknesses