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CVE-2026-124451

MEDIUMCVSS 5.3/10EPSS 0.25%

Last modified

CVE-2026-124451 is a medium-severity vulnerability rated 5.3/10 on the CVSS scale. 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.. EPSS estimates a 0.25% chance of exploitation in the next 30 days.

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.

Metrics

CVSS 3.1
5.3/10

CVSS:3.1/AV:N/AC:H/PR:L/UI:N/S:U/C:H/I:N/A:N

CVSS 4.0
6/10

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

EPSS Probability
0.25%

16.0th percentile

Probability of exploitation in the next 30 days. Learn more

Weakness Enumeration

Affected Software

Source: CNA advisory (CVE.org). NVD analysis pending.

VendorProductVersions
openemropenemr< 8.4.0

References

Timeline

Published
Last Modified
Status
Awaiting Analysis

Frequently Asked Questions

What is CVE-2026-124451?
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.
How severe is CVE-2026-124451?
CVE-2026-124451 has a CVSS score of 5.3/10 (MEDIUM severity). The EPSS model estimates a 0.25% probability of exploitation in the next 30 days.
How do I fix CVE-2026-124451?
Check the vendor references and advisories linked above for patched versions and mitigation guidance. You can also run a Strix scan to test if your systems are affected.

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Source: NVD / NIST