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CVE-2026-25164

Estado: AnalizadaAlta (8.1)—

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token’s OpenEMR ACLs—effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue.

CVSS

Probabilidad de explotación (EPSS)

EPSS (Exploit Prediction Scoring System, de FIRST) estima la probabilidad de que una vulnerabilidad sea explotada en 30 días. Complementa a CVSS (impacto) y a CISA KEV (explotación confirmada).

🎯 Técnicas ATT&CK

Cómo se explota esta vulnerabilidad y qué consigue el atacante, en el lenguaje de MITRE ATT&CK.

Acceso remoto autenticado a API sin validación de ACL: cualquier token válido accede a PHI ajena. AV:N/PR:L/UI:N permite T1210. Impactos: abuso de cuentas válidas (T1078) y exfiltración de datos sensibles (T1005, documentos e información de seguros).

Inferido por nuestro agente de análisis a partir de la descripción oficial, el vector CVSS y la CWE, y comprobado por un supervisor. Puede contener errores.

🛡️ Mitigaciones ATT&CK que cubren estas técnicas

Privileged Account ManagementApplication Developer GuidanceActive Directory ConfigurationVulnerability ScanningUser TrainingUser Account Management

Tecnologías afectadas (1)

Open-emr — Openemr

CWE

Referencias

JSON original (NVD)

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{
  "id": "CVE-2026-25164",
  "cveTags": [],
  "metrics": {
    "ssvcV203": [
      {
        "source": "134c704f-9b21-4f2e-91b3-4a467353bcc0",
        "ssvcData": {
          "id": "CVE-2026-25164",
          "role": "CISA Coordinator",
          "options": [
            {
              "exploitation": "poc"
            },
            {
              "automatable": "no"
            },
            {
              "technicalImpact": "total"
            }
          ],
          "version": "2.0.3",
          "timestamp": "2026-02-26T16:13:35.783851Z"
        }
      }
    ],
    "cvssMetricV31": [
      {
        "type": "Secondary",
        "source": "security-advisories@github.com",
        "cvssData": {
          "scope": "UNCHANGED",
          "version": "3.1",
          "baseScore": 8.1,
          "attackVector": "NETWORK",
          "baseSeverity": "HIGH",
          "vectorString": "CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N",
          "integrityImpact": "HIGH",
          "userInteraction": "NONE",
          "attackComplexity": "LOW",
          "availabilityImpact": "NONE",
          "privilegesRequired": "LOW",
          "confidentialityImpact": "HIGH"
        },
        "impactScore": 5.2,
        "exploitabilityScore": 2.8
      }
    ]
  },
  "affected": [
    {
      "source": "security-advisories@github.com",
      "affectedData": [
        {
          "vendor": "openemr",
          "product": "openemr",
          "versions": [
            {
              "status": "affected",
              "version": "< 8.0.0"
            }
          ]
        }
      ]
    }
  ],
  "published": "2026-02-25T19:43:21.827",
  "references": [
    {
      "url": "https://github.com/openemr/openemr/commit/c5e1c44774156cd0d04f4e08ed6a81fe76d38e92",
      "tags": [
        "Patch"
      ],
      "source": "security-advisories@github.com"
    },
    {
      "url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9",
      "tags": [
        "Exploit",
        "Vendor Advisory"
      ],
      "source": "security-advisories@github.com"
    },
    {
      "url": "https://github.com/openemr/openemr/security/advisories/GHSA-f64c-h2gh-g3f9",
      "tags": [
        "Exploit",
        "Vendor Advisory"
      ],
      "source": "134c704f-9b21-4f2e-91b3-4a467353bcc0"
    }
  ],
  "vulnStatus": "Analyzed",
  "weaknesses": [
    {
      "type": "Secondary",
      "source": "security-advisories@github.com",
      "description": [
        {
          "lang": "en",
          "value": "CWE-862"
        }
      ]
    }
  ],
  "descriptions": [
    {
      "lang": "en",
      "value": "OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, the REST API route table in `apis/routes/_rest_routes_standard.inc.php` does not call `RestConfig::request_authorization_check()` for the document and insurance routes. Other patient routes in the same file (e.g. encounters, patients/med) call it with the appropriate ACL. As a result, any valid API bearer token can access or modify every patient's documents and insurance data, regardless of the token’s OpenEMR ACLs—effectively exposing all document and insurance PHI to any authenticated API client. Version 8.0.0 patches the issue."
    },
    {
      "lang": "es",
      "value": "OpenEMR es una aplicación de código abierto y gratuita para registros de salud electrónicos y gestión de consultorios médicos. Antes de la versión 8.0.0, la tabla de rutas de la API REST en 'apis/routes/_rest_routes_standard.inc.php' no llama a 'RestConfig::request_authorization_check()' para las rutas de documentos y seguros. Otras rutas de pacientes en el mismo archivo (por ejemplo, encuentros, pacientes/med) la llaman con la ACL apropiada. Como resultado, cualquier token portador de API válido puede acceder o modificar los documentos y datos de seguro de cada paciente, independientemente de las ACL de OpenEMR del token —exponiendo eficazmente toda la información de salud protegida (PHI) de documentos y seguros a cualquier cliente de API autenticado. La versión 8.0.0 corrige el problema."
    }
  ],
  "lastModified": "2026-06-17T10:24:12.867",
  "configurations": [
    {
      "nodes": [
        {
          "negate": false,
          "cpeMatch": [
            {
              "criteria": "cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*",
              "vulnerable": true,
              "matchCriteriaId": "FEAA9896-A42E-437C-BEE8-8DA955E34385",
              "versionEndExcluding": "8.0.0"
            }
          ],
          "operator": "OR"
        }
      ]
    }
  ],
  "sourceIdentifier": "security-advisories@github.com"
}