CVE-2026-25164 | OpenEMR's Document and Insurance REST Endpoints Skip ACL

Exp

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.

Published: 2026-02-25 Last update: 2026-02-27 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2026-25164 is rated Exploit Available (56.3/100): CVSS High severity, with low exploitation likelihood (EPSS 0.09%). 1 public exploit reference(s) are indexed (Exploit-DB). Public exploits are available—assess exposure, apply mitigations, and prioritize patching.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Public exploit references (Exploit-DB) for CVE-2026-25164

EDB-ID Source Kind Published Link
— nvd_ref exploit_tag Exploit-DB ↗

Exploit prediction scoring system (EPSS) score for CVE-2026-25164

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-02-28 0.03% 0.09% +0.06%
2 2026-02-26 — 0.03% —

Full EPSS history (2 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2026-25164

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
8.1 3.1 HIGH
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:N Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:L)
A normal user session is enough; they don’t have to be admin.
User interaction (UI:N)
Nobody has to click “OK” or open a trap file; it can work without a victim helping.
Scope (S:U)
Damage stays in the same “trust bubble” as the broken component—no big spill into unrelated systems.
Confidentiality (C:H)
Serious risk that confidential data gets exposed in a big way.
Integrity (I:H)
They could widely tamper with or forge data—trust in the data is badly hurt.
Availability (A:N)
Service keeps running; no real outage angle.
 2.8 5.2 [email protected]

Weakness enumeration for CVE-2026-25164

Affected software / configurations for CVE-2026-25164

Vendor Product Version Raw CPE
open-emr openemr < 8.0.0 cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*

References for CVE-2026-25164

cvelogic Threat Intelligence