CVE-2026-25164
CWE-862Published: February 25, 2026· Updated: Feb 27, 2026
Official Description
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.
Technical Analysis
CVE-2026-25164 can be exploited remotely over the network without requiring physical or adjacent access, significantly expanding the attack surface for threat actors.
Exploitation requires low privileges, which limits the exposure to scenarios where an attacker has already gained initial access.
A successful exploit results in complete confidentiality breach (data exposure), full integrity compromise (data manipulation), with a CVSS base score of 8.1.
CVSS v3.1 Vector Breakdown
Affected Vendors & Products
Exploit & PoC Resources
Official Patches & Advisories
All References (3)
Quick Facts
Related CVEs (CWE-862)
Recommended Actions
- →Apply vendor patches immediately
- →Monitor CVE-2026-25164 in threat intel feeds
- →Review IDS/IPS signatures for exploitation attempts