OpenEMR's Portal Payment Endpoint Trusts User-Controlled pid
Key facts
- Attack vector
- Network
- Privileges required
- Low
- User interaction
- None
- Attack complexity
- Low
- Impact type
- Security bypass
- Confidentiality · integrity · availability
- High · Low · None
- Fix status
- Fixed
Attack profile from CVSS 3.1 · CNA. Fix status from CNA. Impact type from CWE-639.
Summary
OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0, in `portal/portal_payment.php`, the patient id used for the page is taken from the request (`$pid = $_REQUEST['pid'] ?? $pid` and `$pid = ($_REQUEST['hidden_patient_code'] ?? null) > 0 ? $_REQUEST['hidden_patient_code'] : $pid`) instead of being fixed to the authenticated portal user. The portal session already has a valid `$pid` for the logged-in patient. Overwriting it with user-supplied values and using it without authorization allows a portal user to view and interact with another patient's demographics, invoices, and payment history—horizontal privilege escalation and IDOR. Version 8.0.0 contains a fix for the issue.
Why it matters now
SSVC decision points
CISA ADP · SSVC 2.0.3
- Exploitation
- Poc
- Automatable
- No
- Technical impact
- Partial
The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.
Affected products
Remediation
- Fix · CNA openemr (openemr) Fixed in 8.0.0
Timeline
- 2026-10-02 Threatist record created from CVE-2026-25147
References
More openemr vulnerabilities
- TI-2026-24664 SQL Injection Vulnerability in ajax graphs library (OpenEMR) CVSS 3.1HIGH 8.8
- TI-2026-85645 Missing write ACL lets users reassign documents in OpenEMR CVSS 3.1CRITICAL 9.6
- TI-2026-28796 OpenEMR 8.2.0 Remote Code Execution via CategoryTree eval() Injection CVSS 4.0CRITICAL 9.4
- TI-2026-20308 OpenEMR's payments gateway_api_key secret rendered into client JS code CVSS 3.1CRITICAL 9.6
- TI-2026-20093 OpenEMR has SQL Injection in Patient API Sort Parameter CVSS 3.1CRITICAL 10.0
- TI-2026-20048 OpenEMR Arbitrary File Read Vulnerability CVSS 3.1CRITICAL 10.0
Sources
This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences