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TI-2026-20813 Aliases CVE-2026-25745

OpenEMR's Message Update Ignores Patient id

Priority MEDIUM 62CWE-639Published · Updated

Key facts

Attack vector
Network
Privileges required
Low
User interaction
None
Attack complexity
Low
Impact type
Security bypass
Confidentiality · integrity · availability
None · High · None
Fix status
No fix listed

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. In versions up to and including 8.0.0, the message/note update endpoint (e.g. PUT or POST) updates by message/note ID only and does not verify that the message belongs to the current patient (or that the user is allowed to edit that patient’s notes). An authenticated user with notes permission can modify any patient’s messages by supplying another message ID. Commit 92a2ff9eaaa80674b3a934a6556e35e7aded5a41 contains a fix for the issue.

Why it matters now

Exploitation Proof of concept CISA SSVC · not in CISA KEV
EPSS 0.00291 21st percentileScored 2026-11-07
Public exploit Yes 1 exploit referenceTagged by NVD
Fix No fix listed No fixed version in the sources yet

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

VendorProductAffected versionsFixed inStatusSource
openemropenemrup to 8.0.0—No fix listedCNA
  • openemr Vendoropenemr Affected up to 8.0.0 Fixed in — No fix listed CNA

CPE configurations NVD · 1

CPEVersionsRoleVendor
cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*up to 8.0.0VulnerableOpen-Emr
  • cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:* Versions up to 8.0.0 Vulnerable ·Open-Emr

Remediation

No fixed version listed by the sources yet.

Timeline

  1. 2026-10-02 Threatist record created from CVE-2026-25745

References

Exploit 1

Patch 1

  • 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
See all 153 →

Sources

This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences