ePA 3.x Integration: VAU Server Authentication Bypass via Circular Certificate Trust
Key facts
- Attack vector
- Network
- Privileges required
- None
- User interaction
- None
- Attack complexity
- Low
- Impact type
- Spoofing
- Confidentiality · integrity · availability
- High · High · None
- Fix status
- Fixed
Attack profile from CVSS 3.1 · CNA. Fix status from CNA. Impact type from CWE-295.
Summary
ePA 3.x Integration implements the authorization workflow and writes Medical Information Objects to Germany's electronic patient record. Prior to 1.3.0, ePA 3.x Integration performs VAU server certificate validation in app/vau/VAUProtokoll.py without anchoring the signed_vau_server_pub_keys and AUT_VAU_CertData certificate path to independent trusted material. A network-positioned attacker between the DiGA backend and the ePA system can intercept the VAU handshake, supply attacker-controlled certificate and key material, and satisfy the circular trust relationship. Because TLS certificate verification is also disabled in affected versions, no independent server-authentication layer prevents the attack. The attacker can impersonate the VAU server, control the negotiated session keys, and read or modify all encrypted VAU traffic. This issue is fixed in version 1.3.0.
Why it matters now
SSVC decision points
CISA ADP · SSVC 2.0.3
- Exploitation
- None
- Automatable
- Yes
- Technical impact
- Total
The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.
Affected products
| Vendor | Product | Affected versions | Fixed in | Status | Source |
|---|---|---|---|---|---|
| fbeta-GmbH | ePA3-Service-OpenSource | before 1.3.0 | 1.3.0 | Patch available | CNA |
- ePA3-Service-OpenSource Vendorfbeta-GmbH Affected before 1.3.0 Fixed in 1.3.0 Patch available CNA
Remediation
- Fix · CNA ePA3-Service-OpenSource (fbeta-GmbH) Fixed in 1.3.0
Timeline
- 2026-10-02 Threatist record created from CVE-2026-52723
References
Other 5
- https://github.com/fbeta-GmbH/ePA3-Service-OpenSource/security/advisories/GHSA-q2jw-6c4w-86jc
- https://github.com/fbeta-GmbH/ePA3-Service-OpenSource/pull/12
- https://github.com/fbeta-GmbH/ePA3-Service-OpenSource/commit/197c8c7fc41675f19c7f448696a2bc63fab9db5b
- https://github.com/fbeta-GmbH/ePA3-Service-OpenSource/releases/tag/1.3.0
- https://www.machinespirits.de/advisory/a1da93
More fbeta-GmbH vulnerabilities
- TI-2026-37299 ePA 3.x Integration: TLS Certificate Verification Universally Disabled CVSS 3.1HIGH 7.5
- TI-2026-37298 ePA 3.x Integration: AES-GCM Nonce Reuse via Frozen VAU Request Counter CVSS 3.1HIGH 7.4
- TI-2026-37297 ePA 3.x Integration: HTTP Header Injection in VAU Inner Requests CVSS 3.1MEDIUM 6.8
Sources
This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences