CVE-2026-124486

OpenEMR before 8.3.0 contains a broken access control vulnerability in portal/portal_payment.php that allows low-privilege authenticated users to bypass billing ACL checks by tampering patient identifiers. Attackers can modify the pid and form_pid parameters to view payment pages and record fraudulent payment receipts for arbitrary patients, corrupting billing records.

OpenEMR before 8.3.0 contains an authorization bypass vulnerability that allows authenticated clinicians lacking high-sensitivity permission to read and modify encounter-bound forms via load_form.php. Attackers can request the Clinical Notes or Care Plan direct loader to obtain restricted content and a CSRF token, then submit save.php to tamper with clinical records.

OpenEMR before 8.4.0 contains an improper authorization vulnerability in the non-patient POST /fhir/DocumentReference/$docref route that allows low-privileged users to generate any patient's CCDA. Attackers with only demographics and documents permissions can supply a victim patient parameter, then download the full-chart CCDA from Patient Documents to exfiltrate clinical data.

OpenEMR before 8.3.0 contains an authorization bypass vulnerability in the patient portal onsitedocuments API that allows authenticated patients to read other patients' documents by overriding query criteria. Attackers can send empty pid_Equals and denialReason_IsNotLike parameters to remove patient scoping and locked filters, exposing consent bodies, signatures, file paths, and template data.

OpenEMR before 8.4.0 contains a missing authorization vulnerability in portal onsite-document APIs that allows any authenticated core user to access cross-patient documents. Attackers can omit the patientId parameter and supply arbitrary record IDs to list, read, and overwrite other patients' portal documents, signatures, and template data.

OpenEMR before 8.4.0 contains an incorrect authorization vulnerability because the prescription REST API routes check the patients.med ACL instead of patients.rx and request no specific permission bit, so read-only Medical/History access passes the check. Authenticated staff users can reuse the UI-exposed APICSRFTOKEN to enumerate prescription UUIDs, forge prescriptions for arbitrary patients, and deactivate existing prescriptions tenant-wide.

OpenEMR before 8.4.0 contains an authorization bypass allowing low-privileged SMART standalone-launch users to bind arbitrary patient UUIDs into the OAuth token context. Attackers with only the patients|demo ACL can select a victim during authorization and read that patient's clinical notes and documents through patient-scoped DocumentReference and Binary FHIR endpoints.

OpenEMR before 8.4.0 contains an improper authorization vulnerability in Rainforest patient portal payments that trusts browser-supplied patientId, encounter, and amount values instead of deriving them from the portal session. Authenticated portal patients can tamper with JSON sent to portal_payment.rainforest.php so the payin.authorized webhook writes forged ar_activity credits to other patients' encounters exceeding the amount actually paid.

OpenEMR before 8.4.0 contains an authorization bypass vulnerability that allows low-privileged authenticated users to read cross-patient FHIR QuestionnaireResponse data by sending the APICSRFTOKEN header. Attackers can reuse the session-exposed api_csrf_token_js value to skip FHIR scope checks and call GET /fhir/QuestionnaireResponse, exfiltrating site-wide questionnaire answer PHI.

OpenEMR before 8.4.0 contains an arbitrary local file read vulnerability in REST document download, where the controller passes stored uploaded document bytes to Symfony's BinaryFileResponse as a filesystem path instead of returning them as content. Authenticated users with document upload and download access can upload a document containing an absolute pathname, such as the sqlconf.php location, then download it to read server files and recover database credentials.