CVE-2026-32123

7.7 HIGH

📋 TL;DR

This vulnerability in OpenEMR allows unauthorized users to view sensitive medical encounters (like mental health records) that should be restricted. It affects all OpenEMR installations prior to version 8.0.0.1 where group encounters are used. The issue occurs because the application incorrectly checks sensitivity settings for group encounters.

💻 Affected Systems

Products:
  • OpenEMR
Versions: All versions prior to 8.0.0.1
Operating Systems: All platforms running OpenEMR
Default Config Vulnerable: ⚠️ Yes
Notes: Only affects installations using group encounters feature. Single patient encounters are not affected.

⚠️ Manual Verification Required

This CVE does not have specific version information in our database, so automatic vulnerability detection cannot determine if your system is affected.

Why? The CVE database entry doesn't specify which versions are vulnerable (no version ranges provided by the vendor/NVD).

🔒 Custom verification scripts are available for registered users. Sign up free to download automated test scripts.

Recommended Actions:
  1. Review the CVE details at NVD
  2. Check vendor security advisories for your specific version
  3. Test if the vulnerability is exploitable in your environment
  4. Consider updating to the latest version as a precaution

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete exposure of sensitive patient health information (PHI) including mental health, substance abuse, and other protected records to unauthorized users, potentially violating HIPAA and other privacy regulations.

🟠

Likely Case

Unauthorized healthcare staff or users with limited access privileges can view sensitive patient encounters they shouldn't have access to, leading to privacy violations.

🟢

If Mitigated

With proper access controls and auditing, unauthorized access would be detected and logged, though the vulnerability would still allow initial access.

🌐 Internet-Facing: MEDIUM
🏢 Internal Only: HIGH

🎯 Exploit Status

Public PoC: ✅ No
Weaponized: UNKNOWN
Unauthenticated Exploit: ✅ No
Complexity: LOW

Exploitation requires authenticated access to OpenEMR, but any authenticated user could potentially access sensitive group encounters they shouldn't see.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: 8.0.0.1

Vendor Advisory: https://github.com/openemr/openemr/security/advisories/GHSA-j4mm-wg7q-v57q

Restart Required: Yes

Instructions:

1. Backup your OpenEMR installation and database. 2. Download OpenEMR 8.0.0.1 or later from the official repository. 3. Follow the OpenEMR upgrade instructions for your version. 4. Restart your web server. 5. Verify the fix by testing group encounter sensitivity checks.

🔧 Temporary Workarounds

Disable Group Encounters

all

Temporarily disable the group encounters feature to prevent exposure of sensitive data through this vulnerability.

Restrict User Access

all

Implement strict role-based access controls and limit user permissions to minimize potential exposure.

🧯 If You Can't Patch

  • Implement additional access controls at the network or application firewall level
  • Enable detailed auditing and monitoring of all access to group encounter records

🔍 How to Verify

Check if Vulnerable:

Check your OpenEMR version. If it's below 8.0.0.1 and you use group encounters, you are vulnerable. Test by creating a sensitive group encounter and verifying if users without proper permissions can view it.

Check Version:

Navigate to OpenEMR admin interface or check the version.php file in the installation directory.

Verify Fix Applied:

After upgrading to 8.0.0.1 or later, create a sensitive group encounter and verify that users without proper permissions cannot view it. Check that sensitivity settings are properly enforced.

📡 Detection & Monitoring

Log Indicators:

  • Unusual access patterns to group encounter records
  • Multiple failed access attempts followed by successful access to sensitive encounters
  • Users accessing records outside their normal scope

Network Indicators:

  • Increased traffic to group encounter endpoints from unauthorized users

SIEM Query:

source="openemr_logs" AND (event="group_encounter_access" AND user_role NOT IN ["authorized_roles"])

🔗 References

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