Goal Reached Thanks to every supporter — we hit 100%!

Goal: 1000 CNY · Raised: 1359 CNY

100%
Buy Us a Coffee

CVE-2026-104138— OpenEMR: Missing authorization on QRDA Category I/III download endpoints

Quick assessment

Affected
openemr openemr
Exploitation
No confirmed in-the-wild exploitation; assess based on exposure
Recommended action
Check the vendor advisory and references for a fixed version. If immediate upgrade is impossible, restrict exposure and increase monitoring.

OpenEMR 是一款免费且开源的电子健康记录与医疗实践管理应用程序。在 8.3.0 版本之前， 、 、 以及 这几个脚本虽然验证了 CSRF（跨站请求伪造），但并未强制执行由标准 CQM（临床质量衡量）报告页面所使用的 访问控制列表（ACL）。此外，这些端点还接受未限定范围的 参数，使得低权限的已认证用户能够访问并触发其他报告的生成功能与下载逻辑。在已生成 CQM 报告的诊所环境中，此漏洞可能导致属于某项衡量指标内患者的 QRDA 第一类（Category One）和第三类（Category Three）临床文档

CVSS 6.5 · Medium
Get alerts for future matching vulnerabilities Log in to subscribe

I. Basic Information for CVE-2026-104138

Vulnerability Information
Have questions about the vulnerability? See if Shenlong's analysis helps!
View Shenlong Deep Dive ↗

Although we use advanced large model technology, its output may still contain inaccurate or outdated information.Shenlong tries to ensure data accuracy, but please verify and judge based on the actual situation.

Vulnerability Title
OpenEMR: Missing authorization on QRDA Category I/III download endpoints
Source: CVE Program / CVE List V5
Vulnerability Description
OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 8.3.0, custom/ajax_download.php, custom/download_qrda.php, custom/export_qrda_xml.php, and custom/qrda_download.php validate CSRF but do not enforce the patients/med ACL used by the canonical CQM report page. The endpoints also accept an unscoped report_id, allowing a low-privilege authenticated user to reach report generation and download logic for other reports. In a clinic with generated CQM reports, this can expose QRDA Category One and Category Three clinical documents for patients in a measure. This issue is fixed in version 8.3.0.
Source: CVE Program / CVE List V5
CVSS Information
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N
Source: CVE Program / CVE List V5
Vulnerability Type
授权机制缺失
Source: CVE Program / CVE List V5

Affected Products

Vendor Product Affected Versions CPE Subscribe
openemr openemr < 8.3.0 -

II. Public POCs for CVE-2026-104138

# POC Description Source Link Shenlong Link
AI-Generated POC Premium

No public POC found.

Login to generate AI POC

III. Intelligence Information for CVE-2026-104138

请登录查看更多情报信息。

Patches & Fixes for CVE-2026-104138 (1)

Vendor Pages for CVE-2026-104138 (1)

Other References for CVE-2026-104138 (2)

Same Patch Batch · openemr · 2026-11-05 · 16 CVEs total

CVE-2026-102940 9.6 CRITICAL OpenEMR: Missing Write ACL Allows Unauthorized Document Reassignment
CVE-2026-103935 8.1 HIGH OpenEMR: Stored XSS via `text()` Misuse in Double-Quoted HTML Attribute
CVE-2026-115573 8.1 HIGH OpenEMR: Broken Access Control in controller.php Enables Insurance Routing Credential Hija
CVE-2026-65983 7.5 HIGH OpenEMR FaxSMS module: insecure staging of decrypted patient documents in webroot
CVE-2026-103938 7.1 HIGH OpenEMR: CSRF Protection Bypass on IPPF Point-of-Sale Void and Regen Operations
CVE-2026-104137 7.1 HIGH OpenEMR: Patient Data Search Without Sufficient ACL
CVE-2026-104136 7.1 HIGH OpenEMR: Arbitrary Patient Recall and Contact Detail Read
CVE-2026-104133 7.1 HIGH OpenEMR: Missing authorization in DORN `compendium_install.php` — non-admin destructive la
CVE-2026-104135 6.5 MEDIUM OpenEMR: Missing authorization in payment patient-search AJAX leaks patient directory and
CVE-2026-104139 6.5 MEDIUM OpenEMR: Missing Authorization on Document Template Download Endpoint Allows Any Authentic
CVE-2026-104134 6.5 MEDIUM OpenEMR: Missing authorization in person-search AJAX leaks patient demographics (name, DOB
CVE-2026-103939 5.4 MEDIUM OpenEMR: Weno `file_download.php`: missing ACL/CSRF truncates the e-prescribing pharmacy d
CVE-2026-103021 5.3 MEDIUM OpenEMR: Username Enumeration via Pre-Authentication User Settings Loading
CVE-2026-103020 5.3 MEDIUM OpenEMR: Unauthenticated Information Disclosure in admin.php Exposes Database Names and Ve
CVE-2026-103019 4.3 MEDIUM OpenEMR: Unauthenticated Open Redirect via OIDC End Session Endpoint

IV. Related Vulnerabilities

Same product: openemr
Same vendor: openemr
Same weakness: CWE-862