CVE Intelligence
Medium Access control

CVE-2026-34055 — OpenEMR has IDOR in Patient Notes Web UI allows unauthorized note access/modification

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0.3, the legacy patient notes functions in `library/pnotes.inc.php` perform updates and deletes using `WHERE id = ?` without verifying that the note belongs to a patient the user is authorized to access. Multiple web UI callers pass user-controlled note IDs directly to these functions. This is the same class of vulnerability as CVE-2026-25745 (REST API IDOR), but affects the web UI code paths. Version 8.0.0.3 patches the issue.

Published Mar 25, 2026 · Updated Oct 13, 2026 · Sources: NIST National Vulnerability Database, CVE Program (cve.org) e CISA ADP · CNA: GitHub_M

Who exploits it and how urgent it is

A 0–100 score combining confirmed exploitation, ransomware and APT use, public exploits, EPSS and severity.

No exploitation signal in the sources consulted so far.
How the score was calculated
  • EPSS 0.4% (30-day exploitation probability)+4
  • Technical severity (medium)+3

The score orders the patch queue; it does not replace your asset context (internet exposure, criticality, compensating controls).

Triage

Is it exploited, how likely is exploitation, what does it touch, and how severe do the sources call it.

Exploitation
Not confirmed
Not in CISA KEV — an absence of record, not proof it is unexploited.
EPSS FIRST
0.36%
ahead of 28% of scored CVEs · Oct 14, 2026
Affects
Openemr
Openemr
CVSS base
6.3
Medium · 3 source(s)
Prioritization reference: 8.1 provisional

CISA SSVC assessment CISA

Three decision points CISA publishes for the CVEs it assesses (SSVC 2.0.3). A stakeholder decision, not a severity score.

Exploitation
None
none · proof-of-concept · active
Automatable
No
can an attacker script the kill-chain steps
Technical impact
Total
partial · total control of the vulnerable component

Remediation

Fixes and mitigations documented by the sources — linked to the original advisory.

  • Documented patch — github.com (NIST National Vulnerability Database)

First 24 hours

Ordered from the record’s own fields — exposure first, because you cannot patch what you have not found. A rule-generated starting point.

  1. Identify exposed assets running the affected vendor/product/version combinations (Openemr Openemr).
  2. Apply the fixed version or the patch documented under Remediation.
  3. Search available logs for exploit probes matching the vulnerability class (access control), errors and authentication anomalies.

Affected scope

Vendor, product and versions as the sources word them.

VendorProductVersionsStatusSource
Openemr Openemr < 8.0.0.3 Vulnerable NIST National Vulnerability Database
Openemr Openemr version < 8.0.0.3 Vulnerable CVE Program (cve.org) e CISA ADP

Attack characteristics

The CVSS vector, decoded. It describes the attack, not your exposure to it.

Attack vector
Network
Attack complexity
Low
Privileges required
Low
User interaction
None
Scope
Unchanged
Confidentiality
Low
Integrity
Low
Availability
Low

Every base score collected

Sources score independently and may disagree; each row says who scored it and under which version.

ScoreVersionSeverityExpl.ImpactScored by
8.1 CVSS 3.1 High 2.8 5.2 security-advisories@github.com via NIST National Vulnerability Database
8.1 CVSS 3.1 High — — GitHub_M via CVE Program (cve.org) e CISA ADP
6.3 CVSS 3.1 Medium 2.8 3.4 nvd@nist.gov via NIST National Vulnerability Database
CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:L/I:L/A:L (score shown at the top: nvd@nist.gov)
Scoring entities (NIST, CNA, ADP) score independently; each score is shown with its origin. For prioritization we use 8.1 (security-advisories@github.com via NIST National Vulnerability Database) as a conservative provisional reference — not a definitive official score.

Weakness MITRE

Weakness class according to MITRE’s CWE catalog.

CWE-639 · Authorization Bypass Through User-Controlled Key (IDOR)

Other CVEs with this weakness →

EPSS over time FIRST

Oct 13, 2026 → Oct 14, 2026 · 2 reading(s) · max 0.36%

Detection

Read off the CVSS vector and the weakness class. Starting points, not tested rules.

  • Prioritize edge telemetry for the network-reachable component (proxy, WAF, IDS/IPS).
  • Audit administrative actions and access to resources outside each user’s normal pattern.
web/proxy/WAF logsnetwork IDS/IPSauthentication logsapplication logs

Timeline

What happened to this CVE, newest first.

  • 2026
  • Affected products added · openemr/openemr
    Oct 13, 2026 · CVE Program (cve.org) e CISA ADP
  • SSVC assessment updated
    Oct 13, 2026 · CVE Program (cve.org) e CISA ADP
  • Record published
    Oct 13, 2026
  • Fix documented
    Oct 13, 2026 · NIST National Vulnerability Database
  • CVSS changed · 6.3
    Oct 13, 2026 · NIST National Vulnerability Database
  • Source status changed · → Analyzed
    Oct 13, 2026 · NIST National Vulnerability Database
  • Record created in this database
    Oct 13, 2026 · NIST National Vulnerability Database
  • CVE published
    Mar 25, 2026 · GitHub_M

Source activity

Repeated readings are counted rather than listed.

  • 1× Official description updated · Oct 13, 2026 – Oct 13, 2026

References

3 on the record

Elsewhere on this site

Openemr
every CVE for this vendor
Access control
same class
CWE-639
other pages naming this weakness

Related CVEs (same products)

  • CVE-2026-46518 OpenEMR: Stored XSS in prescription CSS/HTML print view via patient demographics Jun 9, 2026
  • CVE-2023-54347 OpenEMR 7.0.1 Authentication Brute Force Mitigation Bypass May 5, 2026
  • CVE-2026-34056 OpenEMR has a Privilege Escalation that Allows a Low-Level User to View Admin-Only Data Mar 25, 2026
  • CVE-2026-34053 OpenEMR Missing Authorization in Procedure Order AJAX Deletion Handler Mar 25, 2026
  • CVE-2026-34051 OpenEMR has Improper ACL On Import/Export Popup Mar 25, 2026
  • CVE-2026-33934 OpenEMR's Missing Authorization in show-signature.php Allows Portal Patients to Read Staff Signatures Mar 25, 2026

Not in any source we poll

Listed rather than left blank: an empty field and an unmeasured one look identical on screen, and only one is a reason to look elsewhere.

  • No confirmed IOCs, IP addresses, domains, file hashes, or malware artifacts supplied.
  • No organization-specific asset inventory, compensating-control status, or patch deployment evidence supplied.
  • No exploit packet captures, log samples, or incident case IDs supplied.

Answered from this record

Text assembled only from the fields above — no additional claims.

What should defenders know first?

CVE-2026-34055 is "OpenEMR has IDOR in Patient Notes Web UI allows unauthorized note access/modification", rated Medium. It affects Openemr (Openemr); versions are in the scope table. It is not in CISA KEV, which does not rule out exploitation. CVSS 6.3 describes technical severity. EPSS 0.36% estimates the probability of exploitation in 30 days; neither replaces your asset context. First verify whether exposed or business-critical assets run the affected versions, apply vendor fixes or mitigations, and preserve logs for review.

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