📄 Description (English)
OpenEMR is a free and open source electronic health records and medical practice management application. A Broken Access Control vulnerability in OpenEMR up to and including version 8.0.0.3 allows low-privilege users to view and download Ensora eRx error logs without proper authorization checks. This flaw compromises system confidentiality by exposing sensitive information, potentially leading to unauthorized data disclosure and misuse. As of time of publication, no known patches versions are available.
🤖 AI Executive Summary
OpenEMR versions up to 8.0.0.3 contain a critical broken access control vulnerability (CVE-2026-34056) allowing low-privilege users to access and download sensitive Ensora eRx error logs without authorization. This vulnerability exposes confidential healthcare data and prescription information, posing significant risks to patient privacy and regulatory compliance. With active exploits available and no patches currently released, immediate mitigation is essential for all Saudi healthcare organizations using OpenEMR.
📄 Description (Arabic)
🤖 AI Intelligence Analysis Analyzed: Apr 29, 2026 20:35
🇸🇦 Saudi Arabia Impact Assessment
Healthcare sector organizations in Saudi Arabia are critically at risk, including private hospitals, clinics, and medical centers using OpenEMR. The vulnerability directly impacts SEHA (Ministry of Health) affiliated facilities and private healthcare providers. Exposure of prescription data and patient medical records violates GDPR-equivalent regulations and Saudi healthcare data protection requirements. Telehealth providers and pharmacy management systems integrated with OpenEMR are particularly vulnerable. Financial impact includes potential regulatory fines from GDPR/PDPA compliance violations and reputational damage to healthcare institutions.
🏢 Affected Saudi Sectors
Healthcare
Pharmaceutical
Medical Clinics and Hospitals
Telehealth Providers
Pharmacy Management
Government Health Agencies
🎯 MITRE ATT&CK Techniques
⚖️ Saudi Risk Score (AI)
8.2
/ 10.0
🔧 Remediation Steps (English)
IMMEDIATE ACTIONS:
1. Inventory all OpenEMR installations in your organization and identify versions up to 8.0.0.3
2. Restrict database and file system access to Ensora eRx error logs to authorized administrators only
3. Implement network segmentation to limit access to OpenEMR instances from trusted networks only
4. Enable comprehensive audit logging for all access attempts to eRx error logs
5. Review access logs for unauthorized access attempts in the past 90 days
COMPENSATING CONTROLS (until patch available):
6. Implement Web Application Firewall (WAF) rules to block direct access to eRx error log endpoints
7. Deploy role-based access control (RBAC) at the application level with strict permission validation
8. Encrypt sensitive eRx error logs at rest and in transit
9. Implement API rate limiting and request validation on all OpenEMR endpoints
10. Deploy intrusion detection signatures for exploitation attempts
DETECTION RULES:
- Monitor for HTTP requests to eRx error log endpoints from non-administrative user accounts
- Alert on file download operations targeting error log directories
- Track database queries accessing prescription error tables by low-privilege users
- Monitor for unusual access patterns to /interface/modules/Ensora/ directories
- Log all authentication and authorization failures related to eRx modules
🔧 خطوات المعالجة (العربية)
الإجراءات الفورية:
1. قم بحصر جميع تثبيتات OpenEMR في مؤسستك وحدد الإصدارات حتى 8.0.0.3
2. قيد الوصول إلى قاعدة البيانات ونظام الملفات لسجلات خطأ Ensora eRx للمسؤولين المصرحين فقط
3. طبق تقسيم الشبكة لتحديد الوصول إلى مثيلات OpenEMR من الشبكات الموثوقة فقط
4. فعّل تسجيل التدقيق الشامل لجميع محاولات الوصول إلى سجلات eRx
5. راجع سجلات الوصول للكشف عن محاولات الوصول غير المصرح بها في آخر 90 يوماً
الضوابط البديلة (حتى توفر التصحيح):
6. طبق قواعد جدار حماية تطبيقات الويب (WAF) لحجب الوصول المباشر إلى نقاط نهاية سجلات eRx
7. نشر التحكم في الوصول القائم على الأدوار (RBAC) على مستوى التطبيق مع التحقق الصارم من الأذونات
8. قم بتشفير سجلات خطأ eRx الحساسة أثناء السكون والنقل
9. طبق تحديد معدل API والتحقق من الطلبات على جميع نقاط نهاية OpenEMR
10. نشر توقيعات كشف الاختراق لمحاولات الاستغلال
قواعد الكشف:
- راقب طلبات HTTP إلى نقاط نهاية سجلات eRx من حسابات المستخدمين غير الإداريين
- أصدر تنبيهات لعمليات تحميل الملفات التي تستهدف دلائل السجلات
- تتبع استعلامات قاعدة البيانات التي تصل إلى جداول خطأ الوصفات من قبل المستخدمين ذوي الصلاحيات المنخفضة
- راقب أنماط الوصول غير العادية إلى دلائل /interface/modules/Ensora/
- سجل جميع فشل المصادقة والتفويض المتعلقة بوحدات eRx
📋 Regulatory Compliance Mapping
🟢 NCA ECC 2024
ECC 2024 A.6.1.1 - Information Security Policies and Procedures
ECC 2024 A.7.1.1 - User Access Management
ECC 2024 A.8.2.1 - Classification and Handling of Information
ECC 2024 A.9.2.1 - User Access Rights Review
ECC 2024 A.12.4.1 - Event Logging and Monitoring
🔵 SAMA CSF
SAMA CSF ID.AC-1 - Access Control Policy
SAMA CSF ID.AC-2 - Physical and Logical Access Controls
SAMA CSF PR.AC-1 - Identities and Credentials Management
SAMA CSF PR.AC-3 - Access Enforcement
SAMA CSF DE.AE-1 - Audit and Accountability
🟡 ISO 27001:2022
ISO 27001:2022 A.5.3 - Segregation of Duties
ISO 27001:2022 A.8.2 - Information Classification
ISO 27001:2022 A.9.1 - Access Control Policy
ISO 27001:2022 A.9.2 - User Access Management
ISO 27001:2022 A.9.4 - Access Rights Review
ISO 27001:2022 A.12.4 - Logging
🟣 PCI DSS v4.0.1
PCI DSS 3.2.1 - Access Control Implementation
PCI DSS 7.1 - Limit Access to System Components
PCI DSS 10.1 - Implement Audit Trails
PCI DSS 10.2 - Implement User Identification
📦 Affected Products / CPE 1 entries
open-emr:openemr