---
id: CVE-2026-104138
title: 'OpenEMR: Missing authorization on QRDA Category I/III download endpoints'
summary: >-
  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 validat…
severity: medium
cvss: 6.5
cvssVector: 'CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N'
cvssSource: cna
cwe:
  - CWE-862
vendor: openemr
product: openemr
affected:
  - openemr < 8.3.0
published: '2026-11-05'
updated: '2026-11-05'
sourceUpdated: '2026-11-05T20:01:53.106Z'
source: CVEORG
sourceUrl: 'https://www.cve.org/CVERecord?id=CVE-2026-104138'
references:
  - url: 'https://github.com/openemr/openemr/security/advisories/GHSA-6p9h-59cp-8hxj'
    label: 'https://github.com/openemr/openemr/security/advisories/GHSA-6p9h-59cp-8hxj'
  - url: 'https://github.com/openemr/openemr/pull/13200'
    label: 'https://github.com/openemr/openemr/pull/13200'
  - url: >-
      https://github.com/openemr/openemr/commit/7973cab3fe3f2fd2374ed71c02605e3c93491c36
    label: >-
      https://github.com/openemr/openemr/commit/7973cab3fe3f2fd2374ed71c02605e3c93491c36
  - url: 'https://github.com/openemr/openemr/releases/tag/v8_3_0'
    label: 'https://github.com/openemr/openemr/releases/tag/v8_3_0'
tags:
  - cve.org
ingestedAt: '2026-11-05T22:38:31.690Z'
---

## Overview

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.

## Affected

- `openemr < 8.3.0`

## Remediation

Refer to the linked advisories for vendor-supplied fixes and affected version ranges.