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CVE Record

CVE-2026-24488: OpenEMR Vulnerable to Arbitrary File Exfiltration via Fax Endpoint

OpenEMR is a free and open source electronic health records and medical practice management application. In versions up to and including 8.0.0, an arbitrary file exfiltration vulnerability in the fax sending endpoint allows any authenticated user to read and transmit any file on the server (including database credentials, patient documents, system files, and source code) via fax to an attacker-controlled phone number. The vulnerability exists because the endpoint accepts arbitrary file paths from user input and streams them to the fax gateway without path restrictions or authorization checks. As of time of publication, no known patched versions are available.

MediumCVSS 6.5Not KEV-listedUpdated
Glexia's TakeAutomated analysismoderate

Security readout for executives and security teams

Plain-English summary

OpenEMR versions up to 8.0.0 can let any logged-in user send server files out through the fax feature. This could expose database credentials, patient documents, system files, or source code. The issue is serious for healthcare privacy, but the cited severity is medium because the attacker needs an authenticated account.

Executive priority

Treat as priority remediation for OpenEMR environments holding patient data. The business risk is confidentiality loss through an ordinary authenticated account. If fax features are unused, disabling them can reduce exposure while waiting for vendor guidance.

Technical view

The fax sending endpoint accepts user-supplied file paths and streams referenced files to the fax gateway without path restrictions or authorization checks. The advisory classifies this as CWE-22 with CVSS 3.1 score 6.5. Affected OpenEMR versions are listed as up to and including 8.0.0, with no known patched version at publication.

Likely exposure

Organizations running OpenEMR <= 8.0.0 with the fax/SMS module or fax sending workflow enabled are potentially exposed. Risk is higher where many users have accounts, shared accounts exist, or fax egress is unrestricted.

Exploitation context

No active exploitation is stated in the provided sources, and the CVE is not marked KEV. Exploitation requires network access to OpenEMR and valid authentication, then abuse of the fax endpoint’s file path handling to transmit server-readable files.

Researcher notes

Evidence comes from the GitHub advisory and referenced OpenEMR source path. The advisory states arbitrary file exfiltration through the fax endpoint and no known patched versions at publication. Do not assume unauthenticated exposure or active exploitation from the supplied data.

Mitigation direction

  • Check the OpenEMR advisory and vendor channels for patched versions or official workarounds.
  • Restrict fax functionality to the smallest necessary set of trusted users.
  • Disable fax/SMS functionality or outbound fax gateway access if not operationally required.
  • Review account hygiene; remove unused users and shared credentials.
  • Monitor fax activity for unusual destinations, filenames, or high-volume transmissions.

Validation and detection

  • Inventory OpenEMR instances and confirm whether versions are <= 8.0.0.
  • Determine whether the oe-module-faxsms or EtherFax workflow is installed and enabled.
  • Review role assignments for users allowed to access fax sending features.
  • Inspect fax gateway logs for unexpected recipient numbers or unusual file references.
  • Track the GitHub advisory for confirmation of a fixed release.
Prepared
Confidence
high
Sources
4

Generated from the cited source records. This long-tail analysis has not been individually reviewed by a named human.

Potential ATT&CK relevance

Conservative CVE-to-ATT&CK context

These mappings and lookup hints may be relevant to the vulnerability behavior, CWE, affected product, or exposure path. Glexia-inferred context is not an official MITRE, ATT&CK, CWE, or CVE Program mapping.

ATT&CK lookup starting points

Use these exact CWE pages and searches to review the Glexia ATT&CK library from this CVE's weakness and description context.

cwe · medium confidence lookup

CWE-22: File access and web shell behavior lookup

File traversal and upload weaknesses can lead teams to review file, web shell, execution, and collection telemetry. Open the exact CWE lookup page first, then review the ATT&CK searches from that MITRE weakness context. This is a Glexia lookup hint, not an official ATT&CK mapping.

Open ATT&CK lookup
description · low confidence lookup

Database behavior lookup

The CVE wording references database injection or access, so collection and exfiltration review may help. This is a Glexia inferred lookup path, not an official MITRE, ATT&CK, or CVE Program mapping.

Open ATT&CK lookup
description · low confidence lookup

File access behavior lookup

The CVE wording references file access or upload behavior, so file telemetry and web shell review may help. This is a Glexia inferred lookup path, not an official MITRE, ATT&CK, or CVE Program mapping.

Open ATT&CK lookup
cve · low confidence lookup

CVE-2026-24488 mapping review

Open the CVE-to-ATT&CK bridge for reviewed, inferred, or future official mappings tied to this CVE.

Open ATT&CK lookup
Vulnerability profileCVE Program record
Severity
Medium
CVSS
6.5 (3.1)
Known Exploited
No
Published

Vector: CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N

Official CVE source material

CNA and ADP enrichment extracted from CVE v5

These fields come from the CVE record and ADP containers, not from Glexia's Take. They preserve time-varying source decisions such as CISA SSVC, KEV status, CVSS metrics, and provider references.

1CVSS vectors
0Timeline events
0ADP providers
3Source links

CVSS vector scores

1 official score

We collect every scored CVSS vector available in the official CNA and ADP containers. When more than one version is present, the table keeps the source vectors side by side instead of collapsing them into the highest score.

ScoreVersionSeverityVectorExploitImpactSource
6.5CVSS 3.1MediumCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N2.83.6Primary CVE score

Vulnerability scoring details

Base CVSS 3.1 score

6.5Medium
CVSS 3.1 vector shape for CVE-2026-24488Attack VectorAttack ComplexityPrivileges RequiredUser InteractionScopeConfidentiality ImpactIntegrity ImpactAvailability Impact

Vector: CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:N/A:N

Attack Vector
NetworkAdjacentLocalPhysical
Attack Complexity
LowHigh
Privileges Required
NoneLowHigh
User Interaction
NoneRequired
Scope
ChangedUnchanged
Confidentiality Impact
HighLowNone
Integrity Impact
HighLowNone
Availability Impact
HighLowNone
Affected products

Products and packages named in the record

VendorProductVersion / packageStatus
openemropenemr<= 8.0.0Listed
Weakness

CWE details

CWE links open Glexia weakness intelligence pages with official CWE context, developer remediation guidance, and related CVE mappings.

CWE-22 · source CWE mapping

Improper Limitation of a Pathname to a Restricted Directory ('Path Traversal')

Improper Limitation of a Pathname to a Restricted Directory ('Path Traversal') represents a recurring weakness pattern that can create exploitable paths when design, validation, or implementation controls are missing.