OpenEMR before 8.4.0 contains an authorization bypass vulnerability in its SMART on FHIR implementation because

Attack Vector: Network

The vulnerable system is bound to the network stack and the set of possible attackers extends beyond the other options listed below, up to and including the entire Internet. Such a vulnerability is often termed “remotely exploitable” and can be thought of as an attack being exploitable at the protocol level one or more network hops away (e.g., across one or more routers).

Attack Complexity: High

The successful attack depends on the evasion or circumvention of security-enhancing techniques in place that would otherwise hinder the attack. These include: Evasion of exploit mitigation techniques, for example, circumvention of address space randomization (ASLR) or data execution prevention (DEP) must be performed for the attack to be successful; Obtaining target-specific secrets. The attacker must gather some target-specific secret before the attack can be successful. A secret is any piece of information that cannot be obtained through any amount of reconnaissance. To obtain the secret the attacker must perform additional attacks or break otherwise secure measures (e.g. knowledge of a secret key may be needed to break a crypto channel). This operation must be performed for each attacked target.

Attack Requirements: Present

The successful attack depends on the presence of specific deployment and execution conditions of the vulnerable system that enable the attack. These include: a race condition must be won to successfully exploit the vulnerability (the successfulness of the attack is conditioned on execution conditions that are not under full control of the attacker, or the attack may need to be launched multiple times against a single target before being successful); the attacker must inject themselves into the logical network path between the target and the resource requested by the victim (e.g. vulnerabilities requiring an on-path attacker).

Privileges Required: Low

The attacker requires privileges that provide basic capabilities that are typically limited to settings and resources owned by a single low-privileged user. Alternatively, an attacker with Low privileges has the ability to access only non-sensitive resources.

User Interaction: None

The vulnerable system can be exploited without interaction from any human user, other than the attacker.

Vulnerable system confidentiality: High

There is a total loss of confidentiality, resulting in all information within the Vulnerable System being divulged to the attacker. Alternatively, access to only some restricted information is obtained, but the disclosed information presents a direct, serious impact. For example, an attacker steals the administrator's password, or private encryption keys of a web server.

Vulnerable system integrity: None

There is no loss of integrity within the Vulnerable System.

Vulnerable system availability: None

There is no impact to availability within the Vulnerable System.

Subsequent system confidentiality: None

There is no loss of confidentiality within the Subsequent System or all confidentiality impact is constrained to the Vulnerable System.

Subsequent system integrity: None

There is no loss of integrity within the Subsequent System or all integrity impact is constrained to the Vulnerable System.

Subsequent system availability: None

There is no impact to availability within the Subsequent System or all availability impact is constrained to the Vulnerable System.

Definitions: FIRST CVSS v4.0 specification.