OpenReception's appointment booking software provides an end-to-end encrypted appointment booking platform. Prior to version 1.0.4, the route POST /api/tenants/{tenantId}/staff/{staffId}/crypto accepts and stores attacker-controlled ML-KEM-768 public keys against any tenant on the platform without authentication. The handler logs an "Unauthorized crypto key storage attempt" warning when neither a session nor a registration cookie is present, then proceeds to insert the row regardless. The platform's E2E claim that "even administrators cannot view sensitive information" is broken: any unauthenticated network attacker can register themselves as an additional encryption recipient for any tenant's future patient appointments. A second variant of the bug suppresses the unauthorized-warning log entry. The Zod schema makes the email field optional. When the request body omits email and the request carries no registration cookie, the comparison registrationEmail === email becomes undefined === undefined, which evaluates to true. The handler treats the request as a legitimate registration flow, skips the warning entirely, and stores the row. Successful storage is still recorded as an [info] log line, but the security-relevant warning that operators are most likely to monitor or alert on is gone. The staff_crypto table has no unique constraint on user_id, so an arbitrary number of attacker rows can coexist for the same staff identifier and all return as is_active=true. The supplied staffId does not need to match any existing user or pending invite. Schema validation on passkeyId, publicKey, and privateKeyShare is also weak: the literal string ` was accepted, indicating no length, format, or cryptographic-validity check beyond field presence. This weakness is independent of the auth bypass but compounds it: a poisoned directory can also be filled with malformed entries that break legitimate booking flows. The injected key is consumed by the public booking flow. After completing the unauthenticated bootstrap-challenge and bootstrap-verify ceremony as a "patient", the resulting bookingAccessToken is accepted by GET /api/tenants/{id}/appointments/staff-public-keys`, which returns the attacker-controlled keys alongside any legitimate ones. A new appointment encrypts its tunnel key with ML-KEM to all listed recipients, so the attacker becomes a co-recipient of the encryption and can decapsulate the tunnel key with the matching secret. From there, all appointment payloads for that booking are decryptable. Version 1.0.4 patches the issue.
CVE-2026-48088
“—” beside the score: it is equal to the CVSS score beside it.
This critical-severity CVE scores 9.4 under a secondary CVSS source (NVD's own analysis pending). EPSS exploit probability: 0.4% (29th percentile of EPSS-scored CVEs). No GitHub Security Advisory CVSS is on record for this CVE.
- CISA's Vulnrichment rates exploitation as PoC; EchelonGraph holds no exploit-code reference for it
A fix is available — apply it.
- CVSS v3
- 9.4
- EG Score
- 9.4CRITICALmedium confidence
- EG Risk
- 73EG Risk 73/100
EG Risk is EchelonGraph's 0–100 priority score: it fuses intrinsic severity with real-world exploitation and automatability so you can rank equal-severity CVEs and fix the most dangerous first. Higher = act sooner. Distinct from the 0–10 EG Score (severity).
How it’s computed (value × EchelonGraph’s weight)Severity94% × 45%The EG Score, 9.4 of 10.Exploitation40% × 40%EchelonGraph's fixed weight for EG-KEV Tier 3 (Elevated): a constant, not a probability.Automatability100% × 15%CISA's SSVC Automatable value: yes (Vulnrichment).SSVC (CISA's decision table, applied by EchelonGraph): Track at low, Track* at medium and Attend at high mission impact.Exploitation public PoC (CISA Vulnrichment) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). All three are CISA's SSVC values (Vulnrichment). EchelonGraph applied CISA's decision table to them; CISA publishes SSVC inputs and the table, not a decision for each CVE.Action: A fix is available. Apply it within your standard update timelines at low or medium mission impact and sooner than that at high. - EPSS PROB
- 0.4%
- EPSS %ILE
- 29th
- KEV
- Not listed
SSVC (CISA's decision table, applied by EchelonGraph)Track at low, Track* at medium and Attend at high mission impact.
A fix is available. Apply it within your standard update timelines at low or medium mission impact and sooner than that at high.
Exploitation public PoC (CISA Vulnrichment) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). All three are CISA's SSVC values (Vulnrichment). EchelonGraph applied CISA's decision table to them; CISA publishes SSVC inputs and the table, not a decision for each CVE. Mission impact is CISA's Mission & Well-being decision point, and only you can judge it. CISA's table makes it high when Mission Prevalence is Essential — the vulnerable component "directly provides capabilities that constitute at least one MEF for at least one entity" (MEF: mission essential function) — or when Public Well-Being Impact is Irreversible: "multiple fatalities are likely", the cyber-physical system "is likely lost or destroyed", "extreme or serious externalities" are imposed on other parties, or social systems such as elections or the financial grid "are destabilized and potentially collapse". CISA's decision table
BOD 26-04 (CISA's remediation timeline, Table 1)3 days if the affected system is publicly exposed; 60 days if it is not.
In CISA KEV no (CISA's KEV catalog) · Automatable yes (CISA Vulnrichment) · Technical impact total (CISA Vulnrichment). Whether your system is publicly exposed is yours to answer. BOD 26-04 binds US Federal Civilian Executive Branch agencies; for anyone else it is CISA's published timeline, a reference rather than an obligation. The directive · how EchelonGraph applies it
Published
August 6, 2026
Last Modified
September 8, 2026
Advisory Details (2)
Auto-updated Oct 2, 2026unauthenticated staff crypto poisoning breaks E2E recipient directory · Advisory · open-reception/appointment-booking-software · GitHub
https://github.com/open-reception/appointment-booking-software/security/advisories/GHSA-pch3-hcmf-cjw4commit 78dfd9317a0b (open-reception/appointment-booking-software)
Patch available: open-reception/appointment-booking-software v1.0.4 (contains commit 78dfd9317a0b)
https://github.com/open-reception/appointment-booking-software/commit/78dfd9317a0be0897e6e4d73afe670c07a75460fWeakness Classification(1)
MITRE Common Weakness Enumeration — the root-cause categories this CVE belongs to.
Data Freshness Timeline
(refreshed 12× in last 7d / 47× in last 30d)
Each row is a time one of our pipelines fetched, updated or re-scored this CVE. For example, "NVD update" means NVD published or revised its analysis for this CVE; "MITRE cvelistV5" means we ingested or refreshed it from the CNA feed. An arrow marks a change the record states ("CVSS v3 → 9.1"); EPSS and GHSA rows show the values recorded at that time, not what changed (EPSS values are rounded; hover one for the exact figures). Most recent first.
Showing the most recent 100 of 119 refreshes on record for this CVE.
A repeat, a row identical to one the same pipeline wrote less than 10 seconds earlier, is not a separate refresh and is not counted. None are among the latest 100 rows. The 19 oldest rows on record are not shown and were not checked, so the counts can still include repeats.
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Frequently asked(5)
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