CVE-2026-52723
CriticalCVSS 9.1Exploitation Probability (EPSS)
Low risk12th percentile - higher than 12% of all known CVEs
Summary
ePA 3.x Integration before version 1.3.0 contains a vulnerability in VAU server certificate validation. A network-positioned attacker can intercept the VAU handshake and impersonate the server, controlling session keys and reading or modifying encrypted traffic.
Risk Assessment
The vulnerability allows an attacker to gain full control over communication with the ePA system, potentially compromising confidentiality and integrity of medical data.
Recommendation
It is recommended to update ePA 3.x Integration to version 1.3.0 and enable TLS certificate verification.
Other vulnerabilities in ePA 3.x Integration
See all- CVE-2026-50578High
ePA 3.x Integration before version 1.3.0 disables TLS certificate verification for both ePA connections in app/vau/VAUProtokoll.py and Konnektor connections in app/konnektor/Konnektor.py. A network-positioned attacker can present an arbitrary certificate, terminate the TLS connection, and intercept ePA traffic. The VAU protocol does not provide an effective fallback because its application-layer certificate validation is also broken. The Konnektor session uses self.session.verify set to False, so an attacker impersonating the Konnektor can receive the client's mutual TLS certificate exchange and observe smartcard operations.
- CVE-2026-50577High
ePA 3.x Integration before version 1.3.0 leaves request_counter unchanged in app/vau/VAUProtokoll.py while constructing VAU messages. The frozen client request counter causes the server side to reuse AES-GCM nonce and key combinations across responses. A network attacker who collects repeated ciphertexts can recover the XOR of plaintexts and use predictable inner HTTP headers and JSON fields to recover sensitive data, including patient health records. Repeated nonces can also enable recovery of the GHASH authentication key, allowing forged AES-GCM messages and injection of malicious responses.
- CVE-2026-50576Medium
ePA 3.x Integration implements the authorization workflow and writes Medical Information Objects to Germany's electronic patient record. Prior to 1.3.0, ePA 3.x Integration does not neutralize CRLF characters in values used by app/vau/VAUProtokoll.py to construct VAU inner HTTP requests. The build_inner_header function interpolates the uri, host, accept_type, content_type, content_length, USER_AGENT, and insurant_id values into request lines and headers, including x-useragent and x-insurantid. An authenticated attacker who controls a value can inject additional headers into the inner request. Depending on ePA server handling, an injected x-insurantid header can expose another patient's records, and injected Authorization headers can bypass the intended authentication or authorization context. Session-derived USER_AGENT input can also poison requests across the session. This issue is fixed in version 1.3.0.
Original NVD description (English source)
ePA 3.x Integration implements the authorization workflow and writes Medical Information Objects to Germany's electronic patient record. Prior to 1.3.0, ePA 3.x Integration performs VAU server certificate validation in app/vau/VAUProtokoll.py without anchoring the signed_vau_server_pub_keys and AUT_VAU_CertData certificate path to independent trusted material. A network-positioned attacker between the DiGA backend and the ePA system can intercept the VAU handshake, supply attacker-controlled certificate and key material, and satisfy the circular trust relationship. Because TLS certificate verification is also disabled in affected versions, no independent server-authentication layer prevents the attack. The attacker can impersonate the VAU server, control the negotiated session keys, and read or modify all encrypted VAU traffic. This issue is fixed in version 1.3.0.
Vulnerability data from NVD (NIST) · CISA KEV · EPSS

