Should I Be Concerned? Camera Being Accessed. (Don't Know Where Else to Ask)

So, I don't know where else to ask this, so I'm sorry for being slightly off topic but I noticed today that an app is using the camera. So out of curiosity, I looked at the permissions and it doesn't have any permissions related to the camera. So it feels a little weird. Keep in mind I never opened the app whatsoever.

What the app is supposed to do is have a medical ID on the lock screen in case of emergencies. Should I be concerned? Is this normal?