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CVE-2013-10044· NVD / CVE Program· CNA VulnCheck

OpenEMR ≤ 4.1.1 SQL Injection Privilege Escalation and RCE

An authenticated SQL injection vulnerability exists in OpenEMR ≤ 4.1.1 Patch 14 that allows a low-privileged attacker to extract administrator credentials and subsequently escalate privileges. Once elevated, the attacker can exploit an unrestricted file upload flaw to achieve remote code execution, resulting in full compromise of the application and its host system.

HighCVSS 8.7 · v4.0—Weaponized No fix recorded
Published
Aug 1, 2025
Updated
Jun 16, 2026
EPSS
2.0% · 80th percentile
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Report tools

JSON

Action score

35

Monitor

Low priority for now.

CVSS
34 / 40 · 8.7 / 10
CISA KEV
0 / 30 · Not listed
EPSS
1 / 30 · 2.0%

CISA SSVC decision

Exploitation
proof of concept
Automatable
yes
Technical impact
total

Vulnrichment: CISA's decision-tree inputs.

CNA vs NVD score

NVD
—
CNA · VulnCheck
8.7
NVD has not scored this yet; the score shown is the CNA’s.

CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N

The score given by the assigning authority versus NVD’s independent score. A gap means the severity is contested.

Affected systems

VendorProduct
open-emropenemr

Affected versions

NVD version ranges (for catalog products). Add the product to your stack with a version and matching uses these.

  • open-emr openemrup to 4.1.1 inclusive

Versions reported by the vendor

Affected version ranges reported by the assigning authority (VulnCheck). Independent of NVD's CPE analysis and usually ahead of it.

  • OpenEMR Foundation OpenEMR

    • up to and including 4.1.1 Patch 14affected

Same product

open-emr: all records

Other highest-scoring records for the same primary product.

  • CVE-2020-19364OpenEMR 5.0.1 allows an authenticated attacker to upload and execute malicious PHP scripts through /controller.php.
    56Plan
  • CVE-2019-14530An issue was discovered in custom/ajax_download.php in OpenEMR before 5.0.2 via the fileName parameter.
    55Plan
  • CVE-2020-36243The Patient Portal of OpenEMR 5.0.2.1 is affected by a Command Injection vulnerability in /interface/main/backup.php.
    54Plan
  • CVE-2023-2948Cross-site Scripting (XSS) - Generic in openemr/openemr
    53Plan
  • CVE-2022-2733Cross-site Scripting (XSS) - Reflected in openemr/openemr
    53Plan
  • CVE-2018-15153OS command injection occurring in versions of OpenEMR before 5.0.1.4 allows a remote authenticated attacker to execute arbitrary commands by
    53Plan

Remediation

Which version to upgrade to

Fix versions compiled from the vendor, package registries and Microsoft. Verify the vendor's note before upgrading.

No fix version is recorded for this entry. Check the references for vendor advisories.

Exploit status

Weaponized

A ready exploit tool or active in-the-wild use is known for this vulnerability. This should be your top priority.

Evidence

  • Metasploit module ×1

Noroxi does not host or link to exploit code. Metasploit module names and Nuclei template ids are shown (names, not code); Exploit-DB entries and PoC repositories are given as counts only.

Public exploit evidence
SourceKindDate
Metasploit moduleexploit/unix/webapp/openemr_sqli_privesc_uploadOpenEMR 4.1.1 Patch 14 SQLi Privilege Escalation Remote Code Executionexploit2013-09-16

Research context

For pentesters and researchers: attack profile, score disagreement, timeline, patch commits, credits, variant and chain candidates, bug bounty scope. All derived from existing data; no exploit code.

Timeline

From publication to today: proof of concept, Metasploit module, CISA KEV and fix record. Dates are as reported by the sources.

  1. Metasploit-4338 d
  2. Published
  3. TodaySep 30, 2026+425 d
EPSS, last 120 days+1% in 7 days

FIRST EPSS daily score; only changes of 0.01 or more are recorded (step chart).

Patch and commit links

Commit, PR and diff links among the references. A starting point for patch-diffing and variant hunting; fixes, not exploits.

No commit or PR link among the references.

Credits

All researchers

Finders, reporters and analysts named in the CNA record. Click a name for that researcher’s other records.

Variant candidates

Same product, same weakness class, within 18 months. If the patch missed the root cause, the sibling bug is here.

  • CVE-2024-22611120 days apartOpenEMR 7.0.2 is vulnerable to SQL Injection via \openemr\library\classes\Pharmacy.class.php, \controllers\C_Pharmacy.class.php and \openemr
    41Plan
  • CVE-2026-25746208 days apartOpenEMR has SQL Injection Vulnerability
    35Monitor
  • CVE-2026-32127222 days apartSQL Injection Vulnerability in ajax graphs library (OpenEMR)
    35Monitor
  • CVE-2026-29187236 days apartOpenEMR Vulnerable to Authenticated Blind Boolean-Based SQL Injection in new_search_popup.php
    35Monitor
  • CVE-2026-33910236 days apartOpenEMR has a SQL Injection Vulnerability in patient selection
    35Monitor
  • CVE-2026-33917236 days apartOpenEMR has SQL Injection in CAMOS Form
    35Monitor

Chain candidates

An authentication bypass and a privilege-requiring bug in the same product, published close together: combined they may become an unauthenticated path.

—

Bug bounty scope

No known public program.

Source: bounty-targets-data (public HackerOne, Bugcrowd, Intigriti, YesWeHack listings).

Technical details

Attack conditions

  • Anyone who can reach it over the internet can trigger it.
  • A low-privileged account is enough.
  • No user action is required.
  • No special conditions are required; it is repeatable.

If successful

Confidentiality
Integrity
Availability
Attack vector
Network
Attack complexity
Low
Privileges required
Low
User interaction
None
Scope
X

Weakness class (CWE)

CWE-89 · Improper Neutralization of Special Elements used in an SQL Command ('SQL Injection')

CVSS vector

CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X

nvd-secondary

Root cause

The query text is built by concatenating user input. The database cannot tell where the data ends and the command begins.

The bug in code

The whole CWE-89 class

A representative example of this vulnerability class. Not the vendor's source code; it shows the faulty pattern and its fix.

Vulnerable

ts
const owner = req.query.owner;const rows = await db.query(  "SELECT * FROM files WHERE owner = '" + owner + "'");

Fixed

ts
const owner = req.query.owner;const rows = await db.query(  "SELECT * FROM files WHERE owner = $1",  [owner]);

Attack context

MITRE CAPEC attack patterns and ATT&CK techniques for this weakness class (CWE). A starting point for detection rules and threat hunting.

ATT&CK techniques

—

Noroxi analysis

No Noroxi analysis for this record yet

We don't hand-write analysis for all 385,000+ vulnerabilities; that wouldn't be honest. For notable, high-impact vulnerabilities our team writes the mechanism, detection and remediation steps.

We use this product, ask for help

Change log

No changes recorded on tracked fields yet. Score, KEV, exploit maturity and fix status changes appear here.

References

Vendor advisories and official records. Exploit/PoC links are deliberately left out.

All records