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NVD / CVE Program· CNA GitHub_M

CVE-2025-31121: OpenEMR allows XSS in Patient Image feature

Noroxi assessment

Priority: Monitor (action score 33/100)

  • The sources we track (CISA KEV, Exploit-DB, Metasploit, Nuclei, GitHub) show no public exploit code or exploitation in the wild.
  • Probability of exploitation in the next 30 days: 17.3% (FIRST EPSS); higher than 97.1% of all records.
  • Anyone who can reach it over the internet can trigger it. Administrator privileges are required. Special conditions such as timing or configuration are required.
  • Fixed version: openemr openemr 7.0.3.1.

Low priority for now. Upgrade to openemr openemr 7.0.3.1 or later.

Generated automatically from the record's data: CVSS (NVD and CNA), CISA KEV and SSVC, FIRST EPSS, exploit sources, fixed versions. How we calculate it

Primary sources: NVD · CVE.org · FIRST EPSS

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 7.0.3.1, the Patient Image feature in OpenEMR is vulnerable to cross-site scripting attacks via the EXIF title in an image. This vulnerability is fixed in 7.0.3.1.

HighCVSS 7.0 · v4.0—No exploit Fix available
Published
Apr 1, 2025
Updated
Jun 17, 2026
EPSS
17.3% · 97th percentile

Report tools

JSON

Action score

33

Monitor

Low priority for now.

CVSS
28 / 40 · 7.0 / 10
CISA KEV
0 / 30 · Not listed
EPSS
5 / 30 · 17.3%

CISA SSVC decision

Exploitation
proof of concept
Automatable
no
Technical impact
total

Vulnrichment: CISA's decision-tree inputs.

CNA vs NVD score

NVD
—
CNA · GitHub_M
7.0
NVD has not scored this yet; the score shown is the CNA’s.

CVSS:4.0/AV:N/AC:H/AT:N/PR:H/UI:A/VC:H/VI:H/VA:N/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.

Get told when this record changes

  • Not in KEV: no record of exploitation in the wild
  • No public exploit code on record
  • A fix has been released

If any of these changes, we'll tell you in the daily email digest.

Follow CVE-2025-31121

When you'll hear from us

  • when it enters CISA KEV
  • when exploit code appears or is weaponized
  • when the record is updated (including a fixed version)
  • when EPSS rises 20 points in a week

One daily email digest (06:00 UTC); connect a webhook for KEV listings and weaponized exploits instantly.

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Noroxi analysis

What does it mean in your environment?

The assessment above is generated automatically from the record's data; it doesn't know your environment. Our team verifies on your systems whether this vulnerability is actually exploitable and which mitigation is enough.

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Affected systems

Is your version affected?

Pick the product and type the version you run. It's compared with this record's version ranges in your browser; the version isn't sent anywhere.

VendorProduct
open-emropenemr

Limit the impact of XSS

This is a cross-site scripting (XSS) vulnerability. A well-configured Content-Security-Policy doesn't fix it, but greatly reduces its impact. Check your site's CSP and other security headers for free.

Check security headers

Affected versions

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

  • open-emr openemrbefore 7.0.3.1

Versions reported by the vendor

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

  • openemr openemr

    • < 7.0.3.1affected

Same product

open-emr: all records

Other highest-scoring records for the same primary product.

  • CVE-2018-17179An issue was discovered in OpenEMR before 5.0.1 Patch 7.
    60This week
  • 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

Published before and after this one in the same product

  • ← EarlierCVE-2025-30161Mar 31, 2025 · OpenEMR Stored XSS in OpenEMR Bronchitis Form
    36Monitor
  • ← EarlierCVE-2025-31117Mar 31, 2025 · OpenEMR Out-of-Band Server-Side Request Forgery (OOB SSRF) Vulnerability
    27Monitor
  • Later →CVE-2024-22611Apr 3, 2025 · OpenEMR 7.0.2 is vulnerable to SQL Injection via \openemr\library\classes\Pharmacy.class.php, \controllers\C_Pharmacy.class.php and \openemr
    41Plan

Remediation

Which version to upgrade to

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

Product / packageFixed versionSource
openemr openemr7.0.3.1 · descriptionVendor (CNA)

Exploit status

No known public exploit

No public exploit has been observed yet. That doesn't mean you're safe, only that the bar is a little higher.

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.

No dated events beyond publication.

EPSS, last 120 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.

No credits in the CNA record.

Variant candidates

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

  • CVE-2026-32118344 days apartOpenEMR has Stored XSS in Graphical Pain Map legend via unescaped annotation text
    36Monitor
  • CVE-2025-4386052 days apartOpemEMR Vulnerable to Stored XSS Attack in the Additional Address Section of Patient Demographics
    35Monitor
  • CVE-2025-67491329 days apartOpenEMR has Stored XSS in ub04 helper
    34Monitor
  • CVE-2026-33299352 days apartOpenEMR has Stored XSS in patient encounter Eye Exam form answers
    34Monitor
  • CVE-2026-33346352 days apartOpenEMR has stored XSS in portal_payment.php via Unescaped table_args
    34Monitor
  • CVE-2026-46518434 days apartOpenEMR: Stored XSS in prescription CSS/HTML print view via patient demographics
    34Monitor

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.
  • Administrator privileges are required.
  • Special conditions such as timing or configuration are required.

If successful

Confidentiality
Integrity
Availability
Attack vector
Network
Attack complexity
High
Privileges required
High
User interaction
A
Scope
X

Weakness class (CWE)

CWE-79 · Improper Neutralization of Input During Web Page Generation ('Cross-site Scripting')

CVSS vector

CVSS:4.0/AV:N/AC:H/AT:N/PR:H/UI:A/VC:H/VI:H/VA:N/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

User content is inserted into the page as HTML. The browser interprets the content as code rather than data.

The bug in code

The whole CWE-79 class

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

Vulnerable

ts
commentEl.innerHTML = comment.body;

Fixed

ts
commentEl.textContent = comment.body;

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

—

Change log

  1. Fix✗ → ✓

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