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NVD / CVE Program· CNA GitHub_M

CVE-2026-46518: OpenEMR: Stored XSS in prescription CSS/HTML print view via patient demographics

HighCVSS 8.7 · v3.1—No exploit Fix available

Noroxi assessment

Priority: Monitor (action score 34/100)

  • 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: 0.20% (FIRST EPSS).
  • Anyone who can reach it over the internet can trigger it. A low-privileged account is enough. A user must open a link or visit a page. No special conditions are required; it is repeatable.
  • Fixed version: openemr openemr 8.0.0.1.

Low priority for now. Upgrade to openemr openemr 8.0.0.1 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 version 8.0.0.1, a stored cross-site scripting vulnerability in the prescription CSS/HTML multi-print feature allows a patient portal user to execute arbitrary JavaScript in a clinician's browser session. Patient demographic fields (name, address) are rendered without output encoding in multiprintcss_header(), and portal patients can write attacker-controlled HTML directly into patient_data by calling the PUT api/patient/:num endpoint, which bypasses the intended audit review workflow. Because the XSS fires in the clinician's authenticated session on the main OpenEMR interface, the attacker can access CSRF tokens, session data, and perform actions as the clinician — crossing the patient-to-clinician trust boundary. This issue has been patched in version 8.0.0.1.

Published
Jun 9, 2026
Updated
Jul 23, 2026
EPSS
0.2% · 11th percentile

Report tools

JSON

Action score

34

Monitor

Low priority for now.

CVSS
34 / 40 · 8.7 / 10
CISA KEV
0 / 30 · Not listed
EPSS
0 / 30 · 0.2%

CISA SSVC decision

Exploitation
proof of concept
Automatable
no
Technical impact
partial

Vulnrichment: CISA's decision-tree inputs.

CNA vs NVD score

NVD
8.7
CNA · GitHub_M
7.7
1.0 point gap

CVSS:3.1/AV:N/AC:H/PR:L/UI:R/S:C/C:H/I:H/A: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-2026-46518

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 every 10 minutes on paid plans, on the hour on the free plan.

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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

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

    • < 8.0.0.1affected

Affected versions

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

  • open-emr openemrbefore 8.0.0.1

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-2026-34056Mar 25, 2026 · OpenEMR has a Privilege Escalation that Allows a Low-Level User to View Admin-Only Data
    26Monitor
  • ← EarlierCVE-2023-54347May 5, 2026 · OpenEMR 7.0.1 Authentication Brute Force Mitigation Bypass
    34Monitor
  • Later →CVE-2026-39931Aug 3, 2026 · OpenEMR Authenticated SQL Injection via backup.php Import Feature
    34Monitor

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 openemr8.0.0.1 · 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.

Variant candidates

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

  • CVE-2026-3211890 days apartOpenEMR has Stored XSS in Graphical Pain Map legend via unescaped annotation text
    36Monitor
  • CVE-2025-43860382 days apartOpemEMR Vulnerable to Stored XSS Attack in the Additional Address Section of Patient Demographics
    35Monitor
  • CVE-2026-3329982 days apartOpenEMR has Stored XSS in patient encounter Eye Exam form answers
    34Monitor
  • CVE-2026-3334682 days apartOpenEMR has stored XSS in portal_payment.php via Unescaped table_args
    34Monitor
  • CVE-2025-67491105 days apartOpenEMR has Stored XSS in ub04 helper
    34Monitor
  • CVE-2025-32794382 days apartOpenEMR Stored XSS via Patient Name Field in Procedure Orders
    33Monitor

Chain candidates

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

  • CVE-2026-6761155 days apartOpenEMR 8.2.0 OAuth2 Password Grant Authentication Bypass via SMART Configuration
    34Monitor

Not on record for this CVE: EPSS history · patch commit or PR link · researcher credit · public bounty program.

Technical details

Attack conditions

  • Anyone who can reach it over the internet can trigger it.
  • A low-privileged account is enough.
  • A user must open a link or visit a page.
  • No special conditions are required; it is repeatable.

If successful

Confidentiality
high · data can be read
Integrity
high · data or configuration can be modified
Availability
none

Impact can extend beyond the vulnerable component (scope changes).

Attack vector
Network
Attack complexity
Low
Privileges required
Low
User interaction
Required
Scope
Changed
Confidentiality impact
High
Integrity impact
High
Availability impact
None

Weakness class (CWE)

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

CVSS vector

CVSS:3.1/AV:N/AC:L/PR:L/UI:R/S:C/C:H/I:H/A:N

nvd-primary

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

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All records