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CVE.org (no NVD analysis yet)· CNA VulnCheck

CVE-2026-49142: OpenEMR Before 8.5.0 SQL Injection via form_icd_codes[]

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: 0.35% (FIRST EPSS).
  • 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.
  • Fixed version: openemr openemr 8.5.0.

Low priority for now. Upgrade to openemr openemr 8.5.0 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 before 8.5.0 contains an authenticated SQL injection vulnerability in the Syndromic Surveillance module that allows users with Clinician-level privileges to read and modify arbitrary database contents by submitting crafted values in the form_icd_codes[] POST parameter to the syndromicsurveillance/index endpoint. Attackers can inject an unquoted numeric IN() clause and UNION DISTINCT SELECT statement using hex-encoded literals to abuse MySQL extractvalue() for error-based exfiltration of bcrypt password hashes and execute stacked queries that reset passwords, resulting in full administrative account takeover.

HighCVSS 8.7 · v4.0—No exploit Fix available
Published
Oct 29, 2026
Updated
Oct 29, 2026
EPSS
0.3% · 29th 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 · 0.3%

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.

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-2026-49142

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

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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.

—

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 openemr

    • before 8.5.0affected · semver

Same product

openemr: all records

Other highest-scoring records for the same primary product.

  • CVE-2012-0992interface/fax/fax_dispatch.php in OpenEMR 4.1.0 allows remote authenticated users to execute arbitrary commands via shell metacharacters in
    35Monitor
  • CVE-2026-67610OpenEMR 8.2.0 OAuth2 Dynamic Client Registration Unauthorized FHIR Access
    34Monitor
  • CVE-2006-5795Multiple PHP remote file inclusion vulnerabilities in OpenEMR 2.8.1 and earlier, when register_globals is enabled, allow remote attackers to
    31Monitor

Published before and after this one in the same product

  • ← EarlierCVE-2026-40508Aug 19, 2026 · OpenEMR < 8.3.0 Stored XSS via Patient Portal Template Import Handler
    20Monitor
  • ← EarlierCVE-2026-40509Aug 19, 2026 · OpenEMR < 8.3.0 CSRF via DICOM Viewer web_path Parameter
    21Monitor
  • ← EarlierCVE-2026-76614Aug 19, 2026 · OpenEMR < 8.3.0 Path Traversal Information Disclosure via EDI Archive Restore
    21Monitor

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 openemr8.5.0Vendor (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.

  1. Published
  2. Fix recordedsame day
  3. TodayNov 2, 2026+4 d
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.

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.

—

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-2026-6761087 days apartOpenEMR 8.2.0 OAuth2 Dynamic Client Registration Unauthorized FHIR Access
    34Monitor

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

—

Change log

  1. Exploit maturity— → none
  2. Fix✗ → ✓

For records you follow, these changes also arrive as notifications. →

References

Show all references (4 more)

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

All records