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TI-2026-82377 Aliases CVE-2026-49142GHSA-4x43-68v3-4x7c

SQL injection in OpenEMR Syndromic Surveillance module

Priority HIGH 73CWE-89Published · Updated

Key facts

Attack vector
Network
Privileges required
Low
User interaction
None
Attack complexity
Low
Attack requirements
None
Impact type
SQL injection
Confidentiality · integrity · availability
High · High · High
Fix status
Fixed

Attack profile from CVSS 4.0 · CNA. Fix status from CNA. Impact type from CWE-89.

Summary

OpenEMR before 8.5.0 contains an SQL injection flaw in its Syndromic Surveillance module, tracked as CWE-89. Users with Clinician-level privileges can submit crafted values in the form_icd_codes[] POST parameter to read and modify arbitrary database contents. A remote attacker with low privileges and an account can extract bcrypt password hashes and reset passwords, leading to full administrative account takeover.

Written with Claude Haiku 5.5 from the sources below · 2026-11-04

Description from the CNA

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.

Why it matters now

Exploitation Proof of concept CISA SSVC · not in CISA KEV
EPSS 0.00355 29th percentileScored 2026-11-07
Fix Fixed openemr (openemr): 8.5.0

SSVC decision points

CISA ADP · SSVC 2.0.3

Exploitation
Poc
Automatable
No
Technical impact
Total

The decision (Track, Attend, Act) also depends on your mission and well-being impact; see CISA's SSVC guide.

Affected products

VendorProductAffected versionsFixed inStatusSource
openemropenemrbefore 8.5.08.5.0Patch availableCNA
  • openemr Vendoropenemr Affected before 8.5.0 Fixed in 8.5.0 Patch available CNA

CPE names Threatist (inferred) · 1

Inferred from how NVD named this product before; not given by a source.

CPEVersionsRoleVendor
cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*——Open-Emr
  • cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:* Versions — — ·Open-Emr

Remediation

Update OpenEMR to version 8.5.0 or later, which fixes this issue.

Written with Claude Haiku 5.5 from the sources below · 2026-11-04

  • Fix · CNA openemr (openemr) Fixed in 8.5.0

Timeline

  1. 2026-10-29 Threatist record created from CVE-2026-49142
  2. 2026-10-29 Alias added: GHSA-4x43-68v3-4x7c
  3. 2026-10-31 Priority changed: MEDIUM → LOW
  4. 2026-11-04 CISA SSVC decision points changed
  5. 2026-11-04 Priority changed: LOW → HIGH

References

Patch 2

Advisory 1

Other 1

  • TI-2026-24664 SQL Injection Vulnerability in ajax graphs library (OpenEMR) CVSS 3.1HIGH 8.8
  • TI-2026-85645 Missing write ACL lets users reassign documents in OpenEMR CVSS 3.1CRITICAL 9.6
  • TI-2026-28796 OpenEMR 8.2.0 Remote Code Execution via CategoryTree eval() Injection CVSS 4.0CRITICAL 9.4
  • TI-2026-20308 OpenEMR's payments gateway_api_key secret rendered into client JS code CVSS 3.1CRITICAL 9.6
  • TI-2026-20093 OpenEMR has SQL Injection in Patient API Sort Parameter CVSS 3.1CRITICAL 10.0
  • TI-2026-20048 OpenEMR Arbitrary File Read Vulnerability CVSS 3.1CRITICAL 10.0
See all 153 →

Sources

This product uses the NVD API but is not endorsed or certified by the NVD. Sources and licences