CVE-2026-49142

Full vulnerability record from the local CVENow database.

Description

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.

Severity

HIGH

CVSS score

8.7 (v4.0)

Vulnerability status

Awaiting Analysis

Source identifier

[email protected]

Published

2026-10-29 13:17:12.713000

Last modified

2026-10-29 16:19:37.750000

View original CVE JSON

{
  "id": "CVE-2026-49142",
  "sourceIdentifier": "[email protected]",
  "published": "2026-10-29T13:17:12.713",
  "lastModified": "2026-10-29T16:19:37.750",
  "vulnStatus": "Awaiting Analysis",
  "cveTags": [],
  "descriptions": [
    {
      "lang": "en",
      "value": "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."
    }
  ],
  "affected": [
    {
      "source": "[email protected]",
      "affectedData": [
        {
          "vendor": "openemr",
          "product": "openemr",
          "defaultStatus": "unaffected",
          "repo": "https://github.com/openemr/openemr",
          "packageURL": "pkg:github/openemr/openemr",
          "versions": [
            {
              "version": "0",
              "lessThan": "8.5.0",
              "versionType": "semver",
              "status": "affected"
            }
          ]
        }
      ]
    }
  ],
  "metrics": {
    "cvssMetricV40": [
      {
        "source": "[email protected]",
        "type": "Secondary",
        "cvssData": {
          "version": "4.0",
          "vectorString": "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",
          "baseScore": 8.7,
          "baseSeverity": "HIGH",
          "attackVector": "NETWORK",
          "attackComplexity": "LOW",
          "attackRequirements": "NONE",
          "privilegesRequired": "LOW",
          "userInteraction": "NONE",
          "vulnConfidentialityImpact": "HIGH",
          "vulnIntegrityImpact": "HIGH",
          "vulnAvailabilityImpact": "HIGH",
          "subConfidentialityImpact": "NONE",
          "subIntegrityImpact": "NONE",
          "subAvailabilityImpact": "NONE",
          "exploitMaturity": "NOT_DEFINED",
          "confidentialityRequirement": "NOT_DEFINED",
          "integrityRequirement": "NOT_DEFINED",
          "availabilityRequirement": "NOT_DEFINED",
          "modifiedAttackVector": "NOT_DEFINED",
          "modifiedAttackComplexity": "NOT_DEFINED",
          "modifiedAttackRequirements": "NOT_DEFINED",
          "modifiedPrivilegesRequired": "NOT_DEFINED",
          "modifiedUserInteraction": "NOT_DEFINED",
          "modifiedVulnConfidentialityImpact": "NOT_DEFINED",
          "modifiedVulnIntegrityImpact": "NOT_DEFINED",
          "modifiedVulnAvailabilityImpact": "NOT_DEFINED",
          "modifiedSubConfidentialityImpact": "NOT_DEFINED",
          "modifiedSubIntegrityImpact": "NOT_DEFINED",
          "modifiedSubAvailabilityImpact": "NOT_DEFINED",
          "Safety": "NOT_DEFINED",
          "Automatable": "NOT_DEFINED",
          "Recovery": "NOT_DEFINED",
          "valueDensity": "NOT_DEFINED",
          "vulnerabilityResponseEffort": "NOT_DEFINED",
          "providerUrgency": "NOT_DEFINED"
        }
      }
    ],
    "cvssMetricV31": [
      {
        "source": "[email protected]",
        "type": "Primary",
        "cvssData": {
          "version": "3.1",
          "vectorString": "CVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H",
          "baseScore": 8.8,
          "baseSeverity": "HIGH",
          "attackVector": "NETWORK",
          "attackComplexity": "LOW",
          "privilegesRequired": "LOW",
          "userInteraction": "NONE",
          "scope": "UNCHANGED",
          "confidentialityImpact": "HIGH",
          "integrityImpact": "HIGH",
          "availabilityImpact": "HIGH"
        },
        "exploitabilityScore": 2.8,
        "impactScore": 5.9
      }
    ]
  },
  "weaknesses": [
    {
      "source": "[email protected]",
      "type": "Primary",
      "description": [
        {
          "lang": "en",
          "value": "CWE-89"
        }
      ]
    }
  ],
  "references": [
    {
      "url": "https://github.com/openemr/openemr/commit/9b52cc0fc3a4eddd9fa7a096f6a3ac2a57d772d0",
      "source": "[email protected]"
    },
    {
      "url": "https://github.com/openemr/openemr/pull/14329",
      "source": "[email protected]"
    },
    {
      "url": "https://github.com/openemr/openemr/releases/tag/v8_5_0",
      "source": "[email protected]"
    },
    {
      "url": "https://github.com/openemr/openemr/security/advisories/GHSA-w99c-jwcm-24hh",
      "source": "[email protected]"
    },
    {
      "url": "https://www.vulncheck.com/advisories/openemr-before-sql-injection-via-form-icd-codes",
      "source": "[email protected]"
    }
  ]
}