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CVE-2026-49142

OpenEMR Before 8.5.0 SQL Injection via form_icd_codes[]

8.7 High

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.

Attack profile

How easy it is to exploit

Attack vector
Network
Complexity
Low
Privileges needed
Low
User interaction
None

What an attacker can affect

Confidentiality
High
Integrity
High
Availability
High

Exploit likelihood

0.36%Unchanged since Oct 30, 2026
90%50%10%1%

What each source reports

CVE List Score used 8.7

OpenEMR Before 8.5.0 SQL Injection via form_icd_codes[]

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.

Record
CVE-2026-49142
CVSS 4.0
8.7 HighCVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N
CVSS 3.1
8.8 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
Weakness
CWE-89
Updated
2026-11-04
EUVDEUVD-2026-112788 8.7

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.

Record
EUVD-2026-112788
CVSS 4.0
8.7 HighCVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N
Updated
2026-11-04
GitHub AdvisoriesGHSA-4x43-68v3-4x7c 8.7

OpenEMR before 8.5.0 contains an authenticated SQL injection vulnerability in the Syndromic...

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.

Record
GHSA-4x43-68v3-4x7c
CVSS 4.0
8.7 HighCVSS: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
CVSS 3.1
8.8 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
Weakness
CWE-89
Updated
2026-11-02
NVD 8.7

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.

Record
CVE-2026-49142
CVSS 4.0
8.7 HighCVSS: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
CVSS 3.1
8.8 HighCVSS:3.1/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H
Weakness
CWE-89
Updated
2026-11-04
OSV 8.7

OpenEMR Before 8.5.0 SQL Injection via form_icd_codes[]

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.

Record
CVE-2026-49142
CVSS 4.0
8.7 HighCVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:H/VI:H/VA:H/SC:N/SI:N/SA:N
Weakness
CWE-89
Updated
2026-11-07

Affected products

History

History
RecordedChangedSources
facts, referencesCVE List
first indexedCVE List, EUVD, GitHub Advisories, NVD, OSV

Dates are when Every CVE recorded each change. Upstream dates may differ.

In short

CVE-2026-49142 is a high vulnerability (CVSS 8.7) in Open-emr Openemr, published October 29, 2026. No source lists public exploit code. EPSS puts the chance of exploitation in the next 30 days at 0.36%, the 29th percentile. No source names a fixed version.

References

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