CVE-2026-126491: Open-Emr Openemr SQL Injection Vulnerability

OpenEMR before 8.5.0 contains a second-order sql injection vulnerability that allows low-privileged authenticated users to store malicious SQL via library/ajax/addlistitem.php. Attackers can persist a SQL fragment in the recent_patient_columns option_id value, which dynamic_finder.php concatenates into a SELECT query and executes as SQL.

OpenEMR before 8.5.0 contains an authorization bypass vulnerability that allows authenticated users to override system-wide global configuration values by storing global-prefixed keys through library/ajax/user_settings.php. Attackers can submit lab or target parameters with global: prefixed setting names to disable audit logging, weaken password policies, or alter security-sensitive settings persistently for their sessions.

OpenEMR before 8.5.0 contains a missing authorization vulnerability in portal/import_template.php, where several portal document template modes lack admin/forms ACL and CSRF checks. Any authenticated staff user can send mode=save_profiles to delete all template profile assignments, use other unguarded modes to push templates to patients or change categories, and read template bodies via mode=get or getPdf.

OpenEMR through 8.2.0 contains a remote code execution vulnerability in the document category tree component (library/classes/Tree.class.php) that allows authenticated administrators to execute arbitrary operating system commands by injecting PHP payloads into the categories database table. Attackers can chain arbitrary SQL execution to alter the id column type to VARCHAR and insert a malicious PHP payload, which is then executed via an unsanitized eval() call whenever any page instantiates CategoryTree, including unauthenticated and low-privilege pages, resulting in command execution as the web server user.

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.

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to version 8.0.0.3, missing authorization in the AJAX deletion endpoint `interface/forms/procedure_order/handle_deletions.php` allows any authenticated user, regardless of role, to irreversibly delete procedure orders, answers, and specimens belonging to any patient in the system. Version 8.0.0.3 patches the issue.