VulnerabilityPublished 5 Nov 2026

CVE-2026-103938: openemr · Cross-Site Request Forgery

Affects openemrSource CVE Database V5

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Not known to be exploited · CVSS 7.1 High : upgrade to 8.3.0 soon.

Data as of 5 Nov 2026, 20:05 UTC

CVSS 3.1 base score

7.1High

How severe the flaw is on the 0–10 CVSS scale.

Thin evidence

One scorer or none

CVSS scores by source
CNA (GitHub_M)	CVSS 3.1	7.1

Patch: Available – fixed in 8.3.0

CVSS:3.1/AV:N/AC:L/PR:N/UI:R/S:U/C:N/I:H/A:L

Attack Vector: Network
Attack Complexity: Low
Privileges Required: None
User Interaction: Required
Scope: Unchanged
Confidentiality: None
Integrity: High
Availability: Low

Bold values are the worst case: easiest to exploit or largest impact.

Attack Vector: Network: The vulnerable component is bound to the network stack and the set of possible attackers extends beyond the other options listed, up to and including the entire Internet. Such a vulnerability is often termed 'remotely exploitable' and can be thought of as an attack being exploitable at the protocol level one or more network hops away (e.g., across one or more routers).
Attack Complexity: Low: Specialized access conditions or extenuating circumstances do not exist. An attacker can expect repeatable success against the vulnerable component.
Privileges Required: None: The attacker is unauthorized prior to attack, and therefore does not require any access to settings or files to carry out an attack.
User Interaction: Required: Successful exploitation of this vulnerability requires a user to take some action before the vulnerability can be exploited.
Scope: Unchanged: An exploited vulnerability can only affect resources managed by the same security authority. In this case, the vulnerable component and the impacted component are either the same, or both are managed by the same security authority.
Confidentiality: None: There is no loss of confidentiality within the impacted component.
Integrity: High: There is a total loss of integrity, or a complete loss of protection. For example, the attacker is able to modify any/all files protected by the impacted component. Alternatively, only some files can be modified, but malicious modification would present a direct, serious consequence to the impacted component.
Availability: Low: Performance is reduced or there are interruptions in resource availability. Even if repeated exploitation of the vulnerability is possible, the attacker does not have the ability to completely deny service to legitimate users. The resources in the impacted component are either partially available all of the time, or fully available only some of the time, but overall there is no direct, serious consequence to the impacted component.

Definitions: FIRST CVSS v3.1 specification.

Exploitation evidence

Disclosed: evidence found.
CVE published 5 Nov 2026
Detectable: no evidence on record.
No public nuclei template indexed
Weaponized: no evidence on record.
No public exploit code indexed in Metasploit or Exploit-DB
Exploited in the wildExploited: no evidence on record.
Not in CISA KEV and no source reports exploitation
Observed by OffSeq MirageSeen by Mirage: no evidence on record.
No attack traffic recorded by OffSeq Mirage sensors

A missing step is not evidence of safety. Sources: cve.org (opens in a new tab), the Metasploit, Exploit-DB and nuclei-templates index as of 5 Nov 2026.

Disclosed: The CVE record is public on cve.org. Its publication is t = 0.
Detectable: A public nuclei template can find exposed instances, for defenders and attackers alike.
Weaponized: A Metasploit exploit module or Exploit-DB entry exists (Metasploit scanner modules do not count), or CISA SSVC or the CVSS exploit maturity reports a public proof of concept.
Exploited in the wild: CISA KEV lists it, CISA SSVC rates exploitation active, or a source reports attacks.
Observed by OffSeq Mirage: OffSeq Mirage honeypot sensors recorded attack traffic for this CVE, or found exposed hosts without attack traffic.

Moments are spaced evenly, not to scale; a dashed line marks a gap of six months or more. Deltas count from t = 0. Sources that give only a date (CISA KEV, Exploit-DB, or a time of exactly 00:00Z) read “same day” rather than hours. Metasploit modules carry the flaw’s disclosure date, not their release date, and nuclei templates carry no date, so both appear above but not on the timeline.

What to do

Upgrade openemr to 8.3.0.

Affected software

Product	Affected	Fixed in
openemropenemr	Affected <8.3.0	Fixed in 8.3.0

AI-suggested

Upgrade OpenEMR to version 8.3.0 or later, where this CSRF vulnerability is fixed. No additional mitigations are indicated by the vendor advisory. Users should ensure that all billing users apply this update to prevent unauthorized ledger modifications.

Description

OpenEMR versions prior to 8.3.0 contain a Cross-Site Request Forgery (CSRF) vulnerability in the pos_checkout_ippf.php interface. This flaw allows state-changing operations such as voiding transactions or regenerating invoice counters through GET requests without proper CSRF token validation. The conditional form_checksum integrity check can be bypassed when a specific parameter is omitted, enabling an attacker to force an authenticated billing user to perform unauthorized actions. This vulnerability affects financial and audit records integrity. The issue is resolved in OpenEMR version 8.3.0.

Impact

Successful exploitation allows an attacker to coerce an authenticated billing user to perform unauthorized voiding of checkouts or regeneration of invoice counters. This compromises the integrity of ledger state, financial reports, and audit trails, potentially leading to financial discrepancies and audit failures. There is no indication of confidentiality or availability impact. The CVSS 3.1 score is 7.1 (high), reflecting the integrity impact and ease of exploitation via user interaction.

CWE-352Cross-Site Request Forgery (opens in a new tab)
Compound weaknessLikelihood of exploit: MediumCWE Top 25 (2025): #3OWASP Top 10 A01:2025: Broken Access Control (opens in a new tab)
The web application does not, or cannot, sufficiently verify whether a request was intentionally provided by the user who sent the request, which could have originated from an unauthorized actor.
Architecture and Design · Libraries or Frameworks
Use a vetted library or framework that does not allow this weakness to occur or provides constructs that make this weakness easier to avoid.
Implementation
Ensure that the application is free of cross-site scripting issues (CWE-79), because most CSRF defenses can be bypassed using attacker-controlled script.
Architecture and Design
Generate a unique nonce for each form, place the nonce into the form, and verify the nonce upon receipt of the form. Be sure that the nonce is not predictable (CWE-330).
OWASP Cheat Sheets
REST Assessment (opens in a new tab)
REST Security (opens in a new tab)
Cross-Site Request Forgery Prevention (opens in a new tab)
Authorization Testing Automation (opens in a new tab)
Insecure Direct Object Reference Prevention (opens in a new tab)
OWASP ASVS 4.0.3
V13.2.3 (opens in a new tab)
V4.2.2 (opens in a new tab)
V13.3.2 (opens in a new tab)
Attack patterns
JSON Hijacking (aka JavaScript Hijacking) (opens in a new tab)
Cross-Domain Search Timing (opens in a new tab)
Cross Site Identification (opens in a new tab)
Cross Site Request Forgery (opens in a new tab)
From MITRE CWE, MITRE CAPEC and OWASP (Top 10, OpenCRE).

References

Community reviews

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Exploitation evidence

What to do

Affected software

Description

AI analysisMachine-generated, updated 5 Nov 2026, 20:05 UTC

WeaknessesCWE-352

Technical details

References

Community reviews

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