VulnerabilityPublished 13 Nov 2026

CVE-2026-126448: openemr · Missing Authorization

Affects openemrSource CVE Database V5

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Not known to be exploited · CVSS 5.3 Medium : upgrade to 8.5.0 when convenient.

Data as of 13 Nov 2026, 11:02 UTC

CVSS 4.0 base score

5.3Medium

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

Thin evidence

One scorer or none

CVSS scores by source
CNA (VulnCheck)	CVSS 4.0	5.3
CNA (VulnCheck)	CVSS 3.1	4.3

Patch: Available – fixed in 8.5.0

CVSS:4.0/AV:N/AC:L/AT:N/PR:L/UI:N/VC:N/VI:L/VA:N/SC:N/SI:N/SA:N

Attack Vector: Network
Attack Complexity: Low
Attack Requirements: None
Privileges Required: Low
User Interaction: None
Vulnerable system confidentiality: None
Vulnerable system integrity: Low
Vulnerable system availability: None
Subsequent system confidentiality: None
Subsequent system integrity: None
Subsequent system availability: None

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

Attack Vector: Network: The vulnerable system is bound to the network stack and the set of possible attackers extends beyond the other options listed below, 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: The attacker must take no measurable action to exploit the vulnerability. The attack requires no target-specific circumvention to exploit the vulnerability. An attacker can expect repeatable success against the vulnerable system.
Attack Requirements: None: The successful attack does not depend on the deployment and execution conditions of the vulnerable system. The attacker can expect to be able to reach the vulnerability and execute the exploit under all or most instances of the vulnerability.
Privileges Required: Low: The attacker requires privileges that provide basic capabilities that are typically limited to settings and resources owned by a single low-privileged user. Alternatively, an attacker with Low privileges has the ability to access only non-sensitive resources.
User Interaction: None: The vulnerable system can be exploited without interaction from any human user, other than the attacker.
Vulnerable system confidentiality: None: There is no loss of confidentiality within the Vulnerable System.
Vulnerable system integrity: Low: Modification of data is possible, but the attacker does not have control over the consequence of a modification, or the amount of modification is limited. The data modification does not have a direct, serious impact to the Vulnerable System.
Vulnerable system availability: None: There is no impact to availability within the Vulnerable System.
Subsequent system confidentiality: None: There is no loss of confidentiality within the Subsequent System or all confidentiality impact is constrained to the Vulnerable System.
Subsequent system integrity: None: There is no loss of integrity within the Subsequent System or all integrity impact is constrained to the Vulnerable System.
Subsequent system availability: None: There is no impact to availability within the Subsequent System or all availability impact is constrained to the Vulnerable System.

Definitions: FIRST CVSS v4.0 specification.

Exploitation evidence

Disclosed: evidence found.
CVE published 13 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 13 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 8.5.0.

Affected software

Product	Affected	Fixed in
openemropenemr	Affected <8.5.0	Fixed in 8.5.0

AI-suggested

Upgrade OpenEMR to version 8.5.0 or later, where this missing authorization vulnerability has been fixed. Until the upgrade, restrict access to the affected mutation endpoints and ensure proper access control and CSRF protections are in place if possible.

Description

OpenEMR versions prior to 8.5.0 have a missing authorization vulnerability that allows authenticated users without the nationnotes/nn_configure permission to modify shared Nation Notes templates. This occurs because certain mutation endpoints, such as ajax_code.php and add_context.php, lack proper access control and CSRF protections, enabling unauthorized tampering with clinical-note templates and assignments.

Impact

The vulnerability allows authenticated users lacking specific configuration permissions to modify clinical note templates shared across the system. This could lead to unauthorized changes in clinical documentation templates, potentially affecting clinical workflows and data integrity. There is no indication of privilege escalation beyond the authenticated user level or direct impact on confidentiality or availability.

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Exploitation evidence

What to do

Affected software

Description

AI analysisMachine-generated, updated 13 Nov 2026, 11:02 UTC

Technical details

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