Raw vector
CVSS:3.1/AV:N/AC:H/PR:L/UI:R/S:C/C:H/I:H/A:NSummary
CVE-2026-46518 is a high-severity Cross-site Scripting (CWE-79) vulnerability in Open-Emr Openemr. Its CVSS base score is 7.7 (High).
Operationally, exploitation aligns with the MITRE ATT&CK technique Browser Session Hijacking (T1185); ranked at the 11th percentile by exploit likelihood (below the median); it is not currently listed in the CISA KEV catalog; a public proof-of-concept is referenced.
The strongest mitigations our analysis identified map to AC-24 (Access Control Decisions) and AC-25 (Reference Monitor) — see the control section below for these in your framework.
OWASP Top 10 for Web (2025)
EU & UK References
- 🇪🇺 ENISA EUVD: EUVD-2026-35869
Vulnerability Data
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…
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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.
- CWE(s)
Related Threats
MITRE ATT&CK Enterprise Techniques
CVEs Like This One
Affected Assets
Mitigating Controls
Control response
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- 5 hardening rules · 3 OS baselines
V1.1.2V1.3.2
Mitigating Controls (NIST 800-53 r5) AI
AC-3 directly requires enforcement of authorization decisions on every access request, structurally eliminating missing authorization checks.
AC-24 mandates that access control decisions are applied to each request, preventing bypass of authorization logic.
AC-25 requires a tamperproof, always-invoked reference monitor that ensures authorization checks cannot be omitted.
Developer testing and evaluation can discover missing or incorrect input neutralization through targeted web-application tests.
Input validation directly enforces neutralization of untrusted data before it reaches web output generation.
Output filtering can catch or sanitize unneutralized script content before it is served to users.
Mitigating Controls (NIST CSF 2.0) AI
Derived directly from the weakness types (CWEs) cited in the NVD entry via our AI-authored CWE→CSF cross-walk (authority under review) — links open the control.
Explicitly requires defining, enforcing, and reviewing authorizations and least privilege, directly preventing missing authorization checks.
Secure SDLC practices directly target introduction of XSS via coding standards/testing (mostly), yet the single broad outcome leaves many specific neutralization vectors unaddressed (partial).
Patching and EOL replacement can remediate known XSS instances in libraries or frameworks (partial) but do nothing to enforce input neutralization in application code (none).
Mitigating Controls (ISO/IEC 27001:2022 Annex A) AI
Derived directly from the weakness types (CWEs) cited in the NVD entry via our AI-authored CWE→ISO cross-walk (authority under review) — links open the control.
Secure-coding testing and automated code-analysis tools are applied to detect improper neutralization of script-related content during web-page generation.
Requiring authentication and credentials before any access occurs eliminates the absence of authorization checks that would otherwise allow an unauthenticated actor to reach protected resources.
Requiring formal authorization of every access request before rights are granted ensures that checks for required permissions are performed, preventing missing authorization checks from being introduced.
Mandatory authorization checks and central records of granted rights ensure that every access attempt is preceded by an explicit decision rather than relying on missing checks.
Segregating the approval of access rights from their implementation provides an independent check that reduces the impact of missing authorization checks in the resulting system configuration.
By requiring competent outsiders to verify that every function enforces the need-to-know principle, the control lowers the likelihood that missing authorization checks persist undetected.
Hardening callouts derived
Configuration rules from DISA STIG baselines that bear on weaknesses of the type cited by this CVE. Each rule is shown with the relationship its mapping actually records, against the CWE it was authored against. Derived via CVE→CWE over `controls_xwalks` (authoritative rows only; rows rated `none` are excluded).
Oracle Linux 8 (2 rules)
- V-248581 OL 8 must require users to provide a password for privilege escalation. prevents CWE-862
- V-252656 The OL 8 operating system must not be configured to bypass password requirements for privilege escalation. prevents CWE-862
RHEL 7 (2 rules)
- V-251704 The Red Hat Enterprise Linux operating system must not be configured to bypass password requirements for privilege escalation. prevents CWE-862
- V-204429 The Red Hat Enterprise Linux operating system must be configured so that users must provide a password for privilege escalation. prevents CWE-862