Security readout for executives and security teams
Plain-English summary
CVE-2018-17181 is a SQL injection issue in OpenEMR versions before 5.0.1 Patch 7. It affects portal audit/payment-related code paths. SQL injection can put clinical, billing, or portal data at risk, but the provided sources do not include CVSS scoring or confirmed active exploitation.
Executive priority
Prioritize remediation for any affected OpenEMR environment handling patient or billing data. The absence of KEV or CVSS data reduces certainty, not impact. Confirm versions quickly and patch affected systems before broader operational work.
Technical view
The CVE describes SQL injection in SaveAudit in /portal/lib/paylib.php and portalAudit in /portal/lib/appsql.class.php. The affected range is OpenEMR before 5.0.1 Patch 7. The source bundle references an OpenEMR patch page and a GitHub commit, but does not document exploit prerequisites or impact details.
Likely exposure
Exposure is most likely in organizations running OpenEMR before 5.0.1 Patch 7, particularly where patient portal or payment-related portal functions are enabled or reachable. The source data does not confirm authentication requirements or internet exposure conditions.
Exploitation context
The source bundle does not show CISA KEV listing, public active exploitation, or exploit maturity details. Treat this as a serious SQL injection risk because affected code touches OpenEMR portal audit/payment paths, but avoid assuming active exploitation without additional evidence.
Researcher notes
Evidence is limited to the CVE description, OpenEMR patch reference, and upstream commit. The bundle does not provide CVSS, CWE, exploit prerequisites, authentication context, or proof of exploitation. Further analysis should focus on patch diff review and environment-specific reachability.
Mitigation direction
- Upgrade OpenEMR instances before 5.0.1 Patch 7 to a fixed vendor-supported release.
- Review the referenced OpenEMR patch guidance and linked fixing commit.
- Limit external access to affected portal functions until patched.
- Prioritize systems containing patient, billing, or regulated health data.
Validation and detection
- Inventory OpenEMR versions and confirm none are before 5.0.1 Patch 7.
- Verify the patched code includes the referenced upstream fix.
- Check whether patient portal and payment portal functions are enabled.
- Review application and database logs for unusual portal audit or payment activity.
Public sources used
Generated from the cited source records. This long-tail analysis has not been individually reviewed by a named human.
Conservative CVE-to-ATT&CK context
These mappings and lookup hints may be relevant to the vulnerability behavior, CWE, affected product, or exposure path. Glexia-inferred context is not an official MITRE, ATT&CK, CWE, or CVE Program mapping.
ATT&CK lookup starting points
Use these exact CWE pages and searches to review the Glexia ATT&CK library from this CVE's weakness and description context.
Database behavior lookup
The CVE wording references database injection or access, so collection and exfiltration review may help. This is a Glexia inferred lookup path, not an official MITRE, ATT&CK, or CVE Program mapping.
Open ATT&CK lookupCVE-2018-17181 mapping review
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Open ATT&CK lookup- Severity
- Unknown
- CVSS
- Not scored
- Known Exploited
- No
- Published
CNA and ADP enrichment extracted from CVE v5
These fields come from the CVE record and ADP containers, not from Glexia's Take. They preserve time-varying source decisions such as CISA SSVC, KEV status, CVSS metrics, and provider references.
CVSS and timeline data
No CVSS vectors or timeline events were available in the normalized CVE source material.
Source materials
- CVE List V5 sourceCVE List V5
- https://www.open-emr.org/wiki/index.php/OpenEMR_Patches#5.0.1_Patch_.289.2F9.2F18.29CVE reference · x_refsource_MISC
- https://github.com/openemr/openemr/commit/4963fe4932a0a4e1e982642226174e9931d09541CVE reference · x_refsource_MISC
Products and packages named in the record
CWE details
CWE links open Glexia weakness intelligence pages with official CWE context, developer remediation guidance, and related CVE mappings.
