CVE-2025-31121 | OpenEMR allows XSS in Patient Image feature

Exp

OpenEMR is a free and open source electronic health records and medical practice management application. Prior to 7.0.3.1, the Patient Image feature in OpenEMR is vulnerable to cross-site scripting attacks via the EXIF title in an image. This vulnerability is fixed in 7.0.3.1.

Published: 2025-04-01 Last update: 2026-06-17 Assigner: [email protected] Source: [email protected]
NVD Status：Analyzed，CVE State: published
View at NVD, CVE.org, EUVD

CVE-2025-31121 is rated High Exploit Risk (79.2/100): CVSS High severity, with high exploitation likelihood (EPSS 14.62%, 96th percentile). 1 public exploit reference(s) are indexed (Exploit-DB). EPSS rose +2.49% over the last day, indicating growing attacker interest. Public exploits are available—assess exposure, apply mitigations, and prioritize patching.

Risk is dynamic; we continuously reassess and refresh what is shown on this page as upstream context changes.

Public exploit references (Exploit-DB) for CVE-2025-31121

EDB-ID Source Kind Published Link
— nvd_ref exploit_tag Exploit-DB ↗

Exploit prediction scoring system (EPSS) score for CVE-2025-31121

EPSS lead: Daily EPSS estimates relative likelihood of exploitation; percentile ranks this CVE among scored vulnerabilities (higher = more severe relative rank).

# Date Old EPSS score New EPSS score Delta (New - Old)
1 2026-07-03 12.13% 14.62% +2.49%
2 2026-06-22 11.14% 12.13% +0.98%
3 2026-06-15 — 11.14% —

Full EPSS history (20 records total)

Common vulnerability scoring system (CVSS) metrics for CVE-2025-31121

CVSS metrics for this CVE.

Base score Version Severity Vector Exploitability Impact Score source
7.0 4.0 HIGH
CVSS:4.0/AV:N/AC:H/AT:N/PR:H/UI:A/VC:H/VI:H/VA:N/SC:N/SI:N/SA:N/E:X/CR:X/IR:X/AR:X/MAV:X/MAC:X/MAT:X/MPR:X/MUI:X/MVC:X/MVI:X/MVA:X/MSC:X/MSI:X/MSA:X/S:X/AU:X/R:X/V:X/RE:X/U:X Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network.
Attack complexity (AC:H)
Exploitation depends on constrained or hard-to-reproduce conditions.
Attack requirements (AT:N)
No additional preconditions are required beyond normal reachability.
Privileges required (PR:H)
High privileges are required.
User interaction (UI:A)
User interaction is required in an active way.
Vulnerable system confidentiality impact (VC:H)
High confidentiality impact on the vulnerable system.
Vulnerable system integrity impact (VI:H)
High integrity impact on the vulnerable system.
Vulnerable system availability impact (VA:N)
No availability impact on the vulnerable system.
Subsequent system confidentiality impact (SC:N)
No confidentiality impact on subsequent systems.
Subsequent system integrity impact (SI:N)
No integrity impact on subsequent systems.
Subsequent system availability impact (SA:N)
No availability impact on subsequent systems.
Exploit maturity (threat) (E:X)
Not defined: no reliable threat intelligence; scoring assumes the worst case (equivalent to Attacked).
Confidentiality requirement (CR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Integrity requirement (IR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Availability requirement (AR:X)
Not defined: insufficient information; scoring treats this like High (worst case).
Modified attack vector (MAV:X)
Not defined: scoring uses the Base Attack Vector (AV).
Modified attack complexity (MAC:X)
Not defined: scoring uses the Base Attack Complexity (AC).
Modified attack requirements (MAT:X)
Not defined: scoring uses the Base Attack Requirements (AT).
Modified privileges required (MPR:X)
Not defined: scoring uses the Base Privileges Required (PR).
Modified user interaction (MUI:X)
Not defined: scoring uses the Base User Interaction (UI).
Modified vulnerable system confidentiality impact (MVC:X)
Not defined: scoring uses the Base VC metric.
Modified vulnerable system integrity impact (MVI:X)
Not defined: scoring uses the Base VI metric.
Modified vulnerable system availability impact (MVA:X)
Not defined: scoring uses the Base VA metric.
Modified subsequent system confidentiality impact (MSC:X)
Not defined: scoring uses the Base SC metric.
Modified subsequent system integrity impact (MSI:X)
Not defined: scoring uses the Base SI metric.
Modified subsequent system availability impact (MSA:X)
Not defined: scoring uses the Base SA metric.
Safety (supplemental) (S:X)
Not evaluated.
Automatable (supplemental) (AU:X)
Not evaluated.
Recovery (supplemental) (R:X)
Not evaluated.
Value density (supplemental) (V:X)
Not evaluated.
Vulnerability response effort (supplemental) (RE:X)
Not evaluated.
Provider urgency (supplemental) (U:X)
Not evaluated.
 — — [email protected]
5.4 3.1 MEDIUM
CVSS:3.1/AV:N/AC:L/PR:L/UI:R/S:C/C:L/I:L/A:N Click to expand
Attack vector (AV:N)
Could be attacked over the internet or any normal routed network—not just someone sitting at the machine.
Attack complexity (AC:L)
Once they can reach the bug, pulling it off is straightforward—no weird race conditions or rare setup.
Privileges required (PR:L)
A normal user session is enough; they don’t have to be admin.
User interaction (UI:R)
A real person has to do something—click, install, enable—otherwise it doesn’t land.
Scope (S:C)
Breaking this can reach past the original component and bite other resources—bigger blast radius.
Confidentiality (C:L)
Some sensitive info could get out, but not a total data dump.
Integrity (I:L)
Attackers could change some data, but it’s limited—not everything goes.
Availability (A:N)
Service keeps running; no real outage angle.
 2.3 2.7 [email protected]

Weakness enumeration for CVE-2025-31121

Affected software / configurations for CVE-2025-31121

Vendor Product Version Raw CPE
open-emr openemr < 7.0.3.1 cpe:2.3:a:open-emr:openemr:*:*:*:*:*:*:*:*

References for CVE-2025-31121

cvelogic Threat Intelligence