Configure OpenEMR to use SSL for MySQL connections. Use valid client key, client certificate, and CA certificate files. Set the MySQL host to the server's IP address ...

to /etc/my.cnf and restarted mysql but it's still not working we might need to add ssl-ca but since its self signed there is no ca? Any tips/ideas I want to make sure it's implemented in new version ...

Researchers have identified a serious vulnerability in some versions of Oracle’s MySQL database product that allows an attacker to strip SSL/TLS connections of their security wrapping transparently.