NVD / CVE Program· CNA mitre

CVE-2018-1000648: LibreHealthIO lh-ehr version REL-2.0.0 contains a Authenticated Unrestricted File Write vulnerability in Patient file letter functions that

Noroxi assessment

Priority: Monitor (action score 36/100)

The sources we track (CISA KEV, Exploit-DB, Metasploit, Nuclei, GitHub) show no public exploit code or exploitation in the wild.
Probability of exploitation in the next 30 days: 2.7% (FIRST EPSS); higher than 86.4% of all records.
Anyone who can reach it over the internet can trigger it. A low-privileged account is enough. No user action is required. No special conditions are required; it is repeatable.
According to the record, no fixed version is available yet.

Low priority for now. Update when a fix is released; follow the vendor's advisory.

Generated automatically from the record's data: CVSS (NVD and CNA), CISA KEV and SSVC, FIRST EPSS, exploit sources, fixed versions. How we calculate it

Primary sources: NVD · CVE.org · FIRST EPSS

LibreHealthIO lh-ehr version REL-2.0.0 contains a Authenticated Unrestricted File Write vulnerability in Patient file letter functions that can result in Write files with malicious content and may lead to remote code execution. This attack appear to be exploitable via User controlled parameters.

HighCVSS 8.8 · v3.0—No exploit No fix recorded

Published: Aug 20, 2018
Updated: Jun 16, 2026
EPSS: 2.7% · 86th percentile
CWE: CWE-269

Report tools

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Action score

Monitor

Low priority for now.

CVSS: 35 / 40 · 8.8 / 10
CISA KEV: 0 / 30 · Not listed
EPSS: 1 / 30 · 2.7%

Get told when this record changes

Not in KEV: no record of exploitation in the wild
No public exploit code on record
No fixed version yet

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Noroxi analysis

What does it mean in your environment?

The assessment above is generated automatically from the record's data; it doesn't know your environment. Our team verifies on your systems whether this vulnerability is actually exploitable and which mitigation is enough.

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Affected systems

Is your version affected?

Pick the product and type the version you run. It's compared with this record's version ranges in your browser; the version isn't sent anywhere.

Vendor	Product	CPE
librehealth	librehealth ehr	cpe:2.3:a:librehealth:librehealth_ehr

Affected versions

NVD version ranges (for catalog products). Add the product to your stack with a version and matching uses these.

librehealth librehealth ehr2.0.0

Same product

librehealth: all records

Other highest-scoring records for the same primary product.

CVE-2022-31496LibreHealth EHR Base 2.0.0 allows incorrect interface/super/manage_site_files.php access.
36Monitor
CVE-2020-23829interface/new/new_comprehensive_save.php in LibreHealth EHR 2.0.0 suffers from an authenticated file upload vulnerability, allowing remote a
36Monitor
CVE-2020-11439LibreHealth EMR v2.0.0 is affected by a Local File Inclusion issue allowing arbitrary PHP to be included and executed within the EMR applica
36Monitor

Published before and after this one in the same product

← EarlierCVE-2018-1000646Aug 20, 2018 · LibreHealthIO LH-EHR version REL-2.0.0 contains an Authenticated Unrestricted File Write vulnerability in Import template that can result in
36Monitor
← EarlierCVE-2018-1000647Aug 20, 2018 · LibreHealthIO lh-ehr version REL-2.0.0 contains a Authenticated Unrestricted File Deletion vulnerability in Import template that can result
28Monitor
Later →CVE-2018-1000649Aug 20, 2018 · LibreHealthIO lh-ehr version REL-2.0.0 contains a Authenticated Unrestricted File Write in letter.php (2) vulnerability in Patient file lett
36Monitor

Remediation

Which version to upgrade to

Fix versions compiled from the vendor, package registries and Microsoft. Verify the vendor's note before upgrading.

No fix version is recorded for this entry. Check the references for vendor advisories.

Exploit status

No known public exploit

No public exploit has been observed yet. That doesn't mean you're safe, only that the bar is a little higher.

Research context

For pentesters and researchers: attack profile, score disagreement, timeline, patch commits, credits, variant and chain candidates, bug bounty scope. All derived from existing data; no exploit code.

Timeline

From publication to today: proof of concept, Metasploit module, CISA KEV and fix record. Dates are as reported by the sources.

No dated events beyond publication.

No history yet (it accumulates with the daily EPSS job).

Patch and commit links

Commit, PR and diff links among the references. A starting point for patch-diffing and variant hunting; fixes, not exploits.

No commit or PR link among the references.

Credits

All researchers

Finders, reporters and analysts named in the CNA record. Click a name for that researcher’s other records.

No credits in the CNA record.

Variant candidates

Same product, same weakness class, within 18 months. If the patch missed the root cause, the sibling bug is here.

No nightly-computed relations.

Chain candidates

An authentication bypass and a privilege-requiring bug in the same product, published close together: combined they may become an unauthenticated path.

—

Bug bounty scope

No known public program.

Source: bounty-targets-data (public HackerOne, Bugcrowd, Intigriti, YesWeHack listings).

Technical details

Attack conditions

Anyone who can reach it over the internet can trigger it.
A low-privileged account is enough.
No user action is required.
No special conditions are required; it is repeatable.

If successful

Confidentiality: high · data can be read
Integrity: high · data or configuration can be modified
Availability: high · the service can be disrupted

Attack vector: Network
Attack complexity: Low
Privileges required: Low
User interaction: None
Scope: Unchanged
Confidentiality impact: High
Integrity impact: High
Availability impact: High

Weakness class (CWE)

CWE-269 · Improper Privilege Management

CVSS vector

CVSS:3.0/AV:N/AC:L/PR:L/UI:N/S:U/C:H/I:H/A:H

nvd-primary

Root cause

To simplify setup, a service account is granted broad, cluster-wide permissions. The principle of least privilege is skipped during installation.

The bug in code

The whole CWE-269 class

A representative example of this vulnerability class. Not the vendor's source code; it shows the faulty pattern and its fix.

Vulnerable

yaml

1kind: ClusterRole
2rules:
3  - apiGroups: ["*"]
4    resources: ["*"]
5    verbs: ["*"]

Fixed

yaml

1kind: Role
2metadata:
3  namespace: lodos-system
4rules:
5  - apiGroups: ["apps"]
6    resources: ["deployments"]
7    verbs: ["get", "list", "update"]

Attack context

MITRE CAPEC attack patterns and ATT&CK techniques for this weakness class (CWE). A starting point for detection rules and threat hunting.

Attack patterns (CAPEC)

ATT&CK techniques

Abuse Elevation Control MechanismT1548

Change log

No changes recorded on tracked fields yet. Score, KEV, exploit maturity and fix status changes appear here.

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