CVE-2022-46499

8.8 HIGH

📋 TL;DR

Hospital Management System 1.0 contains a SQL injection vulnerability in the pat_number parameter at his_admin_view_single_patient.php. This allows attackers to execute arbitrary SQL commands on the database, potentially compromising patient data and system integrity. Organizations using this specific software version are affected.

💻 Affected Systems

Products:
  • Hospital Management System
Versions: 1.0
Operating Systems: Any OS running the web application
Default Config Vulnerable: ⚠️ Yes
Notes: The vulnerability exists in the default installation. Any deployment of version 1.0 is vulnerable unless specifically patched or secured.

📦 What is this software?

⚠️ Risk & Real-World Impact

🔴

Worst Case

Complete database compromise leading to patient data theft, system takeover, and potential ransomware deployment across the entire hospital network.

🟠

Likely Case

Unauthorized access to sensitive patient records (PHI/PII), modification of medical data, and potential privilege escalation within the system.

🟢

If Mitigated

Limited data exposure if proper input validation and database permissions are implemented, with minimal operational disruption.

🌐 Internet-Facing: HIGH - If the vulnerable endpoint is exposed to the internet, attackers can exploit it remotely without network access.
🏢 Internal Only: MEDIUM - Internal attackers or compromised internal systems could exploit this vulnerability to escalate privileges and access sensitive data.

🎯 Exploit Status

Public PoC: ⚠️ Yes
Weaponized: LIKELY
Unauthenticated Exploit: ✅ No
Complexity: LOW

Exploitation requires admin access to reach the vulnerable endpoint. The SQL injection is straightforward once authenticated.

🛠️ Fix & Mitigation

✅ Official Fix

Patch Version: Unknown

Vendor Advisory: No official vendor advisory found

Restart Required: No

Instructions:

1. Implement parameterized queries or prepared statements for the pat_number parameter. 2. Add input validation to reject malicious SQL characters. 3. Apply the fix to his_admin_view_single_patient.php and all similar endpoints.

🔧 Temporary Workarounds

Web Application Firewall (WAF)

all

Deploy a WAF with SQL injection protection rules to block malicious requests to the vulnerable endpoint.

Input Validation Filter

all

Add server-side validation to only accept numeric values for the pat_number parameter.

// PHP example: if(!is_numeric($_GET['pat_number'])) { die('Invalid input'); }

🧯 If You Can't Patch

  • Isolate the Hospital Management System on a separate network segment with strict access controls.
  • Implement database monitoring to detect unusual SQL queries and restrict database user permissions to minimum required.

🔍 How to Verify

Check if Vulnerable:

Test the his_admin_view_single_patient.php endpoint with SQL injection payloads in the pat_number parameter (e.g., pat_number=1' OR '1'='1).

Check Version:

Check the software version in the application interface or configuration files.

Verify Fix Applied:

Attempt the same SQL injection tests and verify they are rejected or properly sanitized without database errors.

📡 Detection & Monitoring

Log Indicators:

  • Unusual SQL queries in database logs
  • Multiple failed login attempts followed by access to admin endpoints
  • HTTP requests with SQL keywords in pat_number parameter

Network Indicators:

  • Unusual outbound database connections from the web server
  • Traffic patterns indicating data exfiltration

SIEM Query:

source="web_logs" AND uri="*his_admin_view_single_patient.php*" AND (query="*UNION*" OR query="*SELECT*" OR query="*OR '1'='1*")

🔗 References

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