VulnerabilityPublished 12 Dec 2023Updated 27 May 2025

CVE-2023-28465: HL7 FHIR Core Libraries · Path Traversal

Source CVE Database V5

Mentioned vulnerabilities

CVE-2023-24057

Not known to be exploited · CVSS 7.5 High · fixed in 5.6.106 : patch affected systems soon.

Data as of 26 Oct 2026, 17:16 UTC

CVSS 3.1 base score

7.5High

How severe the flaw is on the 0–10 CVSS scale.

EPSS: 1.3% chance of exploitation in 30 days – higher than 70% of CVEsExploit Prediction Scoring System: the likelihood attackers will use this flaw soon.
Patch: Available – fixed in 5.6.106

CVSS:3.1/AV:N/AC:L/PR:N/UI:N/S:U/C:H/I:N/A:N

Attack Vector: Network
Attack Complexity: Low
Privileges Required: None
User Interaction: None
Scope: Unchanged
Confidentiality: High
Integrity: None
Availability: None

Bold values are the worst case: easiest to exploit or largest impact.

Attack Vector: Network: The vulnerable component is bound to the network stack and the set of possible attackers extends beyond the other options listed, up to and including the entire Internet. Such a vulnerability is often termed 'remotely exploitable' and can be thought of as an attack being exploitable at the protocol level one or more network hops away (e.g., across one or more routers).
Attack Complexity: Low: Specialized access conditions or extenuating circumstances do not exist. An attacker can expect repeatable success against the vulnerable component.
Privileges Required: None: The attacker is unauthorized prior to attack, and therefore does not require any access to settings or files to carry out an attack.
User Interaction: None: The vulnerable system can be exploited without any interaction from any user.
Scope: Unchanged: An exploited vulnerability can only affect resources managed by the same security authority. In this case, the vulnerable component and the impacted component are either the same, or both are managed by the same security authority.
Confidentiality: High: There is total loss of confidentiality, resulting in all resources within the impacted component being divulged to the attacker. Alternatively, access to only some restricted information is obtained, but the disclosed information presents a direct, serious impact.
Integrity: None: There is no loss of integrity within the impacted component.
Availability: None: There is no impact to availability within the impacted component.

Definitions: FIRST CVSS v3.1 specification.

Exploitation evidence

Disclosed: evidence found.
CVE published 12 Dec 2023
Detectable: no evidence on record.
No public nuclei template indexed
Weaponised: no evidence on record.
No public exploit code indexed in Metasploit or Exploit-DB
Exploited in the wildExploited: no evidence on record.
Not in CISA KEV and no source reports exploitation
Observed by OffSeq MirageSeen by Mirage: no evidence on record.
No attack traffic recorded by OffSeq Mirage sensors

A missing step is not evidence of safety. Sources: cve.org (opens in a new tab), the Metasploit, Exploit-DB and nuclei-templates index as of 26 Oct 2026.

Disclosed: The CVE record is public on cve.org. Its publication is t = 0.
Detectable: A public nuclei template can find exposed instances, for defenders and attackers alike.
Weaponised: Public exploit code exists in Metasploit or Exploit-DB, or CISA SSVC or the CVSS exploit maturity reports a public proof of concept.
Exploited in the wild: CISA KEV lists it, CISA SSVC rates exploitation active, or a source reports attacks.
Observed by OffSeq Mirage: OffSeq Mirage honeypot sensors recorded attack traffic for this CVE, or found exposed hosts without attack traffic.

Moments are spaced evenly, not to scale; a dashed line marks a gap of six months or more. Deltas count from t = 0. Sources that give only a date (CISA KEV, Exploit-DB, or a time of exactly 00:00Z) read “same day” rather than hours. Metasploit modules carry the flaw’s disclosure date, not their release date, and nuclei templates carry no date, so both appear above but not on the timeline.

What to do

Affected software

Product	Affected	Fixed in
n/a n/a	Affected <5.6.106	Fixed in 5.6.106

AI-suggested

European healthcare organizations should immediately audit their use of HL7 FHIR Core Libraries and identify versions prior to 5.6.106. Where possible, upgrade to version 5.6.106 or later once available to ensure the vulnerability is patched. In the absence of an official patch, implement strict input validation and sanitization on all archive files before decompression, specifically checking for directory traversal patterns and disallowing directory names that contain allowed directory names as substrings. Employ application-layer controls to restrict file write locations and enforce least privilege on processes handling decompression to limit the impact of any successful exploitation. Monitor file system changes and logs for suspicious activity related to decompression operations. Additionally, conduct regular security assessments and penetration tests focusing on file handling components. Engage with HL7 FHIR library maintainers and community for updates and advisories. Finally, ensure incident response plans are updated to address potential exploitation scenarios involving this vulnerability.

Description

The package-decompression feature in HL7 (Health Level 7) FHIR Core Libraries before 5.6.106 allows attackers to copy arbitrary files to certain directories via directory traversal, if an allowed directory name is a substring of the directory name chosen by the attacker. NOTE: this issue exists because of an incomplete fix for CVE-2023-24057.

Impact

For European organizations, especially those in the healthcare sector using HL7 FHIR Core Libraries for managing and exchanging patient data, this vulnerability poses a significant risk. Exploitation could lead to unauthorized disclosure of sensitive health information, violating GDPR and other data protection regulations, resulting in legal and financial penalties. Additionally, the ability to write arbitrary files to the system could be leveraged to implant malware or backdoors, compromising system integrity and patient safety. Healthcare providers, research institutions, and health IT vendors in Europe that rely on these libraries for interoperability and data exchange are particularly at risk. The impact extends beyond confidentiality to potential reputational damage and operational disruptions if systems are compromised or require emergency remediation.

CWE-22Improper Limitation of a Pathname to a Restricted Directory ('Path Traversal') (opens in a new tab)
Base weaknessLikelihood of exploit: HighCWE Top 25 (2025): #6OWASP Top 10 A01:2025: Broken Access Control (opens in a new tab)
The product uses external input to construct a pathname that is intended to identify a file or directory that is located underneath a restricted parent directory, but the product does not properly neutralize special elements within the pathname that can cause the pathname to resolve to a location that is outside of the restricted directory.
Implementation · Input Validation
Assume all input is malicious. Use an "accept known good" input validation strategy, i.e., use a list of acceptable inputs that strictly conform to specifications. Reject any input that does not strictly conform to specifications, or transform it into something that does.
Architecture and Design
For any security checks that are performed on the client side, ensure that these checks are duplicated on the server side, in order to avoid CWE-602. Attackers can bypass the client-side checks by modifying values after the checks have been performed, or by changing the client to remove the client-side checks…
Implementation · Input Validation
Inputs should be decoded and canonicalized to the application's current internal representation before being validated (CWE-180). Make sure that the application does not decode the same input twice (CWE-174).
OWASP Cheat Sheets
Authorization (opens in a new tab)
OWASP ASVS 4.0.3
V12.3.1 (opens in a new tab)
Attack patterns
Path Traversal (opens in a new tab)
Using Slashes and URL Encoding Combined to Bypass Validation Logic (opens in a new tab)
Manipulating Web Input to File System Calls (opens in a new tab)
Using Escaped Slashes in Alternate Encoding (opens in a new tab)
Using Slashes in Alternate Encoding (opens in a new tab)
From MITRE CWE, MITRE CAPEC and OWASP (Top 10, OpenCRE).

References

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Exploitation evidence

What to do

Affected software

Description

AI analysisMachine-generated, updated 6 Jul 2025, 04:27 UTC

WeaknessesCWE-22

Technical details

References

Community reviews

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