Horizon Cardiology FirmwareOperating system · Mckesson

CVE-2018-18630

HIGH · 7.8 CVSS v3.1 Published 2019-09-06
Fix available
A fix is available. Upgrade to after 12.2 or later.
See remediation →
80/100
Remediation priority · High
Zero-click

Official description Straight from the sourceThe vendor's or NVD's own wording, published unedited. Authoritative, but often terse — it says what broke, rarely what to do.

NVD · unedited
A vulnerability was found in McKesson Cardiology product 13.x and 14.x. Insecure file permissions in the default installation may allow an attacker with local system access to execute unauthorized arbitrary code.

Technical summary Written by usOur analysis, written from the advisory, the CVSS vector and the affected-version data. It adds context the advisory leaves out, and never invents facts that are not in the source.

dbcve analysis · moderate confidence

The vulnerability involves insecure file permissions in the default installation of McKesson Cardiology versions 13.x and 14.x. An attacker with local system access could exploit overly permissive file access control lists (ACLs) to modify executable files or DLLs, potentially leading to arbitrary code execution with elevated privileges.

MitigationRemediate by reviewing and hardening file permissions on the McKesson Cardiology installation directory according to least-privilege principles, restricting write and execute permissions to only authorized administrators and service accounts, then verify clinical functionality is unaffected.

Verify against the referenced sources before acting — the references below are authoritative for this CVE, this summary is not.

Affected products & versions What the vendor confirmedThe version ranges the vendor confirmed as vulnerable. If your version sits inside a range here, treat yourself as exposed until you have upgraded.

NVD · CPE data
Horizon Cardiology FirmwareOperating system
Affected:>= 12.0, <= 12.2= 11.0
Cardiology FirmwareOperating system
Affected:= 13.0= 14.0
Cardiology FirmwareOperating system
Affected:= 14.1.0

CVSS breakdown How the score is builtThe industry scoring standard. It rates how the flaw is reached, what it takes to exploit, and what an attacker gains — the score is derived from those, not the other way round.

From the vector
Attack vector
Local
Complexity
Low
Privileges
Low
User interaction
None
Scope
Unchanged
Confidentiality
High
Integrity
High
Availability
High

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

Am I affected? How to checkSteps we derive from the advisory and the affected-version data, so you can decide whether this CVE reaches your setup. They are a guide, not a scan — your own configuration is the authority.

dbcve checks

Work through these to decide whether this CVE applies to you.

  1. Identify McKesson Cardiology installation and version
    Locate the McKesson Cardiology installation directory (commonly under C:\Program Files\McKesson or C:\McKesson). Check for subdirectories named "Cardiology" or "Horizon Cardiology". Look for version information in the directory properties, a version.txt file, or check the file properties of main executables (such as cardiology.exe or hzcardio.exe).
    Affected if The installed version matches 11.0, 12.0 through 12.2, 13.0, 14.0, or 14.1.0.
  2. Verify file permissions on the installation directory
    Right-click the main McKesson Cardiology installation folder, select Properties, then the Security tab. Examine the list of users/groups with access. Pay particular attention to entries such as "Everyone", "Users", or "Authenticated Users" that may have Write or Modify permissions.
    Affected if Users other than Administrators or designated service accounts have Write, Modify, or Full Control permissions on the installation directory.
  3. Check executable and DLL file permissions
    Navigate to the bin or executable subfolder within the Cardiology installation directory. Right-click on .exe and .dll files, open Properties, then Security. Verify whether unauthorized users or groups have Write or Modify rights to these files.
    Affected if Executable files (.exe) or dynamic link libraries (.dll) allow Write or Modify access for non-admin users.
  4. Inspect ACL inheritance and propagation
    In the Security tab of the installation folder, click Advanced. Check if "Replace all child object permission entries with inheritable permission entries from this object" is enabled, and review the effective permissions for subfolders. Verify that overly permissive entries (such as Everyone with Full Control) are propagating to child objects.
    Affected if Weak permissions on the parent folder are inherited by executables and DLLs within subfolders.

A user is affected if McKesson Cardiology (versions 11.0, 12.0-12.2, 13.0, 14.0, or 14.1.0) is installed and the installation directory or its executables/DLLs grant Write or Modify permissions to non-administrator accounts.

Generated from the published advisory. Verify against your own configuration.

Check your environment

Paste your version and any relevant configuration and it will be compared against the affected criteria above. Do not include secrets or credentials.

AI-assisted, checked against the advisory. Informational, not a guarantee.

Remediation Closing itWhat it takes to close this. Where a vendor fix exists we point at it; where none exists we say so plainly, and can build one. Effort estimates are scoped from the advisory, not from your codebase.

From vendor data
Upgrade available Upgrade to a release after 12.2
Interim mitigation

Remediate by reviewing and hardening file permissions on the McKesson Cardiology installation directory according to least-privilege principles, restricting write and execute permissions to only authorized administrators and service accounts, then verify clinical functionality is unaffected.

Fix this in Horizon Cardiology Firmware Scoped from the published advisory
  • Consultation6.0 h
  • Implementation4.0 h
  • Testing8.0 h
  • Review / QA4.0 h
22.0 hours of engineering $3,840
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An estimate, not a bill — we confirm scope with you before any work starts. Need it this week? Rush from $6,144.

Scan for this in your stack

Free · runs locally
dbcve dependency scanner

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References Go to the primary sourcePrimary sources — vendor advisories, patches and trackers. Where our summary and a reference disagree, the reference wins.

Primary sources

Practitioner notes

Contributed

Peer-ranked notes from engineers who’ve handled CVE-2018-18630 in production — separate from our analysis above.

No notes yet

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What this is

A place for practitioners to share what actually worked: a mitigation you’ve tested, a configuration change, a version- or environment-specific caveat, or a link to a verified patch. The most useful notes rise to the top as peers upvote them, so the signal stays high.

What belongs here
  • Verified mitigations, workarounds, and config changes
  • Version or environment caveats, and links to real fixes
  • No weaponised exploit code, or anything meant to cause harm
  • No spam, self-promotion, credentials, or personal data