Use HealthKit to enable your iOS and watchOS apps to work with the Apple Health app.

All subtopics
Posts under Health and Fitness topic

Post

Replies

Boosts

Views

Activity

Best Practices for Continuous Background Biometric Monitoring on Apple Watch
Hello, everyone! I'm seeking some guidance on the App Store review process and technical best practices for a watchOS app. My goal is to create an app that uses HealthKit to continuously monitor a user's heart rate in the background for sessions lasting between 30 minutes and 3 hours. This app would not be a fitness or workout tracker. My primary question is about the best way to achieve this reliably while staying within the App Store Review Guidelines. Is it advisable to use the WorkoutKit framework to start a custom, non-fitness "session" for the purpose of continuous background monitoring? Are there any other recommended APIs or frameworks for this kind of background data collection on watchOS that I should be aware of? What are the key review considerations I should be mindful of, particularly regarding Guideline 4.1 (Design) and the intended use of APIs? My app's core functionality would require this kind of data for a beneficial purpose. I want to ensure my approach is technically sound and has the best chance of a successful review. Any insights or advice from developers who have experience with similar use cases would be incredibly helpful! Thank you!
1
0
429
Aug ’25
Possible to bring back "Time in Bed" iOS feature?
I have an iPhone 11 Pro Max running iOS 26. But since iOS 18, Apple decided to remove the "Time in Bed" feature[1][2]. Is it possible to develop an app that, effectively, "brings back" this feature? It doesn't have to be that accurate. Just a gauge is fine. As a starter I would like to track the time the phone was in Sleep mode (regardless whether the phone is being used). I have a minimal programming background but have not developed an iOS app before so any help would be appreciated. I found out about HealthKit[3] which lets me access (edit?) Health data, but I don't know where to go from there. [1] https://www.reddit.com/r/iOSBeta/comments/1em8bl6/ios_181_db1_time_in_bed_via_iphone_feature_removed [2] https://www.reddit.com/r/ios/comments/1fkjat4/apple_removed_the_iphoneonly_sleep_tracking [3] https://developer.apple.com/documentation/healthkit
1
0
612
Oct ’25
Rejected using Healthkit
Hi all, I'm developing fitness app and I use healthkit to track user's "STEPS" count from their iphone devices. I have been receiving this rejection and can't seem to get past this: Guideline 2.5.1 - Performance - Software Requirements The app uses the HealthKit or CareKit APIs but does not clearly identify the HealthKit and CareKit functionality in the app's user interface. Apps using these APIs should be clearly indicated to provide transparency and valuable information to users. Next Steps To resolve this issue, it would appropriate to clearly identify the HealthKit and CareKit functionality in the app's user interface. Resources Learn more about software requirements in guideline 2.5.1. I have modified my app: adding user permission prompt, adding healthkit notification, adding healthkit indicator in the UI, adding healthkit information in the onboarding process. I keep getting the same message. When I asked the reviewer what else could be done to satisfy the requirement, I only get boiler plate message above. Anyone know what they really looking for? Any insights is appreciated. Thanks!
1
1
321
Oct ’25
Feature Request: Expand HealthKit Body Composition Data Types to Support Smart Body Scanning Scales
Summary: Expanding HealthKit to support the full spectrum of smart scale metrics will allow Apple Health to remain the central hub for health data, align with user expectations, and future-proof the framework as body composition analysis evolves. Description: With the growing adoption of smart body composition scales (e.g. segmental impedance scanners, multi-frequency analyzers, and body pods), users are generating a wide variety of clinically relevant metrics that currently cannot be stored natively in HealthKit. At present, HealthKit supports a core set of body composition values (Body Mass, BMI, Body Fat %, Lean Mass, Height, Waist Circumference). While useful, these do not capture the full picture modern devices provide, leading to fragmentation: • Users can see dozens of metrics in the device app, but only a handful flow into Health. • Developers must resort to metadata fields, which are inconsistent across apps and not accessible in Apple’s Health app UI. This gap undermines HealthKit’s role as a central, standardized health record. ⸻ Proposed Additions: Expand HealthKit HKQuantityTypeIdentifier to include additional body composition and derived measurements commonly reported by smart scales: Core Body Composition • Visceral fat percentage / rating • Skeletal muscle mass • Segmental muscle mass (arms, legs, trunk) • Segmental fat mass (arms, legs, trunk) • Bone mineral mass • Total body water % / hydration Derived Health Metrics • Muscle-to-fat ratio • Phase angle (bioelectrical impedance) • Metabolic age • Basal metabolic rate (BMR) ⸻ Rationale: • User benefit: Health app would show a more complete health profile, not just weight and fat %. • Developer benefit: Creates standardized identifiers, eliminating the need for proprietary storage in metadata. • Industry alignment: Many leading health devices already provide these metrics; users expect them to sync into Health. • Future-proofing: As body scanning scales proliferate, HealthKit can remain the trusted central repository rather than ceding ground to siloed vendor apps. ⸻ Suggested Implementation: • Introduce new HKQuantityTypeIdentifier values for each metric. • Permit segmental values to be represented as discrete samples with metadata for body region. • Ensure values can be written by apps/devices and surfaced in Health app UI, just like existing body composition data.
1
0
167
Oct ’25
Unable to receive HealthKit updates when app is force-quit — need clarification on background delivery limits
Hello, I’m developing a HealthKit-based fitness app in React Native that observes step count changes and uploads the latest totals to a remote server. I’m currently using HKObserverQuery with background delivery enabled (enableBackgroundDelivery(for:frequency:.immediate)), and the behavior works correctly while the app is running in the background or foreground. Whenever new step data is written to HealthKit, the app wakes up, reads the latest data, and sends it to my HTTPS endpoint using URLSession.shared.dataTask inside the observer callback. However, I’ve noticed the following issue: 1. If the user swipes up (force-quits) the app from the app switcher, the observer queries stop firing entirely. 2. In this state, even though HealthKit continues collecting step data from the device or Apple Watch, my app no longer receives those background deliveries until the user opens the app again. What I would like to achieve is: When the app is terminated (swiped up), and there are new step count updates in HealthKit, my app should still be able to receive those updates or be relaunched to handle them — similar to how some health companion apps continue syncing data and sending notifications even after being force-quit. So I have a few questions: Is this limitation expected — i.e., does iOS intentionally block HKObserverQuery background deliveries after a user force-quits the app? 2. Are there any special entitlements, background modes, or Apple-approved mechanisms that allow a health or medical app to continue receiving HealthKit changes even after a force-quit? 3. If not, what is the recommended architecture for apps that need to process HealthKit data continuously and send it to a backend server? For example, should such apps rely on server-side push notifications or CloudKit sync once the user reopens the app? My current goal is to ensure step count changes are uploaded reliably even if the app is killed, but I want to stay within the system’s supported behaviors and privacy constraints. Any clarification or guidance from Apple engineers or others who have implemented continuous HealthKit sync (like companion or medical apps) would be greatly appreciated. Thank you.
1
0
165
Oct ’25
Medication data insert from third party app
I want to insert the medication data which is available from ios 26 from my app to apple health kit. I have tried to get the permission to read and write data but app got crashed while I tried to request that permission. Does apple allow to insert the medication data to apple health kit likewise we are able to add other health and fitness data or not? let healthStore = HKHealthStore() @available(iOS 26.0, *) @objc func requestAuthorization(_ resolve: @escaping RCTPromiseResolveBlock, rejecter reject: @escaping RCTPromiseRejectBlock) { guard HKHealthStore.isHealthDataAvailable() else { print("not available ") return } let doseType = HKObjectType.medicationDoseEventType() let medType = HKObjectType.userAnnotatedMedicationType() healthStore.requestAuthorization(toShare: [doseType], read: [doseType]) { success, error in if let err = error { reject("auth_error", err.localizedDescription, err); return } self.healthStore.requestPerObjectReadAuthorization(for: medType, predicate: nil) { s, e in if let err2 = e { reject("per_obj_auth", err2.localizedDescription, err2); return } resolve(["ok": success && s]) } } }
1
1
987
Oct ’25
HealthKit in React Native + Expo Dev Client: no authorization prompt (and no data)
Hi everyone, I’m building a health app with React Native using Expo Dev Client on a real iPhone. I need to read Apple Health (HealthKit) data, but the authorization sheet never appears—so the app never gets permissions and all queries return nothing. What I’ve already done Enabled HealthKit capability for the iOS target. Added NSHealthShareUsageDescription and NSHealthUpdateUsageDescription to Info.plist. Using a custom dev build (not Expo Go). Tested fresh installs (deleted the app), rebooted device, and checked Settings → Privacy & Security → Health/Motion & Fitness. Tried both packages: react-native-health and @kingstinct/react-native-healthkit. Same behavior: no permission dialog at first use. Ask Is there a known reason why the HealthKit permission sheet would not show on modern iOS when called from a React Native bridge (with Expo Dev Client)? Are there any extra entitlements, signing, or config-plugin steps required beyond HealthKit capability + Info.plist? If you’re successfully fetching Apple Health data from React Native on recent iOS, could you share the exact steps that made the permission sheet appear and data flow (Expo config/plugin used, Xcode capability setup, profile/team settings, build type, bundle ID nuances, any Health app reset steps, etc.)? This would help me and others hitting the same “authorized call but no prompt/no data” issue. Thank you!
1
0
279
Oct ’25
AirPods Pro 3 HRV Data Access Through HealthKit?
Hey everyone I'm working on a health app that's heavily focused on HRV tracking and analysis, and I'm trying to figure out what's actually possible with AirPods Pro 3 from a developer standpoint. The hardware clearly has a much better heart rate sensor than the previous generation, but I'm hitting some walls when it comes to actually accessing the data I need. So here's the situation I'm dealing with: When I query HealthKit for HRV samples, I'm not seeing anything coming from AirPods Pro 3. The device is obviously capable of tracking heart rate continuously during workouts and listening sessions, and from what I've read about the hardware, it should theoretically be able to capture the inter-beat intervals needed for HRV calculation. But either that data isn't being processed on-device, or it's just not being made available through the standard HealthKit data types that third-party apps can access. What I'm really after is either direct HRV metrics (like SDNN, which Apple Watch already provides through HKQuantityTypeIdentifierHeartRateVariabilitySDNN) or even better, access to the raw R-R interval data. With R-R intervals, I could calculate RMSSD, pNN50, and other time-domain and frequency-domain HRV metrics that are super valuable for tracking recovery, autonomic nervous system balance, and stress levels. This would be especially useful since a lot of users wear AirPods during activities when they're not wearing their Apple Watch. Has anyone managed to find a way to pull this data from AirPods Pro 3? Are there any private frameworks or entitlements I should be looking into? Or is this just fundamentally not exposed to developers at the OS level right now? I've gone through the HealthKit documentation pretty thoroughly and haven't found anything that specifically addresses this, but I'm wondering if I'm missing something or if there are any known workarounds. I'm also curious if anyone has heard anything from Apple about future plans to expose this data. It seems like a missed opportunity given how capable the hardware is and how much value developers could provide with access to this physiological data. Would love to hear if anyone else is working on similar features or has insights into the technical limitations here.
1
0
725
Oct ’25
Enabling Cycling Power Read from Garmin Connect To Health
I am working on a cycling fitness app and I want to read the cycling power recorded using my Garmin edge from the Garmin Connect App. Currently the data is not transferred to the Health/Fitness Apps. Ideally it would be good to be able to query the power samples similar to the heart rate samples, but even the average power would suffice, as I could then calculate the Kilojoules.
1
0
178
Nov ’25
Is it possible to distinguish real vs manually added running data in HealthKit?
I am developing an iOS application that utilizes running workout data from the iOS Health app / Fitness app via HealthKit, with explicit user permission. Before finalizing the app design, I would like to clarify several technical aspects related to data reliability, manual entry, record modification, and GPS route availability in HealthKit. My questions are as follows: 1. Identifying manually added (non-physical) running workouts When a running workout is created in the Health app without actual physical movement (for example, a workout manually added by the user), is there any metadata, flag, or key in HealthKit that allows developers to distinguish these records from workouts generated through actual motion tracking (iPhone or Apple Watch)? 2. Editing existing running workout records Is it possible for users, or for third-party apps with HealthKit write permission, to edit an existing running workout (e.g., distance, duration, calories) after it has been saved? • If edits are allowed, are the original values preserved in any way, or are they fully overwritten? 3. Detecting modified workout records If a running workout (whether originally auto-recorded or manually created) has been edited after creation, is there any identifier, metadata field, source revision, or versioning mechanism in HealthKit that allows developers to detect that the workout has been modified? 4. Access to GPS route / running path data For outdoor running workouts recorded with location services enabled: • Does HealthKit provide access to GPS route data (running paths / location traces) associated with a workout? • Is this route data accessible to third-party apps with user permission? • Is route data available only for workouts recorded on Apple Watch, or also for iPhone-only recordings? • Is there a way to determine programmatically whether a running workout includes valid GPS route data? The overall goal is to understand whether, when building an app that relies on HealthKit running data, it is technically possible to differentiate motion-based workouts from manually added or edited records, and to assess the availability of route information for outdoor runs. Any clarification or references to official documentation would be greatly appreciated. Thank you
1
0
163
Dec ’25
Guideline 2.5.1 - Performance - Software Requirements
Hi all, I'm developing fitness app and I use healthkit to track user's "STEPS" count and "Heart Rate" from their iphone devices. I have been receiving this rejection and can't seem to get past this: Guideline 2.5.1 - Performance - Software Requirements The app uses the HealthKit or CareKit APIs but does not clearly identify the HealthKit and CareKit functionality in the app's user interface. Apps using these APIs should be clearly indicated to provide transparency and valuable information to users. Next Steps To resolve this issue, it would appropriate to clearly identify the HealthKit and CareKit functionality in the app's user interface. Resources Learn more about software requirements in guideline 2.5.1. How I tried to Resolve the Issue I have modified my app: adding user permission prompt, adding healthkit notification, adding healthkit indicator in the UI **1. Added a "Permission Primer" Screen (Pre-Alert) ** When a user taps "Connect Apple Health," they are now shown a dedicated explanation screen before the system permission prompt appears. This screen clearly states: "[App] integrates with HealthKit to read your Heart Rate and Steps... to calculate physical exertion." (Please see the "Connect" flow in the Session Detail view). **2. Added Explicit Source Attribution ** I have added a permanent text label reading "Health data sourced from Apple Health" directly below the heart rate and steps statistics on the Session Detail dashboard. This ensures that users always identify the source of the displayed metrics. 3. Deployment Target Correction I identified a configuration error where the Deployment Target was set to a future OS version. I have corrected this to the currently shipping iOS 18 to ensure full compliance with software requirements. 4. App Description Update I have updated the App Store description to explicitly mention the HealthKit integration and its specific purpose (tracking match intensity). However doing the above, I still continue to receive the same review message. When I asked the reviewer what else could be done to satisfy the requirement, I only get boiler plate message above. Anyone know what they really looking for? Any insights is appreciated. Thanks!
1
0
71
2w
iBeacon Monitoring in Flutter App: Background Wake-Up from Killed State, Time Limits for BLE, and Handling Multiple Regions/Identifiers
Hello Apple Developer Community, I'm developing a cross-platform app using Flutter and the flutter_beacon library to handle iBeacon detection on iOS. My goal is to wake up the app in the background when it's in a killed/terminated state upon entering/exiting beacon regions, allowing for BLE communication (e.g., ranging or connecting to beacons). I've configured the necessary Info.plist keys for always location access and background location modes, and it works partially for single regions, but I have some specific questions/issues regarding reliability and limitations: Background Execution Time After Wake-Up: When the app is woken in the background by a region monitoring event (enter/exit) from a killed state, approximately how much time (in seconds) does iOS allocate for the app to run before suspending it again? Is this sufficient for performing BLE operations like ranging beacons or establishing a short connection, or are there stricter limits in terminated wake-ups compared to standard background modes? Monitoring Multiple iBeacons with Unique Identifiers: I need to monitor multiple iBeacon devices, each with potentially different UUIDs, majors, and minors. Can I add and monitor up to 20 regions simultaneously, each with a unique string identifier? If multiple beacons (from different regions) enter their respective ranges at around the same time, will the app receive separate callbacks for each region/identifier, or is there coalescing/prioritization that might cause only the last-added identifier to trigger notifications/events? Reliability in Killed State: In a fully killed state (e.g., force-quit via app switcher), does iOS reliably relaunch the app in the background for region monitoring events? Are there any known caveats, such as requiring specific hardware (e.g., iPhone models with certain Bluetooth chips) or iOS versions (targeting iOS 14+), and how does this interact with Flutter's background execution handling via the flutter_beacon library?
1
0
99
4d
[After iPhone migration] Health app permissions for connected app are not shown
After upgrading to a new iPhone and restoring from an iCloud backup using the same Apple ID, I noticed an issue with Health app permissions. ■ What is happening On my previous iPhone, an app had permission to read step count data. After restoring to the new iPhone, the app still appears in the Health app under Sources. However, when I tap the app, the usual data type permission toggles (such as Steps) are not displayed at all. As a result, the app is unable to read step count data. ■ Additional details The app itself seems to be recognized as a Health data source. However, the data type permission screen is empty. No ON/OFF switches are shown. The backup was created on iOS 18, and the restore was performed on iOS 26. I have not yet confirmed whether this also happens with other iOS version combinations. ■ Questions Is it expected behavior that Health app permissions (per data type) are not restored via iCloud backup? Has anyone experienced a similar situation where the app appears under Sources but the permission options are missing? If so, how did you resolve it? Any information from users who have experienced the same issue would be greatly appreciated.
1
0
36
1d
watchOS-Questions about HealthKit privileges
The WatchOS developer is not allowed to obtain healthKit permission status. The result is always unauthorized (either by clicking the dot/cross in the upper left corner or by turning on all Health, on some, off all). WatchOS 开发获取 healthKit 的权限状态authorizationStatus不准。结果始终都是未授权(无论是点击左上角的点叉号还是开启全部健康项开关,开启部分,关闭所有),怎么处理?
0
0
66
Apr ’25
iOS companion app with no Watch connected
Based on Cooordinate with the companion app in this article by Apple https://developer.apple.com/documentation/healthkit/running-workout-sessions if a workout were to be started on the iPhone companion app but with no Watch available, given HKLiveWorkoutBuilder not available in iOS, does the iPhone app need to implement it's own workout tracking such as a timer for counting the elapsed time and location updates for distance and GPS tracking? If so in an instance where a paired Apple Watch were to exist and the workout is continued in the Watch app should the iPhone companion app stop this custom workout tracking and revert to the mirrored workout from the Watch to ensure accurate and synchronised data between the apps?
0
0
141
May ’25
Healthkit - Oura Sync Issue
We are working on the health related application and use apple health kit to sync the data from different devices like watches or ring. We are targeting oura ring to get sleep and other parameters data. We are able to sync the data from oura for all other parameters (like pulse, respiratory rate, blood pressure, etc..) other than sleep. Surprisingly, sleep data that comes through other devices is syncing as expected from the health kit. We are even getting the data which is added manually in health kit. The only sleep data not syncing is from oura. Can we get a document or any kind of help to sync the data from oura in to our application using health kit?
0
0
97
May ’25
Evolution of HealthKit workout API on iOS 26 and iPadOS 26 - HKLiveWorkoutDataSource and built-in Sensor Support
I am very happy to see that HealthKit with OS26 is bringing HKLiveWorkoutDataSource to iOS and iPadOS. I have been replicating a similar type for the last several years for users that only have an iPhone. I did notice that the data types that the different platform data sources collect automatically is different. That makes sense if you think exclusively about what the device can actually capture. Bluetooth HRM is the only Bluetooth SIG profile that is out-of-the-box supported for Apple Health on iOS and iPadOS (right?). Whereas watchOS 10 got all of the cycling sensors (woohoo!). It would be great if the types to collect were the same across platforms even if the device couldn't collect the data now, because then in the future when / if new sensor support is added, it will be transparent to developers. Fantastic. Easier life as an indie / third party developer. At least that is the idea. And yes, I know I can also write Core Bluetooth code and roll my own SIG implementation for the cycling profiles, but Apple already has this code in one os, 'just copy it, it will be easy'. I know that isn't the reality especially against the new ASK framework, but one can hope and dream right? Imagine how many more apps would contribute that data if it was supported out of the box. An alternative, GitHub is a great place for Apple to share their Core Bluetooth implementation of the SIG profiles :). Just another thought. Here are some feedbacks related to this: FB17931751 - HealthKit: Add built-in support for cycling sensors on iOS and iPadOS - copy paste the code from watchOS. It will be easy they said (June 2025) FB12323089 - CoreBluetooth / Health / Bluetooth Settings: Add support for cycling sensors announced in watchOS 10 to iOS and iPadOS 17 (June 2023) FB14311218 - HealthKit: Expected outdoor cycling to include .cyclingSpeed quantity type as a default HKLiveWorkoutDataSource type to collect (July 2024) FB14978701 - Bluetooth / HealthKit / Fitness: Expose information about the user specified for Apple Watch paired Cycing Speed Sensor like isConnected and wheelCircumference values (August 2024) FB18402258 - HealthKit: HKLiveWorkoutDataSource should collect same types on iOS and watchOS even if device cannot produce data today (June 2025) FB14236080 - Developer Documentation / HealthKit: Update documentation for HKLiveWorkoutDataSource typesToCollect for which sample types are automatically collected by watchOS 10 and 11 (July 2024) Tangentially related: FB10281304 - HealthKit: Add HKActivityTypes canoeBikeRun and kayakBikeRun (June 2022) FB10281349 - HealthKit: Add HKActivityType walkCanoeWalk and walkKayakWalk (June 2022) FB7807993 - Add HKQuantityTypeIdentifier.paddleDistance for canoeing, kayaking, etc type workouts (June 2020) FB12508654 - HealthKit / Settings / Bluetooth / Workouts: Cycling sensor support doesn't allow for 'bike selection' in use case of multiple bikes and multiple sensors (borrow a bike to ride together) - production usability issue (July 2023)
0
2
284
Jun ’25
Guideline 1.4.1 - Safety - Physical Harm
Hello everyone, my app is designed to help people sleep. It has been rejected multiple times due to issues with version 1.4.1 during the submission process. However, the app simply evaluates users’ insomnia and anxiety status based on their responses to questions and provides some relaxation methods. It does not involve any medical-related content. The reviewer provided screenshots of the assessment results page and some relaxation techniques. How should I handle this issue?
0
0
92
Jun ’25
HealthKit - HKWorkoutRouteBuilder never returns from insert when created from newly added iOS HKLiveWorkoutBuilder API on Simulator
Has anyone had success using the HKWorkoutRouteBuilder in conjunction with the new iOS support for HKLiveWorkoutBuilder? I was running my watchOS code that worked now brought over to iOS and when I call insertRouteData the function never returns. This happens for both the legacy and closure based block patterns. private var workoutSession: HKWorkoutSession? private var workoutBuilder: HKLiveWorkoutBuilder? private var serviceSession: CLServiceSession? private var workoutRouteBuilder: HKWorkoutRouteBuilder? private func startRouteBuilder() { Task { @MainActor in self.serviceSession = CLServiceSession(authorization: .whenInUse) self.workoutRouteBuilder = self.workoutBuilder?.seriesBuilder(for: .workoutRoute()) as? HKWorkoutRouteBuilder self.locationUpdateTask = Task { do { for try await update in CLLocationUpdate.liveUpdates(.fitness) { if let location = update.location { self.logger.notice(#function, metadata: [ "location": .stringConvertible(location) ]) try await self.workoutRouteBuilder?.insertRouteData([location]) self.logger.notice("Added location") } } } catch { self.logger.error(#function, metadata: [ "error": .stringConvertible(error.localizedDescription) ]) } } } } I did also try CLLocationManager API with delegate which is what my current watch code uses (a bit old). Same issue. Here is what I've found so far: If the workout session is not running, and if the builder hasn't started collection yet, inserting route data works just fine I've tried different swift language modes, flipped from main actor to non isolated project settings (Xcode 26) Modified Apple's sample code and added location route building to that and reproduced the error, modified sample attached to feedback This issue was identified against Xcode 26 beta 2 and iPhone 16 Pro simulator. Works as expected on my iPhone 13 Pro beta 2. FB18603581 - HealthKit: HKWorkoutRouteBuilder insert call within CLLocationUpdate task never returns
0
0
198
Jul ’25