health

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health

Health #
Enables reading and writing health data from/to Apple Health and Health Connect.

NOTE: Google has deprecated the Google Fit API. According to the documentation, as of May 1st 2024 developers cannot sign up for using the API. As such, this package has removed support for Google Fit as of version 11.0.0 and users are urged to upgrade as soon as possible.

The plugin supports:

handling permissions to access health data using the hasPermissions, requestAuthorization, revokePermissions methods.
reading health data using the getHealthDataFromTypes method.
writing health data using the writeHealthData method.
writing workouts using the writeWorkout method.
writing meals on iOS (Apple Health) & Android using the writeMeal method.
writing audiograms on iOS using the writeAudiogram method.
writing blood pressure data using the writeBloodPressure method.
accessing total step counts using the getTotalStepsInInterval method.
cleaning up duplicate data points via the removeDuplicates method.
removing data of a given type in a selected period of time using the delete method.

Note that for Android, the target phone needs to have Health Connect (which is currently in beta) installed and have access to the internet, otherwise this plugin will not work.
See the tables below for supported health and workout data types.
Setup #
Apple Health (iOS) #
First, add the following 2 entries to the Info.plist:
<key>NSHealthShareUsageDescription</key>
<string>We will sync your data with the Apple Health app to give you better insights</string>
<key>NSHealthUpdateUsageDescription</key>
<string>We will sync your data with the Apple Health app to give you better insights</string>
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Then, open your Flutter project in Xcode by right clicking on the "ios" folder and selecting "Open in Xcode". Next, enable "HealthKit" by adding a capability inside the "Signing & Capabilities" tab of the Runner target's settings.
Google Health Connect (Android) #
Health Connect requires the following lines in the AndroidManifest.xml file (see also the example app):
<!-- Check whether Health Connect is installed or not -->
<queries>
<package android:name="com.google.android.apps.healthdata" />
<intent>
<action android:name="androidx.health.ACTION_SHOW_PERMISSIONS_RATIONALE" />
</intent>
</queries>
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In the Health Connect permissions activity there is a link to your privacy policy. You need to grant the Health Connect app access in order to link back to your privacy policy. In the example below, you should either replace .MainActivity with an activity that presents the privacy policy or have the Main Activity route the user to the policy. This step may be required to pass Google app review when requesting access to sensitive permissions.
<activity-alias
android:name="ViewPermissionUsageActivity"
android:exported="true"
android:targetActivity=".MainActivity"
android:permission="android.permission.START_VIEW_PERMISSION_USAGE">
<intent-filter>
<action android:name="android.intent.action.VIEW_PERMISSION_USAGE" />
<category android:name="android.intent.category.HEALTH_PERMISSIONS" />
</intent-filter>
</activity-alias>
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For each data type you want to access, the READ and WRITE permissions need to be added to the AndroidManifest.xml file. The list of permissions can be found here on the data types page.
An example of asking for permission to read and write heart rate data is shown below and more examples can also be found in the example app.
<uses-permission android:name="android.permission.health.READ_HEART_RATE"/>
<uses-permission android:name="android.permission.health.WRITE_HEART_RATE"/>
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Accessing fitness data (e.g. Steps) requires permission to access the "Activity Recognition" API. To set it add the following line to your AndroidManifest.xml file.
<uses-permission android:name="android.permission.ACTIVITY_RECOGNITION"/>
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Additionally, for workouts, if the distance of a workout is requested then the location permissions below are needed.
<uses-permission android:name="android.permission.ACCESS_COARSE_LOCATION"/>
<uses-permission android:name="android.permission.ACCESS_FINE_LOCATION"/>
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Because this is labeled as a dangerous protection level, the permission system will not grant it automatically and it requires the user's action.
You can prompt the user for it using the permission_handler plugin.
Follow the plugin setup instructions and add the following line before requesting the data:
await Permission.activityRecognition.request();
await Permission.location.request();
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Finally, an intent-filter needs to be added to the .MainActivity activity.
<activity
android:name=".MainActivity"
android:exported="true"

....

<!-- Intention to show Permissions screen for Health Connect API -->
<intent-filter>
<action android:name="androidx.health.ACTION_SHOW_PERMISSIONS_RATIONALE" />
</intent-filter>
</activity>
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There's a debug, main and profile version which are chosen depending on how you start your app. In general, it's sufficient to add permission only to the main version.
Android 14
This plugin uses the new registerForActivityResult when requesting permissions from Health Connect.
In order for that to work, the Main app's activity should extend FlutterFragmentActivity instead of FlutterActivity.
This adjustment allows casting from Activity to ComponentActivity for accessing registerForActivityResult.
In your MainActivity.kt file, update the MainActivity class so that it extends FlutterFragmentActivity instead of the default FlutterActivity:
...
import io.flutter.embedding.android.FlutterFragmentActivity
...

class MainActivity: FlutterFragmentActivity() {
...
}
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Android X
Replace the content of the android/gradle.properties file with the following lines:
org.gradle.jvmargs=-Xmx1536M
android.enableJetifier=true
android.useAndroidX=true
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Usage #
See the example app for detailed examples of how to use the Health API.
The Health plugin is used via the Health() singleton using the different methods for handling permissions and getting and adding data to Apple Health or Google Health Connect.
Below is a simplified flow of how to use the plugin.
// configure the health plugin before use.
Health().configure();


// define the types to get
var types = [
HealthDataType.STEPS,
HealthDataType.BLOOD_GLUCOSE,
];

// requesting access to the data types before reading them
bool requested = await Health().requestAuthorization(types);

var now = DateTime.now();

// fetch health data from the last 24 hours
List<HealthDataPoint> healthData = await Health().getHealthDataFromTypes(
now.subtract(Duration(days: 1)), now, types);

// request permissions to write steps and blood glucose
types = [HealthDataType.STEPS, HealthDataType.BLOOD_GLUCOSE];
var permissions = [
HealthDataAccess.READ_WRITE,
HealthDataAccess.READ_WRITE
];
await Health().requestAuthorization(types, permissions: permissions);

// write steps and blood glucose
bool success = await Health().writeHealthData(10, HealthDataType.STEPS, now, now);
success = await Health().writeHealthData(3.1, HealthDataType.BLOOD_GLUCOSE, now, now);

// you can also specify the recording method to store in the metadata (default is RecordingMethod.automatic)
// on iOS only `RecordingMethod.automatic` and `RecordingMethod.manual` are supported
// Android additionally supports `RecordingMethod.active` and `RecordingMethod.unknown`
success &= await Health().writeHealthData(10, HealthDataType.STEPS, now, now, recordingMethod: RecordingMethod.manual);

// get the number of steps for today
var midnight = DateTime(now.year, now.month, now.day);
int? steps = await Health().getTotalStepsInInterval(midnight, now);
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Health Data #
A HealthDataPoint object contains the following data fields:
String uuid;
HealthValue value;
HealthDataType type;
HealthDataUnit unit;
DateTime dateFrom;
DateTime dateTo;
HealthPlatformType sourcePlatform;
String sourceDeviceId;
String sourceId;
String sourceName;
RecordingMethod recordingMethod;
WorkoutSummary? workoutSummary;
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where a HealthValue can be any type of AudiogramHealthValue, ElectrocardiogramHealthValue, ElectrocardiogramVoltageValue, NumericHealthValue, NutritionHealthValue, or WorkoutHealthValue.
A HealthDataPoint object can be serialized to and from JSON using the toJson() and fromJson() methods. JSON serialization is using camel_case notation. Null values are not serialized. For example;
{
"value": {
"__type": "NumericHealthValue",
"numeric_value": 141.0
},
"type": "STEPS",
"unit": "COUNT",
"date_from": "2024-04-03T10:06:57.736",
"date_to": "2024-04-03T10:12:51.724",
"source_platform": "appleHealth",
"source_device_id": "F74938B9-C011-4DE4-AA5E-CF41B60B96E7",
"source_id": "com.apple.health.81AE7156-EC05-47E3-AC93-2D6F65C717DF",
"source_name": "iPhone12.bardram.net",
"recording_method": 3
"value": {
"__type": "NumericHealthValue",
"numeric_value": 141.0
},
"type": "STEPS",
"unit": "COUNT",
"date_from": "2024-04-03T10:06:57.736",
"date_to": "2024-04-03T10:12:51.724",
"source_platform": "appleHealth",
"source_device_id": "F74938B9-C011-4DE4-AA5E-CF41B60B96E7",
"source_id": "com.apple.health.81AE7156-EC05-47E3-AC93-2D6F65C717DF",
"source_name": "iPhone12.bardram.net",
"recording_method": 2
}
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Fetch health data #
See the example app for a showcasing of how it's done.
Note On iOS the device must be unlocked before health data can be requested. Otherwise an error will be thrown:
flutter: Health Plugin Error:
flutter: PlatformException(FlutterHealth, Results are null, Optional(Error Domain=com.apple.healthkit Code=6 "Protected health data is inaccessible" UserInfo={NSLocalizedDescription=Protected health data is inaccessible}))
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Filtering by recording method #
Google Health Connect and Apple HealthKit both provide ways to distinguish samples collected "automatically" and manually entered data by the user.

Android provides an enum with 4 variations: https://developer.android.com/reference/kotlin/androidx/health/connect/client/records/metadata/Metadata#summary
iOS has a boolean value: https://developer.apple.com/documentation/healthkit/hkmetadatakeywasuserentered

As such, when fetching data you have the option to filter the fetched data by recording method as such:
List<HealthDataPoint> healthData = await Health().getHealthDataFromTypes(
types: types,
startTime: yesterday,
endTime: now,
recordingMethodsToFilter: [RecordingMethod.manual, RecordingMethod.unknown],
);
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Note that for this to work, the information needs to have been provided when writing the data to Health Connect or Apple Health. For example, steps added manually through the Apple Health App will set HKWasUserEntered to true (corresponding to RecordingMethod.manual), however it seems that adding steps manually to Google Fit does not write the data with the RecordingMethod.manual in the metadata, instead it shows up as RecordingMethod.unknown. This is an open issue, and as such filtering manual entries when querying step count on Android with getTotalStepsInInterval(includeManualEntries: false) does not necessarily filter out manual steps.
NOTE: On iOS, you can only filter by RecordingMethod.automatic and RecordingMethod.manual as it is stored HKMetadataKeyWasUserEntered is a boolean value in the metadata.
Filtering out duplicates #
If the same data is requested multiple times and saved in the same array duplicates will occur.
A single data point can be compared to each other with the == operator, i.e.
HealthDataPoint p1 = ...;
HealthDataPoint p2 = ...;
bool same = p1 == p2;
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If you have a list of data points, duplicates can be removed with:
List<HealthDataPoint> points = ...;
points = Health().removeDuplicates(points);
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Data Types #
The plugin supports the following HealthDataType.



Data Type
Unit
Apple Health
Google Health Connect
Comments




ACTIVE_ENERGY_BURNED
CALORIES
yes
yes



ATRIAL_FIBRILLATION_BURDEN
PERCENTAGE
yes




BASAL_ENERGY_BURNED
CALORIES
yes
yes



BLOOD_GLUCOSE
MILLIGRAM_PER_DECILITER
yes
yes



BLOOD_OXYGEN
PERCENTAGE
yes
yes



BLOOD_PRESSURE_DIASTOLIC
MILLIMETER_OF_MERCURY
yes
yes



BLOOD_PRESSURE_SYSTOLIC
MILLIMETER_OF_MERCURY
yes
yes



BODY_FAT_PERCENTAGE
PERCENTAGE
yes
yes



BODY_MASS_INDEX
NO_UNIT
yes
yes



BODY_TEMPERATURE
DEGREE_CELSIUS
yes
yes



BODY_WATER_MASS
KILOGRAMS

yes



ELECTRODERMAL_ACTIVITY
SIEMENS
yes




HEART_RATE
BEATS_PER_MINUTE
yes
yes



HEIGHT
METERS
yes
yes



RESTING_HEART_RATE
BEATS_PER_MINUTE
yes
yes



RESPIRATORY_RATE
RESPIRATIONS_PER_MINUTE
yes
yes



PERIPHERAL_PERFUSION_INDEX
PERCENTAGE
yes




STEPS
COUNT
yes
yes



WAIST_CIRCUMFERENCE
METERS
yes




WALKING_HEART_RATE
BEATS_PER_MINUTE
yes




WEIGHT
KILOGRAMS
yes
yes



DISTANCE_WALKING_RUNNING
METERS
yes




FLIGHTS_CLIMBED
COUNT
yes
yes



DISTANCE_DELTA
METERS

yes



MINDFULNESS
MINUTES
yes




SLEEP_ASLEEP
MINUTES
yes
yes
on iOS, this refers to asleepUnspecified, and on Android this refers to STAGE_TYPE_SLEEPING (asleep but specific stage is unknown)


SLEEP_AWAKE
MINUTES
yes
yes



SLEEP_AWAKE_IN_BED
MINUTES

yes



SLEEP_DEEP
MINUTES
yes
yes



SLEEP_IN_BED
MINUTES
yes




SLEEP_LIGHT
MINUTES
yes
yes
on iOS, this refers to asleepCore


SLEEP_OUT_OF_BED
MINUTES

yes



SLEEP_REM
MINUTES
yes
yes



SLEEP_UNKNOWN
MINUTES

yes



SLEEP_SESSION
MINUTES

yes



WATER
LITER
yes
yes



EXERCISE_TIME
MINUTES
yes




WORKOUT
NO_UNIT
yes
yes
See table below


HIGH_HEART_RATE_EVENT
NO_UNIT
yes

Requires Apple Watch to write the data


LOW_HEART_RATE_EVENT
NO_UNIT
yes

Requires Apple Watch to write the data


IRREGULAR_HEART_RATE_EVENT
NO_UNIT
yes

Requires Apple Watch to write the data


HEART_RATE_VARIABILITY_RMSSD
MILLISECONDS

yes



HEART_RATE_VARIABILITY_SDNN
MILLISECONDS
yes

Requires Apple Watch to write the data


HEADACHE_NOT_PRESENT
MINUTES
yes




HEADACHE_MILD
MINUTES
yes




HEADACHE_MODERATE
MINUTES
yes




HEADACHE_SEVERE
MINUTES
yes




HEADACHE_UNSPECIFIED
MINUTES
yes




AUDIOGRAM
DECIBEL_HEARING_LEVEL
yes




ELECTROCARDIOGRAM
VOLT
yes

Requires Apple Watch to write the data


NUTRITION
NO_UNIT
yes
yes



INSULIN_DELIVERY
INTERNATIONAL_UNIT
yes





Workout Types #
The plugin supports the following HealthWorkoutActivityType.



Workout Type
Apple Health
Google Health Connect
Comments




AMERICAN_FOOTBALL
yes
yes



ARCHERY
yes




AUSTRALIAN_FOOTBALL
yes
yes



BADMINTON
yes
yes



BARRE
yes




BASEBALL
yes
yes



BASKETBALL
yes
yes



BIKING
yes
yes
on iOS this is CYCLING, but name changed here to fit with Android


BOWLING
yes




BOXING
yes
yes



CALISTHENICS

yes



CARDIO_DANCE
yes
(yes)
on Android this will be stored as DANCING


CLIMBING
yes




COOLDOWN
yes




CORE_TRAINING
yes




CRICKET
yes
yes



CROSS_COUNTRY_SKIING
yes
(yes)
on Android this will be stored as SKIING


CROSS_TRAINING
yes




CURLING
yes




DANCING
yes
yes
on iOS this is DANCE, but name changed here to fit with Android


DISC_SPORTS
yes




DOWNHILL_SKIING
yes
(yes)
on Android this will be stored as SKIING


ELLIPTICAL
yes
yes



EQUESTRIAN_SPORTS
yes




FENCING
yes
yes



FISHING
yes




FITNESS_GAMING
yes




FLEXIBILITY
yes




FRISBEE_DISC

yes



FUNCTIONAL_STRENGTH_TRAINING
yes
(yes)
on Android this will be stored as STRENGTH_TRAINING


GOLF
yes
yes



GUIDED_BREATHING

yes



GYMNASTICS
yes
yes



HAND_CYCLING
yes




HANDBALL
yes
yes



HIGH_INTENSITY_INTERVAL_TRAINING
yes
yes



HIKING
yes
yes



HOCKEY
yes




HUNTING
yes




JUMP_ROPE
yes




KICKBOXING
yes




LACROSSE
yes




MARTIAL_ARTS
yes
yes



MIND_AND_BODY
yes




MIXED_CARDIO
yes




PADDLE_SPORTS
yes




PARAGLIDING

yes



PICKLEBALL
yes




PILATES
yes
yes



PLAY
yes




PREPARATION_AND_RECOVERY
yes




RACQUETBALL
yes
yes



ROCK_CLIMBING
(yes)
yes
on iOS this will be stored as CLIMBING


ROWING
yes
yes



RUGBY
yes
yes



RUNNING
yes
yes



RUNNING_TREADMILL
(yes)
yes
on iOS this will be stored as RUNNING


SAILING
yes
yes



SCUBA_DIVING

yes



SKATING
yes
yes
On iOS this will be stored as SKATING_SPORTS


SKIING
(yes)
yes
on iOS you have to choose between CROSS_COUNTRY_SKIING and DOWNHILL_SKIING


SNOW_SPORTS
yes




SNOWBOARDING
yes
yes



SOCCER
yes




SOCIAL_DANCE
yes
(yes)
on Android this will be stored as DANCING


SOFTBALL
yes
yes



SQUASH
yes
yes



STAIR_CLIMBING
yes
yes



STAIR_CLIMBING_MACHINE

yes



STAIRS
yes




STEP_TRAINING
yes




STRENGTH_TRAINING
(yes)
yes
on iOS you have to choose between FUNCTIONAL_STRENGTH_TRAINING or TRADITIONAL_STRENGTH_TRAINING


SURFING
yes
yes
on iOS this is SURFING_SPORTS, but name changed here to fit with Android


SWIMMING
yes
(yes)
on Android you have to choose between SWIMMING_OPEN_WATER and SWIMMING_POOL


SWIMMING_OPEN_WATER
(yes)
yes
on iOS this will be stored as SWIMMING


SWIMMING_POOL
(yes)
yes
on iOS this will be stored as SWIMMING


TABLE_TENNIS
yes
yes



TAI_CHI
yes




TENNIS
yes
yes



TRACK_AND_FIELD
yes




TRADITIONAL_STRENGTH_TRAINING
yes
(yes)
on Android this will be stored as STRENGTH_TRAINING


VOLLEYBALL
yes
yes



WALKING
yes
yes



WATER_FITNESS
yes




WATER_POLO
yes
yes



WATER_SPORTS
yes




WEIGHTLIFTING

yes



WHEELCHAIR
(yes)
yes
on iOS you have to choose between WHEELCHAIR_RUN_PACE or WHEELCHAIR_WALK_PACE


WHEELCHAIR_RUN_PACE
yes
(yes)
on Android this will be stored as WHEELCHAIR


WHEELCHAIR_WALK_PACE
yes
(yes)
on Android this will be stored as WHEELCHAIR


WRESTLING
yes




YOGA
yes
yes



OTHER
yes
yes

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