health

Health

Enables reading and writing health data from/to Apple Health, Google Fit and Health Connect.

Google Fitness API is deprecated and will be turned down in 2024, thus this package will also transition to only support Health Connect.

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 dublicate data points via the removeDuplicates method.
• removing data of a given type in a selected period of time using the delete method.
• Support the future Android API Health Connect.

Note that for Android, the target phone needs to have Google Fit or Health Connect (which is currently in beta) installed and have access to the internet, otherwise this plugin will not work.

Data Types

Data Type	Unit	iOS	Android (Google Fit)	Android (Health Connect)	Comments
ACTIVE_ENERGY_BURNED	CALORIES	yes	yes	yes
BASAL_ENERGY_BURNED	CALORIES	yes		yes
BLOOD_GLUCOSE	MILLIGRAM_PER_DECILITER	yes	yes	yes
BLOOD_OXYGEN	PERCENTAGE	yes	yes	yes
BLOOD_PRESSURE_DIASTOLIC	MILLIMETER_OF_MERCURY	yes	yes	yes
BLOOD_PRESSURE_SYSTOLIC	MILLIMETER_OF_MERCURY	yes	yes	yes
BODY_FAT_PERCENTAGE	PERCENTAGE	yes	yes	yes
BODY_MASS_INDEX	NO_UNIT	yes	yes	yes
BODY_TEMPERATURE	DEGREE_CELSIUS	yes	yes	yes
ELECTRODERMAL_ACTIVITY	SIEMENS	yes
HEART_RATE	BEATS_PER_MINUTE	yes	yes	yes
HEIGHT	METERS	yes	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	yes
WAIST_CIRCUMFERENCE	METERS	yes
WALKING_HEART_RATE	BEATS_PER_MINUTE	yes
WEIGHT	KILOGRAMS	yes	yes	yes
DISTANCE_WALKING_RUNNING	METERS	yes
FLIGHTS_CLIMBED	COUNT	yes		yes
MOVE_MINUTES	MINUTES		yes
DISTANCE_DELTA	METERS		yes	yes
MINDFULNESS	MINUTES	yes
SLEEP_IN_BED	MINUTES	yes
SLEEP_ASLEEP	MINUTES	yes		yes
SLEEP_AWAKE	MINUTES	yes		yes
SLEEP_DEEP	MINUTES	yes		yes
SLEEP_LIGHT	MINUTES			yes
SLEEP_REM	MINUTES	yes		yes
SLEEP_OUT_OF_BED	MINUTES			yes
SLEEP_SESSION	MINUTES			yes
WATER	LITER	yes	yes	yes
EXERCISE_TIME	MINUTES	yes
WORKOUT	NO_UNIT	yes	yes	yes	(Has other workout types)
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_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	yes

Setup

Apple Health (iOS)

Step 1: Append the Info.plist with the following 2 entries

<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>

Step 2: 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 Fit (Android option 1)

Follow the guide at https://developers.google.com/fit/android/get-api-key

Below is an example of following the guide:

Change directory to your key-store directory (MacOS): cd ~/.android/

Get your keystore SHA1 fingerprint: keytool -list -v -keystore ~/.android/debug.keystore -alias androiddebugkey -storepass android -keypass android

Example output:

Alias name: androiddebugkey
Creation date: Jan 01, 2013
Entry type: PrivateKeyEntry
Certificate chain length: 1
Certificate[1]:
Owner: CN=Android Debug, O=Android, C=US
Issuer: CN=Android Debug, O=Android, C=US
Serial number: 4aa9b300
Valid from: Mon Jan 01 08:04:04 UTC 2013 until: Mon Jan 01 18:04:04 PST 2033
Certificate fingerprints:
     MD5:  AE:9F:95:D0:A6:86:89:BC:A8:70:BA:34:FF:6A:AC:F9
     SHA1: BB:0D:AC:74:D3:21:E1:43:07:71:9B:62:90:AF:A1:66:6E:44:5D:75
     Signature algorithm name: SHA1withRSA
     Version: 3

Follow the instructions at https://developers.google.com/fit/android/get-api-key for setting up an OAuth2 Client ID for a Google project, and adding the SHA1 fingerprint to that OAuth2 credential.

The client id will look something like YOUR_CLIENT_ID.apps.googleusercontent.com.

Health Connect (Android option 2)

Health Connect requires the following lines in the AndroidManifest.xml file (also seen in 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>

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>

Android Permissions

Starting from API level 28 (Android 9.0) accessing some fitness data (e.g. Steps) requires a special permission.

To set it add the following line to your AndroidManifest.xml file.

<uses-permission android:name="android.permission.ACTIVITY_RECOGNITION"/>

Health Connect

If using Health Connect on Android it requires special permissions in the AndroidManifest.xml file. The permissions can be found here: https://developer.android.com/guide/health-and-fitness/health-connect/data-and-data-types/data-types

Example shown here (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"/>
...

Furthermore, 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>

Workout permissions

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"/>

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.

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();

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() {
...
}

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

Usage

See the example app for detailed examples of how to use the Health API.

The Health plugin is used via the HealthFactory class using the different methods for handling permissions and getting and adding data to Apple Health / Google Fit. Below is a simplified flow of how to use the plugin.

  // create a HealthFactory for use in the app, choose if HealthConnect should be used or not
  HealthFactory health = HealthFactory(useHealthConnectIfAvailable: true);

  // 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);

  // get the number of steps for today
  var midnight = DateTime(now.year, now.month, now.day);
  int? steps = await health.getTotalStepsInInterval(midnight, now);

Health Data

A HealthDataPoint object contains the following data fields:

HealthValue value; // NumericHealthValue, AudiogramHealthValue, WorkoutHealthValue, ElectrocardiogramHealthValue
HealthDataType type;
HealthDataUnit unit;
DateTime dateFrom;
DateTime dateTo;
PlatformType platform;
String uuid, deviceId;
String sourceId;
String sourceName;

A HealthData object can be serialized to JSON with the toJson() method.

Fetch health data

See the example here on pub.dev, for a showcasing of how it's done.

NB for 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}))

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;

If you have a list of data points, duplicates can be removed with:

List<HealthDataPoint> points = ...;
points = Health.removeDuplicates(points);

Workouts

As of 4.0.0 Health supports adding workouts to both iOS and Android.

Workout Types

Workout Type	iOS	Android (Google Fit)	Android (Health Connect)	Comments
ARCHERY	yes	yes
BADMINTON	yes	yes	yes
BASEBALL	yes	yes	yes
BASKETBALL	yes	yes	yes
BIKING	yes	yes	yes	on iOS this is CYCLING, but name changed here to fit with Android
BOXING	yes	yes	yes
CRICKET	yes	yes	yes
CURLING	yes	yes
ELLIPTICAL	yes	yes	yes
FENCING	yes	yes	yes
AMERICAN_FOOTBALL	yes	yes	yes
AUSTRALIAN_FOOTBALL	yes	yes	yes
SOCCER	yes	yes
GOLF	yes	yes	yes
GYMNASTICS	yes	yes	yes
HANDBALL	yes	yes	yes
HIGH_INTENSITY_INTERVAL_TRAINING	yes	yes	yes
HIKING	yes	yes	yes
HOCKEY	yes	yes
SKATING	yes	yes	yes	On iOS this is skating_sports
JUMP_ROPE	yes	yes
KICKBOXING	yes	yes
MARTIAL_ARTS	yes	yes	yes
PILATES	yes	yes	yes
RACQUETBALL	yes	yes	yes
RUGBY	yes	yes	yes
RUNNING	yes	yes	yes
ROWING	yes	yes	yes
SAILING	yes	yes	yes
CROSS_COUNTRY_SKIING	yes	yes
DOWNHILL_SKIING	yes	yes
SNOWBOARDING	yes	yes	yes
SOFTBALL	yes	yes	yes
SQUASH	yes	yes	yes
STAIR_CLIMBING	yes	yes	yes
SWIMMING	yes	yes
TABLE_TENNIS	yes	yes	yes
TENNIS	yes	yes	yes
VOLLEYBALL	yes	yes	yes
WALKING	yes	yes	yes
WATER_POLO	yes	yes	yes
YOGA	yes	yes	yes
BOWLING	yes
CROSS_TRAINING	yes
TRACK_AND_FIELD	yes
DISC_SPORTS	yes
LACROSSE	yes
PREPARATION_AND_RECOVERY	yes
FLEXIBILITY	yes
COOLDOWN	yes
WHEELCHAIR_WALK_PACE	yes
WHEELCHAIR_RUN_PACE	yes
HAND_CYCLING	yes
CORE_TRAINING	yes
FUNCTIONAL_STRENGTH_TRAINING	yes
TRADITIONAL_STRENGTH_TRAINING	yes
MIXED_CARDIO	yes
STAIRS	yes
STEP_TRAINING	yes
FITNESS_GAMING	yes
BARRE	yes
CARDIO_DANCE	yes
SOCIAL_DANCE	yes
MIND_AND_BODY	yes
PICKLEBALL	yes
CLIMBING	yes
EQUESTRIAN_SPORTS	yes
FISHING	yes
HUNTING	yes
PLAY	yes
SNOW_SPORTS	yes
PADDLE_SPORTS	yes
SURFING_SPORTS	yes
WATER_FITNESS	yes
WATER_SPORTS	yes
TAI_CHI	yes
WRESTLING	yes
AEROBICS		yes
BIATHLON		yes
CALISTHENICS		yes	yes
CIRCUIT_TRAINING		yes
CROSS_FIT		yes
DANCING		yes	yes
DIVING		yes
ELEVATOR		yes
ERGOMETER		yes
ESCALATOR		yes
FRISBEE_DISC		yes	yes
GARDENING		yes
GUIDED_BREATHING		yes	yes
HORSEBACK_RIDING		yes
HOUSEWORK		yes
INTERVAL_TRAINING		yes
IN_VEHICLE		yes
KAYAKING		yes
KETTLEBELL_TRAINING		yes
KICK_SCOOTER		yes
KITE_SURFING		yes
MEDITATION		yes
MIXED_MARTIAL_ARTS		yes
P90X		yes
PARAGLIDING		yes	yes
POLO		yes
ROCK_CLIMBING	(yes)	yes	yes	on iOS this will be stored as CLIMBING
RUNNING_JOGGING	(yes)	yes		on iOS this will be stored as RUNNING
RUNNING_SAND	(yes)	yes		on iOS this will be stored as RUNNING
RUNNING_TREADMILL	(yes)	yes	yes	on iOS this will be stored as RUNNING
SCUBA_DIVING		yes	yes
SKATING_CROSS	(yes)	yes		on iOS this will be stored as SKATING
SKATING_INDOOR	(yes)	yes		on iOS this will be stored as SKATING
SKATING_INLINE	(yes)	yes		on iOS this will be stored as SKATING
SKIING_BACK_COUNTRY		yes
SKIING_KITE		yes
SKIING_ROLLER		yes
SLEDDING		yes
STAIR_CLIMBING_MACHINE		yes	yes
STANDUP_PADDLEBOARDING		yes
STILL		yes
STRENGTH_TRAINING		yes	yes
SURFING		yes	yes
SWIMMING_OPEN_WATER		yes	yes
SWIMMING_POOL		yes	yes
TEAM_SPORTS		yes
TILTING		yes
TREADMILL		yes
VOLLEYBALL_BEACH		yes
VOLLEYBALL_INDOOR		yes
WAKEBOARDING		yes
WALKING_FITNESS		yes
WALKING_NORDIC		yes
WALKING_STROLLER		yes
WALKING_TREADMILL		yes
WEIGHTLIFTING		yes	yes
WHEELCHAIR		yes	yes
WINDSURFING		yes
ZUMBA		yes
OTHER	yes	yes