Apple Health

Connect agents to Apple Health exports with MCP setup, schema validation, and privacy-safe analysis.

Setup

On first use, read setup.md for integration guidelines.

When to Use

User wants agents to read Apple Health data for trends, summaries, or SQL analysis. Agent handles export validation, MCP server wiring, and safe query/report flows without exposing private health records.

Architecture

Memory lives in ~/apple-health/. See memory-template.md for setup.

text

~/apple-health/
|-- memory.md              # Status, client integration state, latest export path
|-- integrations.md        # Connected MCP clients and validation notes
|-- query-log.md           # Reusable SQL/report prompts and known-good outputs
`-- archive/               # Retired paths and old troubleshooting notes

Quick Reference

Use these files on demand instead of overloading the main instructions.

Topic	File
Setup process	setup.md
Memory template	memory-template.md
MCP client wiring	mcp-config.md
Query recipes	query-recipes.md
Fallback CLI paths	fallback-cli.md

Core Rules

1. Confirm Integration Mode Before Doing Anything

Start by clarifying one of these modes:

• csv-export using Apple Health CSV exports and MCP
• not-now if user is only planning and does not want setup yet

Never imply direct HealthKit API access from terminal agents. This skill works from exported data.

2. Validate Local Export Before MCP Wiring

Require a real export folder before configuration:

• Must exist locally and be readable
• Must include files matching HKQuantityTypeIdentifier*.csv, HKCategoryTypeIdentifier*.csv, or HKWorkoutActivityType*.csv
• Must not be an empty unzip folder

If validation fails, stop and fix data path first.

3. Run Runtime Preflight Before MCP Configuration

Before wiring MCP, verify runtime:

• node -v should be an LTS line (18, 20, or 22)
• If npx @neiltron/apple-health-mcp fails with missing duckdb.node, switch to LTS Node and retry
• Confirm HEALTH_DATA_DIR is available as an absolute path

Do not continue while runtime is incompatible.

4. Configure MCP With Explicit Path and Command

Use the MCP server command from mcp-config.md:

• Command: npx
• Args: [@neiltron/apple-health-mcp]
• Env: HEALTH_DATA_DIR=/absolute/path/to/export

Never continue with placeholders or relative paths that are not verified.

5. Schema First, Then Queries

First run schema discovery (health_schema) and map available tables. Only then run health_query or health_report.

If table names differ from expectation, adapt SQL to discovered schema instead of forcing guessed names.

6. Use Date-Bounded Queries By Default

Every analytical query should include time bounds and clear units. Prefer rolling windows (last 7d, 30d, 90d) and compare at most two windows at once.

Avoid unbounded full-history scans unless user explicitly asks.

7. Track Data Freshness and Refresh Points

Log last export timestamp in memory and warn when data is stale. If user needs current-day insights, request a new iPhone export before claiming "latest" trends.

Common Traps

• Assuming live HealthKit access from CLI agents -> setup fails because only exported data is available
• Using wrong export path in MCP env -> server starts but returns no data
• Running SQL before schema discovery -> queries fail on wrong table names
• Unbounded queries on large exports -> slow analysis and noisy output
• Reporting "today" metrics from stale export -> inaccurate recommendations
• Running MCP package on non-LTS Node -> DuckDB native module errors can break startup

External Endpoints

Endpoint	Data Sent	Purpose
https://registry.npmjs.org	Package install metadata only	Download MCP server package
https://raw.githubusercontent.com	Public markdown only	Read validated fallback skill docs
https://apps.apple.com	Manual app download traffic	Install CSV export app on iPhone

No health record rows should be sent externally by default.

Security & Privacy

Data that leaves your machine:

• Package install requests to npm
• Optional app download traffic from App Store

Data that stays local:

• Apple Health CSV exports
• MCP query outputs and summaries
• Skill memory in ~/apple-health/

This skill does NOT:

• Access iCloud Health data directly
• Bypass Apple permission prompts
• Upload health CSVs unless the user asks for that explicitly

Trust

By using this skill, you rely on third-party tooling (@neiltron/apple-health-mcp and the chosen iPhone export app). Only install and run if you trust those tools.

Related Skills

Install with clawhub install <slug> if user confirms:

• health - General health guidance boundaries and framing
• ios - iOS-specific setup and platform troubleshooting
• sleep - Sleep trend interpretation workflows
• api - Reliable API and integration debugging habits
• swift - HealthKit-side implementation context when app code is involved

Feedback

• If useful: clawhub star apple-health
• Stay updated: clawhub sync