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it is wild to me that products like this don’t allow you to easily export all data into sqlite (or duckdb) natively. it’s 2025 and you frequently have to page through hundreds or thousands of API calls to get a trivial amount of data (or use 3p services)

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This isn’t some bespoke API/format that they made up to make it harder for you to get your data. Apple did the right thing here and implemented HL7 standards like CDA and FHIR. This is a win for interoperability. There are already a wealth of tools available for dealing with these standards.

I thought this was sort of deliberate for Apple Health.

People use it to track sensitive information, like reproductive and mental health data, that should only be exported very intentionally.

Agreed. I'm fine jumping through a couple hoops to get my own data in this case.

Why would a malicious actor not be willing to setup the same infra as you, with an app on the iOS store to mine data once consented? I don’t see how api usage difficulty is a real security feature…

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