---
name: apple-health-analyst-c393f6edeb9b
description: Analyze Apple Health export ZIP. Run local prepare to generate structured insights, then produce complementary health and training reports with long-term context.
---

# Apple Health Advisor

Use this skill when a user wants to analyze an Apple Health export ZIP. The ZIP is too large to fit directly into context, so the skill uses a local CLI pipeline to parse and structure the data first.

This is one skill that ships two complementary reports:

- **Default (recommended): generate BOTH reports** — health report + training report, rendered into the same `output/` folder and cross-linked via an in-page link in the topbar. `prepare` runs once, then `render` runs twice.
- **Explicit health-only**: user says "只要健康报告" / "health report only" / similar → skip training render.
- **Explicit training-only**: user says "只要运动报告" / "training report only" / similar → skip health render. Naming a sport without saying "only" still produces both reports and prioritizes that sport in the training narrative.

## Language Detection

Detect the user's language from their message:

- If the user writes in Chinese, use `--lang zh`
- For all other languages, use `--lang en`

The narrative language must match the language declared in `insights.json`:

- Health report: `narrativeContext.language`
- Training report: `training.narrativeContext.language`

## Intent Routing

**Default: generate both health + training reports.** Only drop one when the user is explicit.

- Default (both) examples:
  - `Analyze my Apple Health export`
  - `帮我分析 Apple Health 导出`
  - `Generate a report from my Apple Health export`
- Health-only examples (skip training render):
  - `Only generate the health report`
  - `只要健康报告`
  - `不用生成运动报告`
- Training-only examples (skip health render):
  - `Only generate the training report`
  - `只要运动报告`
  - `只生成运动报告，重点分析拳击`
  - `Only generate the training report for running and cycling`
- Named-sport examples that still default to both:
  - `重点分析拳击训练状态`
  - `分析跑步和骑行训练趋势`

Ambiguous-but-lean-training keywords still default to **both** reports (the training report alone is rarely enough context). The keywords below only matter as hints — they do NOT suppress the health report unless the user also says "只" / "only":

- `training`, `workout`, `运动`, `训练`, `专项`
- named sports such as `boxing`, `running`, `cycling`, `walking`, `hiking`, `strength training`, `拳击`, `跑步`, `骑行`, `力量训练`

## Your Role

Two roles share the same pipeline:

1. Health management advisor:
   - Integrate sleep, recovery, activity, and body metrics into an overall health view
   - Prioritize cross-metric reasoning over metric-by-metric reporting
2. Training status advisor:
   - Judge load, recovery support, consistency, and sport-specific trends
   - Give actionable training-management advice without pretending to be Garmin or a coach writing a periodized plan

## Workflow

1. Confirm the input is an official Apple Health export ZIP and that the main XML has `HealthData` as its root node.
2. Run local `prepare` once with the correct `--lang`, producing `summary.json` and `insights.json`.
   Raw ZIP/XML parsing stays local. If the active agent uses a hosted model for
   the narrative, the structured JSON it reads may be processed by that model
   provider; follow the provider's data controls and the repository privacy notice.
3. Read `summary.json`, then `insights.json`.
4. Decide which reports to produce (default = both unless the user is explicit; see Intent Routing).
5. For each selected report, write the narrative JSON:
   - health: `report.llm.json`
   - training: `training.report.llm.json`
6. Run `render` for each selected report:
   - health: default `render`
   - training: `render --type training`
7. Both HTML reports share the same `output/` folder. The topbar carries a cross-link between them, so the user can jump back and forth. File names are fixed (`report.html` ↔ `training.report.html`) — do not rename.

## `insights.json` Keys You Must Use

### Shared

| Key | What it contains |
|-----|-----------------|
| `metadata` | `tool`, `version`, `language`, `schemaVersion`, `generatedAt` |
| `historicalContext` | Recent 30d, baseline 90d, trailing 180d, all-time context |
| `charts[]` | Health chart groups |
| `crossMetric` | Cross-metric health reasoning |
| `riskFlags[]` | Health risks with evidence |
| `notableChanges[]` | Significant changes |
| `dataGaps[]` | Missing or sparse data warnings |
| `sourceConfidence[]` | Device/source reliability signals |

### Health report

| Key | What it contains |
|-----|-----------------|
| `analysis.sleep` | Sleep duration, stages, timing, regularity |
| `analysis.recovery` | RHR, HRV, blood oxygen, respiratory rate, VO2 max |
| `analysis.activity` | Active energy, exercise minutes, stand hours, workouts |
| `analysis.bodyComposition` | Weight, body fat % |
| `analysis.menstrualCycle` | Cycle analysis if present |
| `narrativeContext` | Health-report audience, goal, schema version, boundaries |

### Training report

| Key | What it contains |
|-----|-----------------|
| `training.summary` | Training state, readiness, recent load, recovery support, primary sport |
| `training.summary.trainingLoad` | MET-minute EWMA load snapshot (42-day CTL baseline, 7-day ATL recent load, TSB load balance) + relative 30-day & 90-day changes; null when < 28 days of data or < 6 load-bearing workouts |
| `training.sports[]` | Top sports (dormant ones filtered, `topSportCount` configurable via `--top-sports`, default 5) with recent/baseline/trailing/all-time windows, recovery-after-workout, consistency, tags |
| `training.charts[]` | `training_load` (CTL/ATL monthly curve), `training_recovery`, and `sport_<slug>_trend` charts |
| `training.narrativeContext` | Training-report audience, goal, schema version, boundaries |

## Commands

Default flow — **prepare once, render twice** so the folder contains both report sets. Pass `--with-cross-link` to both `render` calls so the topbar/footer cross-link lights up; omit it on single-report runs to avoid a dead link to a file that will not exist.

```bash
# 1. Prepare once (shared by both reports)
#    Optional: --top-sports N to cap the training-report sport list (default 5)
npx apple-health-analyst prepare /path/to/export.zip --lang en --out ./output

# 2. Health render (fixed file name: report.html)
npx apple-health-analyst render \
  --insights ./output/insights.json \
  --narrative ./output/report.llm.json \
  --with-cross-link \
  --out ./output

# 3. Training render (fixed file name: training.report.html)
npx apple-health-analyst render \
  --type training \
  --insights ./output/insights.json \
  --narrative ./output/training.report.llm.json \
  --with-cross-link \
  --out ./output
```

The two HTML files auto-link to each other via the topbar and footer **only when `--with-cross-link` is set on both renders**. Always write both into the same `--out` directory to keep the cross-links working.

**Single-report mode**: if the user is explicit about only wanting the health or the training report (see Intent Routing), run `render` once **without** `--with-cross-link` — otherwise the lone HTML will point at a companion file that never gets generated.

## Health Narrative Framework

Use the existing health schema in [references/report-llm-json.md](references/report-llm-json.md).

Prioritize:

1. `crossMetric.sleepRecoveryLink`
2. `crossMetric.sleepConsistency`
3. `crossMetric.activityRecoveryBalance`
4. `crossMetric.recoveryCoherence`
5. `crossMetric.patterns`
6. `riskFlags`, `notableChanges`, and `dataGaps`

`crossMetric.compositeAssessment` remains in the output shape for compatibility,
but its scores are intentionally `null`: do not invent or narrate a composite
health score from heterogeneous consumer-device metrics.

Health writing rules:

- Every conclusion must cite concrete values or dates from `summary.json` or `insights.json`
- `key_findings` must be cross-metric, not single-metric trivia
- `actions_next_2_weeks` must specify time, frequency, or numeric targets
- `questions_for_doctor` must be data-driven and specific
- Use consumer-readable precision and do not repeat the same evidence across
  assessment, overview, findings, and chart callouts
- Leave `when_to_seek_care` and `questions_for_doctor` empty when there is no
  risk, persistent change, or symptom-contingent follow-up supported by the data

## Training Narrative Framework

Use the training schema in [references/training-report-llm-json.md](references/training-report-llm-json.md).

Prioritize:

1. `training.summary.trainingState` and `training.summary.readiness`
2. `training.summary.trainingLoad` — the scale-relative MET-minute EWMA trend; interpret together with recovery evidence
3. `training.summary.loadTrend` and `training.summary.recoverySupport` (legacy 30d-vs-90d views, use as corroboration)
4. `training.sports[]` in descending importance
5. `training.charts[]`
6. `dataGaps[]` and missing metric coverage

Training writing rules:

- Treat CTL as the 42-day personal load baseline, ATL as 7-day recent load, and TSB as their difference. Do not relabel them as fitness, fatigue, form, or readiness: this implementation uses MET-minutes rather than a calibrated TSS-like scale.
- Never apply absolute TSB thresholds. When `training.summary.trainingLoad` is non-null, cite relative CTL direction (`ctlDelta30dPct` / `ctlDelta90dPct`) and combine it with explicit sleep, HRV, resting-heart-rate, or `recoverySupport.adequate` evidence.
- If `trainingLoad` is null, fall back to `loadTrend` and say so explicitly (e.g. "数据覆盖不足 28 天，暂以 30 天对比为准")
- Sport sections must focus on the actual top sports in `training.sports[]`
- Only discuss heart rate or distance when the structured data includes those metrics
- Recommendations are for training management and health monitoring, not race plans or diagnosis
- For a sport with no workouts in the last 30 days, keep recommendations empty;
  do not infer that the user wants to restart it
- Do not prescribe fixed session counts for a named sport unless the user
  explicitly requested a program; otherwise change one training variable at a time

## Required Reading Before Writing Narrative

- `summary.json`
- `insights.json`
- [references/report-llm-json.md](references/report-llm-json.md) for health mode
- [references/training-report-llm-json.md](references/training-report-llm-json.md) for training mode
- [references/safety-boundaries.md](references/safety-boundaries.md)
- [references/analysis-framework.md](references/analysis-framework.md)

## Constraints

- Only reference facts from `summary.json` and `insights.json`
- Do not fabricate sport metrics, chart IDs, or medical risks
- Provide health management and training adjustment advice, not diagnoses or treatment plans
- If a module is `insufficient_data`, say so plainly
- Do not generate final HTML directly; write the narrative JSON first, then run `render`

## Error Handling

- ZIP format error: if `prepare` cannot find the `HealthData` XML, verify the user provided the official Apple Health export ZIP. The main XML filename is not fixed and may be localized (for example `导出.xml`) or appear as mojibake. `export_cda.xml` / `ClinicalDocument` is auxiliary only and should not be used as the main analysis input.
- Out of memory: parsing is streaming but retained supported records can still be large. `--from` and `--to` constrain analysis output after parsing and do not currently reduce peak parse memory; use a machine with more memory or pre-filter a copy of the export with a trusted local tool
- Health narrative validation failure: verify `report.llm.json` matches schema v3
- Training narrative validation failure: verify `training.report.llm.json` matches schema v2 and only references existing sport/chart IDs
- npm cache EPERM: use `npm_config_cache=./.npm-cache`
- Sandbox/policy rejection: do not chain destructive commands with `prepare` / `render`; create directories separately if needed

## Output Files

Always produced by `prepare`:

- `summary.json`
- `insights.json`

Health render (file names are fixed; do not rename):

- `report.llm.json`
- `report.md`
- `report.html`

Training render (file names are fixed; do not rename):

- `training.report.llm.json`
- `training.report.md`
- `training.report.html`

The two HTML reports cross-link via the topbar and footer using relative paths (`./report.html` ↔ `./training.report.html`). Keep both in the same `output/` directory for the links to work.


---
Source attribution: RuochenLyu
Original project: https://github.com/RuochenLyu/apple-health-analyst/blob/9449183db14dec5641682d3a1b464aff216d9b0b/.agents/skills/apple-health-analyst/SKILL.md
License: MIT
License information: https://opensource.org/license/mit
Original upstream instructions; downloaded from Mega AI Hub.

## Upstream license notice

MIT License

Copyright (c) 2026 Ruochen Lyu

Permission is hereby granted, free of charge, to any person obtaining a copy
of this software and associated documentation files (the "Software"), to deal
in the Software without restriction, including without limitation the rights
to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
copies of the Software, and to permit persons to whom the Software is
furnished to do so, subject to the following conditions:

The above copyright notice and this permission notice shall be included in all
copies or substantial portions of the Software.

THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE
SOFTWARE.



# Mega AI Hub resource metadata

Creator / publisher: RuochenLyu
Original project: https://github.com/RuochenLyu/apple-health-analyst/blob/9449183db14dec5641682d3a1b464aff216d9b0b/.agents/skills/apple-health-analyst/SKILL.md
Attribution basis: Source repository record

Fields of work: Healthcare & Life Sciences, Sales
Roles: Clinical Research, Customer Success Manager, Health Informatics
Specialties: Word Documents, Frontend
Tools: Apple Health
Country applicability: Country not specified
Classification basis: Source catalog labels
Instruction SHA-256: 4afcef2356bb166988e1a8834c2d704c30e3c4ce1c90fbf64523e849cffba622
