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Apple App Store — Privacy

5.1.3 — Health and health research

Official source: App Store Review GuidelinesTopic overview: Content, user safety and legal rights
What this guideline means

Apps reading or writing HealthKit data can't use that data for advertising or sell it to data brokers, and apps running research studies need a documented consent process describing what's collected and how it's used.

Why apps actually get flagged

Commonly caught when a fitness app's analytics or ad SDK gets broader access to HealthKit-sourced data than its stated research or wellness purpose requires.

A real example

"Your app uses HealthKit data for purposes other than health and fitness, or for advertising, which is not permitted per guideline 5.1.3."

The short version, in more detail

Guideline 5.1.3 covers apps that handle health information. Data from HealthKit and similar sources cannot be used for advertising or sold to data brokers, and apps that conduct research need a documented consent process explaining what is collected and how it is used. Health data is among the most sensitive that an app can hold, so the restrictions are firm.

Why this rule exists

Information about someone's health can affect their insurance, employment and personal safety if it is misused. Apple built HealthKit so that people can share specific data with apps they trust, and the guideline protects that trust by limiting what developers can do with it. Research uses add a further layer of responsibility, because participants must understand what they are agreeing to and how their information will be handled.

What this guideline covers

  • Reading and writing data through HealthKit and related frameworks.
  • Restrictions on advertising and data sale involving health data.
  • Consent for research and clinical studies.
  • How health data is stored and shared.

What usually triggers this rejection

  • An advertising or analytics SDK receiving health-derived data.
  • Using HealthKit data for marketing purposes.
  • A research app without a documented consent process.
  • Sharing health data with brokers or other third parties.
  • Collecting more health data than the stated purpose requires.

How reviewers evaluate it

  • Reviewers look at which data the app requests and why.
  • They check SDKs and network traffic for data leaving the device.
  • They ask for evidence of consent in research apps.
  • They compare behaviour with privacy disclosures.

Common misunderstandings

  • A wellness label does not reduce the protection that applies to health data.
  • Anonymised or aggregated data is not automatically free of restrictions.
  • Research use needs its own consent, separate from standard app terms.

Common questions

Can health data be used for ads?

No. The guideline prohibits using HealthKit data for advertising.

Do research apps need ethics review?

Apple expects documented consent, and some studies may need ethics oversight outside Apple's process.

Is fitness data covered?

Data stored through HealthKit is covered, including activity data.

Platform rules change often. This page is a plain-language explanation written by AppReviewFix, not official guidance. Check the current App Store Review Guidelines for the exact wording.

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Related guidelines
Health Content — Health content and services1.4.1 — Medical and health claims5.1.1 — Data Collection and Storage5.1.2 — Data use and sharing5.2.1 — Third-party intellectual property
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