Privacy Impact Assessment - Ministry of Health COVID-19 Contact Tracing Application NZ COVID Tracer - Ministry of Health NZ
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Ministry of Health COVID-19 Contact Tracing Application (NZ COVID Tracer App) Privacy Impact Assessment Release 8.0 (29 July 2021) Date 27 July 2021
Privacy Impact Assessment Versions This Privacy Impact Assessment (“the Assessment”) will be an evolving document that will record the impacts related to the latest release developments, immediately prior to implementation of such releases. This document will be regularly updated. A summary of the version releases is in Appendix Seven. The current version of this document will be made publicly available, commencing with initial release of the NZ COVID Tracer mobile app. This is the eighth Privacy Impact Assessment and addresses Release 8. Document creation and management This document has been prepared by the Data & Digital Directorate, Ministry of Health. Consultations with the following have occurred during the development of this document: • Sector Portfolio Manager, Digital Portfolio Team, Ministry of Health • Manager, Data Governance, Data & Digital, Ministry of Health • Project Manager, COVID-19 Contact Tracing App, Data & Digital, Ministry of Health • General Manager, Emerging Health Technology and Innovation, Ministry of Health • IT Security Manager, Data & Digital, Ministry of Health • The Chief Privacy Officer of the Ministry of Health • The Government Chief Privacy Officer • The Office of the Privacy Commissioner Disclaimer This Assessment has been prepared to assist the Ministry of Health (“the Ministry”) to review the purposes for which information collected via the NZ COVID Tracer mobile app can be used, and the privacy safeguards that are required to manage those purposes. Every effort has been made to ensure that the information contained in this report is reliable and up to date. This Assessment is intended to be a ‘work in progress’ and may be amended from time to time as circumstances change or new information is proposed to be collected and used. Summary of Intent This Assessment represents the current state of the way the NZ COVID Tracer mobile app will operate, and expectations for future releases. Page 2 of 84
Contents SECTION ONE – EXECUTIVE SUMMARY 4 CLARITY OF PURPOSE 11 INFORMATION COLLECTION PROCESSES 11 ACCESS AND SECURITY 11 FUTURE PRIVACY IMPACT ASSESSMENT ACTIVITY 12 SECTION TWO – OPERATIONAL DETAILS 13 BACKGROUND 13 INFORMATION COLLECTED AND USER INFORMATION FLOWS 14 DATA FLOWS 15 CCTA SECURITY 21 GOVERNANCE 21 SECTION THREE - PRIVACY ANALYSIS 23 SECTION FOUR - INTENDED FUTURE USE CASES 38 APPENDIX ONE – CONTACT TRACING – THE SYSTEM SUPPORTED BY THE CCTA 39 APPENDIX TWO – THE ONBOARDING PROCESS 42 APPENDIX TWO – ANNEX ONE – ONBOARDING 45 APPENDIX THREE - ANONYMOUS STATISTICAL AND PERFORMANCE INFORMATION 46 APPENDIX FOUR – APP FEATURES – BLUETOOTH TRACING, DIGITAL DIARIES, NOTIFICATIONS AND EXPOSURE EVENTS, NEAR FIELD COMMUNICATION (NFC) 51 APPENDIX FIVE – BLUETOOTH TRACING– HOW DOES IT WORK? 71 APPENDIX FIVE – ANNEX ONE 77 APPENDIX FIVE – ANNEX TWO 78 APPENDIX SIX – BLUETOOTH AND THE COOK ISLANDS 79 APPENDIX SEVEN – RELEASE HISTORY 81 APPENDIX EIGHT - GLOSSARY 82 Page 3 of 84
Section One – Executive Summary 1. The COVID-19 pandemic is forcing governments around the world to evaluate how standard public health approaches to managing and controlling infectious disease can be bolstered and augmented by technology. 2. The speed and efficiency of Contact Tracing is one of the most critical factors in a health system’s ability to slow or stop the spread of communicable diseases1. In the case of COVID-19, it has been determined that under routine conditions of movement and contact amongst the population, the disease can spread too quickly to be contained by traditional Contact Tracing practices alone2. Further detail about Contact Tracing can be found in Appendix One. 3. The Ministry has identified an opportunity to support national Contact Tracing processes by use of an application for supported iOS and Android smart phones (the NZ COVID Tracer mobile app – the App), a Web Application (Website), and a Data Platform (Platform). These are collectively referred to as the COVID-19 Contact Tracing Application (the CCTA). 4. Individuals who choose to use any component of the CCTA are referred to as “Consumers” in this Assessment. 5. The CCTA will enable Consumers to keep their own record of places they have been, devices they have been in proximity with, and activities they have undertaken. This will assist them to rapidly respond to Contact Tracers about where they have been, who they have been in contact with and the type of activity that has occurred. 5.1. Contact Tracers will then be able to more quickly identify Close Contacts and Casual Contacts, and assess the risk of exposure to the virus. 5.2. It will also be possible for Contact Tracers to quickly send Location Alert Notifications to CCTA Consumers when they may have been exposed to a person with COVID-19 at a Location where they have both scanned in. 5.3. The CCTA will also implement the Exposure Notification System3, which will allow rapid Bluetooth Alert Notifications to be sent to Close Contacts via the Bluetooth Tracing functionality. 5.4. Consumers will be able to adjust their behaviour in response to warnings provided via Notifications. 1 Rapid case detection and contact tracing, combined with other basic public health measures, has over 90% efficacy against COVID-19 at the population level, making it as effective as many vaccines. This intervention is central to COVID-19 elimination in New Zealand: Dr Verrall,A 10 April 2020: Rapid Audit of Contact Tracing for COVID-19 in New Zealand page 1. 2 https://science.sciencemag.org/content/early/2020/04/09/science.abb6936 https://www.health.govt.nz/system/files/documents/publications/contact_tracing_report_verrall.pdf 3 The Exposure Notification Framework (ENF) is the protocol created by Apple and Google to support privacy- preserving digital contract tracing using Bluetooth Low Energy. The Exposure Notification System is an implementation of the ENF protocol within the New Zealand jurisdiction. Page 4 of 84
6. The Office of the Privacy Commissioner and the Government Chief Privacy Officer have been consulted and are satisfied that the privacy implications of the CCTA, and the related mitigations, have been appropriately recorded in this PIA. Privacy focus 7. The intention of the Ministry has been to retain consumer choice, minimise the collection of personal information to those matters most directly useful for Contact Tracing purposes, and limit who will have access to that information. It has also endeavoured to minimise any potential privacy risks in its development of the CCTA and balance these against the public health benefits of enhanced contact tracing. Consumer trust is essential if use of the CCTA is to become widespread. The Ministry intends to earn and respect that trust. 8. The purpose of development of this Assessment has been to review the process of collection, storage, use and sharing of personal and contact information associated with the CCTA to ensure that relevant risks are identified and mitigated. This has involved ongoing consultation with the Office of the Privacy Commissioner, the Government Chief Privacy Officer and others to ensure that the CCTA retains a strong privacy focus. 9. This Assessment is to be a ‘living’ document that will be updated as the CCTA development progresses, with the intent that updates be published either ahead of or alongside future releases. This will enable the Ministry to maintain transparency about the CCTA with Consumers, who may choose to opt-out if they do not wish to participate in future releases. Background 10. Technology can help with the process of Contact Tracing. The Ministry has worked with the health sector and the community to identify ways of improving access to relevant information, while still respecting individual privacy. 11. The Ministry has created a National Contact Tracing Solution (the NCTS), to greatly increase the capacity and reliability of tracing activity, and to support existing regional expertise. 12. Additional key uses for technology are: 12.1. to enable faster access to the correct contact details for people who may come in contact with COVID-19; 12.2. for Consumers to record their movements so that if they become infected with COVID-19 they can quickly and accurately identify others who may be Close Contacts or Casual Contacts; 12.3. for Contact Tracers to send a Location Alert to some Consumers who may have been exposed to COVID-19; Page 5 of 84
12.4. for Consumers to use the Exposure Notification System (Bluetooth Tracing) to allow for quickly notifying close contacts; and 12.5. for Consumers to have access to up-to-date information and links to tools relevant to the COVID-19 response. 13. The Ministry has therefore commissioned, and is operating, the CCTA to enable the New Zealand public to opt in to support Contact Tracing processes for the purposes of the COVID-19 pandemic response. 14. The Ministry has developed standards that will enable other apps to participate in support of the public health Contact Tracing processes, provided that the other apps can meet the necessary security and privacy standards. This project is addressed under a separate PIA (COVID-19 Contact Tracing Integration Product – Privacy Impact Assessment). 15. The Ministry has also decided to adopt the Exposure Notification Framework (ENF), developed by Apple and Google, as part of the CCTA offerings. The implementation of this framework is referred to as the Bluetooth Tracing features. The ENF is being used in a number of jurisdictions around the world. It is designed to enable notification of potential exposure in a way that minimises risks to privacy. It remains optional for App users whether they choose to enable the Bluetooth Tracing features. A detailed summary of the Bluetooth Tracing features is attached in Appendix Five. 16. The Bluetooth Tracing features will be designed to focus on the speed of notification to Consumers who are more likely to be a Close Contact, rather than identifying any possible contact, however fleeting that contact may have been. This is achieved by setting a threshold for the duration and strength of signal that indicates someone is likely to be a Close Contact. The main use Contact Tracers identified for the Bluetooth Tracing features was the prompt notification (via Bluetooth Alert) of those most at risk of being Close Contacts, so that App users would be alerted to their increased risk, and could act accordingly to limit the spread of COVID-19. The Bluetooth Alert messaging may include encouraging testing and self-isolation. 17. The gradual opening of the New Zealand borders has also identified opportunities to utilise the CCTA. 17.1. Quarantine free travellers from Australia are invited (in the boarding information provided to them) to download, and use, the NZ COVID Tracer App while they are in New Zealand. 17.2. Travellers between the Cook Islands and New Zealand will be able to use the Bluetooth features of the App from either country4, and upload their keys, or receive Notifications if another App user tests positive. This new Bluetooth exchange capability will be explained in more detail in Appendix Six. This has the potential to enhance contact tracing with travel between New Zealand and 4 CookSafe+ for the Cook Islands and NZ COVID Tracer App for New Zealand Page 6 of 84
the Cook Islands, but does not compromise existing privacy and security features associated with the NZ COVID Tracer App. 17.3. In each case use of the NZ COVID Tracer App will remain voluntary. COVID-19 Contact Tracing Application (the CCTA) 18. Development of the CCTA is progressing in stages, and new functions are released as they are developed. This Assessment addresses Release 8. This includes: 18.1. The ability to add manual entries to the Digital Diary that are linked to a QR code Location if the Consumer has previously scanned at that Location. This is so that entries can be added without having to scan the QR code again. 18.2. The ability to save Locations from the Digital Diary that are frequently visited, so that they can be easily accessed when adding entries. 18.3. The ability to add an entry to the Digital Diary by scanning an NFC tag. This new process is further described in Appendix Four. 18.4. New features to send information to Consumers including: 18.4.1. Automated reminder Notifications to remind a user to update their Digital Diary when they have not added an entry for a certain amount of time. 18.4.2. The ability to opt in and out of announcement Notifications (added in Release 6) and automated reminder Notifications, where general communications are sent by the Ministry to all Consumer devices set to receive these notices. 19. The NZ COVID Tracer mobile apps for iOS and Android have the following features available to the Consumer to choose from: 19.1. Registration: Consumers are able to download and use the App without needing to register or provide any identifiable information if they choose not to. There will not be any password requirement to use the App, so Consumers will need to use their standard device screen lock feature if they wish to protect the information held by the App on their device, such as their digital diary. 19.2. Contact Details: Consumers can choose to submit their contact details via the mobile App. These details will be available to Contact Tracers to look-up within the NCTS if that person tests positive with COVID-19 or is a potential Close Contact of someone who tests positive with COVID-19. This could include full name, phone number, and address (if provided) to assist contact tracers with identification and contact details. Date of birth, gender, and ethnicity are also optional. If Consumers choose to provide any of this information, they will also need to provide an email address and verify it before it is stored. Page 7 of 84
Digital Diary 19.3. Digital Diary: A Consumer can choose to record Location information. They can add an entry linked to a QR Code Poster by scanning a QR code, tapping a Near Field Communication (NFC) tag, or adding an entry for a saved scanned Location they have been to before. They can also manually add entries to their Digital Diary, to record activities, or places they have been, where a QR code poster was not on display. They can also record who they have been with at these activities or places by writing a description. There is an edit feature to amend or delete these entries if the Consumer chooses. 19.4. Share Digital Diary feature: Consumers can choose to authorise the App to upload the Digital Diary held on their phone to the NCTS if they test positive with COVID-19. This can only happen if a Contact Tracer asks them to do this, and they use a one-time password given to them by the Contact Tracer. 19.5. Notification of Exposure Event (Location Alert): Contact Tracers can, at their clinical discretion, publish an Exposure Event of Interest (EEOI) to subscribed App Consumers to notify them of a potential exposure to COVID-19 at a particular Location. If a Consumer has a Digital Diary entry linked to the QR Code Poster at the Location during the time frame set by the Contact Tracer, they will receive a Location Alert. 19.5.1. The Digital Diary entry must have been created by scanning a QR code, tapping an NFC tag, or manually adding a diary entry linked to the QR Code Poster. 19.5.2. The Location Alert will include a link to the Digital Diary entry that matched the EEOI. 19.5.3. A Location Alert can be removed from the Dashboard by being dismissed or by another Location Alert being received. Previously received Location Alerts can be seen in Digital Diary entries that matched an EEOI. 19.5.4. This Location Alert feature includes an option for the Contact Tracers to include a ‘Call Back’ option if they consider that appropriate for a particular location. It is up to the Consumer to choose whether to respond to a Location Alert Notification, including a Call Back request. Bluetooth 19.6. Bluetooth Tracing: A Consumer can activate the Exposure Notification System (ENS) on their device. The Bluetooth Tracing feature is described more fully in Appendix Five. This allows devices that support ENS to broadcast to other devices, and record broadcasts received of randomly- generated keys from those other devices5. The use of the ENS is designed to minimise the risk of re-identification of Consumers. The keys do not record 5Rolling Proximity Identifiers (RPIs) – these are ever changing identifiers that are generated from the Temporary Exposure Key on each Consumers device. The RPI are shared with other devices via Bluetooth and change every ten to fifteen minutes. Page 8 of 84
who either of the Consumers are, nor where they are. Each device would keep its own record of the keys it had come in contact with. 19.7. Upload Bluetooth keys feature: Consumers can choose to authorise the App to release the random keys that their phone has generated, if they test positive. A Contact Tracer will initiate the request for these keys by entering an onset date and phone number in the NCTS, and a Consumer will receive a text message with a one-time password. If the Consumer enters the one-time password into the app, their Temporary Exposure Keys (TEKs) are uploaded to the CCTA server. Unlike uploading a Digital Diary, the Contact Tracer does not gain any access to data about the Consumer’s movements through the upload of Bluetooth Tracing keys. Additional privacy controls include: 19.7.1. The keys are random and secured by the Consumer’s device and only seen by the nearby device. 19.7.2. When uploaded, the published keys are randomly ordered on the CCTA server. 19.7.3. The process of notifying contacts (via the Bluetooth Alert) occurs automatically from the CCTA after keys are uploaded. 19.8. Exposure Notification (Bluetooth Alert): Every few hours, each device checks for keys that have been uploaded by Consumers who have tested positive for COVID-19. If the device has a match with any of these keys, it checks against the App’s algorithm configuration. This is designed to identify Close Contacts. It displays a notification to the Consumer on the device only if the exposure exceeds the programmed duration and strength of signal in relation to the contact with the device of other Consumer(s) who has tested positive for COVID-19. This notification can include an option for the Consumer to request a return call (a Call Back), if the Contact Tracers consider that appropriate. As with the Location Alert, it is up to the Consumer to choose whether to respond to a Bluetooth Alert Notification, including a Call Back request. 19.9. Cook Islands and sharing of Bluetooth keys. Release 7 introduces the ability to share Bluetooth tracing keys with CookSafe+ users who have an ENS Bluetooth compatible device. 19.9.1. A central server (managed by the Ministry of Health) will enable the management of the upload and distribution of keys to Consumers in New Zealand and the Cook Islands using one of the ENS Bluetooth compatible apps. This will only occur with a positive case (for the upload), and a matching key for the Bluetooth Alert Notification on the Consumer’s device. 19.9.2. This will enable information about individuals who travel between New Zealand and the Cook Islands to be exchanged irrespective of whether the Consumer has left one country for the other in between the time of exposure and the time of Bluetooth Alert Notification. Page 9 of 84
19.9.3. The privacy implications will be same for the NZ COVID Tracer App Bluetooth features described above (minimal). 19.10. My NHI Details: Consumers will be given the option to manually add their NHI to the details they have recorded on their device. This will enable them to use their device screen to display their NHI (if they choose to) on the ‘My NHI Details’ screen when they attend a testing facility. 19.11. Notifications: Consumers may choose (on an opt out basis) which of the following types of Notifications to receive: 19.11.1. Announcement Notifications. The Ministry of Health may choose to send general notices to all devices with the App installed which have subscribed to Announcement Notifications. This would transmit information the Ministry considered important to all Consumers, but is separate to the Notifications sent in relation to an Exposure Event. 19.11.2. Diary Reminder Notifications. A user will receive a Diary Reminder Notification a configured amount of time after their last Digital Diary entry. These notifications are generated locally on the device. The current timeframe plan is when the App has not been used for 7 days, and then if still unused at 14 days, the Consumer will receive a reminder on their phone – and then no more notifications will be sent, unless the Consumers starts using the App again. 19.11.3. Once a Consumer has enabled Notifications on their device, and upgraded the App to a version that supports these Notifications, they are enabled by default. 19.11.4. A Consumer can opt out of receiving either type of Notification (or both of them) by navigating to the Notification Preferences screen on the My Data tab. This screen is also linked to from Diary Reminder Notifications. 19.12. In-App information provision: Dashboard features on the App include: 19.12.1. In-App statistics. This will include national app usage statistics (as per information released by the Ministry to its website). 19.12.2. Personal metrics. This allows the Consumer’s personal usage statistics for the App for the previous fortnight to be displayed only on the device. This data is calculated on and stays on the device. 19.12.3. Announcements. This will show announcements issued by the Ministry of Health to all users of the app. 19.12.4. The addition of a resources tab with server-driven links to trusted resources, such as vaccination related information and current COVID test locations so the Consumer can identify a location near them from the list (if required). Page 10 of 84
19.12.5. No personal information is exchanged between the CCTA and these information links, but non-identifiable analytics may be collected (as further described in Appendix Three). Clarity of purpose 20. A simple Privacy Statement is displayed to Consumers as part of the onboarding process. This is linked to a more detailed Privacy and Security Statement for those who wish to view that more detailed information. 21. These Privacy Notice Materials have been created with the intent that all Consumers can obtain a full understanding of how their information will be used if they choose to participate. 22. Authorised users of the information (Contact Tracers) will be informed about expectations for use, and limitations on use of this personal information. This will be consistent with their existing legislative responsibilities under the Health Act to manage this information appropriately. Information Collection Processes 23. The Privacy Notice Materials, including the Privacy Statement and the Privacy and Security Statement, are designed to be compliant with rule 3 of the Health Information Privacy Code. The Privacy Notice Materials are available to Consumers at the first contact with the CCTA, prior to the Consumer submitting any information. 24. CCTA Consumers will be notified in advance of any material changes being implemented to the Purpose Statement or other Privacy Notice Materials via their registered email address (if they have one) or in-App message. This will indicate new features and also what has changed from a privacy perspective (if anything). There will be an opportunity within the App to review the updated privacy statement on the device screen when a new feature is added that requires an opt-in / opt-out choice. This will enable ongoing Consumer choice about participation. 25. Consumers have the choice of opting-in to use the CCTA, and if they do, will retain the choice of the extent to which they wish to contribute information. 26. Links will be provided to a web-based explanation in the Privacy and Security Statement which will contain more detail for those individuals who wish to know more (a layered privacy notice). The Privacy and Security Statement will also link to the current version of this Assessment. Access and Security 27. The CCTA implements robust security and authorisation controls to prevent unauthorised access to information and follows leading practices for encrypting data at rest and in transit. Access to information requires authentication. 28. Prior to each substantive release, the CCTA and supporting web services has been independently security assessed by an All of Government approved supplier. Findings Page 11 of 84
from the reviews will be remediated where appropriate. Future releases of the solution will also be independently assessed to the same standards. Future Privacy Impact Assessment Activity 29. The CCTA has been developed in parallel with completion of this Assessment. The Office of the Privacy Commissioner and the Government Chief Privacy Officer have provided independent advice and assessment to the project team during this process, which the project team has endeavoured to incorporate into the CCTA application. Page 12 of 84
Section Two – Operational Details Background The Ministry approach to the CCTA development 1. The Ministry is developing the CCTA to support national Contact Tracing activity. Appendix One contains additional details about Contact Tracing. 2. Decisions made on Release features for the CCTA are driven by a focus on privacy and choice for individuals, alongside identified requirements for Contact Tracing. Additional details in relation to Release 5 are contained in Appendix Two. 3. The intent of the Ministry is to be transparent with the use of the data, in order to maintain and grow social licence: • The information collected will be voluntarily provided by the Consumer (on an opt in basis). Release 5 removed the requirement to register before use, and no longer requires the Consumer to supply an email address on sign up. Other details about the App features can be found in Appendix Four. • The information collected will only be used for the COVID-19 Pandemic Public Health Response (limited use). • Any information relating to the Consumer’s visited Locations will remain on their device unless they decide to use the CCTA’s electronic Digital Diary Share facility after a request from a Contact Tracer. This voluntary process does not remove the requirement under section 92ZZC(3) of the Health Act for a person who has COVID- 19, or is a probable case, to provide information about the circumstances in which they may have contracted or transmitted the virus. • The visited Location records on the Consumer’s device will expire on a rolling 60- day period. This is on the recommendation of the Contact Tracing team following an outbreak in Auckland in August 2020. It is consistent with four incubation periods of the virus – which amounts to 56 days. • Uploading and sharing of Bluetooth keys (from CookSafe+ or NZ COVID Traver App users) will apply only for a positive case where there is a matching record on a Consumer device. Bluetooth tracing is an opt in feature, as is the choice to upload keys after a positive test. Bluetooth keys will expire after 14 days for both Apps. 4. The approach the Ministry has taken is to try and make it as easy as possible for Consumers to sign up and provide their information, while providing sufficient security controls for Consumers to safely manage their information. The App no longer requires Consumers to remain logged in to use it (from Release 5 onwards). 5. Consumers are responsible for the choice of how to secure their own device. Page 13 of 84
6. Contact Tracers will be able to use App generated information from Consumers to support the national case management of positive cases and Close Contacts. Case management is recorded on the NCTS. All points of contact with the NCTS are described in this Section Two of this Assessment. Information Collected and User Information Flows 7. The Ministry has identified four key sets of information involved in the CCTA processes: • Personal, contact and demographic information – Consumers choosing to provide this information about themselves will enable Contact Tracers to contact the correct person more quickly and easily. Demographic details will also assist the Ministry to understand its performance and to produce a solution that is more equitable. The individual may also record their NHI number on their device in case they require it to establish their health identity quickly e.g. when seeking a test for COVID-19 in a community setting. Provision of all of this information is voluntary. • Visited Locations and Digital Diary entries – this information will be recorded by Consumers about Locations they have visited or activities in which the Consumer has been involved. This easy access by Consumers to their past movement and activity information will allow Contact Tracers to more quickly assess information relating to Locations where the COVID-19 infected Consumer (or probable case) may have encountered Close Contacts, thus reducing the risk of transmission to others. o A Consumer must choose to add an entry by scanning a QR code, tapping an NFC tag, or adding a diary entry manually (including by selection of a saved QR code) on each occasion or no information will be collected. This Digital Diary information is held on the Consumer’s device. o A Consumer, who has tested positive or is a probable case, may also decide to upload that information (when requested by a Contact Tracer). If they do choose to upload, all Digital Diary entries will be uploaded at the same time (there will not be a choice to upload only scanned Locations or only manual entries – the choice will be to upload all information or not upload). ▪ Uploaded Locations and Diary Entries will be useful to the Contact Tracer as they will be able to review the Locations and Digital Diary details, and discuss them further with the Consumer. ▪ This discussion will enable the Contact Tracer to identify any Location, date and time were there may have been a risk of transmission to other individuals (Exposure Events). • Bluetooth Tracing information – this is the information generated and collected by the Exposure Notification System. This includes: o Temporary Exposure Keys (TEKs) randomly generated each day by each Consumer’s device. Page 14 of 84
o The record of Rolling Proximity Identifiers (RPIs) broadcast by other nearby devices, the time this broadcast was received, and the signal strength of the broadcast, all collected by and held on the Consumer’s device. o TEKs uploaded to the CCTA platform by people who have tested positive for COVID-19 (including those uploaded by CookSafe+ users of the Bluetooth feature). • Anonymous Statistical and Performance Information – this information will be collected from Consumer’s interactions with the CCTA, and from its performance on devices, to help the Ministry to understand the stability and effectiveness of the CCTA, and develop equitable solutions. Additional details about statistical and performance information are contained in Appendix Three. Data Flows 8. The following diagram demonstrates the dataflows associated with the CCTA 6: Use of Information: Data Storage, Retention and Access 9. Consumers will only be able to access their own information. 10. Select staff and individuals in a production support role have access to the CCTA Platform (the data storage system that holds Consumer personal contact information and the Bluetooth key exchange server). This access is only used for the purposes of 6 Refer Appendix Six for details of the Interoperability server with CookSafe+. Page 15 of 84
maintaining the correct function of the production application. This access is logged and audited. Contact details 11. Consumer contact details (if they choose to supply them) are securely stored by the CCTA AWS platform. This data store can be queried (view only access) by Contact Tracers who: • have authorised access to the NCTS, and • who need to find contact information of Contacts of a person with a confirmed or probable case of COVID-19, or who need to find contact information of Quarantine Free Travellers who may have been in a place with community spread of COVID-19. 12. This secure NCTS / CCTA interface will only be used if the Contact Tracer needs to locate the individual Consumer and did not already have access to their current contact details from other contact tracing or health system sources, or needs to confirm details obtained from other sources are current. • Any access will be logged into the NCTS audit records. This audit trail will record which Contact Tracer used their view access to an individual Consumer’s contact details. • The contact information will only be entered into NCTS once it has been verified by the Contact Tracer, in contact with the Consumer, both to confirm they have identified the right person and that the contact detail is accurate. Other information will be obtained directly from the individual Consumer by discussions with the Contact Tracer. Digital Diary - Location details and manual entries 13. If a CCTA Consumer (who is a confirmed or probable case) is requested by a Contact Tracer to inform them of the Locations they have been to, or the people that they have been in contact with, the Consumer may choose to use the CCTA’s "share my diary” facility to upload the Digital Diary they have recorded. This will include Digital Diary entries recorded by scanning QR codes, tapping NFC tags, adding diary entries linked to a QR Code Poster they have previously scanned, and adding diary entries manually (the Upload Information). 14. If the Consumer chooses to electronically release the Upload Information, that information will be held in a secure store within the NCTS Salesforce boundary. • The Upload Information can be accessed by the Contact Tracer through Salesforce (NCTS) which retrieves the data relating to that case from the data store. • Any access will be logged into the NCTS audit records. Only authorised users can access the NCTS. This NCTS audit trail will record which Contact Tracer used their view access to an individual Consumer’s Upload Information. • When a scanned Location or manual Digital Diary location (that has been submitted by the Consumer) is identified as an Exposure Event, an Exposure Event entry will be created within the NCTS. This Exposure Event and the associated Contact Location will be retained as part of the NCTS case record. Page 16 of 84
• Digital Diary manual entries that identify potential Close Contacts will be followed up through NCTS contact tracing processes. • From this Upload, Information Locations that are not identified as Exposure Events, or manual entries not identified as relevant for Contact Tracing of Close Contacts, will be retained for six months before being securely destroyed. Exposure Event Notification (Location Alert) 15. Contact Tracers have identified that the App can assist to provide notification of potential contacts of an individual who has since tested positive. If an Exposure Event is determined to have created a risk of infection of Contacts, and that Location has a GLN7, a clinical decision will be made as to whether it will benefit the Contact Tracing process to send Notification via the App, in addition to the other methods available for identifying Contacts. 16. The NCTS has a feature (a button for ‘Escalate Exposure Event’) to enable a Contact Tracer to indicate that an Exposure Event may have created Contacts and therefore be appropriate for Location Alert Notification via the CCTA. • This Exposure Event will then be considered by Ministry clinicians to determine whether Close Contacts are likely and whether the App is an appropriate method of advising of that Exposure Event. o Only a limited number of authorised Contact Tracers will be able to use the interface in NCTS to create an Exposure Event of Interest (EEOI) for Notification (an EEOIN). o The EEOI Notification content will be defined by the Contact Tracers when the Location Alert Notification is created. The Contact Tracers will determine the appropriate level of information to disclose based on the risk, and circumstances of the Exposure Event. o This will require individual review and clinical sign off before the EEOIN is released to the CCTA, for publication to Consumers as a Location Alert. o This clinical intervention is to maintain national consistency in the Location Alert process, and to ensure that consistent clinical criteria are applied. It is important to maintain a balance between alerting individuals to a potential exposure, against the anxiety generated by over Notification of Location Alerts. The clinical oversight and final decision-making on sending the Location Alert is designed to weigh that balance in decision-making. o The addition of the Call Back feature, and the ability for Contact Tracers to add a specific message in a Location Alert, will assist the management of the higher risk Exposure Events from those that are lower risk (as the lower risk Location Alerts will not receive the Call Back option). 17. Location Alerts are available to Consumers who subscribe to the Location Alert Notifications, and who have a matching date, time and Location (scanned GLN) on their device. 7A GLN is a Global Location Number. It is the unique identifier that identifies a particular physical location for a business, or a branch of a business or other legal entity. This is the detail that is recorded by the App when ‘scanning’ at a Location Page 17 of 84
• Upon a successful match of an Exposure Event on a Consumer’s device, the Consumer is provided with a Location Alert that they may have been in contact with COVID-19 (including any content that may have been approved by the authorised Contact Tracer). • Each Consumer will therefore be put on notice to monitor any potential health changes. If the Contact Tracer considers additional information is necessary, that information could be included in the Location Alert message. If the Contact Tracer considers it a higher risk event, a Call Back option may be included. • Appropriate resources are included on a weblink contained in the Location Alert about the symptoms to look for, and what to do in the event the Consumer needs further assistance (including Healthline contact details). Consumers receiving a standard (or lower risk) Location Alert will be requested to monitor their wellbeing and call Healthline if they have any concerns. • The Location Alert will contain a reference to the Digital Diary entry that matched the Exposure Event, so that the Consumer can contact any other people who were at the Location with them. • The Consumer will not be identified by the Location Alert receipt, and no information about the Consumer’s identity will be passed to Contact Tracers. Only if a Call Back option is offered, and accepted by the Consumer, will the Consumer be able to send their name and contact phone number as part of the Call Back request. If the Consumer chooses to accept the ‘offer’ to receive a Call Back from a Contact Tracer, a code (linking to the case record of the person who gave rise to the Exposure Event) will be available to the Contact Tracer as part of the Call Back response. The Contact Tracer can then have a direct discussion with the Consumer about their personal situation. • At no time is information about the person who tested positive to COVID-19 available to other Consumers. 18. Consumers are not compelled to respond or take any particular action. They are instead requested to monitor their own health and have a list of resources available if they become symptomatic. 19. A non-identifying analytics event may be recorded to help the Ministry measure the number of Location Alerts received. Bluetooth Tracing Key Exchange Server 20. If a Consumer has tested positive for COVID-19, a contact tracer may use the NCTS to trigger a request for the last 14 days of Bluetooth Tracing keys that the Consumer’s device has generated. This is with the Consumer’s consent. 21. The request will include the Consumer’s mobile phone number and the date that the Contact Tracer believes the Consumer became contagious. 22. The request will be sent to the Key Exchange Server. The server will send a request to the EN Notification Service to send an SMS to the Consumer with a one-time passcode (OTP) to enter into the app. Page 18 of 84
23. The EN Notification Service will use Twilio8 to send an SMS to the Consumer. Twilio receives no information about the Consumer other than the message to be sent, which does not contain their name or any other personal details, and the number to send it to. 24. If the Consumer chooses to enter the OTP into the app, the keys that they have generated in the last fourteen days will be uploaded into the Key Exchange Server. 25. The Key Exchange Server does not receive any information about who has uploaded the keys. It deletes all keys that expired before the date the Consumer became contagious. It collates the remaining uploaded keys into a ZIP file of all other Consumer’s uploaded keys, within a maximum timeframe of the last fourteen days. 26. Release 7 will also send these non-identifiable keys to the Ministry’s secure Inter- operability Server. That Server will enable the exchange of these keys with the key exchange server for CookSafe+ (and vice versa). Any keys received from the CookSafe+ will be available to the New Zealand key exchange server, to add to the ZIP file. 27. Each device using the app will download this ZIP file every few hours and check whether they have been exposed to any of the keys contained therein. 28. The Key Exchange Server will delete keys and OTPs when they are older than fourteen days. Security and Retention on NCTS 29. Full details of the data access and controls in place for NCTS will be covered in a separate Privacy Impact Assessment for the NCTS. In summary: • The NCTS is made up of a number of components, including a rules engine, integration and AWS capability. Salesforce Service Cloud (Service Cloud) is the Salesforce customer service and case management Software as a Service platform. Service Cloud provides the core platform that supports all core capabilities of the NCTS. • The Salesforce Service Cloud instance is served from Amazon Web Services (AWS) Cloud infrastructure based in Sydney, Australia. • Information stored in the NCTS is covered by the NSS Data Policy, this aligns with the relevant HISO standards, including HISO 10029:2015 Health Information Security Framework, and the New Zealand Information Security Manual. 30. Information that originates from the App that is sent to the NCTS by one of the processes identified above will be securely stored under the following retention requirements: • Any identifiable information collected will only be used for public health purposes related to COVID-19. • Contact information extracted by a Contact Tracer will be added to an NCTS case record only after confirmation with the Consumer concerned. • Digital Diary data uploaded will be located in a secure location within the NCTS Salesforce platform but will not be transferred into a NCTS case record unless a Contact Tracer determines it is relevant to an Exposure Event. Any information, 8Twilio is a cloud communication platform as a service based in the United States of America that allows text messages to be sent and received. Page 19 of 84
including Location Information, not transferred will be securely deleted on a regular basis (within six months of submission). • Identifiable Consumer information recorded in the NCTS will relate to one of the following categories: o Related to an individual who has, or is a probable case of, COVID-19 (an NCTS case record) which is stored in the NCTS as part of the pandemic case management system; or o Related to an individual who is identified as a Close Contact. • Information retention policies will be fully detailed in the NCTS Privacy Impact Assessment, but in summary: o Any identifiable information that does not become part of the NCTS case record of an individual will be retained for the duration of the pandemic (until the COVID-19 Public Health Response Act 2020 is repealed) and then securely and promptly destroyed (such as information linked only to a Close Contact). o Any information incorporated into an individual NCTS case record will be managed securely and retained in accordance with the Health (Retention of Health Information) Regulations 1996. Consideration is being given in the NCTS retention policy development as to what parts of this NCTS case record may be able to be securely destroyed earlier. The NCTS will engage with the Office of the Privacy Commissioner and the Chief Archivist before finalising its retention policy and specifically address this issue. o Non identifiable (or de-identified) information may be used for purposes related to the public health response to COVID-19 (which may include planning for future potential events or research). Statistical Information 31. Statistical information collected about the use of the platform will be accessible to relevant Ministry staff and its suppliers, in order to make decisions about the features and functionality of CCTA. This information does not identify any individual Consumer, nor will Consumer personal information be accessible in this way. Information and convenience features 32. The App includes links to other websites where information can be located that may be useful to App users. This includes, for example, a link to the site identifying COVID-19 test location sites – which the Consumer can then manually scroll through and identify a location near them. No identifiable information or location details are exchanged. 33. The App will also contain statistics about app usage and other statistics issued by the Ministry of Health that may be of interest to users. 34. The App will contain a personal metric showing how many days out of the last fourteen at least one diary entry has been recorded for. This is calculated on the device from data held only on the device. 35. The App will contain the ability to show announcements on the dashboard. Announcements will be issued to all users of the app simultaneously. They may be Page 20 of 84
displayed only on the dashboard, or they may be accompanied by a push Notification. Users may opt out from receiving push Notifications for these announcements. 36. The App will contain the ability to remind Consumers to fill out their Digital Diary after a period of time has passed with no Digital Diary entries being created. These reminders will consist of a Notification, a message on the dashboard, and a message in the Digital Diary. These are generated on the device from data held only on the device. Timing and text are configured by the Ministry (at seven and fourteen days). Users may opt out of these reminders. CCTA Security 37. Prior to each major Release, the CCTA and supporting web services will undergo an independent security review by an All of Government approved supplier. This will include the Interoperability Server that will exchange Bluetooth keys with the CookSafe+ CCTA platform equivalent (so that the keys can be broadcast to CookSafe+ devices). Findings from the review will be remediated where appropriate. Future Releases of the solution will also be independently assessed to the same standards. 38. The CCTA, including Consumers’ personal information and anonymised information, is hosted and stored using Amazon Web Services (AWS) in the ap-southeast-2 (Sydney) region. This is a Ministry-owned sub-tenancy of the main Ministry of Health AWS tenancy, which enforces relevant security, audit, and policy controls. 39. The Website found at tracing.covid19.govt.nz is stored and served using Netlify, a specialist web hosting service designed to host static web applications. Only pre- compiled static web assets, including HTML, CSS, and JavaScript are served from Netlify. Consumer’s personal information, and other data collected by the CCTA, is not sent to Netlify servers. 40. Data stored within AWS is encrypted. The Ministry controls access to the encryption keys and the data. 41. The source code and high-level architecture for initial design of the solution have been reviewed by the Government Communications Security Bureau’s National Cyber Security Centre and an independent All of Government security supplier and designed in collaboration with Amazon Web Services. 42. The Specific Agreement with the Service Provider for provision of the CCTA contains standard Ministry Information Technology clauses designed to require compliance with relevant New Zealand security and privacy obligations in development of the CCTA. Governance 43. Governance of the programme maintains oversight of the collection, management, authorised use and deletion of information arising from the CCTA processes via the following oversight: • The COVID-19 Technology Enablers Governance Group will perform the overall governance function, and the COVID-19 Technology Steering Group will manage operational matters. • The Senior Responsible Officer for Data and Digital’s COVID-19 response. Page 21 of 84
• The Business Design Council. This includes a sub-set of members from the Digital Investment Board, a Clinical Leader and Ministry (non-Data & Digital) employees. • The NCTS governance team. Page 22 of 84
Section Three - Privacy Analysis The purpose of this Assessment is to review the process of collection, storage, use and sharing of personal and contact information for the purposes of the COVID-19 pandemic response against the 13 Rules in the Health Information Privacy Code (HIPC). This application will collect personal and contact information for health purposes. It will be a health agency (the Ministry of Health) collecting, storing, using and where appropriate sharing the information collected (with other health agencies, but only as required for the purposes of the COVID-19 pandemic response). The CCTA is designed to support existing Contact Tracing activity, and enables Consumers choice in what features they wish to use to support New Zealand’s COVID-19 response. The App has been changing incrementally through a series of Releases. This analysis addresses the accumulated releases up to and including Release 8. The introduction of the Bluetooth tracing functionality has been focussed on swift identification of those individuals more likely to be at risk of having been in Close Contact with a Case. Contact Tracers indicated speed in the initial warning to Consumers at risk could assist in ensuring faster self-isolation and testing if required. This could help stop the potential for spread of the virus at an earlier stage. There is potential for the Bluetooth Alert Notification to be received some hours earlier than a phone call from a Contact Tracer could be made (assuming the individual is likely to be eventually identified as a Close Contact.) • There may also be some individuals identified who may not have been identified by the Contact Tracing processes. • It is also possible, however, that some Consumers may receive a Bluetooth Alert when they were not actually at risk (for example, the algorithm is set at a level that has enabled a match which was marginal in terms of actual risk or a contact was recorded on the other side of a glass partition etc). A balance needed to be set between the ability to provide notification, and the risk of over- notification. The algorithm settings (to enable each Consumer’s device to weigh any notification of potential contact with a Case) have been closely monitored, so they could be adjusted if required by the Ministry to ensure they have been set appropriately for the intended purposes – although the challenges of doing so with no active community cases are noted. There has been adjustment to align with international standards after recent exposure events. The level of uptake of the Bluetooth Tracing feature is also of importance – a higher uptake will lead to greater coverage and greater potential for contacts to be recorded on a participating device. This would enable the Bluetooth Alert feature to reach more Consumers if necessary. Gaining and maintaining Consumer trust will be essential to the uptake of the Bluetooth Tracing feature. • This feature may cause some unease for Consumers, due to uncertainty about how it will work. The Ministry planned and implemented a communication strategy to help explain the processes to the public. It updated the in-App Privacy Statement, and also its second ‘layer’ of the Privacy Statement – the web-based Privacy and Security Statement. The Ministry has also included a more detailed description in this Privacy Impact Assessment for those who are interested. Page 23 of 84
• The Ministry has chosen an option that retains key information on the Consumer device, rather than a centralised collection. The ‘keys’ recorded and used in the Bluetooth Tracing and Bluetooth Alert notification processes identify neither the Location where a contact occurred, nor the identity of the Consumer (or the other person in proximity to them). • The Bluetooth features remain optional – if a Consumer does not wish to use the features, then they do not need to enable them. They retain that choice. The addition of the Bluetooth Interoperability Server, to enable keys to be shared with CookSafe+ has undergone Ministry security review for the new components and related transfers. The information involved (the Bluetooth keys generated) will not identify the user or the location of any contact. The privacy implications of the Bluetooth keys therefore will be essentially the same as for the existing NZ COVID Tracer App, even those shared overseas for use in another jurisdiction. The Ministry has conducted its analysis under the Health Information Privacy Code as the information is ultimately about individuals who may test positive for COVID-19, are a probable case of COVID-19, or may be a Close Contact of a person with COVID-19. Under clause 4(1)(e) it is considered that this could be information about an ‘individual which is collected before or in the course of, and incidental to, the provision of any health service or disability service to that individual’. The Ministry has therefore chosen to analyse the high standards associated with health information in the HIPC for the purposes of this Privacy Impact Assessment. Health Information Solution Details and Key Controls Residual Privacy Code Rules commentary risk Rule Purpose of The purpose of collecting this Purpose Low 1 collection of health information is to assist with information Contact Tracing activities as part Collection of this demographic, contact and of the COVID-19 pandemic Location information is for the lawful purposes of - Only collect response. assisting with the public health response to the health information COVID-19 pandemic. This involves Contact Tracing if you really need The App is intended to address to locate Close Contacts of COVID-19 positive it challenges to the Contact Tracing individuals, and includes associated activities. processes: These may include: 1. Consumer Contact Details: • reviewing up to date contact details; or New Zealanders who have • enabling prompt identity verification to changed their contact details expedite community testing of Consumers since they were last updated (with NHI and details available on Consumer in the NHI or NES services device screens) if the Consumer chooses to or people in New Zealand use this option; with no contact details in • enabling Call Back contact to be requested those services. The impact of by a Consumer who has received a Location this lack of information is that Alert or Bluetooth Alert, if the Consumer Contact Tracers find it more chooses to request that contact; difficult to contact the person • discussing Locations where an Exposure concerned, delaying the Event may have occurred (if the individual process of testing and/or has chosen to opt in to the Location-related self-isolation for potential choices); or Close Contacts. • identifying potential Close Contacts using 2. Close Contacts and Digital Diary entries as a prompt. Locations: People have difficulty remembering where Page 24 of 84
they have been and who • Notifying Consumers using the Bluetooth they have had “close Alert of potential exposure to COVID-19 contact” with, particularly over the period of interest Necessary (up to 60 days). This means Consumers and therefore The Consumer contact information supplied is Contact Tracers may not be necessary to meet this purpose, as set out in able to identify all of those Appendix Two paragraph 10. who need to be tested, and/or isolated. The App The Location and Digital Diary data is necessary for Digital Diary feature will Contact Tracing purposes to enable Consumers to enable both scanning of QR more easily recall events where the Consumer may Location codes and also have interacted with Close Contacts, or Locations manual entry of relevant where Close Contacts may have congregated, and details by the Consumer. to support Exposure Event Notifications. 3. Speed of notification of potential exposure to Early versions of the app specified that Digital Diary COVID-19. The faster information was to be automatically deleted after 31 Consumers can be made days. In accordance with further clinical advice from aware that they may have the Contact Tracing team it has been determined been exposed to the virus, that 60 days-worth of Digital Diary records may the faster they can make provide additional valuable information to identify choices to limit their contact the source of an original infection. The time frame to others, and seek for automatic deletion has now been extended to 60 treatment for themselves (if days, as it is considered information related to the required). Although the additional two incubation period is necessary to Contact Tracing processes assist with Contact Tracing. work efficiently, there is still a time lag between a person One potential challenge created by the addition of testing positive and their free field text entries for the Digital Diary is that potential contacts being individuals can put as much information as they identified and contacted. The wish (up to the character limit) and are not Bluetooth Alert notification is constrained in the information they wish to include. designed to enable direct This means that the App features themselves do notification to Consumers of not, in this instance, limit the information fields that the potential exposure, can be included in the recording. Some individuals without the additional delay may put personal comments about themselves or involved in Consumer to others that they may not wish others to see. This Contact Tracer contact. could result in information not ‘necessary’ for the Contact Tracing purposes being collected (if it was The type of personal information Uploaded). being contemplated for collection under the CCTA is all optional. There is however the significant mitigation feature The Digital Diary recordings are that the information will not leave the Consumer’s aligned with that addressed under device for review by a Contact Tracer unless the Part 3A of the Health Act, subpart Consumer chooses to Upload it in response to a 5 – Contact Tracing. This CCTA Contact Tracer Request. collection will not be under those powers but will be a collection on • Part of the Contact Tracer training will be to a voluntary basis of the range of reinforce that it is optional to Upload the information authorised under the information (but that if the Consumer does Contact Tracing provisions. choose to Upload, that all Digital Diary information – both scanned Location and • Notifications of Exposure manual entries - will be uploaded). Events will occur if enabled • The Digital Diary itself will have a prompt (for iOS) or not disabled immediately above the ‘Add entry’ screen (for Android), or when the stating ‘Describing who you were with and Consumer opens the App. what you were doing can help the Contact The Consumer can choose Tracing team if you share your diary’. how (or if) to respond to • There is an edit feature for Consumers to those Notifications. update or delete entries – this will enable the • The Upload option for Consumer to review the data they have Digital Diary details (both collected on the Digital Diary and modify it if Location information and necessary to remove any information they do Page 25 of 84
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