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2019 ITU Kaleidoscope Academic Conference
wearables are more of a two-way-street considering that information. Unfortunately, there is not a lot of case law in
they can also generate data, the basic concept and this regard to help further clarify the matter. If one of the
comparison to YouTube streaming is the same. factors determining what transfer is includes the technical
nature by which it takes place, the question that arises is
Processing health data in a way where data is collected by what technical circumstances can facilitate transfer. Council
an app or wearable and sent to a (cloud) server for (further) of Europe Convention 108 for the protection of individuals
processing still leaves the question whether sending the with regard to automatic processing of personal data [31]
data can be seen as a transfer within the meaning of the provides some insight in this regard.
GDPR and is as such protected or whether the device
functions merely as a tool for the companies to collect data Convention 108 includes a chapter on transborder data
where sending the data can be seen as a mere transit of data flows and determines that the provisions apply to the
[28]. The concept of ‘transfer’ will therefore be discussed transfer across national borders by whatever medium [32].
in the next paragraph. It is aimed at the free flow of information, regardless of
frontiers, taking into account the wide variety of factors
4. THE NOTION OF TRANSFER determining the way in which data is transferred. These
factors include: the mode of representation of the data, their
The GDPR aims at offering a similar level of data storage medium, way of transport, interface, the circuit
protection, regardless of where in the world data of data followed and the relations between the sender and recipient
subjects who are in the EU is being processed. Therefore, [33]. According to the explanatory memorandum the way of
Chapter V of the GDPR includes provisions on transfers of transport includes physical transport, mail, and circuit-
personal data to third countries. This section provides rules switched or packet-switched telecommunications links. The
in order to ensure data protection equivalent to the GDPR, interface, i.e. the point where two systems interact, can be,
meaning that data may only be transferred to third countries among other things, computer to terminal, computer to
outside the EU if the conditions of the GDPR are met. In computer, and manual to computer. The circuit followed
short, this means that there needs to be: 1) an adequacy can be direct from the country of origin to the country of
decision (such as the EU-U.S. Privacy Shield) or 2) destination or via one or more countries of transit [34]. The
appropriate safeguards or 3) that the data subject has given explanatory report to the Modernized Convention provides
explicit consent for data processing in the third country. some more clarity in determining that transborder data
With emerging modern technologies, where data may be transfers occur when personal data is disclosed or made
processed anywhere in the world, it is of the utmost available to a recipient subject to the jurisdiction of another
importance to protect the data, in particular health data. In state or international organization. According to Article 2 (e)
order to establish whether sending data, from the app or of the Convention a recipient is ‘a natural or legal person,
wearable onto the (cloud) server of a company for the public authority, service, agency or any other body to
purpose of being processed by that company, can be seen as whom data are disclosed or made available. The GDPR
a transfer within the meaning of the GDPR, it is important definition of recipient is almost the same, determining that
to establish what transfer exactly is in order to determine recipient means a natural or legal person, public authority,
whether or not it falls under Chapter V GDPR and agency or another body, to which the personal data are
consequently whether or not health data in this regard is disclosed, whether a third party or not’ [35]. The recipient
sufficiently protected. In literature transfer is described as thus receives the data or is given access to the data and can
to occur as a part of networked series of processes made to be a controller or a processor [36].
deliver a business result [29].
When it comes to moving data, there are two main ways to
The GDPR is, however, unclear about what transfer is and technically do this, namely by exchanging or sharing data.
does not provide a definition. What is clear is that it is a According to Doan et al. data exchange is the process of
process where data moves between different actors. taking data that is structured within the source database
According to the European Data Protection Supervisor system and transforming it into data structured under a
(EDPS) in its position paper on transfer to third countries target database system [37]. In other words, the data is
and international organizations by EU institutions and transformed so that it becomes compatible with other
bodies, the lack of a definition leads to the assumption that systems which receive an accurate representation of the
the term needs to be used in its natural meaning. As such source data. Exchange thus allows data to be shared
transfer means that data ‘moves’ between different users. between systems and programs. The introductory report for
However, as the EDPS also concludes, this is not always updating Recommendation No. R (97) 5 defines exchange
straight forward. According to the Court of Justice of the as the communication of information to (a) clearly
European Union (CJEU) in the Lindqvist case, it is identified recipient(s) by a known transmitter (such as
necessary to take account of both the technical nature of the secured e-mailing) [38]. When health data is exchanged,
operations carried out and of the purpose and structure of the data is sent from A to B using a transmitter. This can be
the provisions on transfer in EU legislation [30]. Taking an e-mail or other way of sending the data so that it can be
into account the technical nature of processing operations, read and used by B. Figure 1 below shows this process. In
transfer, as such entails, among other things, the this case, A is the original controller of the health data and
automatically or intentionally sending or accessing of
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