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REALD for Health Care Providers

Requirements for COVID-19 Encounters

House Bill 4212 (2020 1st Special Session) requires health care providers subject to Oregon Disease Reporting rules to report REALD information when reporting the following information to the Oregon Health Authority (OHA):

  • Positive or negative COVID-19 cases,
  • COVID-19 hospitalizations or deaths, and
  • MIS-C cases.

The Oregon Health Authority is implementing REALD requirements in three phases:

  • Phase 1 starting October 1, 2020
  • Phase 2 starting March 1, 2021
  • Phase 3 starting January 1, 2022. OHA encourages Phase 3 sites to plan for REALD reporting prior to the January 1 start date. 
Use OHA's REALD collection templates for health care settings.
  • All questions must be completed.
  • Patients may decline to answer any question.
Until translations of the updated forms are available::
  • Please collect data using the posted translations.
  • Clearly identify the patient’s first name, last name, date of birth and medical record number (if applicable) on each completed form for your records.
Providers may also choose to adapt their own systems and forms to incorporate the REALD questions into their existing data collection processes. If doing so:
  • Do not change or remove wording in the questions or in the response choices for each question.
  • Changing the question order is acceptable.​​
Sites reporting COVID-19 cases, hospitalizations and deaths or Multisystem Inflammatory Sy​​ndrome in Children (MIS-C) data to OHA may submit data two ways:

Visit the REALD Data Reporting for COVID-19 Encounters page​ for complete information about how to report REALD data to OHA.

If providers cannot comply with data collection and reporting requirements by the timeline outlined in rule 333-018-0011, they may request an extension by submitting a Complia​nce Plan​ to OHA. ​

The plan must provide sufficient detail to demonstrate a good faith effort to come into compliance in a timely manner, including plans for:

  • Workflow design, 
  • Staff training, and 
  • Any phased implementation​.

OHA's Compliance Plan Template​ lists the required and optional information to include in the plan for OHA review.

OHA will review the plan and may ask for additional information or clarification. ​

Once OHA approves the Compliance Plan:

  • ​Any adjustments to an approved Compliance Plan are subject to re-approval by OHA. 
  • OHA will require monthly reports outlining the progress towards implementing REALD data collection and reporting.


HB 4212 Im​plementation Guide

This guide provides information to help health systems and providers meet the data collection and reporting requirements of HB 4212.​​ Topics include:

  • ​Quick links: Resources, statutes and Oregon Administrative Rules
  • HB 4212 requirements: Affected providers, implementation timeline, compliance and enforcement, data collection, data reporting, patient privacy protections
  • Data collection and reporting: How to collect and submit data
  • Alignment with federal race and ethnicity reporting standards​​

REALD Implementation Guide​​​

This comprehensive guide to REALD​ provides in-depth information to facilitate implementation of the REALD data collection standards. This guide also includes information to support analysis and reporting of REALD data. Topics include:

  • ​REALD and what it means for Oregon
  • Understanding the REALD categories and questions​
  • OHA's ​REALD Implementation Policy and work plan​
  • Data collection: Key points and concepts
  • Data quality, analyses and reporting
  • Data collection resources
  • REALD and communities (community engagement)​
  • Community engagement resources
  • References for researchers
  • Reliability and validity of the ACS disability questions​
Visit the REALD rules page for the current REALD rules, rulemaking information, and ​upcoming changes.​

Fact sheet - REALD and COVID-19: ​English | Russian | Spanish | Vietnamese | Somali | Arabic ​| Korean | Simplified Chinese | Traditional Chinese | Chuukese | Marshallese | Hmong

Fact sheet - REALD and Disability Questions: English​ | Russian | Spanish | Vietnamese | Somali | Arabic | ​Korean | Simplified Chinese | Traditional Chinese | Chuukese | Marshallese | Hmong |​

Frequently asked questions

"What is Race, Ethnicity and Language, Disability (REALD)?​"Oregon Coronavirus Update​ (March 22, 2021)

Quarterly Updates

December 2021

Fact Sheets and Posters

View, download or order printed copies of fact sheets and posters that explain why providers need to collect REALD information.

REALD Report

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Frequently Asked Questions

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