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Race, Ethnicity, Language, and Disability (REALD) Implementation

What is REALD?

REALD is an effort to increase and standardize Race, Ethnicity, Language, and Disability (REALD) data collection across the Oregon Department of Human Services (ODHS) and the Oregon Health Authority (OHA). REALD (sometimes referred to as REAL+D, as the original effort focused on race, ethnicity and language) was advanced through the passage of House Bill 2134 passed by the Oregon legislature in 2013.

HB 2134 required ODHS and OHA to develop a standard for collection of REALD data in conjunction with community stakeholders. The statuary authority for these rules is codified in the Oregon Revised Statutes (ORS) 413.042 and 413.161. In 2014 the Oregon Administrative Rules (OARs) detailing the data collection standards were completed (OARs 943-070-0000 thru 943-070-0070).

October 1, 2020 Changes for Health Care Providers

Since October 1, 2020, hospitals, federally qualified health centers (FQHCs) and health systems have been required to report REALD data on COVID-19 encounters. Other providers will be phased in over time. 

Learn about requirements related to REALD data collection and reporting for COVID-19 encounters on the REALD for Health Care Providers page.

 Visit REALD for Providers

What's New:

OHA REALD Office Hours for Phase 1 Organizations

Starting in January 2021, OHA will host office hours for Phase 1 providers to ask REALD questions. Phase 1 providers are:

  • Hospitals except for licensed psychiatric hospitals
  • Health care providers within a health system
  • Health care providers working in a federally qualified health center

OHA's first office hour will be held January 26, 2021, from noon to 1 p.m. 

REALD Learning Series

Find slides and recordings for past sessions in the "Resources" section below.

REALD Lessons Learned for Phase 1 Organizations 


Visit the REALD rules page for the current REALD rules, rulemaking information, and ​upcoming changes.​

For more information please contact Marjorie McGee, PhD at:

Implementation Guide

Read the Guide

REALD Guide cover

How to Ask the Questions

 REALD Response Matrix

Also see OHA's 4-page quick guide to asking REALD questions.

REALD Templates (paper forms)

View All Templates

Includes general information and links to all five versions in 20 languages

Quick Links

Service-based settings (such as health care, contact tracing, social services):

Non-service-based settings (such as surveys):

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