Opportunity Information: Apply for NAP AX 23 001
This grant opportunity, titled "Enhancing the LOINC Standard to support U.S. Interoperability" (Funding Opportunity Number: NAP AX 23 001), is a discretionary cooperative agreement offered by the U.S. Department of Health and Human Services through the Office of the National Coordinator for Health Information Technology (ONC). The overall goal is to strengthen the LOINC standard (Logical Observation Identifiers Names and Codes), which is widely used to represent lab tests, clinical observations, and other measurement-based health data, so it can better support nationwide health data exchange and interoperability priorities in the United States.
A central theme of the opportunity is ONC's intent to work directly with Regenstrief Institute, the organization that develops and maintains LOINC. The planned work focuses on upgrading LOINC's technical infrastructure and speeding up improvements to how users and systems access LOINC content. In practical terms, this means making LOINC easier to retrieve, search, integrate, and keep up to date within real-world health IT environments, including electronic health records and data exchange platforms. The opportunity also emphasizes closing gaps between LOINC and HL7 FHIR, reflecting the reality that FHIR has become a primary method for exchanging health data and that vocabulary standards like LOINC need strong alignment with it to enable consistent, computable interoperability.
A major deliverable highlighted in the description is advancing FHIR Terminology Services for LOINC into production deployment. This points to work that goes beyond prototypes and pilots, aiming for operational, reliable services that implementers can use at scale. FHIR Terminology Services generally refer to capabilities such as code lookup, search, validation, concept mapping, and value set operations delivered through standardized FHIR APIs. Supporting production-ready terminology services for LOINC would help developers and health organizations more easily validate and translate codes, keep terminology synchronized, and support consistent interpretation of observation data across different systems.
The opportunity also places attention on supporting LOINC content developers as they create or expand content that supports the United States Core Data for Interoperability (USCDI). USCDI defines priority data classes and elements that the U.S. healthcare system is expected to exchange to support interoperability, patient access, and public health goals. By tying LOINC content development to USCDI needs, the cooperative agreement is effectively aimed at ensuring that the LOINC vocabulary continues to evolve in step with U.S. policy and implementation requirements, especially for high-value clinical data that must be exchanged consistently across settings.
Another clear focus is improving the tools that the LOINC community relies on for implementation, specifically SearchLOINC and RELMA. These tools are commonly used to find the right LOINC codes, browse and understand LOINC terms, and assist with mapping local lab or clinical codes to standardized LOINC identifiers. Updating and enhancing these tools can reduce implementation friction, improve mapping quality, and ultimately increase the consistency of data captured and exchanged across organizations. That matters because even when a standard exists, the day-to-day usability of the tooling often determines how accurately and widely it gets implemented.
The funding parameters are straightforward: the award ceiling is $500,000, ONC expects to make one award, and the instrument is a cooperative agreement, which typically means substantial involvement and collaboration with the federal agency during the period of performance rather than a hands-off grant. The opportunity was created on June 6, 2023, and originally closed on July 5, 2023. It is categorized under health (CFDA 93.346). While the eligibility field is listed as "Others" with additional clarification referenced elsewhere, the narrative makes it clear that ONC is intending to work directly with Regenstrief for this effort, consistent with the specialized role Regenstrief plays as the steward of LOINC.
Finally, an important condition of the award is that all tools and content developed under the cooperative agreement must be publicly accessible. That requirement reinforces the public infrastructure nature of LOINC: improvements funded through this program are meant to benefit the entire health IT ecosystem, not just a single vendor or organization. Public access also helps drive broader adoption, supports transparency, and enables developers, providers, researchers, and public health agencies to use the resulting terminology enhancements and tooling without unnecessary barriers.Apply for NAP AX 23 001
- The Department of Health and Human Services, Office of the National Coordinator in the health sector is offering a public funding opportunity titled "Enhancing the LOINC® Standard to support U.S. Interoperability" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.346.
- This funding opportunity was created on Jun 06, 2023.
- Applicants must submit their applications by Jul 05, 2023. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Each selected applicant is eligible to receive up to $500,000.00 in funding.
- The number of recipients for this funding is limited to 1 candidate(s).
- Eligible applicants include: Others (see text field entitled Additional Information on Eligibility for clarification).
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