Opportunity Information: Apply for NAP AX 18 004
The grant opportunity titled "Enhancing the Logical Observation Identifiers Names and Codes Standard to Support U.S. Interoperability" is a discretionary funding announcement from the U.S. Department of Health and Human Services (HHS), specifically the Office of the National Coordinator for Health Information Technology (ONC). Its central purpose is to strengthen the LOINC standard (Logical Observation Identifiers Names and Codes), which is widely used to represent laboratory tests, clinical measurements, and other observations in a consistent, machine-readable way across electronic health record systems and other health IT platforms. By improving LOINC, the program aims to reduce variation in how clinical data are labeled and exchanged, which is a major barrier to seamless interoperability.
This opportunity is structured as a cooperative agreement and grant, meaning the federal agency expects to have substantial involvement in guiding or collaborating on the work rather than simply providing funds with minimal oversight. The announcement explicitly describes a sole source cooperative agreement with the Regenstrief Institute, the organization that develops and maintains LOINC. In practical terms, "sole source" indicates that the government intends to fund Regenstrief directly rather than running a competitive process among multiple applicants, largely because Regenstrief is the authoritative steward of the LOINC standard and is uniquely positioned to make core changes to its infrastructure and content.
The work funded under this announcement focuses first on upgrading Regenstrief's underlying technical infrastructure. That infrastructure work is important because maintaining and expanding a major terminology standard is not only about adding codes; it also depends on the systems that manage terminology authoring, version control, release processes, distribution, governance workflows, and quality assurance. The announcement then ties those infrastructure improvements to the next stage: updating existing LOINC content and developing new LOINC codes to better support interoperable health IT nationwide. Although the provided text includes placeholder-like artifacts around the word "LOINC" and "codes," the intent is clear that the funding is aimed at enabling LOINC to evolve more effectively and efficiently as the healthcare system demands new data elements and more precise representations of clinical concepts.
A key policy driver mentioned in the announcement is alignment with the USCDI, the United States Core Data for Interoperability. USCDI is ONC's baseline set of standardized data classes and elements intended to be exchanged across health systems for common interoperability use cases. As USCDI evolves over time, the healthcare system needs mature, well-maintained vocabulary and code systems to represent those data elements consistently. This grant is designed to position LOINC to keep pace with USCDI updates "as applicable," which signals that part of the motivation is to ensure that the observation and measurement concepts required for interoperability are available, current, and well-supported within LOINC.
Administratively, the opportunity is identified by Funding Opportunity Number "NAP AX 18 004" and is listed under CFDA (Catalog of Federal Domestic Assistance) number 93.346, which corresponds to ONC health IT-related programs. The award ceiling is $600,000, and ONC expected to make a single award. The announcement was created on July 26, 2018, with an original closing date of August 27, 2018. Eligibility is listed as "Others," with additional clarification referenced in the full announcement, but because it is described as a sole source collaboration with Regenstrief, the practical eligible applicant for this specific award is effectively the Regenstrief Institute.
In summary, this funding opportunity is a targeted ONC investment to reinforce the technical foundation and ongoing development capacity behind the LOINC standard so that LOINC can continue to expand, update, and better serve national interoperability needs. The emphasis on infrastructure upgrades plus new and updated codes reflects an understanding that long-term interoperability depends not just on having standards, but on having standards that can be maintained at scale, released reliably, and adapted quickly to emerging clinical, public health, research, and policy requirements, including the continuing evolution of USCDI.Apply for NAP AX 18 004
- 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 Logical Observation Identifiers Names and Codes 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 Jul 26, 2018.
- Applicants must submit their applications by Aug 27, 2018 No Explanation. (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 $600,000.00 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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Frequently Asked Questions (FAQs)
What is the title of this grant opportunity?
The opportunity is titled "Enhancing the Logical Observation Identifiers Names and Codes Standard to Support U.S. Interoperability."
Which federal agency is offering this funding opportunity?
This is a U.S. Department of Health and Human Services (HHS) opportunity, offered through the Office of the National Coordinator for Health Information Technology (ONC).
What is the main purpose of the funding?
The central purpose is to strengthen the LOINC standard (Logical Observation Identifiers Names and Codes) so clinical data are labeled and exchanged more consistently across electronic health records and other health IT systems, reducing variation that blocks interoperability.
What is LOINC and why does it matter for interoperability?
LOINC is a widely used standard for representing laboratory tests, clinical measurements, and other observations in a consistent, machine-readable way. Improving LOINC helps ensure that observation data are represented consistently across systems, which supports more seamless exchange and use of data.
What kind of award is this (grant, contract, cooperative agreement)?
The announcement describes a cooperative agreement and grant, indicating that ONC expects substantial involvement in guiding or collaborating on the work rather than providing funds with minimal oversight.
Is this a competitive funding opportunity?
No. The announcement explicitly describes a sole source cooperative agreement with the Regenstrief Institute, meaning the government intends to fund Regenstrief directly rather than run a competitive process among multiple applicants.
Why is the award described as "sole source"?
It is sole source largely because the Regenstrief Institute develops and maintains LOINC and is described as the authoritative steward of the standard, making it uniquely positioned to implement core changes to LOINC infrastructure and content.
Who is the intended recipient of the award?
Based on the sole source description, the practical recipient for this specific award is the Regenstrief Institute.
What are the major work areas supported by the funding?
The work focuses first on upgrading Regenstrief's underlying technical infrastructure used to maintain and expand the terminology standard, and then on updating existing LOINC content and developing new LOINC codes to better support interoperable health IT nationwide.
What does "technical infrastructure" mean in the context of LOINC?
In this announcement, infrastructure refers to the systems and capabilities needed to manage terminology authoring, version control, release processes, distribution, governance workflows, and quality assurance. The intent is to improve how LOINC is maintained and released at scale, not just add codes.
Does the opportunity include creating new LOINC codes?
Yes. The announcement indicates funding will support updating existing LOINC content and developing new LOINC codes to better meet nationwide interoperability needs.
How does this opportunity relate to USCDI?
A key driver is alignment with the United States Core Data for Interoperability (USCDI). The grant is intended to position LOINC to keep pace with USCDI updates "as applicable," supporting consistent representation of observation and measurement concepts needed for interoperability.
What is USCDI as referenced in the announcement?
USCDI is ONC's baseline set of standardized data classes and elements intended to be exchanged across health systems for common interoperability use cases.
What is the Funding Opportunity Number for this announcement?
The Funding Opportunity Number is NAP AX 18 004.
What is the CFDA number associated with this opportunity?
The opportunity is listed under CFDA number 93.346 (ONC health IT-related programs).
What is the maximum award amount (award ceiling)?
The award ceiling is $600,000.
How many awards did ONC expect to make?
ONC expected to make a single award.
When was the announcement created and when did it close?
The announcement was created on July 26, 2018, and had an original closing date of August 27, 2018.
Who is listed as eligible to apply?
Eligibility is listed as "Others," with additional clarification referenced in the full announcement. However, because it is described as a sole source cooperative agreement with Regenstrief, the practical eligible applicant for this specific award is effectively the Regenstrief Institute.
What problem is this funding trying to address?
The announcement targets variation in how clinical data are labeled and exchanged. That variation is described as a major barrier to seamless interoperability, and the funded work aims to reduce it by strengthening LOINC and the infrastructure used to maintain it.
What is the intended longer-term impact of this investment?
The opportunity is framed as a targeted ONC investment to reinforce the technical foundation and development capacity behind LOINC so it can expand and update more effectively, be released reliably, and adapt more quickly to emerging clinical, public health, research, and policy requirements, including USCDI evolution.
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