Technology area

Clinical decision support

96 funded awards, $69.9M total, FY2023-FY2025.

Data current as of 2026-05-11

Pattern read

Clinical decision support is a smaller tag at 96 records / $70M. NHLBI leads with 23 (cardiology and pulmonary decision tools), then NICHD (13) and NCI (12). Median award is high at $728K, which suggests Phase II awards dominate the volume. The tag's small Phase I count (R43 at 17) supports this: many of these are continuations or direct-to-Phase-II. STTR Phase II (R42) at 8 is notable -- this is a tag where academic clinical-evidence partnerships have mattered. Concentration is 11.5% at the top three, higher than the broader dataset; a smaller pool of EHR-integrated vendors keeps winning. CDS records frequently carry the ai_ml tag as well.

Fit indicators

  • High median award ($728K) and R44-heavy mix indicate Phase II awards have been the durable path.
  • EHR integration and clinical-validation evidence have been the dominant elements in funded work.

Watchouts

  • Concentration is higher than most tags (~12% at top three). A few EHR-savvy vendors recur. New entrants need a workflow story, not just an algorithm.
  • Heavy overlap with ai_ml. Don't double-pitch the same model under two framings.

Where the money sat, by Institute / Center

IC funding decisions are set by portfolio priorities, NOFO scope, and program-officer judgment. These are funded records, not predictions of future funding.

ICNameRecordsMedian award
HL (NHLBI) National Heart Lung and Blood Institute 23 $605,537
HD (NICHD) Eunice Kennedy Shriver National Institute of Child Health and Human Development 13 $385,000
CA (NCI) National Cancer Institute 12 $730,792
AI (NIAID) National Institute of Allergy and Infectious Diseases 9 $988,977
MH (NIMH) National Institute of Mental Health 9 $740,782
GM (NIGMS) National Institute of General Medical Sciences 8 $937,950
HG (NHGRI) National Human Genome Research Institute 4 $400,214
NR (NINR) National Institute of Nursing Research 4 $576,837
AG (NIA) National Institute on Aging 3 $1,121,445
LM (NLM) National Library of Medicine 2 $331,625
TR (NCATS) National Center for Advancing Translational Sciences 2 $1,008,138
NS (NINDS) National Institute of Neurological Disorders and Stroke 2 $823,825
AA (NIAAA) National Institute on Alcohol Abuse and Alcoholism 2 $1,368,531
DE (NIDCR) National Institute of Dental and Craniofacial Research 1 $305,746
DK (NIDDK) National Institute of Diabetes and Digestive and Kidney Diseases 1 $284,039
DA (NIDA) National Institute on Drug Abuse 1 $678,400

FOA / NOFO routes

Opportunity number prefixes: PA = Parent Announcement (broad, omnibus, multiple ICs), PAR = Parent with Special Review, PAS = Parent with set-aside funds, RFA = Request for Applications (targeted, single-IC, fixed budget). Status unknown means the pipeline has not verified whether the FOA is currently posting awards; the SBIR omnibus has been in reauthorization gap during this window. See the glossary for full definitions.

OpportunityStatusRecords
PA-22-176 unknown 19
PA-23-230 unknown 14
PA-21-259 unknown 12
PA-22-177 unknown 10
PA-23-232 unknown 5
PA-21-260 unknown 5
PA-22-178 unknown 4
RFA-HL-23-009 unknown 3
PA-23-231 unknown 2
PA-24-245 unknown 2
PA-23-233 unknown 2
RFA-CA-21-036 unknown 2
RFA-CA-22-025 unknown 2
PA-20-262 unknown 2
PAR-24-106 unknown 1
PA-21-345 unknown 1
PA-24-247 unknown 1
PA-24-246 unknown 1
PAR-22-073 unknown 1
PA-20-272 unknown 1
PA-20-260 unknown 1
PAS-19-316 unknown 1
RFA-NS-20-009 unknown 1
RFA-DA-19-019 unknown 1
PAR-18-801 unknown 1
RFA-NS-20-011 unknown 1

Comparable funded projects

ApplIDFYICTitleOrganizationAmount
10953826 2025 HL A non-invasive, automated platform for hemodynamic assessment of patients at risk of heart failure or pulmonary hypertension SENSYDIA CORPORATION $1,607,970
11005406 2025 AI Development of a Rapid Phenotypic Pyrazinamide Susceptibility Testing for Mycobacterium tuberculosis Using Well-Standardized Protocol PZA INNOVATION LLC $843,964
11035151 2025 HL New generation of catheters for treatment of atrial fibrillation LUXMED SYSTEMS, INC. $998,310
11045748 2025 GM Deep-CDS: Deep Learning Semantic Data Lake for Clinical Decision Support INFOTECH SOFT, INC. $346,252
11065233 2025 HD HOMEals: A Science-Based Clinical Decision Support System for Nutrition in IDD Group Homes GOOD NUTRITION IDEAS, LLC $385,000
11067518 2025 HD A Real-time, Automated Maternal Hemorrhage Risk Assessment Platform Using Artificial Intelligence NOMA AI INC. $305,292
11068796 2025 LM GuidedOR: A Real-Time Medication Safety Software Platform for the Operating Room GUIDED CLINICAL SOLUTIONS, INC. $313,819
11069619 2025 AI Bioinformatics pipeline for personalized diagnostics of transplant rejection DATIRIUM, LLC $306,500

Review panels that have appeared on these records

Panel names use NIH's Center for Scientific Review (CSR) format: a 2-4 letter study-section code plus a meeting-cycle number in parentheses (e.g. ISB (12) = Instrumentation and Systems Development, cycle 12). SBIR/STTR review groups are temporary, meeting-specific bodies. The names below describe panels that have appeared on the cited funded-project records, not where future applications get assigned. NIH assigns panels at the time of submission based on the application content.

Limitations

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