# Provenance stamped 2026-10-07 (roadmap#943): written by an API Evangelist sweep (dated 2026-06-13 by the file itself), not
# harvested from the provider. `method: generated` so the economics campaign may replace it with a
# dated, verbatim transcription; every figure below is unverified until it does.
method: generated
generated: '2026-06-13'
specification: FinOps Framework
specificationVersion: '1.0'
schema: https://www.finops.org/framework/
provider: Microsoft Azure Health Data Services
providerId: microsoft-azure-health-data-services
created: '2026-06-13'
modified: '2026-06-13'
reconciled: true
tags:
  - FinOps
  - FOCUS
  - Healthcare
  - FHIR
  - DICOM
  - MedTech
  - De-identification
  - Microsoft Azure
description: >-
  FOCUS-aligned FinOps for Azure Health Data Services covering four services:
  (1) FHIR service billed on runtime-hours, SSD storage (GB-month), and throughput
  (RU/s); (2) DICOM service billed on runtime-hours and imaging storage (GB-month);
  (3) MedTech service billed on runtime-hours and device messages processed; and
  (4) De-identification service billed on data volume (MB) with a 50 MB free monthly
  allotment. All services are pay-as-you-go with no upfront cost. Enterprise reserved
  capacity discounts are available.
sources:
  - https://azure.microsoft.com/en-us/pricing/details/health-data-services/
  - https://learn.microsoft.com/en-us/azure/healthcare-apis/healthcare-apis-overview
  - https://learn.microsoft.com/en-us/azure/healthcare-apis/deidentification/overview#pricing
alignedWith:
  framework: FinOps Foundation Framework
  frameworkUrl: https://www.finops.org/framework/
  dataSpec: FOCUS
  dataSpecVersion: '1.3'
  dataSpecUrl: https://focus.finops.org/focus-specification/v1-3/
publisherName: Microsoft Corporation
serviceCategory: Healthcare / Health Data Services
billingModel:
  pricingCategory: Pay-As-You-Go + Committed Use
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
    - Usage
    - Purchase
    - Tax
    - Adjustment
    - Credit
focusColumns:
  ServiceName: Azure Health Data Services
  ServiceCategory: Healthcare
  ProviderName: Microsoft
  PublisherName: Microsoft Corporation
  InvoiceIssuerName: Microsoft Corporation
  BillingCurrency: USD
  ChargeCategory: Usage
meters:
  - name: fhir_runtime_hours
    unit: hour
    aggregation: sum
    dimensions:
      - fhir_service_instance
      - region
      - subscription
  - name: fhir_storage_gb_month
    unit: GB-month
    aggregation: avg
    dimensions:
      - fhir_service_instance
      - region
      - subscription
  - name: fhir_throughput_ru_per_second
    unit: RU/s (per 100 RU/s)
    aggregation: avg
    dimensions:
      - fhir_service_instance
      - region
      - subscription
  - name: dicom_runtime_hours
    unit: hour
    aggregation: sum
    dimensions:
      - dicom_service_instance
      - region
      - subscription
  - name: dicom_storage_gb_month
    unit: GB-month
    aggregation: avg
    dimensions:
      - dicom_service_instance
      - region
      - subscription
  - name: medtech_runtime_hours
    unit: hour
    aggregation: sum
    dimensions:
      - medtech_service_instance
      - region
      - subscription
  - name: medtech_messages_processed
    unit: message
    aggregation: sum
    dimensions:
      - medtech_service_instance
      - region
      - subscription
  - name: deid_mb_processed
    unit: MB
    aggregation: sum
    dimensions:
      - deid_service_instance
      - operation_type
      - region
      - subscription
optimizationOpportunities:
  - name: Right-size FHIR DICOM instances
    description: >-
      Monitor actual storage growth and throughput utilization via Azure Monitor
      metrics. De-provision or share workspace instances that are underutilized
      to eliminate idle runtime-hour charges.
  - name: Use de-identification free allotment
    description: >-
      The 50 MB monthly free allotment resets each month. Plan batch de-id
      jobs to maximize use of the free tier before incurring per-MB charges.
  - name: Reserved capacity for predictable workloads
    description: >-
      For steady-state FHIR or DICOM workloads, commit to 1- or 3-year reserved
      capacity to receive discount pricing vs. pay-as-you-go runtime and storage.
  - name: Azure Pricing Calculator
    description: >-
      Use the Azure Pricing Calculator to model cost across FHIR, DICOM, MedTech,
      and de-identification tiers before provisioning new service instances.
    url: https://azure.microsoft.com/en-us/pricing/calculator/
  - name: Azure Cost Management integration
    description: >-
      Tag all Azure Health Data Services resources with cost center, environment,
      and application tags to enable granular cost allocation reporting in
      Azure Cost Management + Billing.
  - name: MedTech message batching
    description: >-
      Batch IoMT device messages efficiently via Event Hub partition strategy
      to minimize per-message processing overhead and optimize MedTech billing.
  - name: DICOM storage lifecycle management
    description: >-
      Implement automated export and archival workflows for aged DICOM studies
      using the DICOM export API to move data to lower-cost Azure Blob Storage
      (Cool/Cold/Archive tier) once studies are no longer actively accessed.
maintainers:
  - FN: Kin Lane
    email: kin@apievangelist.com