# 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: API Commons Plans
specificationVersion: '0.1'
schema: https://raw.githubusercontent.com/api-evangelist/interface-research/main/schema/api-commons.yml#/$defs/Plans
provider: Microsoft Azure Health Data Services
providerId: microsoft-azure-health-data-services
created: '2026-06-13'
modified: '2026-06-13'
reconciled: true
tags:
  - Azure
  - Healthcare
  - FHIR
  - DICOM
  - MedTech
  - De-identification
  - Microsoft Azure
description: >-
  Azure Health Data Services uses a pay-as-you-go model billed on service runtime
  (per hour), structured storage (per GB-month SSD-backed), throughput (RU/s for
  FHIR), DICOM image storage (per GB-month), MedTech messages processed, and
  de-identification data volume (per MB). A monthly free allotment is included
  for trial purposes (50 MB for de-identification; FHIR and DICOM include a
  free monthly allowance as well). Enterprise customers can use Azure Reserved
  Capacity for discounted commitments.
sources:
  - https://azure.microsoft.com/en-us/pricing/details/health-data-services/
  - https://learn.microsoft.com/en-us/azure/healthcare-apis/healthcare-apis-overview
plans:
  - id: microsoft-azure-health-fhir-pay-as-you-go
    name: FHIR Service — Pay-As-You-Go
    type: usage-based
    description: >-
      Billed per FHIR service instance runtime (per hour), structured SSD storage
      (per GB-month), and provisioned throughput (per 100 RU/s). Includes a monthly
      free allotment. No upfront commitment required.
    entries:
      - label: Service Runtime
        name: fhir_runtime
        type: metered
        metric: hour
        limit: -1
        timeFrame: hour
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page'
        userMultiplied: false
      - label: Structured Storage (SSD-backed)
        name: fhir_storage
        type: metered
        metric: gb
        limit: -1
        timeFrame: month
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page (per GB-month)'
        userMultiplied: false
      - label: Provisioned Throughput
        name: fhir_throughput
        type: metered
        metric: ru_per_second
        limit: -1
        timeFrame: hour
        geo: per-region
        unit: 100
        price: 'see Azure Health Data Services pricing page (per 100 RU/s)'
        userMultiplied: false
    elements:
      - name: FHIR R4 compliant server
      - name: SMART on FHIR v1 and v2
      - name: Microsoft Entra ID RBAC
      - name: Audit logging
      - name: HIPAA/HITRUST compliance boundary
      - name: Multi-region failover
      - name: Monthly free allotment included

  - id: microsoft-azure-health-dicom-pay-as-you-go
    name: DICOM Service — Pay-As-You-Go
    type: usage-based
    description: >-
      Billed per DICOM service instance runtime (per hour) and medical imaging
      storage (per GB-month). Supports petabyte-scale imaging archives with
      Azure Locally Redundant Storage for automatic replication.
    entries:
      - label: Service Runtime
        name: dicom_runtime
        type: metered
        metric: hour
        limit: -1
        timeFrame: hour
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page'
        userMultiplied: false
      - label: Imaging Storage
        name: dicom_storage
        type: metered
        metric: gb
        limit: -1
        timeFrame: month
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page (per GB-month)'
        userMultiplied: false
    elements:
      - name: DICOMweb STOW-RS, QIDO-RS, WADO-RS
      - name: Worklist Service (UPS-RS)
      - name: Extended query tags
      - name: Change feed
      - name: PHI compliance (HIPAA, GDPR, CCPA)
      - name: Azure LRS automatic replication
      - name: DICOMcast FHIR integration

  - id: microsoft-azure-health-medtech-pay-as-you-go
    name: MedTech Service — Pay-As-You-Go
    type: usage-based
    description: >-
      Billed per MedTech service instance runtime (per hour) and per device
      message processed. Device messages are received via Azure Event Hub and
      transformed to FHIR Observation resources.
    entries:
      - label: Service Runtime
        name: medtech_runtime
        type: metered
        metric: hour
        limit: -1
        timeFrame: hour
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page'
        userMultiplied: false
      - label: Device Messages Processed
        name: medtech_messages
        type: metered
        metric: message
        limit: -1
        timeFrame: usage
        geo: per-region
        unit: 1000
        price: 'see Azure Health Data Services pricing page (per 1,000 messages)'
        userMultiplied: false
    elements:
      - name: IoMT device data ingestion via Event Hub
      - name: FHIR Observation resource output
      - name: Configurable device and FHIR mapping templates
      - name: Multiple concurrent device type support
      - name: HIPAA/HITRUST compliance boundary

  - id: microsoft-azure-health-deid-pay-as-you-go
    name: De-identification Service — Pay-As-You-Go
    type: usage-based
    description: >-
      Billed per MB of clinical text de-identified (TAG, REDACT, or SURROGATE
      operations). Includes 50 MB free monthly allotment. Synchronous and
      asynchronous batch endpoints available.
    entries:
      - label: Data De-identified (after free allotment)
        name: deid_mb_processed
        type: metered
        metric: mb
        limit: -1
        timeFrame: usage
        geo: per-region
        unit: 1
        price: 'see Azure Health Data Services pricing page — Transformation Operations (per MB)'
        userMultiplied: false
      - label: Free Monthly Allotment
        name: deid_free_allotment
        type: free
        metric: mb
        limit: 50
        timeFrame: month
        geo: global
        unit: 1
        price: 'free'
        userMultiplied: false
    elements:
      - name: 27 PHI entity types covered
      - name: HIPAA 18-identifier coverage
      - name: TAG / REDACT / SURROGATE operations
      - name: Consistent surrogation within a batch
      - name: Synchronous and asynchronous batch endpoints
      - name: GDPR pseudonymization compliant
      - name: Stateless — data stays in customer tenant

  - id: microsoft-azure-health-enterprise
    name: Enterprise Reserved Capacity
    type: enterprise
    description: >-
      Pre-committed throughput and storage reservations available for 1- or 3-year
      terms for large healthcare enterprises. Provides discount over pay-as-you-go
      rates for predictable high-volume workloads.
    entries:
      - label: Reserved Throughput Commitment
        name: enterprise_reserved_throughput
        type: subscription
        metric: capacity
        limit: -1
        timeFrame: year
        geo: per-region
        unit: 1
        price: 'contact Microsoft for enterprise pricing'
        userMultiplied: false
    elements:
      - name: 1- or 3-year commitment terms
      - name: Discounted rates vs pay-as-you-go
      - name: Dedicated support SLA options
      - name: Customer-managed encryption keys
      - name: Private Link support
      - name: HIPAA BAA available
maintainers:
  - FN: Kin Lane
    email: kin@apievangelist.com
x-canonical:
  generated: '2026-10-08'
  vocabulary: all/0-working/economics/plans-canonical.yml
  models:
  - metered
  - subscription
  units:
  - compute
  - data
  - message
  plans:
  - name: FHIR Service — Pay-As-You-Go
    access: other
    model: metered
    model_how: stated
    units:
    - compute
    - data
    periods:
    - hour
    - month
  - name: DICOM Service — Pay-As-You-Go
    access: other
    model: metered
    model_how: stated
    units:
    - compute
    - data
    periods:
    - hour
    - month
  - name: MedTech Service — Pay-As-You-Go
    access: other
    model: metered
    model_how: stated
    units:
    - compute
    - message
    periods:
    - hour
    - per-use
  - name: De-identification Service — Pay-As-You-Go
    access: other
    model: metered
    model_how: stated
    units:
    - data
    periods:
    - month
    - per-use
  - name: Enterprise Reserved Capacity
    access: enterprise
    model: subscription
    model_how: derived
    units:
    - other
    periods:
    - year