specification: FinOps Framework
specificationVersion: '1.0'
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/
provider: Medplum
providerId: medplum
publisherName: Medplum Inc.
serviceCategory: API / Developer Platform
created: '2026-05-25'
modified: '2026-05-25'
tags:
  - Healthcare
  - FHIR
  - FinOps
  - Cost Management
  - FOCUS
description: >-
  FinOps framework definition for the Medplum hosted developer platform. Provides a
  FOCUS-aligned mapping for cost allocation, usage measurement, and unit-economics
  reporting across the Medplum FHIR REST API, GraphQL API, and Bots execution surface.
principles:
  - name: Visibility
    description: Surface Medplum subscription and overage costs to engineering, product, and finance in near real-time.
  - name: Allocation
    description: Tag FHIR API consumption with consuming team, environment, application, and clinical workflow for chargeback.
  - name: Optimization
    description: Continuously evaluate batch operations, GraphQL field selection, and Bot execution patterns to reduce cost per clinical action.
  - name: Accountability
    description: Establish budget owners for each Medplum Project and document chargeback or showback flows.
domains:
  - name: Understand Usage and Cost
    capabilities:
      - Data Ingestion
      - Allocation
      - Reporting and Analytics
      - Anomaly Management
  - name: Quantify Business Value
    capabilities:
      - Planning and Estimating
      - Forecasting
      - Budgeting
      - Benchmarking
      - Unit Economics
  - name: Optimize Usage and Cost
    capabilities:
      - Architecting for Cloud
      - Rate Optimization
      - Workload Optimization
      - Cloud Sustainability
      - Licensing and SaaS
  - name: Manage the FinOps Practice
    capabilities:
      - FinOps Practice Operations
      - FinOps Education and Enablement
      - Invoicing and Chargeback
      - Onboarding Workloads
      - Intersecting Disciplines
billingModel:
  pricingCategory: Subscription + Usage
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
    - Subscription
    - Usage
    - Purchase
    - Tax
    - Credit
    - Adjustment
  chargeFrequency: Recurring
focusColumns:
  ServiceName: Medplum
  ServiceCategory: Developer Tools / Healthcare API
  ProviderName: Medplum Inc.
  PublisherName: Medplum Inc.
  ChargeCategory: Subscription
  ChargePeriodFrequency: Monthly
  PricingCategory: Subscription
  PricingUnit: project-month
  BillingCurrency: USD
unitEconomics:
  - name: Cost per FHIR Write
    description: Total Medplum cost divided by FHIR create/update/patch operations per period.
  - name: Cost per Bot Execution
    description: Total Medplum cost divided by Bot invocation count per period.
  - name: Cost per Active Patient
    description: Total Medplum cost divided by count of Patient resources touched in the period.