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: Penn Medicine
providerId: penn-medicine
publisherName: University of Pennsylvania Health System
serviceCategory: API
created: '2026-05-23'
modified: '2026-05-23'
tags:
  - Healthcare
  - Hospital
  - FHIR
  - FinOps
  - Cost Management
  - FOCUS
description: |
  FinOps framework definition for the Penn Medicine FHIR R4 API. Penn Medicine does not charge
  third parties for FHIR access (CMS-9115-F prohibits fees for patient-app reads and the public
  Provider Directory), so the externalized "cost" surface is essentially zero. This document
  describes the *internal* cost-allocation model UPHS would use to attribute infrastructure
  spend on the FHIR endpoint across consuming services.
principles:
  - name: Visibility
    description: Make FHIR consumption (apps, scopes, resource types) visible to clinical IT, security, and finance teams.
  - name: Allocation
    description: Tag every FHIR call with the registered app, scope set, resource type, and patient cohort so infrastructure cost can be allocated.
  - name: Optimization
    description: Continuously evaluate caching, conditional reads, and Bulk Data over polling for high-volume consumers.
  - name: Accountability
    description: Establish budget ownership inside UPHS IS&T for shared infrastructure powering the FHIR endpoint.
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: Internal Cost Allocation
  billingFrequency: Monthly
  billingCurrency: USD
  chargeCategories:
    - Usage
    - Purchase
  chargeFrequency: Recurring
focusColumns:
  ServiceName: Penn Medicine FHIR R4 API
  ServiceCategory: Developer Tools / API
  ProviderName: Penn Medicine
  PublisherName: University of Pennsylvania Health System
  InvoiceIssuerName: University of Pennsylvania Health System
  PricingCategory: Internal Cost Allocation
  PricingUnit: request
  BillingCurrency: USD
  ChargeCategory: Usage
meters:
  - name: fhir_requests
    description: Count of FHIR requests served by the Penn Medicine proxy
    unit: request
    aggregation: sum
    dimensions:
      - app
      - resource_type
      - scope_tier
      - interaction
  - name: bulk_export_jobs
    description: Number of Group-level $export jobs initiated
    unit: job
    aggregation: sum
    dimensions:
      - app
      - group
  - name: data_egress
    description: Bytes returned over the network in FHIR responses
    unit: GB
    aggregation: sum
    dimensions:
      - app
      - resource_type
apis:
  - name: Penn Medicine FHIR R4 API
    baseURL: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4
    tags:
      - FHIR
      - Patient Access
      - Provider Directory
    serviceName: Penn Medicine FHIR R4 API
    serviceCategory: API
unitEconomics:
  - name: Infrastructure Cost per 1K FHIR Requests
    metric: infra_cost / (fhir_requests / 1000)
    target: TBD
  - name: Cost per Registered App
    metric: infra_cost / active_apps
    target: TBD
maintainers:
  - FN: Kin Lane
    email: kin@apievangelist.com