{
  "package" : "hl7.terminology.r5@6.3.0",
  "definition" : "**Definition:** Managing utilization of services by ensuring that providers adhere to, e.g., payeraTMs clinical protocols for medical appropriateness and standards of medical necessity. May include management of authorizations for services and referrals.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationFunction",
  "property" : [ {
    "code" : "status",
    "valueCode" : "active"
  }, {
    "code" : "internalId",
    "valueCode" : "22231"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_PayorParticipationFunction"
  } ],
  "codesystem" : "80081491-b5a3-57da-ae0d-3bdde14a38d6",
  "concept_id" : "9221373a-3e5d-5b08-96f3-22c8fed893ec",
  "ancestors" : {
    "UMGT" : 0,
    "_PayorParticipationFunction" : 1,
    "_CoverageParticipationFunction" : 2
  },
  "id" : "ba2ab275-5297-4a59-9330-810a340810cf",
  "code" : "UMGT",
  "display" : "utilization management",
  "version" : "3.0.0"
}