ArkCloud Rehab
Discharge Summary
The note that closes an episode: the course of care, goals met, discharge status and recommendations. Writing the summary and discharging the episode are two separate actions; this page covers both.
Written for: Physical therapists · Occupational therapists · Speech-language pathologists · Clinical supervisors
When you use it
At the end of care, whether goals were met, the patient stopped attending, or care moved elsewhere. One per episode: once it exists the menu no longer offers it, and changes are amendments. A discharged episode with no discharge summary appears in the work queue as "Write the discharge summary".
Write the summary and discharge
ArkCloud Rehab → Records and revenue → Episodes → the episode → Notes → Clinical documentation
- In New document, choose Discharge Summary and press Start.
- Write Course of care and Goals met / outcomes, or review the AI narrative draft for those two sections. Add final outcome score lines with Add to note.
- Write Discharge status and Recommendations yourself; no draft is offered for them.
- Press Sign; tick the AI review statement if it appears.
- In the episode's status panel, choose Discharge. Answer Why is the episode ending? (for example Goals met, Maximum benefit reached, Patient declined further care, Transferred to another provider, Authorization or coverage ended), give every open goal an outcome (met, partially met, not met or discontinued), and add any notes, aftercare plan, who the patient was referred to and a follow-up date.
Sections
| Field or control | What it means |
|---|---|
| Course of care | What was provided over the episode. |
| Goals met / outcomes | Each goal's outcome and the final scores you recorded. |
| Discharge status | The patient's status at discharge. |
| Recommendations | Aftercare, home programme, follow-up. |
The AI narrative draft
| Capability | Status | What that means here |
|---|---|---|
| AI narrative draft on a Progress Report or Discharge Summary | Available with configuration | Proposes text for Progress toward goals and Reassessment findings (Progress Report), and Course of care and Goals met / outcomes (Discharge Summary), from recorded goals, visit counts and earlier signed notes. Never drafts updated goals, the plan, discharge status or recommendations.Requires: Your organisation's AI switch on, and the same hosted AI setting as the visit-note draft. |
| AI review attestation at signing | Available | A note that contains AI-drafted text, or for which an AI draft was shown, cannot be signed until the signer ticks a statement that they reviewed every AI-drafted section. |
The narrative can propose Course of care and Goals met / outcomes from the visit counts, recorded goals and the assessment and plan of up to three earlier signed notes. It may not say improved, declined or plateaued, and a section that fails its checks is left blank with the reason. It never drafts discharge status or recommendations. Outcome scores you entered yourself are not part of what it reads.
Example (synthetic patient)
PT, knee. Discharge reason Goals met. Goal outcomes: stair negotiation with rail, met; return to recreational walking, met. Score line added from the clinician-entered LEFS (first 38, latest 52, higher is better). Recommendations: continue the published home exercise programme. Synthetic data.
Who can do what
| Field or control | What it means |
|---|---|
| Write and sign the summary | The note's author, meeting the signing requirements. |
| Discharge the episode | A clinician with signing authority for the episode's discipline, or a Supervisor or Admin. |
| Cancel instead of discharge | Only when no care was delivered on the episode. |
After discharge
- "Discharged" appears on the episode timeline, with the summary under the Discharge summary chip.
- The summary can still be amended or have addenda added; the episode cannot be reopened.
- Recording on a discharge summary (Record this evaluation) is a limited preview.
Troubleshooting
| Field or control | What it means |
|---|---|
| Discharge is refused | An open goal has no outcome, or you do not have signing authority for the discipline. |
| Discharge Summary is not in the menu | The episode already has one. Open it from the Discharge summary chip. |