US · guidance
CMS SOM App. A, Tag A-1672
§482.61(e) [The record of each patient who has been discharged must have a
discharge summary that includes] … a brief summary of the patient’s condition on
discharge.
Interpretive Guidelines §482.61(e)
The discharge summary must contain information about the condition of the patient at
time of discharge. The condition should address both the patient’s psychiatric state and
medical status, if applicable.
Survey Procedures §482.61(e)
• Review a sample of medical records and verify the discharge summary contains
information on the status of the patient’s condition on the day of discharge.
History
Rev. 238; Issued: 03-20-26; Effective: 09-05-25; Implantation: 09-05-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
9d66f1ca0350ca9c290aee64207c23a7e90064d3701e601302508ae06730767f
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