---
title: "Changes to Records a sign-off. 409 `INSTRUCTIONS_CHANGED` when the instructions were edited\nafter the screen showed them (the request carries a fingerprint of the text shown), and\n409 `DISCLAIMERS_CHANGED` with the live blocks when the client was shown a stale set\nof notices. The document row is locked while checking and writing, so an edit can't\nland between the check and the sign-off."
method: POST
path: "/discharge-documents/{documentId}/sign-off"
---

# Changes to Records a sign-off. 409 `INSTRUCTIONS_CHANGED` when the instructions were edited
after the screen showed them (the request carries a fingerprint of the text shown), and
409 `DISCLAIMERS_CHANGED` with the live blocks when the client was shown a stale set
of notices. The document row is locked while checking and writing, so an edit can't
land between the check and the sign-off.

`POST /discharge-documents/{documentId}/sign-off`

> Every recorded change to this operation, newest first.

## Timeline

Changed in 1 of 14 revisions.

- **2026-10-21** `85ee96c0bb96`: 1 info

## Changes

- **2026-10-21** `85ee96c0bb96`: 1 info
  - endpoint added

---

[Operation](https://skmtc.dev/clinicos/apis/pawthosx-business-api-v1/docs/discharge-documents/:documentId/sign-off/post.md) - [API](https://skmtc.dev/clinicos/apis/pawthosx-business-api-v1.md) - [Page](https://skmtc.dev/clinicos/apis/pawthosx-business-api-v1/changes/discharge-documents/:documentId/sign-off/post)