diff --git a/care/facility/migrations/0386_alter_historicalpatientregistration_action_and_more.py b/care/facility/migrations/0386_alter_historicalpatientregistration_action_and_more.py
new file mode 100644
index 0000000000..54c1700108
--- /dev/null
+++ b/care/facility/migrations/0386_alter_historicalpatientregistration_action_and_more.py
@@ -0,0 +1,62 @@
+from django.db import migrations, models
+
+
+def update_recommend_discharge(apps, schema_editor):
+    patient_model = apps.get_model("facility", "PatientRegistration")
+    patient_model.objects.filter(
+        last_consultation__last_daily_round__recommend_discharge=True
+    ).update(action=90)
+
+
+class Migration(migrations.Migration):
+    dependencies = [
+        ("facility", "0385_alter_patientconsultation_verified_by"),
+    ]
+
+    operations = [
+        migrations.AlterField(
+            model_name="historicalpatientregistration",
+            name="action",
+            field=models.IntegerField(
+                blank=True,
+                choices=[
+                    (10, "NO_ACTION"),
+                    (20, "PENDING"),
+                    (30, "SPECIALIST_REQUIRED"),
+                    (40, "PLAN_FOR_HOME_CARE"),
+                    (50, "FOLLOW_UP_NOT_REQUIRED"),
+                    (60, "COMPLETE"),
+                    (70, "REVIEW"),
+                    (80, "NOT_REACHABLE"),
+                    (90, "DISCHARGE_RECOMMENDED"),
+                ],
+                default=10,
+                null=True,
+            ),
+        ),
+        migrations.AlterField(
+            model_name="patientregistration",
+            name="action",
+            field=models.IntegerField(
+                blank=True,
+                choices=[
+                    (10, "NO_ACTION"),
+                    (20, "PENDING"),
+                    (30, "SPECIALIST_REQUIRED"),
+                    (40, "PLAN_FOR_HOME_CARE"),
+                    (50, "FOLLOW_UP_NOT_REQUIRED"),
+                    (60, "COMPLETE"),
+                    (70, "REVIEW"),
+                    (80, "NOT_REACHABLE"),
+                    (90, "DISCHARGE_RECOMMENDED"),
+                ],
+                default=10,
+                null=True,
+            ),
+        ),
+        migrations.RunPython(update_recommend_discharge),
+        migrations.RemoveField(
+            model_name="dailyround",
+            name="recommend_discharge",
+        ),
+    ]
diff --git a/care/facility/models/daily_round.py b/care/facility/models/daily_round.py
index 89575f5058..83b6f02f18 100644
--- a/care/facility/models/daily_round.py
+++ b/care/facility/models/daily_round.py
@@ -122,7 +122,9 @@ class InsulinIntakeFrequencyType(enum.Enum):
     ]
 
     consultation = models.ForeignKey(
-        PatientConsultation, on_delete=models.PROTECT, related_name="daily_rounds"
+        PatientConsultation,
+        on_delete=models.PROTECT,
+        related_name="daily_rounds",
     )
     temperature = models.DecimalField(
         decimal_places=2,
@@ -158,9 +160,6 @@ class InsulinIntakeFrequencyType(enum.Enum):
     current_health = models.IntegerField(
         default=0, choices=CURRENT_HEALTH_CHOICES, blank=True
     )
-    recommend_discharge = models.BooleanField(
-        default=False, verbose_name="Recommend Discharging Patient"
-    )
     other_details = models.TextField(null=True, blank=True)
     medication_given = JSONField(default=dict)  # To be Used Later on
 
@@ -168,7 +167,10 @@ class InsulinIntakeFrequencyType(enum.Enum):
     created_by_telemedicine = models.BooleanField(default=False)
 
     created_by = models.ForeignKey(
-        User, on_delete=models.SET_NULL, null=True, related_name="update_created_user"
+        User,
+        on_delete=models.SET_NULL,
+        null=True,
+        related_name="update_created_user",
     )
 
     last_edited_by = models.ForeignKey(
@@ -265,7 +267,8 @@ class InsulinIntakeFrequencyType(enum.Enum):
     rhythm = models.IntegerField(choices=RythmnChoice, default=RythmnType.UNKNOWN.value)
     rhythm_detail = models.TextField(default=None, null=True, blank=True)
     ventilator_interface = models.IntegerField(
-        choices=VentilatorInterfaceChoice, default=VentilatorInterfaceType.UNKNOWN.value
+        choices=VentilatorInterfaceChoice,
+        default=VentilatorInterfaceType.UNKNOWN.value,
     )
     ventilator_mode = models.IntegerField(
         choices=VentilatorModeChoice, default=VentilatorModeType.UNKNOWN.value
@@ -339,7 +342,8 @@ class InsulinIntakeFrequencyType(enum.Enum):
         validators=[MinValueValidator(0), MaxValueValidator(10)],
     )
     pain_scale_enhanced = JSONField(
-        default=list, validators=[JSONFieldSchemaValidator(PAIN_SCALE_ENHANCED)]
+        default=list,
+        validators=[JSONFieldSchemaValidator(PAIN_SCALE_ENHANCED)],
     )
     ph = models.DecimalField(
         decimal_places=2,
@@ -457,9 +461,26 @@ def cztn(self, value):
         return value
 
     def update_pressure_sore(self):
-        area_interval_points = [0.1, 0.3, 0.7, 1.1, 2.1, 3.1, 4.1, 8.1, 12.1, 25]
+        area_interval_points = [
+            0.1,
+            0.3,
+            0.7,
+            1.1,
+            2.1,
+            3.1,
+            4.1,
+            8.1,
+            12.1,
+            25,
+        ]
         exudate_amounts = ["None", "Light", "Moderate", "Heavy"]
-        tissue_types = ["Closed", "Epithelial", "Granulation", "Slough", "Necrotic"]
+        tissue_types = [
+            "Closed",
+            "Epithelial",
+            "Granulation",
+            "Slough",
+            "Necrotic",
+        ]
 
         def cal_push_score(item):
             push_score = item.get("base_score", 0.0)
diff --git a/care/facility/models/patient.py b/care/facility/models/patient.py
index 44fe0ee1a6..cd14e5fcfa 100644
--- a/care/facility/models/patient.py
+++ b/care/facility/models/patient.py
@@ -77,6 +77,7 @@ class ActionEnum(enum.Enum):
         COMPLETE = 60
         REVIEW = 70
         NOT_REACHABLE = 80
+        DISCHARGE_RECOMMENDED = 90
 
     ActionChoices = [(e.value, e.name) for e in ActionEnum]