Patient presents with signs and symptoms suggestive of a hemorrhagic condition.  Chief complaint includes [specific complaint, e.g., spontaneous bruising, prolonged bleeding after minor cuts, epistaxis, heavy menstrual bleeding (menorrhagia), bleeding gums, hematuria, or gastrointestinal bleeding].  Onset of symptoms occurred [timeframe].  Associated symptoms include [list associated symptoms, e.g., fatigue, weakness, pallor, dizziness, shortness of breath, joint pain, abdominal pain, or headache].  Patient history includes [relevant medical history, e.g., family history of bleeding disorders, von Willebrand disease, hemophilia, thrombocytopenia, liver disease, anticoagulant use, recent trauma, or surgery].  Physical examination reveals [objective findings, e.g., petechiae, purpura, ecchymosis, active bleeding sites, or abdominal tenderness].  Differential diagnosis includes [list potential diagnoses, e.g., immune thrombocytopenic purpura (ITP), disseminated intravascular coagulation (DIC), vitamin K deficiency, or factor deficiencies].  Initial laboratory evaluation includes complete blood count (CBC) with differential, prothrombin time (PT), international normalized ratio (INR), activated partial thromboplastin time (aPTT), fibrinogen levels, and peripheral blood smear.  Further investigations may include bone marrow biopsy, factor assays, or imaging studies as clinically indicated.  Assessment suggests [working diagnosis, e.g., possible hemorrhagic disorder].  Plan includes [treatment plan, e.g., blood product transfusions, administration of clotting factors, vitamin K supplementation, discontinuation of anticoagulants, or referral to hematology specialist].  Patient education provided regarding bleeding precautions, medication management, and follow-up care.  ICD-10 code[s] [insert relevant codes, e.g., D65, D69.3] considered for billing and coding purposes.  Patient will be closely monitored for any changes in condition.