Patient presents with a mechanical heart valve, confirmed by auscultation of characteristic metallic clicks and echocardiography.  The patient's medical history includes [Specific underlying condition leading to valve replacement, e.g., rheumatic heart disease, aortic stenosis, mitral regurgitation].  The type of mechanical heart valve is [Specific valve type, e.g., bileaflet, tilting disc, caged ball] located in the [Specific valve location, e.g., aortic, mitral, tricuspid] position.  The valve was implanted on [Date of surgery].  Current medications include anticoagulation therapy with [Specific anticoagulant, e.g., warfarin, dabigatran] managed with regular [INR or other relevant monitoring tests] monitoring.  The patient's international normalized ratio (INR) today is [INR value].  Assessment reveals [Patient's current clinical status, e.g., stable hemodynamics, no signs of thromboembolism, no evidence of valve dysfunction].  The patient reports [Patient-reported symptoms, e.g., asymptomatic, palpitations, dyspnea on exertion].  Physical examination reveals [Relevant physical findings, e.g., regular heart rhythm, audible mechanical clicks, no peripheral edema].  Plan includes continued anticoagulation management, regular follow-up with cardiology, patient education regarding mechanical heart valve care and potential complications such as thrombosis and endocarditis, and lifestyle recommendations for optimal cardiovascular health.  The patient was educated on the importance of medication adherence and the signs and symptoms of bleeding complications.  Diagnosis codes include [Relevant ICD-10 codes, e.g., Z95.5 - presence of mechanical heart valve].  Procedure codes for today's visit may include [Relevant CPT codes, e.g., 9921x - office visit].  Follow-up appointment scheduled for [Date of next appointment].