Patient presents for evaluation of coagulation status due to [reason, e.g., anticoagulation therapy monitoring, preoperative assessment, bleeding investigation].  Relevant history includes [list pertinent medical history, e.g., atrial fibrillation, deep vein thrombosis, liver disease, medications such as warfarin or direct oral anticoagulants].  Physical examination reveals [relevant findings, e.g., no active bleeding, no ecchymosis, normal heart rate and rhythm].  A prothrombin time PT test was ordered to assess extrinsic pathway coagulation function.  The prothrombin time result is [result in seconds] with an INR of [INR value].  This result is [interpretation, e.g., within therapeutic range, subtherapeutic, supratherapeutic, normal].  Based on the prothrombin time, INR, and clinical context, the assessment is [assessment, e.g., stable anticoagulation, need for dosage adjustment, no evidence of coagulopathy].  Plan includes [plan, e.g., continue current warfarin dose, increase or decrease warfarin dose, hold warfarin, further investigation with additional coagulation studies such as PTT, mixing studies, or factor assays, consult hematology].  Patient education provided regarding the importance of medication adherence, dietary considerations, and potential bleeding risks.  Follow-up scheduled as needed to monitor prothrombin time and INR.