Patient presents with complaints consistent with rectovaginal fistula (RVF).  Symptoms include the passage of flatus or stool through the vagina, foul-smelling vaginal discharge, recurrent vaginal infections, and dyspareunia.  On physical examination, a rectovaginal examination revealed a palpable fistula tract.  The location and size of the fistula were documented.  Differential diagnoses considered include Crohn's disease, radiation proctitis, obstetric trauma, and previous pelvic surgery.  The patient's medical history includes past history of (relevant medical history to be documented here, e.g., episiotomy, inflammatory bowel disease, pelvic radiation).  Current medications include (list current medications).  Allergies include (list allergies).  Plan includes further investigation with imaging studies such as endoanal ultrasound or MRI to assess the extent of the fistula.  Surgical repair is being considered, and the patient was counseled on the risks and benefits of different surgical approaches, including transvaginal, transperineal, or transabdominal repair.  Referral to colorectal surgery is scheduled.  ICD-10 code N82.3 (rectovaginal fistula) is documented.  Patient education provided regarding wound care, bowel management, and follow-up appointments.  Prognosis discussed.