Project Description

Job Instruction

Main task is to accurately enter and maintain patient medical records and history. Work includes capturing patient details, medical history, and clinical notes to ensure records are complete, confidential, and organized for clinical reference.

Key Responsibilities

• Enter patient personal details and medical history into spreadsheets or the hospital/clinic database.

• Record diagnoses, treatments, medications, and allergies.

• Update follow-up appointments and clinical notes from healthcare providers.

• Verify entries against source documents (medical forms, lab reports, prescriptions).

• Flag incomplete, inconsistent, or missing data for review.

• Prepare a Word report summarizing patient record updates and flagged issues.

Data Fields Required

1. Patient Name / ID Number

2. Date of Birth / Age

3. Gender

4. Contact Information (Phone / Email / Address)

5. Date of Visit / Admission

6. Diagnosis / Medical Condition

7. Medications Prescribed

8. Allergies / Special Considerations

9. Treatment / Procedure Notes

10. Follow-up Appointment Date / Recommendations

Deliverables

• Excel File with complete patient medical records and history.

• Word Report summarizing updates, flagged issues, and overall record completeness.

Timeline

Deadline: September 1, 2025

Note

All patient records and source material will be provided upon hire.