19. (1) Every administrator shall ensure that a system is established for the keeping of records of personal health information for each patient.  R.R.O. 1990, Reg. 965, s. 19 (1); O. Reg. 332/04, s. 4 (2). (2) Each entry in a medical record shall bear the date on which it was made and shall be authenticated by the person who authorized the entry.  R.R.O. 1990, Reg. 965, s. 19 (2). (3) Subsection (2) applies in respect of each entry on a document where the document contains entries authorized by more than one person.  R.R.O. 1990, Reg. 965, s. 19 (3). (4) The medical record for a patient, other than an out-patient, shall include, (a) the names of the attending physicians, registered nurses in the extended class, dentists and midwives of the patient; (b) a history of the patient; (c) records of all medical, dental and midwifery examinations carried out on the patient in the hospital; (c.1) records of all examinations carried out on the patient in the hospital by a registered nurse in the extended class; (d) all diagnostic imaging records of the patient, including any videotape of a diagnostic imaging examination or test of the patient if the videotape constitutes the only diagnostic imaging record of the examination or test; (e) reports of any critical incidents with respect to the patient, including the information required to be disclosed under subsection 2 (5), and a record of when any disclosure was made under subsection 2 (4); (f) all provisional and final diagnoses with respect to the patient; (g) all orders for treatment or investigation with respect to the patient in the hospital; (h) records of all medical, dental and midwifery treatment carried out on the patient in the hospital; (h.1) records of all treatment carried out on the patient in the hospital by a registered nurse in the extended class; (i) all consents to treatment obtained in writing with respect to the patient; (i.1) all statements referred to in subsection 28 (3) with respect to the patient; (i.2) all opinions required to be noted under subsection 25 (5) of the Health Care Consent Act, 1996
with respect to the patient; (j) progress notes with respect to the patient; (j.1) results of diagnostic imaging examinations or tests; (k) reports made by a physician, registered nurse in the extended class, dentist or midwife with respect to the patient of, (i) all consultations, (ii) all investigative procedures, (iii) all operations, anaesthesia and recoveries, (iv) results of diagnostic imaging examinations or tests, and (v) a post-mortem examination, if one has been performed, where the patient dies in the hospital; (l) discharge summaries; (m) orders for discharge with respect to the patient; and (n) a death certificate where the patient dies in the hospital.  R.R.O. 1990, Reg. 965, s. 19 (4); O. Reg. 761/93, s. 9 (1); O. Reg. 17/95, s. 1 (1); O. Reg. 106/96, s. 1 (1); O. Reg. 538/99, s. 1 (1-3); O. Reg. 423/07, s. 3 (1); O. Reg. 216/11, s. 7 (1-3); O. Reg. 289/19, s. 2 (1). (5) The medical record of an out-patient, other than an out-patient referred to in subsection (6), shall include, (a) the names of the attending physicians, dentists, midwives and registered nurses in the extended class of the out-patient at each visit; (b) a history of the out-patient; (c) records of all examinations carried out on the out-patient in the hospital by members of the medical, dental, midwifery and extended class nursing staff; (d) all diagnostic imaging records of the out-patient, including any videotape of a diagnostic imaging examination or test of the out-patient if the videotape constitutes the only diagnostic imaging record of the examination or test; (e) reports of any critical incidents with respect to the patient, including the information required to be disclosed under subsection 2 (5), and a record of when any disclosure was made under subsection 2 (4); (f) all orders for treatment or investigation with respect to the out-patient in the hospital; (g) all consents to treatment obtained in writing with respect to the out-patient; (g.1) all statements referred to in subsection 28 (3) with respect to the out-patient; (g.2) all opinions required to be noted under subsection 25 (5) of the Health Care Consent Act, 1996
with respect to the out-patient; (h) records of all treatment carried out on the out-patient in the hospital by members of the medical, dental, midwifery and extended class nursing staff; (h.1) results of diagnostic imaging examinations or tests; (i) all reports of investigative procedures carried out on the out-patient in the hospital and all reports of the results of diagnostic imaging examinations or tests; (j) all diagnoses with respect to the out-patient; and (k) a death certificate if the out-patient dies in the hospital.  R.R.O. 1990, Reg. 965, s. 19 (5); O. Reg. 761/93, s. 9 (2); O. Reg. 17/95, s. 1 (2); O. Reg. 106/96, s. 1 (2); O. Reg. 538/99, s. 1 (4-6); O. Reg. 64/03, s. 9; O. Reg. 423/07, s. 3 (2); O. Reg. 216/11, s. 7 (4); O. Reg. 159/17, s. 2; O. Reg. 289/19, s. 2 (2). (6) The medical record of an out-patient who visits the hospital solely for diagnostic procedures need only include, (a) the orders for the procedures; (b) any consent to the procedures obtained in writing; (c) a record of the procedures; and (d) reports of any critical incidents with respect to the patient, including the information required to be disclosed under subsection 2 (5), and a record of when any disclosure was made under subsection 2 (4).  O. Reg. 423/07, s. 3 (3).