The following must be documented in the medical records of patients identified as potential organ or tissue donors:

1. (1) why a family is not contacted to request organ or tissue donation;
2. (2) when a family is contacted to request organ or tissue donation and the outcome of the contact;
3. (3) disposition of a referral to a procurement agency, including acceptance or rejection by the agency. The appropriate procurement agency shall notify the referring hospital of the disposition;
4. (4) other documentation as may be required by federal or state law or regulation.