A patient finished their questionnaire and the history is in i-consult, but it didn't land in **Gentu** or **Genie**. The most common reason is that saving to the EMR is turned off: the history only writes back to your EMR when the export setting is enabled. Work through the checks below. ```callout kind="info" The history showing in i-scribe and the history saving to your EMR are two different things. This page is about the **save-to-EMR** step. If the history isn't in i-scribe at all, start with [The history isn't showing in i-scribe](/i-consult/history-not-showing-in-i-scribe). ``` ## 1. Is Medical History Export enabled? This is the setting that turns saving to the EMR on or off. If it's **Disabled**, nothing writes back, even for completed episodes. ```steps 1. Go to **Settings → Integrations**. 2. Open your EMR card (**Gentu** or **Genie**) via **Details →**. 3. For Gentu, find **Template Settings → Medical History Export**. 4. Confirm it's set to an export method, not **Disabled**. ``` ```callout kind="warning" If **Medical History Export** is set to **Disabled**, the history will not be saved to your EMR. This is the single most common cause of a missing export. ``` ## 2. Check the export method (Gentu) For Gentu, **Medical History Export** offers two ways to save: - **PDF Attachment**: attaches the medical history as a PDF to the patient record in Gentu. - **Correspondence**: creates an outgoing correspondence in Gentu. When you choose this, you also pick a **Letter Template**. ```steps 1. In the Gentu integration settings, set **Medical History Export** to **PDF Attachment** or **Correspondence**. 2. If you choose **Correspondence**, select a **Letter Template**. 3. Click **Save Settings**. ``` ## 3. Check the appointment-type mapping The history saves for appointment types that are set up for i-consult. If a patient's appointment type isn't mapped, the episode (and its export) may not be created. ```steps 1. In the integration settings, find the **Appointment Types** section. 2. Confirm the patient's appointment type is included in the **New Patient** mapping. 3. For Genie, appointment types sync from Genie; for Gentu, set the types that indicate a new patient. 4. Save your settings. ``` ```callout kind="info" The UI term is **Gentu** (you may know the company as Magentus, but in i-consult it's always **Gentu**). ``` ## 4. Are you still within the grace period? After a history is exported, there's a **grace period** that lets clinicians edit the history. Once that period passes, or the appointment is near, the notes lock. ```steps 1. If you were expecting to edit an exported history and can't, the grace period may have passed and the notes have locked. 2. Check the appointment date; exports lock as the appointment approaches. 3. If you need a locked note changed, contact Akuru support. ``` ```callout kind="info" For the full setup of EMR export (methods, templates, and the grace period), see [Send the history to your EMR](/i-consult/send-history-to-your-emr). ``` ## Still not saving? If export is enabled, the method and mapping are set, and you're within the grace period but the history still isn't in your EMR: - Confirm the episode is **Completed** (see [What the episode statuses mean](/i-consult/what-episode-statuses-mean)). - Contact Akuru support with the patient's name and appointment date so we can check the export record.