The generated history always flows into your i-scribe transcript box. Saving it into your EMR as well, as a record on the patient's file, is a separate optional step you switch on in your integration settings.

```callout kind="warning"
**The history saves to your EMR only if you've enabled export.** If you've never configured this, the history still appears in i-scribe but won't be written to Gentu or Genie. If you expected a record in your EMR and don't see one, this setting is the first thing to check.
```

```callout kind="info"
**Before you start**, make sure your EMR integration (Gentu or Genie) is connected. You configure export under **Settings → Integrations**, where you'll see a card for each connected EMR with a **Details →** link.
```

## Gentu

In Gentu you choose *how* the history is written to the patient record.

```steps
1. Go to **Settings → Integrations** and open the **Gentu** card via **Details →**.
2. Under **Appointment Types**, add the appointment types that indicate a new patient to the **New Patient** tag field (these are the appointment types that indicate a new patient in Gentu).
3. Under **Template Settings**, set **Medical History Export** to one of:

   - **Disabled**: nothing is written to Gentu (the history still appears in i-scribe).
   - **PDF Attachment**: attaches the medical history as a PDF to the patient record in Gentu.
   - **Correspondence**: creates an outgoing correspondence in Gentu.
4. If you chose **Correspondence**, pick a **Letter Template** from the picker.
5. Click **Save Settings**.
```

The setting is labelled **Gentu** in your integration settings.

## Genie

For Genie, you map which appointment types should be treated as new-patient appointments.

```steps
1. Go to **Settings → Integrations** and open the **Genie** card via **Details →**.
2. Under **Appointment Types**, add your new-patient appointment types to the **New Patient** tag field. Genie appointment types sync from Genie, and suggestions are offered (sourced from the on-prem Genie agent). Pick from the suggestions or type a value.
3. Save your settings.
```

## What you'll see

Once export is enabled, i-consult writes the history to the EMR for each completed episode and records a timestamp. After export there's a **grace period** during which you can still edit the history; once that window closes, the notes lock so the exported record stays stable.

```callout kind="care"
Exporting the history doesn't end your clinical responsibility. The history is the patient's self-reported account. Review and confirm it, and make any corrections within the grace period, before relying on the exported record.
```

## If it doesn't work

- The history didn't save to Gentu or Genie → see [The history didn't save to Gentu / Genie](/i-consult/history-didnt-save-to-emr). The most common cause is export being left **Disabled**; also check your appointment-type mapping and whether you're still inside the grace period.
- You're not sure where the history goes if export is off → it still appears in your i-scribe transcript box. See [How i-consult fits your day](/i-consult/how-i-consult-fits-your-day).