If your practice uses a web-based EMR (Xestro), you don't enter appointments into i-consult by hand. The Akuru browser extension reads your upcoming appointments from the EMR and syncs them into i-consult, which creates patient episodes for the ones that need a pre-consultation questionnaire. This article covers what happens at the i-consult end: reviewing the import and mapping your appointment types.

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```callout kind="info"
**Installing and running the sync is a browser-extension job, not an i-consult one.** To set up the extension and trigger a sync, see the browser-extension product's article [Sync your appointments to i-consult](/browser-extension/sync-appointments-to-i-consult). This page picks up once the appointments have arrived in i-consult.
```

## What the sync does at the i-consult end

When a sync runs, i-consult shows an **import / review page** that compares the incoming appointments against what it already knows. Each appointment falls into one of these buckets:

- **created**: a new appointment that will create a new episode.
- **changed**: an appointment that already exists but whose details changed.
- **cancelled**: an appointment that was cancelled in the EMR.
- **unchanged**: already in i-consult, nothing to do.
- **excluded**: an appointment type you've mapped as not needing a questionnaire.
- **unmapped**: an appointment type i-consult hasn't been told how to classify yet.

```image media="6" caption="The import review page: a reconciliation summary up top, unmapped types to classify, and the new episodes that will be created."
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```callout kind="warning"
**Only "New Consult" appointment types create episodes.** Follow-ups and excluded types are filtered out and won't generate a questionnaire. Anything in the **unmapped** bucket won't create an episode until you classify its appointment type, so check for unmapped items after a sync.
```

## Map your appointment types

You classify each EMR appointment type once, and i-consult reuses that mapping for every future sync.

```steps
1. Go to **Settings → Integrations**.
2. Open the **Browser Extension** card for your EMR (for example, "Browser Extension - xestro") via **Details →**.
3. For each appointment type, set how it should be treated: typically **New Consult** (creates an episode) or excluded.
4. Save your mapping.
5. Re-run the sync from the extension. Previously **unmapped** types now fall into the right bucket.
```

## What you'll see

After a sync, the import / review page lists the appointments grouped by bucket so you can see at a glance what's new, what changed, and what was filtered out. The episodes created here behave exactly like any other: i-consult schedules the questionnaire SMS, the patient completes it, and the history flows into your i-scribe transcript box. The extension reconciles each time, so re-syncing won't create duplicates.

## If it doesn't work

- The sync isn't working at all → see [The browser-extension sync isn't working](/i-consult/sync-isnt-working). The most common cause is i-scribe not being open in the same browser window when you run the sync.
- Appointments synced but didn't create episodes → check the **unmapped** and **excluded** buckets, and confirm the type is mapped to **New Consult** under **Settings → Integrations → Browser Extension**.
- You need to install or set up the extension → see the browser-extension product's [Sync your appointments to i-consult](/browser-extension/sync-appointments-to-i-consult).