Genogram example · Family structure

Four Generation Genogram Example

4 generation genogram example: grandparents, divorced parents, the index person and her children, with causes of death, health conditions and emotional lines.
Updated October 2026 · GenogramAI Clinical Team

Quick answer

This Four Generation genogram covers 4 generations and 13 family members, centered on Claire Hartley. 4 generation genogram example: grandparents, divorced parents, the index person and her children, with causes of death, health conditions and emotional lines. Standard notation shows shading for in remission or recovery conditions. It shows how to diagram households and how each child is related.
Four Generation Genogram Example drawn in standard genogram notation: 4 generations, 13 family members
Four Generation Genogram Example, rendered in GenogramAI. Select Explore interactively to inspect each person and line.
Open in the appPan, zoom and inspect each person and relationship.

At a glance

This example
Generations4
Family members13
Index personClaire Hartley
Conditions markedMedical shading and In remission or recovery
CategoryFamily structure
TagsFamily Structure, Educational, Medical

About this genogram

A four generation genogram of the fictional Hartley family: both sets of grandparents, the parents (who divorced in 2001) with their siblings, the index person Claire with her husband and brother, and Claire's two children. Health conditions are shaded on each person, causes of death are written under the deceased grandparents, and emotional lines show Claire's closeness to her mother and her caregiving for her grandmother.

Family analysis

Overview

This four generation genogram maps 13 members of the fictional Hartley and Moretti families. The index person is Claire Hartley (40), a physiotherapist with anxiety who is raising two young children and sharing the care of her grandmother Rosa, recently diagnosed with early Alzheimer's dementia.

Generation one: the grandparents

Generation one holds both grandparent couples. On the paternal side George Hartley died of lung cancer in 1998 (he smoked) and Edith of a stroke in 2016 after years of hypertension. On the maternal side Frank Moretti died of a heart attack in 2009 with coronary heart disease and type 2 diabetes; Rosa (85) is still living.

Generation two: the parents and the divorce

In generation two, David Hartley (68) has hypertension like his mother, and his older brother Alan (71) is in recovery from alcohol misuse. David married Maria Moretti (63), a nurse with depression, in 1984; they divorced in 2001, and the double slash and "m 84 - d 01" label record it. A conflict line between them shows the relationship is still strained. Maria's sister Lucia (60) completes the row.

Generations three and four

Generation three is Claire, her brother Ben (37) and her husband Sam Okoro (41), married in 2013. Two blue lines show Claire is close to her mother, and a caregiving line runs from Claire to Rosa. Generation four is Claire's children, Ella (11) and Noah (8), who has asthma.

Patterns across four generations

Read top to bottom, the chart shows cardiovascular disease on both sides of the family (stroke, heart attack, hypertension in David), which matters for Claire and Ben's own health checks, and a caregiving role passing from Maria to Claire as Rosa's dementia progresses while Claire also has young children.

How do you read the Four Generation Genogram Example?

Work through it in layers, from the people to the lines between them.
  1. 1

    Find each person and generation

    Squares are males and circles are females, and each row is one generation, oldest at the top. It spans 4 generations.
  2. 2

    Follow the family lines

    Horizontal lines join partners and vertical lines drop to their children, born left to right in birth order. This genogram uses Marriage, Divorce, Widowed and Parent-child line lines.
  3. 3

    Read the shading

    Shaded symbols mark health conditions: Medical shading and In remission or recovery. Trace each line of descent to see where a condition recurs and where it stops.

Genogram symbols used in this example

Every symbol below follows standard genogram notation. Linked names open the full symbol guide.
SymbolTypeWhat it means
Male (Square)Person SymbolsA square represents a male family member.
Female (Circle)Person SymbolsA circle represents a female family member.
Index person (highlighted outline)Person SymbolsThe person at the centre of the genogram is drawn with a highlighted outline.
Deceased (X)Person SymbolsAn X through the symbol marks a person who has died; birth and death years are written above it.
Age inside the symbolPerson SymbolsThe current age (or age at death) is written inside each symbol, with years above it.
MarriageCouplesA solid line between partners; the marriage year is written on the line (m 13 = married 2013).
DivorceCouplesTwo slashes across the couple line mark a divorce, with the year (d 01).
WidowedCouplesA small x on the couple line marks the end of a marriage through death (wid 98).
Parent-child lineCouplesA vertical line from the couple line to each child; siblings run oldest to youngest from left to right.
CloseRelationshipsTwo parallel blue lines mark an emotionally close relationship.
ConflictRelationshipsTwo dashed red lines mark an ongoing conflictual relationship.
CaregivingRelationshipsA red line with a double arrowhead points from the caregiver to the person she cares for.
Medical shadingMedicalThe left half of a symbol is shaded for a physical or mental illness and the bottom half for alcohol or drug use; each condition has its own colour, listed in the key.
In remission or recoveryMedicalA partly filled section marks a condition in recovery, here Alan's alcohol misuse.

Build a genogram like this one

Describe the family in plain words and GenogramAI places the symbols, lines and layout for you. A description like this one is a good starting point:

Example prompt

Create a 4-generation genogram: A four generation genogram of the fictional Hartley family: both sets of grandparents, the parents (who divorced in 2001) with their siblings, the index person Claire with her husband and brother, and Claire's two children. Health conditions are shaded on each person, causes of death are written under the deceased grandparents, and emotional lines show Claire's closeness to her mother and her caregiving for her grandmother. Mark in remission or recovery conditions on the people who have them. Mark Claire Hartley as the index person.
  1. 1

    Start from the dashboard

    Sign in to GenogramAI and choose Create with AI (paid plans), or open a blank genogram and use Ask AI (any plan). To start from this exact chart instead, use Open as template.
  2. 2

    Describe your family

    Paste a description like the one above, with your own names, dates, relationships and health history.
  3. 3

    Check and adjust

    Edit people and lines by hand, or ask the AI for one change at a time.
  4. 4

    Export

    Download a PNG on the free plan. PDF and SVG export are on paid plans.

The free plan includes 2 genograms and 5 AI credits a month. See the AI genogram creator for what else it can do.

Related resources

Frequently asked questions

What does a four generation genogram show?

It adds one generation to the standard three: here the grandparents, the parents, the index person with her siblings and partner, and the index person's own children. The extra row lets you follow a pattern, such as heart disease or a caregiving role, from the oldest generation down to the youngest.

Which four generations should I include?

Count from the person the genogram is about. If the index person is an adult with children, use grandparents, parents, the index person's generation and the children, as in this example. If the index person is a child, go up instead and add the great-grandparents.

How do I keep a four generation genogram readable?

Keep one row per generation, put siblings oldest to youngest from left to right, place each married-in partner beside their spouse, and limit emotional lines to the few relationships that matter for the question you are asking. This chart has 13 people and three emotional lines.

Can I use this four generation genogram as a template?

Yes. Open it in GenogramAI and replace the names, years and conditions with your own family; the four rows, partner lines and key stay in place. The Free plan holds 2 genograms and exports PNG.

About this example

This genogram is an educational illustration of genogram notation and family systems concepts. Examples based on public figures use publicly available information. They are not clinical documents.