Methods and ultrasound systems for generating ultrasound protocols are disclosed. In some embodiments, the ultrasound system includes an ultrasound scanner configured to transmit ultrasound at a patient anatomy and receive reflections of the ultrasound from the patient anatomy as part of a current ultrasound examination that includes workflow steps; an ultrasound machine configured to generate image data based on the reflections and a configuration state of the ultrasound machine; and a processor system. In some embodiments, the ultrasound system is configured to record protocol data including the configuration state and the workflow steps, generate an ultrasound protocol based on the protocol data, and store the ultrasound protocol in a memory storage device for use in a subsequent ultrasound examination.