Your AI scribe stops at the note.
Stream keeps going.
Most AI scribes write a better note. Stream builds a chart — organizing every visit by medical problem, surfacing what's falling off your radar, and keeping the longitudinal record you've spent years building actually usable.
Maria Rodriguez
The scribe is table stakes. The chart is the product.
Every AI scribe records a visit and writes a note. That's solved. The problem that isn't solved — and what Stream was built for — is what happens to that note over the next five years. A chart that organizes itself around your patient, not around the calendar. Stream's founders authored the peer-reviewed research on chart duplication — 104 million notes, JAMA Network Open, 2022 — and built Stream to answer it.
A note. Then another note. Then 400 more.
The note is the end of the workflow. After a year of visits, you've generated a stack of disconnected documents. To find when you last adjusted a patient's thyroid medication, you open six notes and scroll. The scribe helped with the visit. It didn't help with the chart.
Every visit builds one organized chart.
Stream's scribe produces a structured note — Subjective, Objective, then Assessment & Plan per medical problem. That single architectural choice means every visit updates a problem-oriented, longitudinal record. One click to see every A&P you've written for diabetes. One glance to see what's falling off your attention. The chart works the way you actually think.
Three things, in the order you do them.
Record your visit. Stream writes the note.
Record your visit ambiently, or dictate a quick update. Stream transcribes in real time and generates a structured note as you talk. Your voice sets the context; Stream does the structure.
A&P split per problem. Automatically.
Stream's note isn't one blob. It's Subjective, Objective, and Assessment & Plan split per medical problem. Every problem you discuss gets its own addressable block — automatically filed under that problem in the patient's longitudinal chart.
The chart does the work.
Before the next visit, Huddle surfaces what's active, what's falling off, and what needs attention. During the visit, the Scratchpad keeps your side notes. After the visit, Timeline + Recap give you per-problem history on demand. Tasks are generated automatically. Codes are suggested. Outside records are summarized.
Four tools your scribe doesn't give you.
Because the note is structured per problem, Stream unlocks capabilities that every other AI scribe is architecturally blocked from building.
Every patient, pre-organized.
Open a patient five minutes before their visit. Huddle shows three lenses: active problems from your last three visits, problems falling off your attention past ten months, and compliance flags. Clinician priority first, revenue capture as a byproduct.
Type what you don't want to forget.
Jot free-text notes during the visit in the Scratchpad. When the note generates, Stream incorporates what you wrote into the right sections. Your mental sticky notes become permanent chart content.
Subjective
64F with T2DM, HTN, anxiety for follow-up. Generally well. Fingersticks 140-180 mornings. Denies CP, SOB, dizziness. Anxiety improved on sertraline, no side effects.
Objective
BP 138/86, HR 74, weight 182 lb. RRR, CTA bilaterally, no edema. Labs: A1c 8.4 (up from 7.9), BMP unremarkable, lipids at goal.
Assessment & Plan
A/P split per problem, every visit.
Stream's scribe doesn't generate one SOAP blob — it generates Subjective, Objective, and separate Assessment & Plan sections for every medical problem discussed. Toggle between Classic SOAP and Problem-Based to see both shapes of the same visit. Every downstream capability on this page is enabled by this one architectural choice.
Open any problem. See it across time.
Pick a problem from any patient's chart. Timeline shows every A&P entry you've written for that problem across every visit — real chart data, not AI output. Hit Recap when you need the AI-generated narrative, medication trajectory with outcome badges, and key metrics. You see both layers; you trust both for different reasons.
We're River Records — Stream is our first product, a stream cutting through the mountain of data in every chart.
"Primary care is a project management specialty. Every patient is a longitudinal project — with an evolving problem list, open tasks, and a plan that changes over time. We built the tool to manage it."
Every feature, designed to save minutes now and hours later.
One subscription. Unlimited visits. No usage caps. No tiers.
Real-time scribe in 22 languages.
Record your visit ambiently, dictate a quick update, or mix both. Stream transcribes as you speak, structures the note, and learns your style over time. Works in 22 languages with automatic translation to English.
Problem-oriented chart, automatic.
Every visit updates a living problem list. Each encounter's Assessment & Plan is filed under the relevant problem. After a year of visits, you have a chart organized by what matters — not a stack of dated documents.
External records, summarized and filed.
Upload a PDF consult (up to 20MB), paste in free text, or send in a fax. Stream summarizes the document and files the relevant pieces under the right problem. Two lines instead of twenty pages.
Tasks from every visit.
Follow-up tasks, pending labs, overdue screenings — extracted from every note automatically and tied to the problem they belong to. Not buried in the body of a document where nobody finds them.
Referrals in a couple of clicks.
Generate a referral letter from the problem's own history, on your clinic's letterhead, and fax it out — without leaving Stream. The follow-up becomes a tracked task, so the referral doesn't vanish into an old note.
ICD, CPT, and HCC support.
Diagnosis codes, procedure codes, and HCC capture opportunities suggested at point of care. Revenue integrity that happens as a byproduct of doing the clinical work right.
Security and privacy.
Fully HIPAA compliant. BAA with every subscriber. Encrypted at rest and in transit. We never train our models on your patient data.
Half of everything in your patient's chart is copy-pasted noise.
A peer-reviewed study of 104 million clinical notes found that half of the text in the average EHR is duplicated word-for-word from prior documentation — and that fraction grows every year. The average patient chart contains roughly half the words of Hamlet. Half of it is noise.
Stream's founders wrote that paper. Then they wrote the book on what to do about it — and built the product that answers both.
Capture the complexity you already deliver.
Most independent practices bill below the level of care they provide — not from laziness, but because the note can't defend the visit. Problem-organized documentation makes complexity visible and defensible: coding that matches the work you actually did, fewer documentation-driven denials, and chronic conditions that don't fall off the chart every January.
Built by physicians. Trusted by clinicians.
Stream focuses on the entire patient — perfect for DPC where progress matters more than individual encounters.
"I can review and reuse information from previous visits inside Stream — creating a more comprehensive note every time."
"I've gone from writing in the dirt to writing Rolls Royce quality."
One flat rate. No tiers. No usage caps.
$149/month, or $99/month billed annually. 30-day free trial, no credit card.
- Unlimited visits, notes, recordings
- Problem-oriented longitudinal chart
- Huddle — pre-visit view with three lenses
- Per-problem Timeline + Recap
- In-visit Scratchpad
- ICD, CPT, and HCC coding support
- External record import (PDF 20MB, text paste)
- Automatic task generation
- Customizable note templates
- 30-day trial, no credit card
- Pastes into any EHR
Per-clinician pricing with volume discounts. First non-clinician seat free; additional staff $25/month each.
- Everything in Individual Plan
- Shared task assignment across clinicians and admin staff
- Shared document and fax intake with team review workflows
- Team templates, role-based permissions, admin controls
- Bulk patient panel upload
- Custom onboarding and dedicated support
One independent network started with a single clinic — and now runs most of their locations on Stream.
Contact Sales →Everything you need to know.
Still have questions? Reach out →
Your chart should work the way you actually think.
Start your 30-day free trial. No credit card. $149/month, or $99/month billed annually. Takes under three minutes to set up.