Your AI scribe stops at the note.
Stream keeps going.
Faster notes today. A smarter chart tomorrow. Stream organizes every visit by medical problem — so the record you've spent years building finally works the way you think.
Maria Rodriguez
Your EHR keeps the record. Stream keeps the project.
Every patient is a project: problems that evolve, plans that change, follow-ups that have to happen. Good clinicians keep that project by hand, in their notes. Stream keeps it for you, alongside whatever EHR you already use.
It works. Until it doesn't.
- It doesn't scale. It holds for the patients you remember, not a full panel.
- It doesn't transfer. It lives in your shorthand, so a partner or covering clinician starts from scratch.
- It takes upkeep. The running summary gets re-typed and carried forward, and it's the first thing to slip on a hard week.
The same system, built as you document.
Every visit's Assessment & Plan is filed under its problem, so each patient's project assembles itself — and any clinician in your practice can open it.
Stream doesn't replace your EHR or integrate with it. The note pastes in, and your EHR stays the record.
Ask it of your own workflow
When did you last change her levothyroxine, and why?
TodayOpen notes until you find it.
StreamOpen the problem: every plan for it, in order.
Which of today's patients has a problem nobody has touched in a year?
TodayRe-read each chart before clinic.
StreamHuddle shows what's falling off, before the visit.
The A1c in Tuesday's cardiology fax: is it in her diabetes plan?
TodaySomeone reads it and retypes what matters.
StreamFiled under diabetes, linked to the page it came from.
You're covering for a partner. What was the plan for this patient's CKD?
TodayDecode your partner's notes.
StreamThe same problem view your partner sees.
Record the visit. Stream does the rest.
Because the note is structured per problem, Stream unlocks capabilities that every other AI scribe is architecturally blocked from building.
Every patient, pre-organized.
Before the visit, see active problems, the ones falling off your attention, and compliance flags. Clinician priority first; revenue capture follows.
Type what you don't want to forget.
Jot it in the Scratchpad during the visit. Stream files each line into the right section of the note.
A/P split per problem, every visit.
Record ambiently or dictate. Toggle the demo to see one visit as Classic SOAP or Problem-Based — paste-ready either way.
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
Open any problem. See it across time.
Timeline shows every A&P you've written for a problem — your chart, not AI output. Recap adds an AI-generated summary, medication trajectory and key metrics when you want them.
Three walkthroughs. No sales call first.
Jake walks through the parts that are hard to picture from a screenshot. About eleven minutes for all three.
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."
- Real-time scribe in 22 languages
- External records summarized & filed
- Automatic tasks
- Referrals & fax on your letterhead
- ICD/CPT/HCC support
- Customizable templates
- Encrypted, BAA included
Half of everything in your patient's chart is copy-pasted noise.
A study of 104 million clinical notes found half the text in the average EHR is duplicated word-for-word from earlier notes, and the share grows every year. Stream's founders wrote that paper, then the book on what to do about it.
Capture the complexity you already deliver.
Most independent practices bill below the care they provide because the note can't defend the visit. Problem-organized documentation makes complexity visible: coding that matches the work, fewer 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 tell everyone I can about you. It's the rapid response, the quick fixes, the troubleshooting, the request for feedback — and the fact that you are clinically active.
I've gone from writing in the dirt to writing Rolls Royce quality.
One flat rate. No per-note fees. No usage caps.
Or $99/month billed annually. 30-day free trial, no credit card.
- Unlimited visits
- Problem-oriented chart
- Huddle, Timeline & Recap
- Coding support
- BAA included
Everything you need to know.
More on the full FAQ page, including what Stream does not do. Still stuck? Reach out →
Your chart should work the way you actually think.
Set up in under three minutes. Try it on your next visit.