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
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.
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 — so every visit updates a problem-oriented, longitudinal record. One click shows every A&P you've written for diabetes; one glance shows what's falling off your attention.
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.
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.
A/P split per problem, every visit.
Record your visit ambiently, or dictate a quick update; Stream transcribes in real time. Toggle between Classic SOAP and Problem-Based to see both shapes of the same visit. Every downstream capability on this page is enabled by the per-problem structure.
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.
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."
Also in every subscription: 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. See all features →
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
- Per-problem Timeline + Recap
- ICD, CPT, HCC coding support
- Pastes into any EHR
- First non-clinician staff seat free
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 has since rolled Stream out across their locations.
Contact Sales →Everything you need to know.
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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.