Three New Stream Updates That Reduce Cognitive Load
Tasks from conversation, smarter context, and document upload — all designed to lighten the cognitive load of clinical care.
Jacob Kantrowitz MD, PhD
on
Nov 30, 2025
Clinicians don’t need more places to click, more inboxes to check, or more lists to maintain.
What we actually need is support for the invisible cognitive load that builds across encounters — the tasks we’re trying to remember, the loose ends we mentally track, and the documents we’re expected to reconcile in seconds.
Today, we’re introducing three updates that push Stream further toward that vision.
1. Task Management — Generated Automatically From Your Visit
One of the most expensive parts of primary care isn’t the documentation itself — it’s the follow-through. The “Hey, don’t forget to…” items that appear in conversation and often slip through the cracks.
Stream now listens for actionable items and surfaces them as tasks:
“Check BP in 2 weeks”
“Send referral to cardiology”
“Update medication list”
“Order A1c before next visit”
Tasks are:
Generated automatically (or typed manually if you prefer)
Shown in a dedicated Task Manager, filterable by clinician
Manually resolved with a single click
Carried into the patient’s next visit automatically
No extra workflow. No extra inbox.
Just less to remember.
Part of Stream Pro.
2. Document Upload — Organized Into the Right Problems (Coming Soon)
Outside records can overwhelm even the most organized clinician. Discharge summaries, referral notes, prior consults — they’re long, unstructured, and easy to misplace.
With document upload:
Drop a PDF or text file directly into Stream
Stream ingests it securely
Key information is placed into the appropriate medical problems
Summaries appear right where they belong
Whether it’s a new patient starting care with you or an outside specialist sending updates, Stream helps you pick up where they left off.
A fax endpoint is planned as an upcoming extension of this feature.
3. Improved Problem-Based Context — Smarter, More Complete Notes
Stream already builds documentation around problems — not templates.
Now it gets even closer to how clinicians think.
When you write today’s Hypertension section, Stream automatically retrieves the last Hypertension documentation you entered and uses it as context.
That means:
More complete A&P sections
More accurate representation of evolving problems
Less retyping
Stream gradually learns your phrasing and style over time
This is still your note — Stream just brings the right context forward so you don’t have to.
Less Remembering. More Practicing Medicine.
These features share a single philosophy:
Your brain shouldn’t be the glue holding the chart together.
Stream handles the tasks, organizes the documents, and carries the context — so you can focus on care, not recall.
Want to see how it works?
Try Stream free for 30 days — and feel what it’s like to have your documentation work with you.
keyPoints
Tasks surface automatically from conversation
Document upload auto-organizes records into problem buckets
Improved problem-based context makes notes more complete
Reduces cognitive load between visits
Part of Stream Pro


