When Notes Remember: The Evolution of Problem-Based Context in Stream

From Problem Lists to Problem Contexts

In medicine, we don’t think in pages — we think in problems.

That’s why Stream has always been built around the problem list: each note organized by hypertension, diabetes, asthma, or fatigue, rather than by SOAP headers alone.

Until now, those problems were intelligently grouped and structured, but their memory was static. Stream could separate, tag, and link hypertension notes from past visits — but it couldn’t yet think in continuity.

That changes today.

Introducing: Dynamic Problem Context

With our new update, each problem in Stream now carries forward its own longitudinal context.

When you document a problem today, Stream automatically references the most recent documentation for that same problem — whether from three months ago or last week.

This means that your “Hypertension” section today doesn’t start from scratch. It starts from what you last said, keeping what matters and trimming what doesn’t. Stream uses the last note’s information to write more complete, more consistent, and more contextually aware updates — while filtering out what’s obsolete.

It’s the difference between rewriting your chart every visit and continuing a conversation.

Why It Matters

This update transforms how AI scribes interact with continuity in care:

• Fewer Gaps, Less Redundancy

  Stream now recalls relevant past details automatically — no more retyping old plans or missing subtle context.

  
  

• Your Voice, Learned Over Time

  Because Stream references your last documentation, it also learns your preferred phrasing and clinical style, keeping notes consistent with how you write.

  
  

• Smarter Carry-Forward

  Stream doesn’t just copy and paste. It filters — keeping active medications, plans, and relevant assessments while discarding outdated data.

  
  

• Truer Continuity of Care

  Each problem becomes a living thread across time, making review easier for you and safer for your patients.

A Smarter Kind of Memory

Context is everything in clinical documentation. But in traditional EHRs, context lives in static text — buried in PDFs, split across encounters, forgotten by the time you open the next chart.

Stream changes that.

Now, context lives where it belongs — with the problem itself.

Each hypertension note knows its last version. Each diabetes note carries forward what’s relevant. Each problem evolves, just like the patient.

Building a Future That Learns With You

This update also lays the groundwork for a more personalized experience. Over time, Stream will not only recall the right context for each problem — it will recall your own clinical language, structure, and preferences, continuously adapting to you.

Our goal isn’t just speed.

It’s fidelity — to the way you think, the way you write, and the way continuity should feel.