Freed generates a single blob per visit. Stream's scribe produces Assessment & Plan broken out per medical problem — so your chart is already organized the way you actually read it, the way you actually think. APSO, not SOAP.
Every clinician writes SOAP. Every clinician reads APSO — you open a chart to find the Assessment and Plan first. Stream's scribe produces a note that already matches how you use it.
The scribe produces one continuous note per encounter. To find what you said about the patient's diabetes four months ago, you open four old notes and scroll. The chart is organized by when things happened, not by what's going on.
The scribe produces a structured note: Subjective, Objective, then Assessment & Plan split out per medical problem. Every A/P block is addressable. Every problem has its own thread across time. The chart is organized around what matters.
Because the note is structured per problem, Stream can do things other scribes architecturally can't.
Open a patient 5 minutes before their visit. Huddle shows three lenses: active problems from your last 3 visits, problems falling off your attention (10+ months), and compliance flags. Clinician priority first, revenue capture as a byproduct.
Jot free-text notes during the visit in the Scratchpad field. When the note generates, Stream incorporates what you wrote into the right sections. Your mental sticky notes become permanent chart content.
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.
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.
Stream's scribe doesn't generate one SOAP blob — it generates Subjective, Objective, and separate Assessment & Plan sections for each medical problem discussed. Toggle between Classic SOAP and Problem-Based to see both shapes of the same visit. One architectural choice; everything else on this page is downstream of it.
Pick a problem from Huddle. 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.
Compared to Freed's Premier plan ($119/mo) — the tier closest to Stream's feature set. If you're on Starter ($39) or Core ($79), you're using a different category of product.
| Feature | Stream | Freed Premier |
|---|---|---|
| The scribe layer | ||
| Ambient visit capture & note generation | ✓ | ✓ |
| Note structure | S / O / A+P per problem | SOAP blob |
| Specialty templates | ✓ | ✓ |
| In-visit Scratchpad | ✓ Folds into the note | — |
| The chart layer | ||
| Problem-based organization of visits | ✓ Automatic | — |
| Per-patient Huddle (pre-visit view) | ✓ 3 lenses | — |
| Problems flagged if untouched 10+ months | ✓ | — |
| Per-problem Timeline across visits | ✓ | — |
| Recap (AI summary + meds + metrics) | ✓ On demand | — |
| Documents & data in | ||
| PDF upload | ✓ Up to 20MB | — |
| Text / paste-in documents | ✓ | — |
| Document summarization | ✓ | — |
| Note export | ||
| Paste into any EHR | ✓ Flattens to SOAP | ✓ |
| Browser extension / scraping push | — | ✓ Premier only |
| The offer | ||
| Free trial | 30 days | 7 days |
| Credit card required | No | No |
| Price (monthly) | $149/mo | $119/mo |
| Price (annual) | $99/mo SAME PRICE | $119/mo |
Comparison based on publicly listed pricing and features as of April 2026. Freed tier details from getfreed.ai.
Stream focuses on the entire patient — which is exactly what DPC needs. Progress over time matters more than any single encounter, and Stream is the only tool I've found that actually works that way.
"I can pull up previous visits inside Stream and build a comprehensive note every time — without the copy-paste."
"Stream's approach to documentation matches how we think clinically. I love the concept."
"I've gone from writing in the dirt to writing Rolls Royce quality."
Stream isn't asking you to start over. You don't need to migrate old notes, retrain templates, or reinstall anything. You start using Stream on your next patient — and the problem-structured chart builds itself from there.
See Stream in your workflow →Your old notes stay where they are. Stream starts fresh with your next encounter and builds the structured chart from there.
Upload your existing note structures or paste an example — Stream learns the format in the first few visits.
30-day free trial, no credit card — four times longer than Freed's 7 days. Use both. Decide with real visits, not screenshots.
Every onboarding call is led by a practicing clinician. Honest answers about whether Stream fits your practice.
Freed's Premier tier — the one with ICD codes and the browser push — is $119/mo. Stream is $149/mo monthly, or $99/mo billed annually — the same price as Freed, with a problem-oriented chart they can't match. No tiers, no note caps, no usage limits.
Freed Starter ($39) and Core ($79) don't include the browser push or ICD coding.
30-day free trial. No credit card. $149/month after trial. Takes under three minutes to start.