Your recall list starts with the appointment book.
Ours starts with the panel.
Every recall report starts with the appointment book, so the only children it can see are the ones already coming. Stream starts with your panel — sweeping every active child against the Bright Futures schedule each night, and handing you the ones whose window has closed, with the evidence attached.
The child who needs it most
is the one you can't see.
Well visits are the business — billable, schedulable, and the visit type every pediatric practice actively wants more of. Eleven of them land before age three, on a schedule where "roughly on time" has a real definition, and where a missed window doesn't come back. But the tooling that's supposed to protect them can only look in one direction.
Recall is a person with a spreadsheet
Somebody at the front desk works a list. That list comes out of the appointment book, so it can only see children who already have some relationship with the schedule.
The family that stopped coming is invisible
There is no appointment for a recall report to notice the absence of. Everyone in pediatrics knows this. Nobody's software solves it.
You're scored on a number you can't move
Medicaid managed care and commercial contracts measure well-child visit rates — while the tools you have to move that number only ever look at who's already booked.
"Every recall report I've used in my own practice starts with the appointment book, which means it can only show me patients who are already coming back. That's a gap in adult primary care. In pediatrics — dense schedule, real windows, a family that can disappear for two years — it's the difference between a safety net and a list of people who don't need one."
The note is how we learn.
The panel is what we watch.
Three beats: it reads the visit out of the note you already wrote, sweeps your whole panel overnight, and hands you a list with its evidence attached.
It learns the visit happened from the note you were already writing.
No new checkbox, no new field, no changed workflow. The engine reads three places — the encounter name, the visit type, and the titles of the problem cards you wrote — and matches against the language pediatricians actually use: well child, well visit, well check, well baby, WCC, health maintenance, health supervision, and constructions like 6 month well.
Nothing to remember. Nothing to click.
Every night, the whole panel.
The system walks every active patient in the practice — anyone with a visit in the trailing 36 months — and recomputes who is inside their window, approaching it, or past it. It does not start from tomorrow's schedule. It does not wait for anyone to open a chart.
Which is the whole inversion: every recall report in every EHR begins with the appointment book, and can therefore only tell you about children who are already, in some sense, coming. This begins with the panel.
The child who isn't booked is exactly the child it finds.
A list you can audit in four seconds.
When a visit satisfies a slot, the slot closes with a reason that names its proof — the date and the exact phrase from the chart that justified it. Not "closed." Not "complete." Every open slot shows the window it is being measured against.
Copy to clipboard or export to PDF. Works alongside any EHR — no integration to set up, nothing for your EHR vendor to approve.
9 month well baby
Illustrative. Not a customer's data.
From a birthday, we know the whole schedule.
Every other population-health claim in this market needs history — months of accumulated data before the software can say anything useful about your patients.
Pediatric periodicity doesn't. The schedule is computed from a date of birth. A birthday and one visit is enough, which means a practice can be onboarded and see which children are past their window the same week.
There is no "give it six months and it'll get smart."
Bright Futures, encoded. 27 slots.
Eleven visits before age three, then one a year through eighteen. Every slot carries a target age and a real window — so "overdue" means the window closed, not that a date on the calendar went by.
Infancy & toddlerhood
11 slotsAnnual, ages 3–18
16 slotsThe 6-month visit
5–8 months
The 15-month visit
14–17 months
Annual visits
±6 months around the birthday
Most recall tooling treats a well visit as an anniversary. Windows are how periodicity actually works — and it's the difference between a list your front desk trusts and a list that gets ignored for crying wolf.
We won't tell you a child is fine unless we can show you why.
A false "you're covered" is the only truly dangerous error a safety net can make. This one is designed against it — it would rather flag a discrepancy than claim a match.
Every closure cites its evidence
A satisfied slot names the visit that satisfied it and quotes the phrase from the chart that justified it. Any row is spot-checkable in one glance.
Evidence outside the window doesn't count
If the visit that would satisfy a slot sits outside that slot's window, the system refuses to close it. It flags the discrepancy instead of quietly calling it a match.
The clinician's judgment wins
A slot you close by hand is never reopened by the machine. Your call stands.
Suppression, with a stated reason
Per-patient, permanent or temporary — the child in foster care, the family that transferred out, the medically complex kid on a different cadence.
It won't push a visit your contract won't cover
A payer minimum-interval gate keeps the worklist inside what's actually reimbursable.
It says when it can't see far enough back
Where the record doesn't reach, Stream tells you that rather than guessing. It closes slots, with cited evidence — it doesn't declare children complete.
The distinction is the whole product: it closes slots, and shows the evidence for each one. It does not tell you a child is up to date.
The note is still the input.
Stream is an ambient scribe with a problem-oriented, longitudinal chart underneath it. That chart is what makes the tracking possible — and it's useful on its own, from the first visit.
Tracks development over time
Each problem — a feeding concern, a milestone question, asthma, ADHD — gets its own block that updates every visit, so you see the trajectory rather than a stack of dated notes.
Reuse prior documentation
Pull forward and build on relevant history from previous visits instead of starting from scratch — producing a more complete note every time.
Pre-visit huddle
See active problems, what's been falling off your attention, and outstanding items before a visit — useful for catching overdue screenings or developmental follow-ups.
Outside records, filed
Specialist consults, ER visits, and school or therapy reports get summarized and filed under the right problem — not left as separate attachments.
Automatic task tracking
Referrals, catch-up immunizations, and pending labs are extracted from each visit and tied to the relevant problem so nothing slips between visits.
22 languages
Document visits with families who speak different languages, with translation to English — without losing fidelity.
Built by physicians. Trusted by pediatricians.
Real feedback from practicing pediatric clinicians.
"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."
$149/month. Start free.
Unlimited visits. Works alongside any EHR. 30-day free trial, no credit card required.
Start free for 30 daysMulti-provider pediatric groups can ask about per-seat Clinic pricing.
Frequently asked questions
Our EHR already has a recall report. Why do I need this?
We report to the state immunization registry. Isn't that the same thing?
Isn't this just another AI scribe?
How do I know the list is right?
We're a small practice. We know our patients.
What if it tells me a child is fine and they aren't?
How long before it's useful? Does it need months of data first?
Does Stream work with my pediatric EHR?
Is patient data used to train AI models?
Built by practicing physicians. Published in JAMA Network Open. Read the research →
Send us your panel.
We'll tell you who's overdue.
A date of birth and a visit history is all it takes — no integration, no six-month ramp. Start your 30-day free trial. No credit card. $149/month after trial. Works alongside any EHR.
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