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Our Approach to Clinical Documentation: A Philosophical Shift
Blog Jacob Kantrowitz Blog Jacob Kantrowitz

Our Approach to Clinical Documentation: A Philosophical Shift

At River Records, we believe documentation shouldn’t start from a blank page every time. Clinical care is continuous, and the record should reflect that. In this post, we share the philosophy behind Stream—our AI-powered, problem-oriented documentation platform—and explain why copy-paste behavior is not clinician error, but a system failure begging for a better solution.

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Notes Are Deadweight. Clinical Context Is the Future.
Blog Jacob Kantrowitz Blog Jacob Kantrowitz

Notes Are Deadweight. Clinical Context Is the Future.

For years, the clinical note has been treated as the centerpiece of medical documentation. But in practice, it’s become a relic of a paper-based past—bloated with repetition, slow to navigate, and ill-suited to the way clinicians actually think. At River Records, we’re reimagining documentation not as a series of static notes, but as a living, structured reflection of the patient. By organizing everything around medical problems rather than encounters, Stream gives clinicians the context they need without forcing them to dig through layers of outdated text. The result is faster reviews, clearer updates, and documentation that actually supports care.

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