Every scribe writes SOAP.
Stream writes per problem.
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.
Maria Rodriguez
Same visit. Different note shape.
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.
One blob. You go hunting.
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.
A/P per problem. Already sorted.
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.
Four things your scribe doesn't do.
Because the note is structured per problem, Stream can do things other scribes architecturally can't.
Every patient, pre-organized.
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.
Type what you don't want to forget.
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.
Subjective
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.
Objective
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.
Assessment & Plan
A/P split per problem, every visit.
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.
Open any problem. See it across time.
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.
Where Stream goes beyond the scribe.
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.
From the practitioners using Stream right now.
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."
Switching takes one visit. Not one weekend.
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.
More than Freed Premier does. Same price with annual billing.
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.
- Unlimited visits, notes, recordings
- Structured A/P per problem
- Huddle — 3-lens pre-visit view
- Per-problem Timeline + Recap
- In-visit Scratchpad
- PDF (20MB) and document summarization
- 30-day trial, no credit card
- Pastes into any EHR
- Unlimited notes
- Specialty templates
- ICD-10 codes (Premier only)
- Browser push (Premier only)
- No per-problem note structure
- No Huddle / pre-visit view
- No per-problem Timeline or Recap
- No document summarization
Freed Starter ($39) and Core ($79) don't include the browser push or ICD coding.
Write the way you read. SOAP in, APSO out.
30-day free trial. No credit card. $149/month after trial. Takes under three minutes to start.