Lyrebird vs Stream

River Records is physician-founded and sells Stream to practices of one to twenty clinicians. Stream files each visit under the patient's medical problems and copies the note to the clipboard. Its FAQ says there is no EHR write-back and none planned this year, and concedes that health systems generally need EHR-integrated enterprise products. River's buyer is a small practice that wants problem-organized charts and accepts copy-paste. Lyrebird's buyer is an Australian GP clinic that wants referrals, certificates and reports drafted. The vendor says Lyrebird is fully compliant with Australian regulations including the TGA, though the page shows no registration number, and it calls Lyrebird the only AI scribe fully integrated with Best Practice. The two clinics are not shopping against each other.

River's published work is two founders' papers, a 2022 JAMA Netw Open study on duplicated chart text and a 2021 JMIR Form Res prototype paper, neither an evaluation of Stream. Stream Lite costs $59 per month, scribe only, with audio, transcript and note deleted after 48 hours. The optional Inlet add-on turns inbound faxes into summaries filed under problems, from $89 per month for 500 pages.