{
  "slug": "dp_003-q04-codex",
  "dp": "dp_003",
  "files": 20,
  "qid": "q04",
  "family": "multi_hop",
  "prompt": "What was Hugo Marchetti's baseline hemoglobin on the day of his NSTEMI presentation, what was his hemoglobin when his PCP drew labs eleven days later, and how large was the drop in grams per deciliter as documented in those same PCP office labs?",
  "gold": "Baseline hemoglobin on Day 0 (2025-11-08) was 13.4 g/dL. On Day 11 at the PCP office (2025-11-19) it was 9.8 g/dL. The PCP office lab report documents the drop as 3.6 g/dL from baseline.",
  "agent": "codex",
  "fs": {
    "agent": "codex",
    "success": true,
    "steps": 1,
    "inputTokens": 317653,
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    "totalTokens": 319968,
    "cost": 3.8813,
    "durationMs": 42605,
    "answer": "Hugo Marchetti\u2019s day-0 NSTEMI presentation hemoglobin was **13.4 g/dL** on **2025-11-08**. Eleven days later, at the PCP office lab draw on **2025-11-19**, his hemoglobin was **9.8 g/dL**. The PCP office labs documented the drop as **3.6 g/dL**.\n\nSources: [day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP CBC interpretation](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:113), [PCP trend table](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:125).",
    "judgeReason": "covers all asked facts",
    "toolCalls": 10,
    "trajectory": [
      {
        "step": 1,
        "inputTokens": 317653,
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        "text": "I\u2019ll search the local `agent_memory/` first, since the project instructions say the answer is there, then open the relevant source to verify the dates and values.\nI found the likely lab files: day 0 CBC/troponins and the day 11 PCP office CBC. I\u2019m reading those now to pull the exact hemoglobin values and confirm the documented delta.\nHugo Marchetti\u2019s day-0 NSTEMI presentation hemoglobin was **13.4 g/dL** on **2025-11-08**. Eleven days later, at the PCP office lab draw on **2025-11-19**, his hemoglobin was **9.8 g/dL**. The PCP office labs documented the drop as **3.6 g/dL**.\n\nSources: [day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP CBC interpretation](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:113), [PCP trend table](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:125).",
        "toolCalls": [
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'rg --files agent_memory'\"}",
            "outputPreview": "agent_memory/correspondence/patient/patient-portal-messages.md\nagent_memory/correspondence/patient/patient-symptom-journal-hugo.md\nagent_memory/correspondence/provider/pcp-handoff-letter-2025-11-12.md\nagent_memory/correspondence/provider/cohort-followup-velasquez-personal.md\nagent_memory/clinical/specialty/cardiology-followup-clinic-2025-11-17.md\nagent_memory/clinical/specialty/cardiology-cath-rep\u2026",
            "outputChars": 1251
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'find agent_memory -maxdepth 2 -type f | sort'\"}",
            "outputPreview": "",
            "outputChars": 0
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,220p' agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md\\\"\"}",
            "outputPreview": "```\n================================================================================\nRIVERSIDE GENERAL HOSPITAL \u2014 DEPARTMENT OF LABORATORY MEDICINE\nINWOOD CAMPUS \u2014 4115 Broadway, New York, NY 10033\nCLIA #33D2014872   |   CAP #7891245   |   NYS DOH PFI #00214-LAB\nDirector: Dr. Hiroko Yamazaki, MD, PhD \u2014 Pathology / Clinical Chemistry\nLab telephone (main): 212-555-0303     Lab fax: 212-555-0304\nPath\u2026",
            "outputChars": 10460
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,220p' agent_memory/tests/labs/labs-day11-pcp-office-cbc.md\\\"\"}",
            "outputPreview": "```\n=========================================================================\n   [ logo: small green-on-cream caduceus + magnolia leaf \u2014 printed top-left ]\n   MOTT HAVEN FAMILY MEDICINE \u2014 INWOOD SATELLITE\n   OUTPATIENT LABORATORY\n   1245 St. Nicholas Avenue, New York, NY 10033\n   Office: (212) 555-0319    Fax: (212) 555-0320\n   CLIA #33D9120441\n=====================================================\u2026",
            "outputChars": 16786
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'rg -n \\\"hemoglobin|Hgb|NSTEMI|drop|eleven|11\\\" agent_memory'\"}",
            "outputPreview": "agent_memory/correspondence/patient/patient-portal-messages.md:5:  Secure messaging is for non-urgent communication; for emergencies call 911.\nagent_memory/correspondence/patient/patient-portal-messages.md:7:  Thread: \"Hugo Marchetti \u2014 Cardiac/GI care 2025-11-08 \u2192 2025-12-01\"\nagent_memory/correspondence/patient/patient-portal-messages.md:9:  Audit log: routing exception RXC-118-2025 logged 2025-11\u2026",
            "outputChars": 231271
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '130,170p'\\\"\"}",
            "outputPreview": "   130\t     [In-process stamp: 16:31   \u2192   FINAL stamp: 16:38]\n   131\t\n   132\t  Trend interpretation: 0.21 \u2192 0.84 \u2192 1.32 ng/mL \u2014 a clear, reproducible\n   133\t  rising pattern over 6 hours. Delta exceeds institutional MI-rule-in\n   134\t  threshold (\u226520% rise from a baseline >URL).\n   135\t\n   136\t  >> Aggregate impression (Dr. Antoun, cosigned by Dr. Yamazaki, MD, PhD):\n   137\t     Serial troponin I\u2026",
            "outputChars": 2040
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/tests/labs/labs-day11-pcp-office-cbc.md | sed -n '70,135p'\\\"\"}",
            "outputPreview": "    70\t| FOBT card #1 (in-office bathroom) | Hemoccult Sensa | n/a | 09:55 | Patient self-collected, witnessed | Estrada-Bonilla, RN | Valid; pos+neg controls run |\n    71\t| FOBT card #2 (home, 11/18 AM) | Hemoccult Sensa | n/a | brought from home | Patient | Estrada-Bonilla, RN | Valid |\n    72\t| FOBT card #3 (home, 11/18 PM) | Hemoccult Sensa | n/a | brought from home | Patient | Estrada-Bonilla\u2026",
            "outputChars": 5629
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc pwd\"}",
            "outputPreview": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003\n",
            "outputChars": 93
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '166,215p'\\\"\"}",
            "outputPreview": "   166\t## PANEL 2 \u2014 COMPLETE BLOOD COUNT (CBC) WITH DIFFERENTIAL\n   167\t\n   168\t```\n   169\tMethodology   : Automated impedance + flow cytometry; 6-part diff\n   170\tInstrument    : Beckman Coulter DxH 900 (Lab #DXH-900-02)\n   171\tSpecimen      : Whole blood, K2-EDTA lavender-top, 3.0 mL fill (target 3.0)\n   172\t                Clot-free; QC pass.\n   173\tCollected     : 2025-11-08 10:14   Accession:\u2026",
            "outputChars": 2859
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md | sed -n '213,222p'\\\"\"}",
            "outputPreview": "   213\t```\n   214\tFootnote (b) \u2014 Hgb 13.4 g/dL: near lower-normal limit for adult men; will\n   215\tserve as baseline for monitoring during anticoagulation/antiplatelet therapy.\n   216\tClinician-facing note: \"Hgb 13.4 represents baseline pre-event hemoglobin;\n   217\trecommend repeat at 24 h and at any new bleeding concern.\"\n   218\t```\n   219\t\n   220\t---\n   221\t\n   222\t## PANEL 3 \u2014 BASIC METABOLIC P\u2026",
            "outputChars": 411
          }
        ]
      }
    ]
  },
  "smfs": {
    "agent": "codex",
    "success": true,
    "steps": 1,
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    "answer": "Hugo Marchetti\u2019s baseline hemoglobin on the NSTEMI presentation date, **2025-11-08**, was **13.4 g/dL**. His PCP office labs eleven days later, on **2025-11-19**, showed hemoglobin **9.8 g/dL**. The PCP lab report documented the drop from baseline as **3.6 g/dL**.\n\nSources: [Day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP office labs](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:113)",
    "judgeReason": "covers all asked facts",
    "toolCalls": 5,
    "trajectory": [
      {
        "step": 1,
        "inputTokens": 148111,
        "outputTokens": 1943,
        "text": "I\u2019ll search the mounted memory for Hugo Marchetti and the NSTEMI/PCP lab timeline, then read the matching source lines to verify the exact values.\nThe file list already points to day-0 and day-11 lab reports. I\u2019m going straight to those and also checking related notes for corroborating wording about the documented drop.\nHugo Marchetti\u2019s baseline hemoglobin on the NSTEMI presentation date, **2025-11-08**, was **13.4 g/dL**. His PCP office labs eleven days later, on **2025-11-19**, showed hemoglobin **9.8 g/dL**. The PCP lab report documented the drop from baseline as **3.6 g/dL**.\n\nSources: [Day-0 CBC](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md:186), [PCP office labs](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md:113)",
        "toolCalls": [
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'pwd && rg --files'\"}",
            "outputPreview": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory\nprofile.md\nclinical_note_hugo_marchetti_2025-11-22.md\nclinical/specialty/gi-consult-egd-2025-11-21.md\nclinical/specialty/cardiology-followup-clinic-2025-11-17.md\nclinical/specialty/cardiology-cath-report-2025-11-09.md\nclinical/progress/post-cath-progress-2025-11-10.md\nclinical/progress/hugo-\u2026",
            "outputChars": 1220
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'smfs grep \\\"Hugo Marchetti NSTEMI hemoglobin PCP labs eleven days later drop grams per deciliter\\\"'\"}",
            "outputPreview": "# supermemory semantic search \u2014 10 results for \"Hugo Marchetti NSTEMI hemoglobin PCP labs eleven days later drop grams per deciliter\"\n# searches by meaning across files in this container. usage:\n#   grep \"natural language query\"          search all files\n#   grep \"query\" path/to/dir/              search within directory\n# output: <filepath>:<line_start>-<line_end>:<chunk> (chunk text is verbatim f\u2026",
            "outputChars": 2245
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'nl -ba tests/labs/labs-day11-pcp-office-cbc.md'\"}",
            "outputPreview": "     1\t```\n     2\t=========================================================================\n     3\t   [ logo: small green-on-cream caduceus + magnolia leaf \u2014 printed top-left ]\n     4\t   MOTT HAVEN FAMILY MEDICINE \u2014 INWOOD SATELLITE\n     5\t   OUTPATIENT LABORATORY\n     6\t   1245 St. Nicholas Avenue, New York, NY 10033\n     7\t   Office: (212) 555-0319    Fax: (212) 555-0320\n     8\t   CLIA #33D91204\u2026",
            "outputChars": 36798
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'nl -ba tests/labs/labs-day0-troponins-cbc-bmp.md'\"}",
            "outputPreview": "     1\t```\n     2\t================================================================================\n     3\tRIVERSIDE GENERAL HOSPITAL \u2014 DEPARTMENT OF LABORATORY MEDICINE\n     4\tINWOOD CAMPUS \u2014 4115 Broadway, New York, NY 10033\n     5\tCLIA #33D2014872   |   CAP #7891245   |   NYS DOH PFI #00214-LAB\n     6\tDirector: Dr. Hiroko Yamazaki, MD, PhD \u2014 Pathology / Clinical Chemistry\n     7\tLab telephone (m\u2026",
            "outputChars": 41395
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'rg -n \\\"hemoglobin|Hgb|drop|NSTEMI|PCP|eleven|11\\\" .'\"}",
            "outputPreview": "./tests/labs/labs-day11-pcp-office-cbc.md:13:# With Office Telephone-Encounter Note + PCP Instruction Letter Appended\n./tests/labs/labs-day11-pcp-office-cbc.md:15:**Report ID:** MHFM-LAB-2025-1119-44820-01\n./tests/labs/labs-day11-pcp-office-cbc.md:49:| Date order placed | 2025-11-17 (entered after the outpatient cardiology follow-up) |\n./tests/labs/labs-day11-pcp-office-cbc.md:50:| Date specimens \u2026",
            "outputChars": 233759
          }
        ]
      }
    ]
  }
}