{
  "slug": "dp_003-q06-codex",
  "dp": "dp_003",
  "files": 20,
  "qid": "q06",
  "family": "multi_hop",
  "prompt": "A cards fellow made a remark during Hugo Marchetti's admission that was quoted verbatim in the hospitalist admit note. What did the fellow say, and which progress note from the next day records the time at which ticagrelor was loaded in the cath lab?",
  "gold": "Dr. K. Lin, the cards fellow, said 'the lab is running 60\u201390 minutes behind today due to an earlier STEMI.' The cath-day progress note (2025-11-09) records that ticagrelor loading occurred at 11:32.",
  "agent": "codex",
  "fs": {
    "agent": "codex",
    "success": true,
    "steps": 1,
    "inputTokens": 261368,
    "outputTokens": 2617,
    "totalTokens": 263985,
    "cost": 3.2149,
    "durationMs": 46453,
    "answer": "Dr. K. Lin\u2019s verbatim remark was: \u201cthe lab is running 60\u201390 minutes behind today due to an earlier STEMI.\u201d See [hospitalist admit note](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187).\n\nThe next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/progress/cath-day-progress-2025-11-09.md:121), titled **Hospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50**. It records ticagrelor 180 mg loaded in the cath lab at **11:32**.",
    "judgeReason": "covers all asked facts",
    "toolCalls": 9,
    "trajectory": [
      {
        "step": 1,
        "inputTokens": 261368,
        "outputTokens": 2617,
        "text": "I\u2019ll search the local `agent_memory/` first, since the repo instructions say the answer is there, then trace the cited admit and next-day progress notes.\nI found the relevant admission and progress-note files. I\u2019m reading those now and checking for the exact quoted wording plus the note title/date that documents the cath-lab ticagrelor load time.\nDr. K. Lin\u2019s verbatim remark was: \u201cthe lab is running 60\u201390 minutes behind today due to an earlier STEMI.\u201d See [hospitalist admit note](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187).\n\nThe next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/progress/cath-day-progress-2025-11-09.md:121), titled **Hospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50**. It records ticagrelor 180 mg loaded in the cath lab at **11:32**.",
        "toolCalls": [
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'find . -maxdepth 2 -name AGENTS.md -print'\"}",
            "outputPreview": "./AGENTS.md\n",
            "outputChars": 12
          },
          {
            "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 \\\"sed -n '1,240p' agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md\\\"\"}",
            "outputPreview": "# Riverside General Hospital \u2014 Department of Internal Medicine \u2014 Hospitalist Service \u2014 Admission H&P \u2014 11/08/2025 14:35\n\n```\nEpic \u2014 Hospital Medicine H&P v9 \u2014 generated 11/08/2025 14:35 \u2014 User: QOKAFOR \u2014 Cosigned: pending\n```\n\n---\n\n## Patient Identifiers\n\n- **Name:** Marchetti, Hugo\n- **MRN:** R-487293012 (Riverside General system)\n- **DOB:** 1973-04-22 (age 52)\n- **Sex:** Male\n- **Preferred langu\u2026",
            "outputChars": 22268
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,240p' agent_memory/clinical/progress/cath-day-progress-2025-11-09.md\\\"\"}",
            "outputPreview": "# Hospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50\n\n`Epic \u2014 Daily Progress Note v7 \u2014 generated 11/09/2025 06:50 \u2014 User: QOKAFOR`\n\n**Patient:** Hugo Marchetti, 52 M, MRN R-487293012, HD#2.\n**Location:** Step-down 3-South, Bed 14B (pre-cath); planned transfer to Cath Lab Bay 2 at case-call.\n**Service:** Hospital Medicine \u2014 Dr. Quincy Okafor, MD attending.\n**Co-managing:** Intervent\u2026",
            "outputChars": 18018
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"sed -n '1,240p' agent_memory/clinical/progress/post-cath-progress-2025-11-10.md\\\"\"}",
            "outputPreview": "```\n================================================================================\n  Epic \u2014 Daily Progress Note v7 \u2014 generated 11/10/2025 07:10 \u2014 User: QOKAFOR\n================================================================================\n```\n\n# Hospital Medicine \u2014 Daily Progress Note \u2014 Day 2 \u2014 11/10/2025 07:10\n\n**Patient:** Marchetti, Hugo\n**MRN:** R-487293012\n**DOB:** 1973-04-22 (Age 52, M)\n\u2026",
            "outputChars": 13615
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'rg -n \\\"fellow|ticagrelor|loaded|load|cath lab|quoted|verbatim|cards|Marchetti\\\" agent_memory'\"}",
            "outputPreview": "agent_memory/correspondence/patient/patient-portal-messages.md:4:  Account: H. Marchetti \u2014 MRN R-487293012\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:14:> Body text reproduced verbatim; no editorial cuts. Auto-replies and system\nagent_memory/corr\u2026",
            "outputChars": 124320
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '190,235p'\\\"\"}",
            "outputPreview": "   190\t- **IV access plan:** maintain right antecubital 18-gauge for now. **If radial access is used for cath, ensure the non-cath arm is used for blood pressure cuffs**, and the TR Band protocol is followed post-procedure.\n   191\t- **Pain reassessment plan:** structured q4h pain reassessment using a CIWA-like format (borrowed structure, not actual CIWA \u2014 patient is not in withdrawal); SL nitrogly\u2026",
            "outputChars": 3083
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/clinical/progress/cath-day-progress-2025-11-09.md | sed -n '120,175p'\\\"\"}",
            "outputPreview": "   120\t\n   121\t## Cath Lab Handoff Note (10:55)\n   122\t\n   123\tPatient handed off to interventional team at 10:55 by Okafor (verbal SBAR) and floor RN to cath lab RN at 10:58. Heparin gtt running, IV intact, telemetry transferred, last vitals at 10:50 HR 76, BP 128/76, SpO2 98% RA, pain 0/10. Anxiety mild; declined anxiolytic. NPO confirmed.\n   124\t\n   125\t**Cath start delayed to 11:18.** Patient \u2026",
            "outputChars": 4272
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '170,190p'\\\"\"}",
            "outputPreview": "   170\t\n   171\t## Hospital Course to Date\n   172\t\n   173\tThis is the admission H&P. The patient was evaluated in the ED at 09:42 by Dr. Vel\u00e1squez; serial troponins, ECGs, and risk stratification confirmed an NSTEMI. He responded well to aspirin 324 mg, IV nitroglycerin, and IV metoprolol. Heparin infusion was initiated in the ED. He arrived at 4-North bed 412 at approximately 13:30 hemodynamically\u2026",
            "outputChars": 3096
          }
        ]
      }
    ]
  },
  "smfs": {
    "agent": "codex",
    "success": true,
    "steps": 1,
    "inputTokens": 220238,
    "outputTokens": 2526,
    "totalTokens": 222764,
    "cost": 2.7186,
    "durationMs": 75108,
    "answer": "Dr. K. Lin said: \u201cthe lab is running 60\u201390 minutes behind today due to an earlier STEMI.\u201d See [hospitalist-admit-note-2025-11-08.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187).\n\nThe next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/progress/cath-day-progress-2025-11-09.md:121), titled \u201cHospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50.\u201d It records ticagrelor 180 mg loaded in the cath lab at 11:32.",
    "judgeReason": "covers all asked facts",
    "toolCalls": 8,
    "trajectory": [
      {
        "step": 1,
        "inputTokens": 220238,
        "outputTokens": 2526,
        "text": "I\u2019ll search the mounted memory first for Hugo Marchetti and the hospitalist admit note, then cross-check the next-day progress notes for the ticagrelor load time.\nThe initial literal search found the Marchetti chart and confirms the cath day was 2025-11-09. I\u2019m narrowing to the admit note and the following-day progress notes now so I can answer both parts exactly.\nDr. K. Lin said: \u201cthe lab is running 60\u201390 minutes behind today due to an earlier STEMI.\u201d See [hospitalist-admit-note-2025-11-08.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/admission/hospitalist-admit-note-2025-11-08.md:187).\n\nThe next-day progress note is [cath-day-progress-2025-11-09.md](/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/clinical/progress/cath-day-progress-2025-11-09.md:121), titled \u201cHospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50.\u201d It records ticagrelor 180 mg loaded in the cath lab at 11:32.",
        "toolCalls": [
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'rg -n \\\"Hugo Marchetti|Marchetti|ticagrelor|Brilinta|hospitalist|cards fellow|cardiology fellow|fellow\\\" .'\"}",
            "outputPreview": "./correspondence/provider/pcp-handoff-letter-2025-11-12.md:16:RE:    Discharge handoff \u2014 Hugo Marchetti (DOB 1973-04-22; MRN R-487293012)\n./correspondence/provider/pcp-handoff-letter-2025-11-12.md:31:**Re:** Hugo Marchetti \u2014 DOB 1973-04-22 \u2014 MRN R-487293012\n./correspondence/provider/pcp-handoff-letter-2025-11-12.md:37:Thank you for the opportunity to participate in the care of your long-standing p\u2026",
            "outputChars": 100580
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'ls -la'\"}",
            "outputPreview": "total 5\ndrwxr-xr-x  6 root      wheel     0 May 13 02:19 .\ndrwxr-xr-x@ 6 prasanna  staff   192 May 13 02:19 ..\ndrwxr-xr-x  5 root      wheel     0 May 13 02:19 clinical\n-rw-r--r--  1 root      wheel   487 May 13 02:19 clinical_note_hugo_marchetti_2025-11-22.md\ndrwxr-xr-x  4 root      wheel     0 May 13 02:19 correspondence\ndrwxr-xr-x  4 root      wheel     0 May 13 02:19 memory\n-r--r--r--  1 root \u2026",
            "outputChars": 496
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"rg --files | rg 'hospitalist|progress|admit|2025-11-09|2025-11-08'\\\"\"}",
            "outputPreview": "clinical/specialty/cardiology-cath-report-2025-11-09.md\nclinical/admission/triage-assessment-2025-11-08.md\nclinical/admission/hospitalist-admit-note-2025-11-08.md\nclinical/admission/er-admission-note-2025-11-08.md\nclinical/progress/post-cath-progress-2025-11-10.md\nclinical/progress/hugo-marchetti-antiplatelet-update-2025-11-22.md\nclinical/progress/cath-day-progress-2025-11-09.md\n",
            "outputChars": 382
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'smfs grep \\\"cards fellow remark quoted verbatim hospitalist admit note Hugo Marchetti\\\" .'\"}",
            "outputPreview": "/memory/profiles/hugo-marchetti-patient-profile.md:Hugo Marchetti was diagnosed with an NSTEMI on 2025-11-08 and underwent PCI for a mid-LAD lesion with a Synergy DES stent on 2025-11-09.\n\n/memory/conditions/antiplatelet-gi-bleed-reference.md:Hugo Marchetti recovered well by early December 2025, with hemoglobin returning to 11.4 and plans to restart cardiac rehab.\n\n/memory/profiles/hugo-marchetti-\u2026",
            "outputChars": 2234
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc 'smfs grep \\\"ticagrelor loaded time cath lab progress note next day Hugo Marchetti\\\" .'\"}",
            "outputPreview": "# supermemory semantic search \u2014 10 results for \"ticagrelor loaded time cath lab progress note next day Hugo Marchetti\"\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 from the file)\n/\u2026",
            "outputChars": 4290
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba clinical/admission/hospitalist-admit-note-2025-11-08.md | sed -n '1,240p'\\\"\"}",
            "outputPreview": "     1\t# Riverside General Hospital \u2014 Department of Internal Medicine \u2014 Hospitalist Service \u2014 Admission H&P \u2014 11/08/2025 14:35\n     2\t\n     3\t```\n     4\tEpic \u2014 Hospital Medicine H&P v9 \u2014 generated 11/08/2025 14:35 \u2014 User: QOKAFOR \u2014 Cosigned: pending\n     5\t```\n     6\t\n     7\t---\n     8\t\n     9\t## Patient Identifiers\n    10\t\n    11\t- **Name:** Marchetti, Hugo\n    12\t- **MRN:** R-487293012 (Riversid\u2026",
            "outputChars": 23948
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba clinical/progress/cath-day-progress-2025-11-09.md | sed -n '1,260p'\\\"\"}",
            "outputPreview": "     1\t# Hospital Medicine \u2014 Daily Progress Note \u2014 Day 1 \u2014 11/09/2025 06:50\n     2\t\n     3\t`Epic \u2014 Daily Progress Note v7 \u2014 generated 11/09/2025 06:50 \u2014 User: QOKAFOR`\n     4\t\n     5\t**Patient:** Hugo Marchetti, 52 M, MRN R-487293012, HD#2.\n     6\t**Location:** Step-down 3-South, Bed 14B (pre-cath); planned transfer to Cath Lab Bay 2 at case-call.\n     7\t**Service:** Hospital Medicine \u2014 Dr. Quincy\u2026",
            "outputChars": 21185
          },
          {
            "name": "command_execution",
            "input": "{\"command\": \"/bin/zsh -lc \\\"nl -ba clinical/progress/post-cath-progress-2025-11-10.md | sed -n '1,260p'\\\"\"}",
            "outputPreview": "     1\t```\n     2\t================================================================================\n     3\t  Epic \u2014 Daily Progress Note v7 \u2014 generated 11/10/2025 07:10 \u2014 User: QOKAFOR\n     4\t================================================================================\n     5\t```\n     6\t\n     7\t# Hospital Medicine \u2014 Daily Progress Note \u2014 Day 2 \u2014 11/10/2025 07:10\n     8\t\n     9\t**Patient:** Marche\u2026",
            "outputChars": 16437
          }
        ]
      }
    ]
  }
}