dp_003 q04 20 files multi_hop Claude Code

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 answer

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.

Filesystem View raw JSON
Input
329k
Output
350
Steps
9
Tools
6
Latency
23.1s
Cost
$4.96
#2 Edited /Users/prasanna/.claude/projects/-Users-prasanna-Documents-supermemoryai-supermemoryfs/memory/reference_hugo_marchetti_stent.md 1,095 chars
Command Read
{
  "file_path": "/Users/prasanna/.claude/projects/-Users-prasanna-Documents-supermemoryai-supermemoryfs/memory/reference_hugo_marchetti_stent.md"
}
Result 4 lines
<system-reminder>This memory is 6 days old. Memories are point-in-time observations, not live state — claims about code behavior or file:line citations may be outdated. Verify against current code before asserting as fact.</system-reminder>
1	---
2	name: Hugo Marchetti — stent and antiplatelet history
3	description: Clinical note: Boston Scientific Synergy DES in mid-LAD (2025-11-09), GI bleed, an…
#3 Ran ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/ 36 chars
Command Bash
ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/

{
  "description": "List agent_memory directory contents"
}
Result 4 lines
clinical
correspondence
memory
tests
#4 Ran ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/ /Users/prasanna/Docum… 565 chars
Command Bash
ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/ /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/correspondence/ /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/memory/ /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/

{
  "description": "List agent_memory subdirectories"
}
Result 11 lines
/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/clinical/:
admission
progress
specialty

/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/correspondence/:
family
patient
provider

/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory…
#5 Ran ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/ 59 chars
Command Bash
ls /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/

{
  "description": "List labs directory"
}
Result 2 lines
labs-day0-troponins-cbc-bmp.md
labs-day11-pcp-office-cbc.md
#6 Edited agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md 38,901 chars
Command Read
{
  "file_path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day0-troponins-cbc-bmp.md"
}
Result 7 lines
1	```
2	================================================================================
3	RIVERSIDE GENERAL HOSPITAL — DEPARTMENT OF LABORATORY MEDICINE
4	INWOOD CAMPUS — 4115 Broadway, New York, NY 10033
5	CLIA #33D2014872   |   CAP #7891245   |   NYS DOH PFI #00214-LAB
6	Director: Dr. Hiroko Yamazaki, MD, PhD — Pathology / Clinical Chemistry
7	Lab telephone (main): 212-555-0303     Lab fax: 212…
#7 Edited agent_memory/tests/labs/labs-day11-pcp-office-cbc.md 35,279 chars
Command Read
{
  "file_path": "/Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/fs/dp_003/agent_memory/tests/labs/labs-day11-pcp-office-cbc.md"
}
Result 9 lines
1	```
2	=========================================================================
3	   [ logo: small green-on-cream caduceus + magnolia leaf — printed top-left ]
4	   MOTT HAVEN FAMILY MEDICINE — INWOOD SATELLITE
5	   OUTPATIENT LABORATORY
6	   1245 St. Nicholas Avenue, New York, NY 10033
7	   Office: (212) 555-0319    Fax: (212) 555-0320
8	   CLIA #33D9120441
9	===================================…
#9 Reasoning 345 chars
- **Baseline hemoglobin on day of NSTEMI presentation (2025-11-08):** 13.4 g/dL (Riverside General ED Day-0 CBC)
- **Hemoglobin at PCP office draw 11 days later (2025-11-19, Mott Haven Family Medicine):** 9.8 g/dL
- **Drop documented in the PCP office labs:** 3.6 g/dL (the Mott Haven report's trend table explicitly records "-3.6" vs. baseline)
Answer
- **Baseline hemoglobin on day of NSTEMI presentation (2025-11-08):** 13.4 g/dL (Riverside General ED Day-0 CBC) - **Hemoglobin at PCP office draw 11 days later (2025-11-19, Mott Haven Family Medicine):** 9.8 g/dL - **Drop documented in the PCP office labs:** 3.6 g/dL (the Mott Haven report's trend table explicitly records "-3.6" vs. baseline)
Judge: covers all asked facts
SMFS Won View raw JSON
Input
147k
Output
238
Steps
6
Tools
2
Latency
17.3s
Cost
$2.22
#2 Reasoning 74 chars
Let me search the agent memory for Hugo Marchetti's hemoglobin lab values.
#3 Ran smfs grep "hemoglobin" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/ 7,823 chars
Command Bash
smfs grep "hemoglobin" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "timeout": 15000
}
Result 7 lines
# supermemory semantic search — 10 results for "hemoglobin"
# searches by meaning across files in this container. usage:
#   grep "natural language query"          search all files
#   grep "query" path/to/dir/              search within directory
# output: <filepath>:<line_start>-<line_end>:<chunk> (chunk text is verbatim from the file)

/memory/conditions/antiplatelet-gi-bleed-reference.md:Hugo …
#4 Ran smfs grep "NSTEMI presentation baseline labs" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003… 8,732 chars
Command Bash
smfs grep "NSTEMI presentation baseline labs" /Users/prasanna/Documents/supermemoryai/supermemoryfs/.scratch/eval/eval/workspace/smfs/dp_003/agent_memory/

{
  "timeout": 15000
}
Result 7 lines
# supermemory semantic search — 10 results for "NSTEMI presentation baseline labs"
# searches by meaning across files in this container. usage:
#   grep "natural language query"          search all files
#   grep "query" path/to/dir/              search within directory
# output: <filepath>:<line_start>-<line_end>:<chunk> (chunk text is verbatim from the file)

/clinical/admission/hospitalist-admi…
#6 Reasoning 524 chars
- **Baseline hemoglobin on NSTEMI presentation (2025-11-08):** 13.4 g/dL, drawn as part of the Day-0 ED admission CBC at Riverside General.
- **Hemoglobin at the PCP office eleven days later (2025-11-19):** 9.8 g/dL, flagged **LL — critical vs. baseline** on the Sysmex XN-550 analyzer.
- **Drop documented in those PCP labs:** **3.6 g/dL** (13.4 → 9.8). The lab report explicitly calls this out as a 3.6 g/dL fall from the Day-0 baseline, consistent with an acute upper GI bleed in the setting of dual antiplatelet therapy.
Answer
- **Baseline hemoglobin on NSTEMI presentation (2025-11-08):** 13.4 g/dL, drawn as part of the Day-0 ED admission CBC at Riverside General. - **Hemoglobin at the PCP office eleven days later (2025-11-19):** 9.8 g/dL, flagged **LL — critical vs. baseline** on the Sysmex XN-550 analyzer. - **Drop documented in those PCP labs:** **3.6 g/dL** (13.4 → 9.8). The lab report explicitly calls this out as a 3.6 g/dL fall from the Day-0 baseline, consistent with an acute upper GI bleed in the setting of du…
Judge: covers all asked facts